Cluster headache is a debilitating condition characterized by intense pain with a distinct circadian and seasonal onset pattern, significantly impacting athletes' performance and training schedules. Standard treatments in Western medicine, such as high-flow oxygen therapy and triptans, offer only temporary symptom relief and are frequently associated with recurrence. Acupuncture, known for its broad mechanism pathways and notable efficacy, presents a promising alternative. This review explores the potential mechanisms through which acupuncture might alleviate cluster headaches in athletes, focusing on interactions with the hypothalamus, activation of the trigeminovascular system, and modulation of the central pain system. Additionally, we discuss how acupuncture and moxibustion could not only reduce headache frequency and intensity but also enhance overall recovery and athletic performance by improving pain management. This integrated approach could offer a significant advantage in the sports setting, where maintaining peak physical condition is crucial.