Migraine and headache: recognizing the pattern can help find the right treatment
Educational guide to migraine and headache, aura, triggers, headache diary, treatment and neurological warning signs.
π§ Migraine is more than pain
Migraine is a neurological disorder. It can cause throbbing pain, nausea and sensitivity to light, sound or smells. Some people experience visual, sensory or language aura.
π Keep a headache diary
Recording timing, duration, intensity, associated symptoms, sleep, meals and possible triggers can help a healthcare professional identify patterns.
π§ Helpful routines
Hydration, regular sleep and meals, appropriate physical activity and stress management may reduce attacks for some people.
π Acute treatment
Treatment of an attack may include over-the-counter medicines or migraine-specific therapies depending on medical history and individual characteristics.
π‘οΈ Prevention
When attacks are frequent, prolonged or disabling, preventive treatment may be considered. Several medication classes are available, including therapies targeting CGRP.
β οΈ Medication overuse
Frequent use of some headache medicines can contribute to medication-overuse headache. Repeated need for medication should prompt review of the treatment plan.
π¨ Headache red flags
Seek immediate care for a sudden explosive headache, a new headache with weakness or speech difficulty, fever with neck stiffness, loss of consciousness, headache after major trauma, or a new rapidly progressive pattern.
π©ββοΈ Medical evaluation
A new or different headache, particularly during pregnancy or postpartum, in people who are immunocompromised or have cancer, or with neurological symptoms deserves medical assessment.
π Medical references
Institutional references used for this guide: