Launching September 2027

Migraines

Migraines At A Glance

  • Migraine is a neurological condition that causes recurring headaches that are often moderate to severe and may be throbbing or pulsating.
  • Migraine attacks commonly occur with nausea, vomiting, and sensitivity to light, sound, or smells.
  • Some people experience aura, which can include flashing lights, blind spots, tingling, numbness, or difficulty speaking.
  • Common triggers include stress, poor sleep, skipped meals, dehydration, alcohol, caffeine changes, bright lights, strong odors, hormones, and weather changes.
  • Most migraines are diagnosed based on symptoms and a neurological examination, with imaging used when symptoms are unusual or concerning.
  • Treatment may include acute medications, preventive medications, trigger management, stress reduction, behavioral therapy, and selected advanced therapies.

Table of Contents

Table of Contents

What Is Migraines?

A migraine is a neurological condition that causes recurring headaches that are often moderate to severe in intensity. Unlike a typical headache, migraines may cause throbbing or pulsating pain, usually on one side of the head, and are often accompanied by symptoms such as nausea, vomiting, and increased sensitivity to light, sound, or smells.

Some people experience migraine with aura, which includes temporary neurological symptoms before or during the headache. These symptoms may include flashing lights, blind spots, tingling sensations, or difficulty speaking. Migraines can last from a few hours to several days and may interfere with work, school, and daily activities. Although there is no cure, medications and healthy lifestyle habits can help prevent migraines and reduce their severity.

Learn More

Migraine – NIH MedlinePlus
https://medlineplus.gov/migraine.html

Provides easy-to-understand information about migraines, including symptoms, diagnosis, treatment, and prevention.

Migraine – National Institute of Neurological Disorders and Stroke (NINDS)
https://www.ninds.nih.gov/health-information/disorders/migraine

Explains what migraines are, common symptoms, causes, diagnosis, and treatment options.

How Common Is Migraines?

Migraines are one of the most common neurological conditions worldwide. In the United States, migraines affect about 39 million people and are more common in women than men. Migraines often begin during adolescence or early adulthood but can occur at any age.

Learn More

Migraine – American Migraine Foundation
https://americanmigrainefoundation.org/

Provides information about migraine prevalence, risk factors, and patient education.

What Symptoms Might You Notice?

Migraine symptoms vary from person to person and may occur in several stages.

Common symptoms may include:

  • Moderate to severe headache
  • Throbbing or pulsating head pain
  • Pain on one or both sides of the head
  • Nausea
  • Vomiting
  • Sensitivity to light (photophobia)
  • Sensitivity to sound (phonophobia)
  • Sensitivity to smells
  • Blurred vision
  • Dizziness

Some people may also experience an aura, which can include:

  • Flashing lights
  • Zigzag lines
  • Blind spots
  • Tingling or numbness
  • Difficulty speaking

How Is Migraines Diagnosed?

Your healthcare provider will ask about your symptoms, headache pattern, medical history, family history, and perform a neurological examination. Most migraines are diagnosed based on your symptoms and physical examination.

Additional testing may be recommended if your headaches are new, unusually severe, or associated with neurological symptoms that require further evaluation.

Learn More

Migraine – NIH MedlinePlus
https://medlineplus.gov/migraine.html

Explains how migraines are diagnosed and when additional testing may be recommended.

Migraines infographic – click to enlarge

What Causes Migraines?

The exact cause of migraines is not fully understood. Researchers believe migraines result from changes in brain activity that affect nerves, blood vessels, and certain brain chemicals involved in pain signaling.

Common risk factors include:

  • Family history of migraines
  • Hormonal changes
  • Stress
  • Poor sleep
  • Certain foods or drinks
  • Bright lights
  • Strong odors
  • Weather changes
  • Certain medications

Learn More

Migraine – National Institute of Neurological Disorders and Stroke (NINDS)
https://www.ninds.nih.gov/health-information/disorders/migraine

Learn about the possible causes and common migraine triggers.

What Can Make Migraines Worse?

Migraine triggers vary between individuals, but several factors commonly contribute to migraine attacks.

Common triggers include:

  • Stress
  • Lack of sleep
  • Too much sleep
  • Skipping meals
  • Dehydration
  • Alcohol
  • Caffeine (too much or sudden withdrawal)
  • Bright or flashing lights
  • Strong smells
  • Hormonal changes
  • Weather changes

Learn More

Migraine Triggers – American Migraine Foundation
https://americanmigrainefoundation.org/

Provides practical information about identifying and managing migraine triggers.

Prevention

Although migraines cannot always be prevented, healthy lifestyle habits can reduce their frequency and severity.

Helpful prevention tips include:

  • Maintain a consistent sleep schedule.
  • Stay well hydrated.
  • Eat regular meals.
  • Exercise regularly.
  • Manage stress.
  • Identify and avoid personal migraine triggers.
  • Limit alcohol if it triggers migraines.
  • Take preventive medications exactly as prescribed.
  • Keep regular healthcare appointments.

Learn More

Migraine Prevention – American Migraine Foundation
https://americanmigrainefoundation.org/

Provides practical recommendations for reducing migraine frequency and improving long-term management.

Learn More About Migraines

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

There are no laboratory tests that diagnose migraines. However, blood tests may be ordered to rule out other medical conditions that could be contributing to headaches.

Common laboratory tests may include:

  • Complete Blood Count (CBC): Checks for infection or anemia.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function, liver function, blood sugar, and electrolytes.
  • Thyroid-Stimulating Hormone (TSH): Screens for thyroid disorders that may contribute to headaches.
  • Erythrocyte Sedimentation Rate (ESR) or C-Reactive Protein (CRP): May be ordered if inflammation or certain blood vessel disorders are suspected.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about common laboratory tests that may be used when evaluating headaches.

Diagnostics

Most people with migraines do not need imaging studies. However, additional testing may be recommended if your symptoms are unusual or suggest another medical condition.

Common diagnostic tests may include:

  • Neurological Examination: Evaluates brain and nerve function.
  • MRI of the Brain: May be recommended if symptoms are atypical or concerning.
  • CT Scan of the Head: May be performed in emergency situations to evaluate sudden or severe headaches.
  • Lumbar Puncture (Spinal Tap): Rarely needed but may be recommended if meningitis or bleeding around the brain is suspected.

Learn More

Migraine – National Institute of Neurological Disorders and Stroke (NINDS)
https://www.ninds.nih.gov/health-information/disorders/migraine

Learn about diagnostic testing and when brain imaging may be appropriate.

Treatment & Management

Treatment Options

Treatment focuses on relieving migraine symptoms during an attack and preventing future migraines. Your treatment plan depends on how often migraines occur, how severe they are, and how much they affect your daily life.

Treatment options may include:

  • Acute (rescue) medications
  • Preventive medications
  • Lifestyle modifications
  • Trigger avoidance
  • Stress management
  • Behavioral therapy
  • Neuromodulation devices for selected patients

Learn More

Migraine – American Migraine Foundation
https://americanmigrainefoundation.org/

Provides information about migraine treatment options and long-term management.

Lifestyle Changes

Healthy lifestyle habits can help reduce the frequency and severity of migraine attacks.

Helpful lifestyle changes include:

  • Maintain a regular sleep schedule.
  • Eat regular meals and avoid skipping meals.
  • Stay well hydrated.
  • Exercise regularly.
  • Manage stress.
  • Identify and avoid your personal migraine triggers.
  • Limit alcohol.
  • Use caffeine consistently and in moderation if advised by your healthcare provider.
  • Keep a headache diary.
  • Take medications exactly as prescribed.

Learn More

Migraine Lifestyle Tips – American Migraine Foundation
https://americanmigrainefoundation.org/

Provides practical recommendations for preventing migraine attacks and improving quality of life.

Medications

Several medications are available to treat migraines. Some medications relieve symptoms during a migraine attack, while others help prevent future migraines.

Common medications include:

  • Acetaminophen or Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): May help relieve mild to moderate migraine pain.
  • Triptans: Often prescribed to stop moderate to severe migraine attacks.
  • Gepants: A newer class of medications used to treat or prevent migraines in some individuals.
  • Calcitonin Gene-Related Peptide (CGRP) Inhibitors: Used to help prevent migraines or treat acute attacks, depending on the medication.
  • Antiemetics: Help relieve nausea and vomiting associated with migraines.
  • Preventive Medications: May include certain blood pressure medications, antiseizure medications, antidepressants, or CGRP-targeting therapies for people with frequent migraines.

Learn More

Migraine Medicines – American Migraine Foundation
https://americanmigrainefoundation.org/

Provides information about medications used to treat and prevent migraines.

Procedures

Most people with migraines do not need surgery. However, if migraines are frequent, severe, or difficult to control, your healthcare provider may recommend specialized treatments or procedures to reduce symptoms.

Common procedures may include:

  • Botulinum Toxin (Botox®) Injections: FDA-approved for adults with chronic migraine (15 or more headache days per month), typically given every 12 weeks.
  • Peripheral Nerve Blocks: An injection of a local anesthetic around specific nerves in the head or neck to help relieve migraine pain.
  • Neuromodulation Devices: External devices that use electrical or magnetic stimulation to help prevent or treat migraines in selected individuals.
  • Intravenous (IV) Migraine Therapy: May be provided in an emergency department or infusion center for severe migraines that do not improve with home treatment.

Learn More

Migraine – American Migraine Foundation
https://americanmigrainefoundation.org/

Learn about advanced migraine treatments, including Botox, nerve blocks, and neuromodulation therapies.

What Should You Expect Long-Term?

Migraines are a long-term neurological condition, but many people successfully reduce the frequency and severity of attacks through medications, healthy lifestyle habits, and avoiding personal triggers.

Migraine patterns often change over time. Some people experience fewer migraines as they get older, while others continue to have attacks throughout adulthood. Regular follow-up with your healthcare provider can help optimize your treatment plan and improve your quality of life.

What Can You Do At Home?

Daily self-care can help reduce migraine attacks and improve symptom control.

Helpful tips include:

  • Maintain a regular sleep schedule.
  • Stay well hydrated.
  • Eat regular meals and avoid skipping meals.
  • Exercise regularly.
  • Manage stress through relaxation techniques or mindfulness.
  • Keep a headache diary to identify triggers.
  • Take medications exactly as prescribed.
  • Rest in a quiet, dark room during a migraine attack if helpful.
  • Apply a cool compress to your forehead or neck.
  • Keep regular healthcare appointments.

Learn More

Migraine Lifestyle Tips – American Migraine Foundation
https://americanmigrainefoundation.org/

Provides practical recommendations for preventing migraines and improving quality of life.

Frequently Asked Questions

What is the difference between a migraine and a headache?

A migraine is a neurological disorder that often causes moderate to severe throbbing head pain along with symptoms such as nausea and sensitivity to light and sound. A typical headache is usually less severe and does not usually cause these additional symptoms.

What is a migraine aura?

A migraine aura is a temporary neurological symptom that may occur before or during a migraine. It can include flashing lights, blind spots, tingling sensations, numbness, or difficulty speaking.

Can stress trigger migraines?

Yes. Stress is one of the most common migraine triggers. Learning healthy stress management techniques may help reduce migraine frequency.

Can certain foods trigger migraines?

Yes. Some people notice migraines after eating foods such as aged cheeses, processed meats, chocolate, foods containing monosodium glutamate (MSG), or artificial sweeteners. Triggers vary from person to person.

When should I consider preventive migraine medication?

Preventive medications may be recommended if you have frequent migraines, migraines that significantly interfere with daily life, or migraines that do not respond well to rescue medications.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What type of migraine do I have?
  • What treatments are best for my migraines?
  • Should I take medication to prevent migraines?
  • What migraine triggers should I avoid?
  • Would keeping a headache diary be helpful?
  • Do I need to see a neurologist?
  • When should I schedule my next follow-up appointment?

Specialist Referrals

Many people with migraines receive care from their primary care provider. If migraines are frequent, severe, or difficult to manage, your provider may recommend seeing a specialist.

You may be referred to:

  • Neurologist: Specializes in disorders of the brain and nervous system, including migraines.
  • Headache Specialist: A neurologist with additional expertise in diagnosing and treating headache disorders.
  • Physical Therapist: May help if neck pain or muscle tension contributes to headaches.
  • Mental Health Professional: Assists with managing stress, anxiety, depression, or other conditions that may contribute to migraines.

Learn More

American Migraine Foundation
https://americanmigrainefoundation.org/

Provides patient education, treatment information, and resources for people living with migraines.

Is Migraines Curable?

There is currently no cure for migraines. However, many people successfully manage their migraines with medications, healthy lifestyle habits, and trigger avoidance.

For some individuals, migraine attacks become less frequent over time. Others continue to have migraines but achieve excellent symptom control with an individualized treatment plan.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • A sudden, severe headache (“thunderclap headache”)
  • A headache after a head injury
  • Confusion
  • Difficulty speaking
  • Weakness or numbness on one side of the body
  • Vision loss
  • Loss of consciousness
  • A seizure
  • Fever with a severe headache and stiff neck

Seek prompt medical evaluation if you notice:

  • A new headache after age 50
  • A significant change in your usual migraine pattern
  • Headaches that become progressively more severe
  • Frequent migraines despite treatment

Learn More

Migraine – NIH MedlinePlus
https://medlineplus.gov/migraine.html

Learn when migraine symptoms require immediate medical attention and when emergency evaluation is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Migraine – NIH MedlinePlus
https://medlineplus.gov/migraine.html

Easy-to-understand information about migraines, including symptoms, diagnosis, treatment, and prevention.

National Institute of Neurological Disorders and Stroke (NINDS) – Migraine
https://www.ninds.nih.gov/health-information/disorders/migraine

Comprehensive information about migraine causes, diagnosis, treatment options, and current research.

American Migraine Foundation
https://americanmigrainefoundation.org/

Evidence-based patient education about migraines, medications, lifestyle management, headache diaries, and support resources.

American Academy of Neurology (AAN) – Patient Resources
https://www.aan.com/patients

Reliable information about neurological conditions, including migraines and headache disorders.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your migraines become more frequent, change significantly, or your medications are no longer controlling your symptoms. Call 911 immediately if you experience a sudden severe headache, weakness, difficulty speaking, vision loss, confusion, seizure, or another medical emergency.

 

Get personalized care for Migraines

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