Migraines are a type of moderate to severe headache. They often recur and can cause intense, throbbing, pounding pain that gradually becomes worse over time.
For many people, migraines are accompanied by other symptoms, such as nausea, feelings of weakness and vomiting. Things like movement, bright lights and loud noises can often make migraine symptoms more severe.
Migraines are common, affecting around 12 percent of all Americans. They can happen at any time and in any setting. Some people only get migraines one or two times per year, while other people experience persistent migraines that occur every month, week or on a daily basis.
There are several different types of migraines, each of which may produce a different range of symptoms.
Migraines can be extremely painful and unpleasant. While there’s no cure for migraines, there are several effective treatments that can help to relieve your symptoms and lower your risk of experiencing migraines in the future.
There are also several lifestyle changes and therapeutic techniques that may help to prevent migraines from occurring or make them less frequent.
Below, we’ve provided more information about what migraines are, the common symptoms of migraine and the factors that can cause migraines to develop. Finally, we’ve listed treatments and preventative techniques to help you to control migraine attacks and their symptoms.
Migraines are moderate to severe recurring headaches. The pain caused by migraines is often described as being intense, pulsing and focused on one area of the head.
According to the International Headache Society, a migraine is diagnosed based on its pain and the number of attacks that occur at once. Many migraines take place over the course of several hours or days and involve multiple, recurring headaches.
There are several different types of migraine, each with slightly different symptoms. Sometimes, migraines will occur with an aura — symptoms that develop before or during a migraine and can often signal that a migraine is about to start.
Migraines typically go through four phases. Some people will go through all four phases during a migraine, while others may only experience some phases.
Also referred to as “pre-headache,” the prodrome phase of a migraine typically marks the start of a migraine attack. The prodrome phase of a migraine may last for several hours or extend over several days.
In the prodrome phase, you may experience a variety of symptoms that suggest a migraine is about to start. Common symptoms during this phase include:
Identifying the symptoms you experience during the prodrome phase of a migraine can help you to take action and treat the migraine before it worsens.
The aura phase occurs between the prodrome phase and the headache phase. Not all people who get migraines experience aura. According to the American Migraine Foundation, between 25 percent and 30 percent of people prone to migraines experience the aura stage of a migraine.
Similar to the prodrome phase, the aura phase can often serve as a warning that a migraine is about to start. Common symptoms during this phase include:
Aura symptoms can last for anywhere from five to 60 minutes or longer. About 20 percent of people get aura symptoms that persist for longer than an hour. Some people experience aura symptoms at the same time as a headache.
Although aura symptoms usually precede the headache phase of a migraine, some people may experience aura without a headache after.
The headache phase occurs after the prodrome and/or aura phase. In this phase of a migraine attack, you may experience pain that affects one or both sides of your head over the course of several hours or days.
Migraine headaches can vary hugely in severity. While some people only experience mild pain during this phase of a migraine, others can experience severe, extremely unpleasant pain that makes everyday tasks difficult and challenging.
Certain things, such as changes in light levels or some types of physical activity, can cause the pain of a migraine headache to worsen.
It’s common for migraine headaches to begin gradually and grow more severe over time. For some people, a migraine headache can begin on one side of the head and “move” to the other side as it progresses.
In addition to pain, the headache phase of a migraine can also involve other symptoms. During this phase, you may experience:
Most of the time, the headache phase of a migraine fades away gradually over time. However, in some cases, the headache phase can stop quickly. Some people find that sleeping helps to bring the headache phase to an end faster.
The postdrome phase, or recovery phase, is the final stage of a migraine attack. It occurs after the headache phase and is often referred to as the “migraine hangover” phase, as many of the symptoms of a migraine can persist during this phase.
Approximately 80 percent of people who experience migraines go through the postdrome stage of a migraine attack. The postdrome phase doesn’t always occur — even in people prone to it, some migraines may end without going through this phase.
For some people, the postdrome phase of a migraine can be just as severe and unpleasant as the headache phase. It can vary in length from just a few hours to several days. Symptoms of the postdrome phase include:
During the postdrome phase, it’s still important to actively avoid migraine triggers. Things such as bright or flashing light and loud noises can worsen symptoms. You may find that relaxation techniques provide relief during this phase of a migraine.
Most people affected by migraines start to note them between the ages of 10 and 45. Women, people with a family history of migraines and people with certain psychiatric disorders, including anxiety and depression, typically have the highest risk of experiencing migraines.
Researchers believe that migraines are caused by abnormal brain activity. The exact process by which a migraine develops isn’t fully known, although certain activities and events can often trigger migraines and cause symptoms to develop.
Most experts believe that migraines begin in the brain, with sudden changes to brain chemicals and nerve pathways altering the flow of blood to the brain and nearby parts of the body.
A variety of factors can trigger a migraine, with migraine triggers differing between people. The most common migraine triggers include:
Some people experience migraines after eating certain foods. Common food-related migraine triggers include:
Although migraines affect both men and women, they’re significantly more common in women than in men. In fact, women are approximately three times more likely than men to experience migraines.
Other risk factors for migraines include a family history of migraines. Researchers think that migraines have a genetic component, meaning you may have an increased risk if your family members also experience migraines.
Finally, some medical conditions may increase your risk of getting migraines. You may have a higher risk of being affected by migraines if you have:
Currently, there’s no cure for migraines. However, a variety of treatment options are available to provide relief from the pain and other symptoms caused by migraines. Some treatments can also reduce your risk of experiencing migraine attacks.
Several medications are used to treat migraines. Some medications are used to treat migraines when they occur. These are referred to as abortive treatments. Other medications may be used to prevent migraines from occurring. These are referred to as preventative treatments.
Common abortive treatments for migraines include the following medications:
If you experience migraines, your healthcare provider may recommend that you use one of the medications listed above. You may need to try several different medications before finding one that provides adequate relief from your symptoms.
Abortive treatments for migraines are generally more effective the earlier you take them, making it important to have medication ready if you’re prone to migraines.
While abortive treatments can provide relief from migraine symptoms during a migraine attack, they aren’t designed to prevent migraines from occurring. If you get persistent migraines, your healthcare provider may recommend that you use a preventative treatment.
Common preventative treatments for migraines include the following medications:
Some of these medications may be prescribed to prevent migraines off-label, meaning they’re not approved for this purpose by the FDA. Like with abortive treatments, you may need to use several preventative treatments in order to find one that works effectively for you.
If you experience a migraine, using certain techniques may make it easier to deal with the pain and discomfort. Try to:
In addition to using a preventative treatment, making certain changes to your habits and lifestyle may help to prevent migraines.
Migraines are often triggered by certain events or activities, such as changes in the weather or exposure to bright light.
Although migraine triggers can differ from person to person, there are several triggers that seem to cause migraines in a large percentage of people. Taking steps to avoid these may help you to reduce your risk of experiencing migraine headaches.
Try the following strategies to avoid common migraine triggers and gain better control over your migraine attacks:
Migraines are closely associated with obesity, with the risk of migraine higher in people who are overweight or obese compared to those who are a normal weight.
If you’re overweight or obese, losing weight may reduce your risk of experiencing migraines. Try to eat healthier, exercise and gradually reduce your weight until you’re in the normal body mass index (BMI) range.
Migraines can be debilitating and extremely unpleasant, especially when they cause severe pain and other symptoms.
Although there’s no cure for migraines, numerous treatments can manage the pain and other symptoms you may experience during a migraine attack. Certain treatments and changes to your lifestyle may also prevent migraines from occurring or make them less frequent.
If you get migraines, talk to your healthcare provider or consult with a US-licensed healthcare provider online. They’ll work with you to identify your migraine triggers and recommend a safe, effective treatment that you can use to get your migraines under control.