This post may contain affiliate links. Migraine Strong, as an Amazon Affiliate, makes a small percentage from qualified sales made through affiliate links at no cost to you. Traveling with migraine can feel daunting, especially when trying to avoid the inevitable airplane headache. The excitement of a trip often comes with extensive planning and packing, ensuring all medications and supplements are accounted for, and arranging for head-friendly meals away from home. However, careful preparation can help reduce some of the typical triggers that arise during travel. Here’s how you can tackle these challenges and make your trips more enjoyable. ** While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators and all information you read should be discussed with your doctor. Plan Ahead to Prevent Travel Migraine Attacks Creating a solid plan is essential when traveling with migraine, even though perfect plans don’t exist. Migraine often throws surprises at us, but planning ahead minimizes stress and reduces the likelihood of triggers. Start building your plan as soon as you book your trip, whether you’re flying or driving. Use Lists to Stay Organized: Consider travel length, your destination, and your companions when drafting your lists. Work Backwards from the Departure Date: Start with your departure day and plan backwards to determine when to start packing and order any necessary supplies. Getting your suitcase out a week early allows you to pack gradually and avoid last-minute stress. Don’t forget to include tasks like arranging pet care, turning off your home’s water, and setting the thermostat. Schedule Downtime After Arrival: If possible, build a recovery day into your itinerary. Many people, including myself, experience migraine attacks the day after traveling. Use this day to relax while others explore, or join in if you feel up to it. #AD Why Does Traveling Sometimes Reduce Migraine Attacks? Many people notice fewer migraine attacks while traveling, which often sparks discussion. Why does this happen? The reasons vary but often include reduced stress from daily responsibilities, reduced screen time and the therapeutic effects of time with loved ones. For example, when I travel, I don’t have to answer the dreaded, “What’s for dinner?” question—restaurants handle that for me! However, if you follow a migraine elimination diet, eating out may bring its own stressors. Later in this article, we’ll share strategies for dining out while managing your triggers. I recently took a trip to Yellowstone and the Grand Tetons with my husband. My migraine attacks definitely reduced during the week, even with all of the hiking and the change in time zones. A significant reduction in screen time probably also really helped. Tips to Limit Migraine Triggers During Travel Both flights and car rides pose challenges, but you can take steps to reduce the risk of migraine attacks. 1. Stay Hydrated Travel dehydrates us—plane cabins and car air conditioning or heat exacerbate this. Dehydration is a common migraine trigger, so keep a refillable water bottle with you at all times. Choose one with measurement markings to track your intake. While frequent bathroom stops or trips to the airplane bathroom may feel inconvenient, staying hydrated is worth the effort. 2. Choose Head-Friendly Foods If you’re following a migraine elimination diet, strive for “good enough” rather than perfection. Pack snacks that align with your diet for car rides, and research restaurant options ahead of time. When dining at unfamiliar places, make the best choices you can and move forward with a positive attitude. 3. Protect Yourself from the Sun Pack essentials like a wide-brimmed hat, sunscreen, and a sun shirt. Stay cool and drink plenty of water to replenish fluids. Sunglasses are also a must, especially when hiking, skiing or hanging at the beach. 4. Maintain a Sleep Routine Headache specialists recommend a consistent sleep schedule. While slight deviations for activities like late dinners or movies are okay, avoid drastic changes. Pack earplugs and a sleep mask, to block noise and light. 5. Carry Medications and Emergency Supplies Always keep a stocked emergency kit within reach. Include your preventive and acute medications, supplements, and any tools you use for managing attacks. Never pack essential medications in checked luggage—lost bags mean lost treatments. Unexpected delays can cause all kinds of havoc. Whether stuck in a plane or in traffic, always have supplies to avoid the ‘hangry’ attack. Drinks and some safe crackers or granola bars can head off the impending ‘I skipped a meal’ attack.  Flight Tips: Prevent Airplane Headaches Airplane headaches often result from cabin pressure and altitude changes. Consider these strategies to reduce your risk: Dexamethasone – Is a steroid that has been shown to be effective in preventing high altitude headache (1) A low dose (4mg) the day before, day of and day after flying can offer protection against airplane headaches or migraine attacks.  Diamox (acetazolamide) – This prescription preventive medication is used also to treat altitude sickness. Taking Diamox prior to and during your flight may help you avoid a migraine attack. (1) If you want to learn more about how Diamox can help with pressure and weather related attacks, read our article on a migraine forecast. Acute medication – Headache specialists suggest premedicating prior to your flight if you are susceptible to airplane headaches or migraine attack during flights. Keep in mind that this goes towards your total for the week/month so if your are towards the chronic end of the migraine spectrum, use this option with that in mind. Ginger is always a good option as well and our article on ginger for migraine can give you the needed information. A decongestant like pseudoephedrine can help prevent an attack and can be taken prior to your flight as well. Check with your doctor to see if they recommend any of these options.  Essentials for the airplane headache emergency kit Emergency Kit – Always have your emergency kit packed and ready to go. All kits are a bit different but some helpful things to consider packing

It didn’t take long at all for our bond to build once the adoption was confirmed. Even that first day of bringing him home in the car, I could feel he had established a sense of trust in me. From there, our connection continued to build, and we developed our daily routine: waking in the morning to take my medication followed by cuddles, getting out for our morning and afternoon walks (Bruce on timekeeping duties, of course!) and mealtimes right on schedule. As a result of having this routine, Bruce would also sense I was having my bad migraine days if I got up in the morning but wasn’t able to shower due to lack of balance, and he would be very patient, quiet, and forego his usual demands for outings, being quite happy to potter around in the back garden. If I needed assistance, I would shout “Bruce, here, help”, and he would come upstairs and stand by my bed, close enough for me to put my hand on his back so that I could stabilise myself to get up and stand. He then would walk beside me and somehow had learnt himself the best position to stand behind me when coming down the stairs, so that the weight of his body would support me behind my legs if I started to tip backwards or could put my hand there next to him to maintain balance. I didn’t teach him to do this; he just seemed to know what to do! When my migraine attack had lifted, and he would hear me go into the bathroom, the noise of the shower and see me come downstairs changed out of my pyjamas – that was it; action stations, and usual routine back on! Source link

Living with POTS (Dysautonomia) is new for me. Living with Migraine is something I’ve been living with forever. The thought that I live with something other than migraine has been a topic of discovery for many years. I know comorbidities are common with migraine so it’s been on my mind. Living with a chronic illness is complex because so much of it crosses over. My Migraine Life started way back when I was 5 years old. Over the last decade, I have dedicated my life to being a migraine advocate and educating myself about my disease.  The pieces just weren’t coming together. For some reason, I felt like my migraine treatment was effective yet I was still in a chronic state of riding these intense symptoms that I couldn’t shake and came in flairs. This post is for informational purposes only, and should not be taken as medical advice in any way. Please speak with your doctor if you suspect you have dysautonomia and for treatment options. I am sharing my journey and everyone is different. Key Features of POTS Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects the autonomic nervous system, which controls involuntary functions like heart rate, blood pressure, and digestion. POTS is a form of dysautonomia, and its primary characteristic is an abnormal increase in heart rate when transitioning from lying down to standing. Symptoms of POTS/Dysautonomia may Include: Heart rate: Fast or slow heart rate, heart palpitations, or an irregular heart rhythm Blood pressure: Low blood pressure, especially when standing up, or unstable blood pressure Blood sugar: Low blood sugar (hypoglycemia) Sweating: Excessive sweating, sweating more in certain areas, or not being able to sweat Temperature: Sensitivity to heat or cold, or swings in body temperature Vision: Blurred vision, light sensitivity, or trouble adjusting to light changes Headaches: Migraines or frequent headaches Dizziness: Frequent dizziness, especially when standing up Fainting: Fainting or passing out, especially when standing up Nausea and vomiting: Nausea and vomiting, or gastroesophageal reflux Bowel movements: Constipation or diarrhea, or changes in bowel movements Urination: Frequent urge to urinate, urinary incontinence, or bladder dysfunction Fatigue: Chronic fatigue or feeling tired all the time Cognitive issues: Brain fog, forgetfulness, or trouble concentrating Chest pain: Chest pain or discomfort Sleeping problems: Insomnia or sleep-disordered breathing Skin: Clammy or pale skin, blotchy reddening of the skin, or swelling and/or discoloration of the legs Dysautonomia Triggers: Prolonged standing, heat, dehydration, or illness can worsen symptoms. Hormonal changes, stress, or certain medications may also exacerbate the condition. What Causes POTS? The exact cause isn’t fully understood, but potential contributors include: Underlying Conditions: Viral illnesses or infections Autoimmune disorders (e.g., Sjögren’s syndrome, lupus) Ehlers-Danlos syndrome (a connective tissue disorder) Neuropathic POTS: Damage to small fiber nerves that regulate blood vessel constriction. Hyperadrenergic POTS: Excessive release of norepinephrine, leading to heightened “fight or flight” responses. Hypovolemic POTS: Low blood volume contributing to symptoms. Who Does It Affect? POTS is more common in women (80–85% of cases) and typically starts between the ages of 15 and 50. It can occur after a triggering event like a viral illness, surgery, pregnancy, or trauma. Is There a Cure for POTS? There’s currently no cure for POTS, but many treatments and lifestyle changes can significantly improve quality of life. My Diagnosis of POTS My diagnosis of POTS (postural orthostatic tachycardia syndrome /dysautonomia) was a long time coming. Chronic migraine allowed me to ignore other symptoms because my migraine symptoms are so diverse and range in intensity.  One symptom I ignored was a burning in my leg which turned out to be blood pooling or neuropathic pain. I had this burning in my leg that I felt at night that went on for months, maybe even longer. It wasn’t something I thought to discuss with my headache specialist. It didn’t seem migraine-related and didn’t weigh heavy on my mind but it was something I mentioned to my husband often questioning what it could be. Looking back, this was a symptom of Neuropathic POTS and was a puzzle piece I put together in hindsight. A symptom I was talking about but possibly incorrectly was my anxiety. I was passing off my racing heart, clenching chest, and breathlessness on anxiety. My anxiety (or what I felt was anxiety) has been increasing in the last few years. Between living with chronic migraine and the stresses of life, my anxiety was through the roof and I didn’t consider blood pressure or heart rate to be something to discuss with my doctor.  It was when I mentioned my head pain spiking when I was lying on the couch and walking upstairs to go to bed that my doctor mentioned POTS. Additionally, I was waking up with a migraine attack (or many symptoms of it) every morning. Even with a sleep schedule, when I went from lying to standing, my symptoms spiked. How Do I Know If I Have POTS? I had heard of POTS or dysautonomia at this point but was curious to have something to investigate further. I follow other migraine advocates who also speak about POTS and it’s comorbidity, like fibromyalgia or other conditions that often occur. It was something I never investigated. My headache specialist ordered a tilt test for me and a few weeks later I was standing there waiting to trigger my symptoms. I wasn’t sure how to feel. I have had many years of trying to figure out what else is going on besides migraine. Like migraine isn’t enough. I spent one summer between school and college and they were insistent that I had anemia because no one could figure out my dizziness. In 2018, I went to the Miles for Migraine Cincinnati race and met an amazing doctor who specializes in high/low-pressure headaches. When my doctor suggested it, I drove 4 hours to see this doctor to hear that I have both high and low-pressure headaches and it’s not that. But I escaped a painful test to discover this so that was a relief. Fast forward to 2023 and I’m still complaining of a spike of symptoms

This post may contain affiliate links. Migraine Strong, as an Amazon Affiliate, makes a small percentage from qualified sales made through affiliate links at no cost to you. Turmeric is often celebrated for its powerful anti-inflammatory, anti-fungal, and pain-relieving properties—some even tout its potential cancer-fighting abilities. But can it play a role in easing headaches and especially for those living with migraine? While migraine is primarily a genetic neurological condition and not traditionally linked to inflammation, emerging research suggests there may be a neurogenic inflammatory component involved during attacks. This growing area of interest has led researchers to explore whether reducing that inflammation could help manage migraine symptoms. That’s where turmeric may come in. In this article, we’ll explore what science currently says about turmeric’s potential to support migraine and tension headache relief—and whether it could be a helpful part of your treatment strategy. While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators and all information you read should be discussed with your doctor. Turmeric and Migraines: What You Should Know Turmeric is a flowering plant from the ginger family—and yes, it shares a lot of the same benefits as its spicy cousin. Like ginger, turmeric is often used to help manage pain and inflammation, which is why it’s becoming a popular natural remedy for migraine relief. Native to Asia, India, and Central America, turmeric is widely grown and commonly used as a spice in cooking. It has a warm, slightly bitter, and earthy flavor, and it’s best known for giving curry its vibrant golden-yellow color (and often shows up as a natural food coloring, too). But here’s the twist: while turmeric steals the spotlight, it’s actually curcumin—the active compound inside turmeric—that does the heavy lifting. Curcumin is packed with powerful anti-inflammatory and antioxidant properties, which can play a big role in easing migraine symptoms. The catch? Turmeric root only contains about 3% curcumin by weight, which means it’s tough to get enough just by sprinkling it on your dinner. That’s where curcumin supplements come in. Adding a high-quality curcumin supplement* to your routine, alongside a turmeric-rich diet, can help you tap into the full benefits—more on how to do that effectively a little later. *See our note of caution at the end of this article, but ALL supplements should be reviewed with your physician before you start. #AD How Turmeric May Help Relieve Migraine Symptoms Turmeric (and its active compound, curcumin) may support migraine relief in several key ways: Fights Inflammation NaturallyTurmeric is a powerful natural anti-inflammatory, which can help reduce chronic pain without the side effects or risks of addictive medications. Perhaps it helps with the neuroinflammation associated with migraine. (2) Reduces Oxidative StressCurcumin helps combat oxidative stress by boosting your body’s antioxidant defenses—important for anyone dealing with inflammation or chronic illness like migraine. (3) Supports Brain HealthSome studies suggest curcumin may improve cognitive function and reduce the risk of neurodegenerative diseases, offering long-term brain health benefits.(4) In another study, working memory was improved with curcumin supplementation. (9) What person living with migraine wouldn’t welcome that nice benefit? Improves Circulation and Histamine ResponseBetter blood flow means more oxygen to the brain, which may help reduce symptoms like brain fog, tinnitus, and even histamine-related reactions. (5) Is turmeric for headaches and migraine well-researched? Honestly, the study links above are not directly related to turmeric for migraine and not all of the studies are on humans. Like most supplements, research on using turmeric for migraines is pretty limited. The jury is still out on just how much turmeric can improve our symptoms. But, even if it’s simply a reduction of the number of attacks you experience each month or a reduction in the severity of symptoms you experience during an attack it’s an interesting spice to explore. There are many studies available that support turmeric’s pain fighting abilities like this one managing arthritis pain with daily turmeric use. (6.)   I also came across a small Iranian study that found a reduction in frequency of migraine attacks when turmeric and omega-3 fatty acids were taken together as a daily migraine preventive. (7.) Yet another small study that showed turmeric can increase the effectiveness of naproxen. Since naproxen is my abortive of choice, I can’t wait to try this one out myself during my next painful attack. (8.) Should you consider a supplement that has only a few studies for migraine use? Many experts believe neurogenic inflammation plays a role in migraine disease. Over the counter anti-inflammatory NSAIDS like naproxen and ibuprofen are used very successfully to treat migraine attacks. So with its anti-inflammatory benefit, it’s not that big of a jump to consider turmeric for the management of migraine pain even with little research supporting it. Especially for those who are looking for natural migraine relief. This makes me think of Dr. Geppetti’s talk on multi-modal treatment approach at the 2019 Migraine World Summit. In his talk he stated that because most of us have migraine for many years, we should try everything reasonable to gain control over our symptoms. Not necessarily everything proven or well-studied but, everything rational. Personally, I consider it reasonable to try a supplement with so many health benefits standing behind it. In a recently published must-read book by Dr. Alexander Mauskop, prominent headache specialist, founder and director of NY Headache Center, specifically discusses curcumin as one of the “150 Ways to Stop Your Pain.” He uses it himself for the potential cognitive benefits. I have personally supplemented with turmeric for many years and believe it helps gently calm down my inflammatory response, soothing my pain and reducing dizziness and ear symptoms related to vestibular migraine. One thing I’ve learned when it comes to managing migraine symptoms is to stick with what works even if no one else is talking about it or doing it. Continue what’s effective and rewarding for you personally. If it works, I keep going! Logically it just makes sense to

The Migraine Trust, alongside over 150 other employers, is working with the government to tackle ill-health that pushes many people with long-term health conditions and disabilities, like migraine, out of work. This group of organisations, called Vanguards, includes some of the biggest employers in the country, healthcare providers, mayoral authorities, and charities like The Migraine Trust. It has been assembled by the government as part of its Keep Britain Working programme following the publication of the Keep Britain Working Review in November 2025. The Vanguards will work with the government to help reshape how health issues and disabilities are managed in the workplace. They will contribute to the development of practical, scalable solutions across several aspects of the ‘healthy working lifecycle’, including improving disability inclusion, acting early to prevent deteriorating health at work and supporting employees to remain and return to work. The Migraine Trust is looking forward to working with the government and fellow employer Vanguards to ensure that the workplace needs of people living with migraine are represented. 33% had to leave their job altogether due to the impact of migraine We know from our research that many of the one in seven people living with migraine have experienced a significant impact on their employment because of the condition. Research we conducted in 2023 highlighted that a staggering 29% of people with migraine said they had needed to move from full-time to part-time work because of migraine, while 33% had to leave their job altogether. Employers have an important role to play in ensuring people with migraine are supported to stay in, and thrive at, work. According to our  2025 survey of people with migraine, only 2% of respondents strongly agreed that their workplace had migraine-friendly policies. Often, simple and straightforward changes in the workplace can make a big difference for people with migraine. Whether you are an employer, a colleague of someone with migraine, or you live with migraine yourself, our workplace hub has lots of resources and support, including details on how to book a migraine training session for your workplace. Source link

This post may contain affiliate links. Migraine Strong, as an Amazon Affiliate, makes a small percentage from qualified sales made through affiliate links at no cost to you. Receiving a migraine diagnosis can feel overwhelming. It’s a relief to finally have a name for what you’ve been experiencing, but it also comes with a lot of questions. How do you manage migraine attacks? What migraine treatments are available? What lifestyle changes can make a difference? The good news is that you don’t have to navigate this alone. There are many ways to take control of your health and improve your quality of life. Whether you’re just beginning your journey or looking to refine your management strategies, here are the next steps to consider after a migraine diagnosis. ** While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators. All information you read about should be discussed with your doctor. 1. Find the Right Medical Support: Why a Headache Specialist Matters Migraine is a complex neurological disease, and not all doctors are equipped to provide the specialized care you need. While a general practitioner or general neurologist may have some experience with migraine, a headache specialist has additional training and focuses on treating headache disorders. They can help you develop a personalized treatment plan, identify triggers, and explore cutting-edge therapies. If you have high frequency attacks, headache specialists are your best bet for treatment. How to Find A Headache Specialist Finding a headache specialist can take time, but it’s worth the effort. The American Migraine Foundation and the National Headache Foundation offer directories to help locate specialists. Online support groups can also be a great resource for recommendations. Neura Health is an online neurology clinic. They offer online appointments in a fraction of the time it takes locally. You can see a trained headache provider in a matter of days. They also offer care coaching and a migraine tracker that is reviewed by your headache provider. Read about our experience with Neura Health in this review article. You can also see interviews with various Neura Health providers on the Migraine Strong Instagram. Go to our grid and look for the purple covers indicating what we talked about and with whom.  Preparing for Your Appointment To get the most out of your visit, come prepared. Keep a symptom journal detailing your attacks—when they occur, how long they last, and what symptoms accompany them. List past treatments and their effectiveness, and write down any questions you have. The more information you provide, the better your doctor can tailor your treatment. 2. Learn About Available Treatments – Acute vs. Preventive Medications Migraine treatment generally falls into two categories: acute and preventive. Acute medications, such as triptans and gepants, are taken at the onset of an attack to stop it from progressing. Preventive treatments, like beta-blockers, antidepressants, anti-seizure medications, and CGRP inhibitors, aim to reduce the frequency and severity of attacks. CGRP Medications CGRP inhibitors are a breakthrough in migraine treatment. These medications, which include IV infusion (Vyepti), injectables (Aimovig, Ajovy, Emgality) as well as oral options (Qulipta, Nurtec, Ubrelvy, Reyvow, Zavzpret) target a protein involved in migraine attacks. Many patients find relief with these new therapies. Those with commercial insurance can qualify for Patient Assistance programs offered by the pharmaceutical companies which help make the new medications more affordable.  Nerve Blocks & Botox For those with frequent attacks, nerve blocks and Botox injections can be effective preventive options. These treatments work by disrupting pain signals and reducing inflammation in the nervous system. Neuromodulation Devices Non-medication options are also available, such as neuromodulation devices like Cefaly, gammaCore, and Nerivio. These devices use electrical pulses to modulate pain pathways and can be a great alternative for those who prefer non-pharmaceutical approaches. 3. Consider Supplements That May Help Many migraine specialists recommend supplements as part of a comprehensive treatment plan. Some of the most commonly suggested options include: Magnesium glycinate, threonate or malate: Can help with brain excitability and reduce attack frequency. These are also better tolerated than magnesium oxide which is the most studied, but often causes intestinal issues. Riboflavin (B2): May improve mitochondrial function and reduce migraine severity. CoQ10: Supports cellular energy production and has been shown to decrease attack frequency. Feverfew & Butterbur: Herbal options that some find beneficial for migraine prevention. Ginger: Helps with nausea and can also treat the symptoms of a migraine attack. When choosing supplements, look for third-party testing to ensure quality and purity. Always consult with your doctor before adding new supplements to your routine. Our Supplement Dispensary offers quality brand supplements and a discount for all of our readers. 4. Prioritize Sleep for Better Migraine Control Why Sleep is Crucial – Sleep disturbances are closely linked to migraine attacks. Poor sleep quality can make attacks more frequent and severe. Tips for Better Sleep Stick to a consistent sleep schedule. Limit screen time before bed. Keep your bedroom cool and dark. Avoid caffeine in the afternoon. If you suspect you have a sleep disorder, such as insomnia or sleep apnea, discuss it with your doctor. Treating underlying sleep issues can significantly improve migraine management. 5. Include Daily Movement in Your Routine Exercise can be a powerful tool for migraine management, but it’s important to approach it carefully. High-intensity workouts and Couch-to-5k programs are best put off until you know how exercise affects your migraine disease. Some people find vigorous exercise triggers migraine attacks.  Best Types of Exercise for Migraine  Gentle movement is often best, including: Walking Yoga Swimming Low-impact strength training How to Start Without Triggering an Attack Begin slowly and listen to your body. Stay hydrated, warm up properly, and avoid overexertion. If you haven’t exercised in a long time, spend a few weeks ramping up. Start with laps around your living room and gradually expand the amount of time and distance you walk. Over time, regular movement can help reduce attack frequency and improve overall well-being. 6. Discover

2026 was the fifth year of The Migraine Trust’s March for Migraine challenge, where we asked our supporters to walk, run, wheel, hop, skip or even row in one instance, 100 miles across the month of March.  A total of 140 people signed up to the challenge and together they raised a fantastic £12,792 which will go towards our work to support people with migraine, fund crucial new research and campaign for change. Not only did our ‘Marchers’ raise vital funds, but they also helped to raise important awareness of migraine and the impact it can have on people’s lives. The majority of our ‘Marchers’ live with migraine themselves, many with chronic migraine, so we are particularly grateful to everyone who took on the challenge while managing migraine attacks or caring for a loved one with migraine.  Two of our ‘Marchers’, Bex and Ludmilla gave their reasons as to why they participated: Source link

This post may contain affiliate links. Migraine Strong, as an Amazon Affiliate, makes a small percentage from qualified sales made through affiliate links at no cost to you. Botox may be best known for smoothing wrinkles, but for many living with chronic migraine, it’s also a powerful tool to help prevent attacks. Approved by the U.S. Food and Drug Administration (FDA) in 2010, Botox for migraine has become a widely used and effective preventive treatment. Whether you’re just beginning your migraine management journey or have tried several preventive medications without success, Botox might be worth considering. In this article, we’ll break down what Botox is, how it works, who it’s for, and what you can expect before, during, and after treatment. ** While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators. All information you read should be discussed with your doctor. What Is Botox? Botox is the brand name for onabotulinumtoxinA, a purified neurotoxin derived from the bacterium Clostridium botulinum. While it’s widely known for cosmetic use—reducing fine lines and wrinkles—it’s also FDA-approved for several medical conditions, including chronic migraine. The discovery that Botox could help with migraine was somewhat accidental. Patients receiving Botox injections for cosmetic reasons reported fewer headaches, prompting researchers to explore its effects on migraine. Clinical trials confirmed its effectiveness in reducing the number of headache and migraine days for people living with chronic migraine. Botox was officially approved for chronic migraine in 2010 by the FDA. How Botox Works for Migraine While the exact mechanism isn’t fully understood, Botox is believed to work by blocking the release of certain neurotransmitters involved in the pain pathways associated with migraine. These neurotransmitters signal pain, and Botox may help interrupt that communication before an attack begins. Unlike acute treatments, which are taken once a migraine attack has started, Botox is a preventive treatment. The goal is to reduce the number, frequency, and severity of migraine attacks over time. On average, Botox reduces 8 to 9 headache and migraine days per month [1]. Who Qualifies for Botox for Migraine? Botox is approved only for chronic migraine, not for episodic migraine. According to the International Classification of Headache Disorders, chronic migraine is defined as: 15 or more headache days per month, and At least 8 of those days must include migraine features, such as head pain, sensitivity to light or sound, nausea, or visual aura Symptoms must persist for more than 3 months In most cases, insurance providers require that patients try and fail two or more preventive treatments—either due to lack of effectiveness or intolerable side effects—before approving Botox. This is called Step Therapy. The Botox Procedure: What to Expect Botox for migraine is typically administered by a neurologist or headache specialist trained in the PREEMPT injection protocol, which involves: 31 small injections Across 7 specific muscle areas in the head, neck, and shoulders Every 12 weeks (approximately every 3 months) Botox for migraines injection sites Botox for migraines injection sites Botox for migraines injection sites Botox for migraines injection sites Botox for migraines injection sites The treatment itself usually takes between 5 to 15 minutes. A fine needle is used to inject small amounts of Botox into the targeted areas. Most patients describe the sensation as a series of small pinches or stings, and the procedure is generally well tolerated. There is no required recovery time—you can typically drive yourself home afterward and return to your regular activities the same day, though some people prefer to rest for a few hours. Most doctors recommend not exercising or lifting for 24 hours after the procedure. The Cleveland Clinic has a good overview of what you should and shouldn’t do after Botox for migraine. When Will You See Results? Botox is not an instant solution. Results typically appear gradually over time. According to studies and patient reports: Some people experience improvement within 4 weeks Most see significant results after 2 to 3 treatment cycles, spaced 12 weeks apart On average, Botox reduces 8 to 9 headache or migraine days per month [1] Research shows that even if a patient doesn’t respond after the first cycle, they may respond after the second or third. A large study found that: ~25% of people who didn’t improve after the first treatment cycle responded after the second Another ~25% who didn’t respond after the second round improved after the third This supports the recommendation to try Botox for at least three full treatment cycles before evaluating its effectiveness [3]. Predicting Whether Botox Will Work for You While there’s no guaranteed way to know whether Botox will work for an individual, some studies have looked for possible predictors. A study by Dr. Rami Burstein suggested that the type of migraine pain a person experiences might help indicate whether they’ll respond to Botox. The research found: People who describe their pain as “imploding” (a crushing or inward sensation) were more likely to respond to Botox People who describe “exploding” pain (as if pressure is building inside the head) were less likely to respond In fact, 92% of non-responders reported “exploding” pain, while 74% of responders described “imploding” or “ocular” migraine pain [5]. Overall, about 65% of chronic migraine patients respond to Botox after three cycles [4]. Botox Side Effects and Safety Botox is considered a safe and generally well-tolerated treatment. However, as with any medical procedure, side effects can occur. The most commonly reported side effects include: Neck pain Headache or worsening of migraine symptoms Eyelid or eyebrow drooping (ptosis) Muscle stiffness or weakness near the injection sites Mild bruising or swelling [6], [7] The good news is that side effects tend to decrease with each subsequent treatment [8]. If side effects persist, your doctor may adjust the dose, recommend a different botulinum toxin like Myobloc, or consider discontinuing the treatment altogether. The first time I tried Botox, I felt like my attack frequency increased, and I ended up giving up on it too soon. I

Migraine is a significant health issue that disproportionately affects women. Around 10 million people in the UK live with migraine and women are two to three times more likely to experience migraine than men.  Migraine in women often worsens around menstruation, and has strong links to contraceptive choices, pregnancy, post-partum, and menopause. It is therefore no surprise that the lifetime prevalence of migraine is reported as 33% in women and 13% in men – before puberty, migraine frequency is the same in both sexes.  Despite its prevalence and debilitating impact, it was absent from the renewed Women’s Health Strategy published earlier this week. While we welcome the government’s revival of a dedicated plan to tackle gender inequity in the health system, this is a significant missed opportunity.   It is especially disappointing given that migraine sits squarely within the strategy’s four priorities.   First, migraine is a condition that affects women disproportionately and often differently across the female life course. Second, it is a clear example of women’s pain being minimised or dismissed, with many women reporting that their migraine is not taken seriously, dismissed as “just hormones” or “everyday stress.”   Third, it is highly suited to the strategy’s proposed shift toward earlier intervention and stronger community-based pathways – better diagnosis and treatment in primary care would prevent the condition worsening and the need for repeated appointments within secondary care.   Finally, migraine has a substantial impact on work, caring responsibilities, and quality of life, making it highly relevant to the strategy’s wider goals on participation, productivity and reducing the toll of long-term conditions.  Treating migraine as a priority implementation case would be a practical and credible way for government and the NHS to show that the strategy will deliver for women with common, painful, disabling but often overlooked conditions.  The Migraine Trust therefore urges the government to act now to improve the migraine experience for millions of women by applying the strategy’s existing commitments to migraine care. The government can do this through: 1. Formal recognition Government and NHS England should explicitly recognise migraine as a condition that falls within the strategy’s commitment to improve care for conditions that affect women disproportionately or differently. 2. Better community pathways Integrated Care Boards should be tasked to improve migraine pathways in primary and community care, with particular attention to menstrual migraine, medication overuse, prevention, and links to reproductive health.  3. Taking women’s migraine pain seriously  Implementation of the strategy’s commitments on listening to women and acting on repeated presentation should include migraine, so that women do not have to fight for a proper diagnosis or an effective care plan or review. 4. Stronger data and accountability Migraine should be included in relevant women’s health improvement metrics, including patient experience, access to appropriate treatment, and avoidable urgent or emergency care use. 5. Research across the female life course Research and innovation priorities should reflect the role of sex differences and hormones in migraine, including menstruation, pregnancy, post-partum change, and menopause.  The Women’s Health Strategy was designed to improve the lives of women with common, disabling conditions that have too often been neglected. To succeed in this aim, migraine must be included in the strategy’s implementation phase.   Source link

This post may contain affiliate links. Migraine Strong, as an Amazon Affiliate, makes a small percentage from qualified sales made through affiliate links at no cost to you. Many people adopt a vegan diet to improve their health, protect animals, or support the planet. But here’s a surprising twist — some of your favorite vegan foods might actually be triggering headaches or even full-blown migraine attacks. In this guide, you’ll learn: Common vegan food triggers for headaches and migraine. Why migraine is about more than just diet. How to make smart food swaps without giving up your plant-based lifestyle. As a registered dietitian who lives with migraine myself, I’m passionate about helping people use nutrition as a tool for migraine management. While there’s no single “migraine diet” that works for everyone, food changes can help many people reduce migraine frequency and intensity ** While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators and all information you read should be discussed with your doctor. What is the vegan diet? A vegan diet eliminates all animal products — including meat, poultry, seafood, dairy, and eggs. Meals are typically made up of: Grains and legumes Nuts and seeds Fruits and vegetables #AD Are the vegan diet and the plant-based diet the same? It depends on who you talk to. While veganism is strictly defined, many people think of the plant-based diet as a bit looser. Vegan vs. Plant-Based: What’s the Difference? Vegan diet: Strictly avoids all animal-derived foods. Plant-based diet: Primarily plants, but may occasionally include animal products (like butter, cheese, or fish). Someone may consider themselves a plant-based eater if they use butter or enjoy Caesar salad dressing. Some may consider themselves a plant-based eater even if they steal a few bites of French toast from their kid’s plate or cannot resist ordering a spicy tuna roll when out to dinner. However, other strict vegans just prefer describing themselves as plant-based eaters. Yes, words are important but some use the terms interchangeably. What causes vegan headaches and migraine? The answer is complicated so let’s break it down. The root cause of migraine The root cause of migraine is genetic — your brain’s unique wiring makes you more sensitive to certain triggers. Food doesn’t cause migraine, but it can set off an attack if you’re already prone. Common triggers include stress, hormonal shifts, weather changes, bright light, fragrances — and yes, certain foods. The most common triggers typically cited are stress, weather, hormones, lighting, fragrances and, of course, certain foods. As a dietitian, I love the topic of food triggers as what we choose to put in our mouth is within our control. Professionally, not much makes me happier than helping someone experience an “Ah-ha!” moment when a hidden food trigger becomes the obvious culprit for the dreaded vegan headache. To be clear, food does not cause you to be prone to headaches or to have migraine disease. Food can be a trigger regardless of the way a person eats. Let’s take a closer look at possible reasons a person following a vegan diet may find themselves burdened with headache and/or migraine. The main vegan headache triggers First, it’s important to know that food triggers are unique to the individual. Some people are not triggered by foods. From years of experience in working with people living with migraine, I have found that many people have a small handful of food triggers. You should not read the below and assume you are triggered by all of these foods. Rather, there may be one or two foods that you’d be better off banishing from your life for a while. 1. Highly processed proteins People enjoying a plant-based diet usually look to the protein and fat to give the meal “staying power” and a sense of being satisfied. Plant-based smoothies, shakes and protein bars are very common for breakfast and between meals. Protein powders are often added to a delicious blend of fruits and veggies. The protein not only adds to the nutritional value, it gives the liquid more body and a more pleasing mouthfeel. When certain proteins go through the process of becoming convenient, palatable powders, they naturally become high in substances considered common migraine triggers. The process of pulverizing, liquifying, concentrating, “hydrolyzing” and preparing a marketable powder often makes the proteins into natural glutamate that is similar to MSG. The vegan headache can often be explained by natural glutamate. Fortunately, most people are not sensitive to MSG and natural glutamate. However, many people prone to headaches and migraine episodes cannot tolerate highly processed proteins. The migraine brain is different than the typical brain. Professionally, it has given me great pleasure when merely pointing out this single, common vegan headache trigger and helping someone find lasting relief. Later I will discuss some options for those of you reading this and wondering how to replace your favorite vegan protein powder. 2. Umami ingredients Umami is its own category of taste. It’s often described as a meaty, savory, rich flavor. It’s glutamates like MSG and other naturally-occurring MSG-like components that seem to “wake up the flavor” of many foods and give them a boost. Some Asian cuisines endeavor to develop rich umami by adding fermented soy products like miso or soy sauce. These foods are delicious and satisfying in many vegan meals but can trigger the dreaded headache or full migraine attack. 3. Nuts and legumes It’s enough to make a dietitian cry. Certain wholesome, delicious, unprocessed nuts, peanuts and legumes are considered common migraine triggers. Nuts and legumes are typically key sources of protein in the vegan diet as they are nutrient-dense, portable and convenient. Additionally, they add a great deal of texture and flavor to meals and snacks. Toasted, candied or spiced nuts are often the stars of favorite salads and pasta dishes. 4. Certain fruits and vegetables Onions, avocados, bananas and citrus are often key parts of vegan meals and snacks. Unfortunately, they