Migraine

In this Article we will discuss about the various “Symptoms that classically represent Migraine and also about its Management”. So, lets get started.

Symptoms

There is a period that occurs a day or two before the migraine its called the prodrome period and it includes symptoms such as

lethargic/fatigue

dizziness

constipation

mood swings

stiff neck

increased urination

increased thirst

drowsiness

sensitivity to light and sound

Next phase is the aura it occurs 5-20 mins before a migraine and builds to last from 30-60 mins. It includes nervous system based symptoms like

motor system dysfunction

weakness and numbness in face or on one side of the body

temporary paralysis at one side of the body

visualising flashes of light,bright and dark spots

pins and needles sensation in arms or legs

Verbal difficulty

sudden jerky movements

hearing humming or buzz sounds

3rd phase is the migraine attack that can last from 1 hour to 72 hours and is characterized by:

severe throbbing pain on one side or sometimes both side of the head

nausea and vomiting

fainting spells

loss of apetite or anorexia

blurred vision

irritability

nervousness

sensitivity to light,touch,sound,smell etc

Last phase is called postdrome period that occurs after the migraine attack. Some people feel relaxed,elated and active while some other shows following symptoms

mood swings

dizziness

weakness

fatigue

sensitivity to light,touch,smell etc

Treatment

Medical management

Pain relieving medications include

NSAIDS like ibuprofen etc

Triptans like almotriptan etc

Ergotamine and Caffeine combination drugs

Anti-nausea drugs

Opoid drugs

Glucocorticoid

Preventive Medications include

Beta-blockers

Anti-seizure drugs

Botox

Anti-depressants

Erenumab-aooe

Soft tissue manipulation or Massage technique for Migraine

Video link below

Physiotherapy for Migraine

Video link below

That’s the treatment for migraine.

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Written by priyeshbanerjeept

Physiotherapist, Certified MFR therapist on a mission to provide one stop search destination for various diseases its symptoms,causes,diagnosis,treatment, physiotherapy management,rehabilitation with practical examples for aspiring physiotherapists,medical professionals and general public.

15 comments

    1. Welcome 😊. Migraine is preventable the only thing is that we should avoid the trigger factors that initiate migraine attack and identify the prodrome phase symptoms and take preventive medications as presecribed by doctor (refer blog for preventive medications of migraine)

      Liked by 2 people

  1. Hi Priyesh..Aura is seen in classic migraine and is absent in the common migraine. People often ignore the common migraine.
    Criteria for migraine without aura/ common migraine are :
    5 or more episodic headaches lasting 4-72 hours with:
    Any 2 of the following-
    Pulsatile headache
    Unilateral
    Moderate to severe in intensity
    Aggravated by movement
    Any 1 of
    nausea or vomiting
    phonophobia/photophobia
    These are the recommentations by the International Headache Society.
    Triptan based therapy ( Sumatriptan, brand name Headset) is recommended during an acute episode which is also available as an OTC medication but a medical consultation is also advised.
    ~ Dr Aishwarya

    Liked by 2 people

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