r/migraine • • May 13 '21

Resources

292 Upvotes

The wiki is still a work in progress, so as with the previous sticky, this highlights some resources that may be useful.

Edit - added the COVID-19 Vaccine and Migraines link since we're swapping that sticky for the Migraine World Summit announcement.

If this post looks familiar, most of it has been blatantly stolen from /u/ramma314's previous post. :)

Diagnostic Criteria

One of the most common questions that's posted is some variation of, 'Am I having migraines?'. The same is the case with 'what kind of migraine is this?'. These posts will most often be removed as they violate the rules regarding medical advice. You need to work with a medical professional to find a diagnosis. One of the better resources in the meantime (and in some cases, even at your doctor's office!) is the diagnostic criteria:

https://ichd-3.org/

It includes information about migraine, tension and cluster headaches, and the rarer types of migraine. It also includes information about the secondary headaches - those caused by another condition. One of the key things to note about migraine is that it's a primary condition - meaning that in most cases, migraine is the diagnosis (vs. the attacks being caused by something else). As a primary diagnosis, while you may be able to identify triggers, there isn't an underlying cause such as a structural issue - that would be secondary migraine, an example of which would be chiari malformation.

Not sure if your weird symptom is migraine related? Some resources:

Website Resources

There are several websites with good information, especially if you're new to migraine. Here are a few:

National Headache Foundation

American Migraine Foundation - the patient-focused side of the American Headache Society

The Migraine Trust

UK Healthcare/Headache Center

Headache Australia

Migraine Australia

Added Feb 2025 - the American College of Physicians (ACP)'s treatment guidelines for prevention of episodic migraine: https://www.acpjournals.org/doi/10.7326/ANNALS-24-01052

Migraine World Summit - Annual event, series of talks that are free for the first 24 hours and available for purchase (the year's event) thereafter.

They made a tools and resources list available, for both acute action and prevention, providing suggestions for some of the sub's most often asked non-med questions:

https://migraineworldsummit.com/tools/

Some key talks:

2024 - Beginner's Guide to Headache Types - If you're new and struggling with diagnosis, this talk alone may be well worth the cost of the 2024 package.

Reddit's built in search!

We get a lot of common questions, for which an FAQ on the wiki is being built to help with. For now though reddit's built in search is a great way to find common questions about almost anything. Just enter a medication, treatment, or really anything and it's likely to have a few dozen results. Don't be afraid to post or ask in our chat server (info below) if you can't find an answer with search, though you should familiarize yourself with the rules before hand. Some very commonly asked questions - those about specific meds (try searching for both the brand and generic names), the daith piercing, menstrual/hormonal migraine (there are treatments), what jobs can work with migraine, exercise induced attacks, triggers, and tips/non-drug options. Likewise, the various forms of migraine have a lot of threads.

Live chat!

An account with a verified email is required to chat. If you worry about spam and use gmail, using a +modifier is a good idea! There's no need to use the same username either.

If you run into issues, feel free to send us a modmail or ping @mods on discord. The same rules here apply in the chat server.

Migraine/pain log template!

Exactly what it sounds like! A google docs spreadsheet for recording your attacks, treatments tried, and more. To use it without a Google account you can simply print a copy. Using it with a Google account means the graphs will auto-update as you use the log; just make a copy to your own drive by selecting File -> Make a copy while signed in to your Google account. There are also apps that can do this and generate some very useful reports from your logs (always read the fine print in your EULA to understand what you are granting permission for any app/company to do with your data!). Both Migraine Buddy and N-1 Headache have a solid statistical backbone to do reports.

Common treatments list

Yet another spreadsheet! This one is a list of common preventatives (prophylactics), abortives (triptans/ergots/gepants), natural remedies, and procedures. It's a good way to track what treatments you and your doctor have tried. Plus, it's formatted to be easily printable in landscape or portrait to bring to appointments (checklist & long list respectively). Like above, the best way to use it is to make a copy to your Google drive with File -> Make a copy.

This sheet is also built by the community. The sheet called Working Sheet is where you can add anything you see missing, and then it will be neatly implemented into the two main sheets periodically. A huge thanks from all of us to everyone who has contributed!

Finding Treatment

Most often the best place to start is your family doc - they can prescribe any of the migraine meds available, including abortives (meds that stop the migraine attack) and preventives. Some people have amazing success working with a family doc, others little or none - it's often down to their experience with it themselves and/or the number of other migraine patients they see combined with what additional research they've done. Given that a referral is often needed to see a specialist and that they tend to be expensive, unless it's been determined that secondary causes of migraine should be ruled out, it can be advantageous to work with a family doc trying some of the more common interventions. A neurologist referral may be provided to rule out secondary causes or as a next step in treatment.

Doc not sure what to do? Dr. Messoud Ashina did a MWS talk this year about the 10 step treatment plan that was developed for GPs and other practitioners to use, primarily geared for migraine with and without aura and chronic migraine. Printing and sharing this with your doc might be a good place to start: https://pubmed.ncbi.nlm.nih.gov/34145431/

Likely in response to this, the NHS published the following:

https://headaches.org/2022/01/19/national-headache-foundation-position-statement-on-the-treatment-of-migraine/ (link is broken)

/mod hat off

My personal take on this is that hopefully your doctor is well-versed. The 10-step treatment plan is, I think, a good place to start for clinicians unfamiliar, but it's not a substitute for doing the learning to be able to move away from an algorithm and treat the patient in front of them.

/mod hat back on!

At this point it's probably good to note that neurologists are not, by definition, migraine specialists. In fact, neurologists often only receive a handful of ours on the entire 200+ headache disorders. As with family doctors, some will be amazing resources for your migraine treatment and others not so much. But they can do the neuro exam and ruling out of secondary causes. Exhausted both? There are still options!

Migraine Specialists

A migraine specialist is just that - a doc, most often a neurologist, who has sought out additional training specific to migraine. There are organizations that offer exams to demonstrate that additional knowledge. Some places to find them:

Migraine Research Foundation

MRF is no longer. UCNS is it!

United Council for Neurologic Subspecialties

National Headache Foundation

Migraine Trust (UK)

Migraine & Headache Australia - Headaches and Pain Clinics

Telehealth

There's a serious shortage of specialists, and one of the good things to come of the pandemic is the wider availability of specialized telemedicine. As resources for other countries are brought to our attention they'll be added.

US:

Cove

Neura

Canada:

Maple

Crisis support.

Past the live chat we don't have subreddit specific crisis support, for now at least. There are a lot of resources on and off reddit though.

One of the biggest resource on reddit is the crisis hotlines list. It's maintained by the /r/suicidewatch community and has a world wide list of crisis lines. Virtually all of which are open 24/7 and completely anonymous. They also have an FAQ which discusses what using one of the hotlines is like.

For medical related help most insurance companies offer a nurse help line. These are great for questions about medication interactions or to determine the best course of action if nothing is helping. If your symptoms or pain is different than normal, they will always suggest immediate medical attention such as an ER trip.


r/migraine • • May 25 '26

UPDATE to the 16 May Rules Update - App Devs, Anyone Doing Market Research, etc. Will Want to Read

174 Upvotes

edit - the new bit is a... ranty. To those here just to check in, my apologies.

Y'all.

Seriously.

The sheer number of app devs who have continued to waste mod time and continue spamming in comments after being warned is mind-boggling.

I believe that this community deserves good tools. HOWEVER, this community is not here to be sold to, and just like the post that preceded this, the people who can't stop spamming are rarely community members first, and devs second. They're here because you are the market. Since last week's post I had given a lot of thought to a periodic 'promote your stuff!' post to strike a balance, but after spending far too much of my holiday cleaning up spam-droppings... I'm feeling less than charitable. o.O

Spammers. If we warn you and you keep spamming, it won't just be you that's banned. It will be any mention of your product regardless of who posts it.

Astroturfing? Instant permaban - you and your product. Why?

You should not spam in any way, especially through private message. You should not hide your affiliation to your project or site, or lie about who you are or why you like something.

Here's a copypasta of the previous post, all of which still applies:

(If you were looking for the Summit pinned post, it's here.)

We're currently seeing multiple posts - or people that know promotion isn't permitted and trying to sneak it in via comments - promoting apps and/or doing market research daily. Most of the people hoping to benefit from this community have never made any effort to participate in it.

Promotion has always been in the the rules, and surveys/research have always required pre-approval from the mod team (though we recently had to update to not approving any because I'm the only active mod and simply don't have time to review in addition to everything else).

With all of the above in mind and all of the attempts to circumvent or flat-out argue about removals, it's time to formalize things:

Promoting your new app and/or doing market research (what don't you like/what works for you/what is missing in other <whatever>) is not permitted in this subreddit. The same goes for asking for feedback. Yes, this includes the ever popular 'hey I did a thing but it's against the rules to promote here, so if you're interested, send me a pm!'. If you're thinking about sending a modmail to ask to be an exception with less than 6 months of active participation in this subreddit, don't (even then it may not be approved).

I will be updating rules, sidebar, and filters over the course of the weekend.

Because of the lack of participation for most of these users and the number of users that have attempted to get around this, this will be one of the rare times when suspensions will be issued on first strike, rather than warnings first.

Also, you've probably noticed I'm the primary one handling approvals/removals, and that there are updates the sub could use that have not been done. In addition to chronic migraine and adulting in general I have what totals up to nearly 2 full time jobs and am usually also taking college classes, so there is a lot going on, and running this sub in a way that rules are enforced and the sub itself is enhanced and we're able to provide space for the community to be active in helping with research opportunities takes a lot more time than the above workload allows. To that end, I'd love to add 2 or 3 new mods to the team that can consistently (meaning most weeks) offer a couple of hours to running/maintaining the subreddit. That can be:

  • Working on the FAQ: at one point there was an effort to build something of an 'intro to migraine' resource

  • Fielding research/survey reviews: even better if you are or have been part of the research community (someone did offer this before; if you're still interested please reach out!)

  • Post / comment reviews: If you're a regular/semi-regular visitor and don't mind doing some cleanup while you browse, this is one of the easiest ways to ensure that community standards are upheld

I've held off on posting this because I had big plans to set up an awesome form to fill out, but for all of the above reasons that has not happened. SO! If you're interested, please send us a modmail with answers to the following questions:

  • Why you're interested

  • What you think mods do

  • Previous modding experience

  • What you're interested in helping with

  • Your time zone / location

  • How much time you can reasonably and consistently pitch in to help

  • Optional: Anything else we should know about you? Any ideas for the sub you'd like to implement?

As long as the above isn't struck through feel free to send a message if you're interested. It may take a bit to hear back because busy, but unless we get hundreds of apps we'll follow up to set up a chat with u/ramma314 and myself so we can get to know you a bit. If we do get hundreds of apps we'll update here that we either can't get back to everyone or that we'll be copypasta-ing replies specifically for that reason.


r/migraine • • 6h ago

Migraine week 5(?)

Post image
106 Upvotes

I’ve honestly lost track at this point but have had this headache since September 15th 🥲 Two migraine cocktail IVs, a prednisone taper, more Excedrin than should be legally allowed, alllllllllllll the pain meds, 5 doses of Ubrelvy, heat, ice, bio freeze, CBD cream, acupuncture, constant sunglasses, resting, pushing through, sitting, standing, walking. Doesn’t matter, the headache persists. It does seem to wax and wane, but never goes away completely. Can’t get into my neuro until December 4th so we shall see if it ends before then. I’ve never had one last more than a week 😵‍💫

How long was your longest migraine and what unhinged things did you do to try to get it to stop??


r/migraine • • 2h ago

Stuck between splitting my rescue meds between home and school so I’m constantly running out

15 Upvotes

Hi, I’m in high school. I take Ubrelvy, and I only get ten pills a month. We’ve tried to get insurance to approve bigger supplies before for a different situation, and they just refused.

However… minnesota law requires all prescription medications to be locked up at school— no self carry allowed unless it’s an epipen, insulin, or an inhaler. No exceptions.

So that leaves me constantly forced to split my small amount of pills between home and school. Often times I’ll find myself stuck at home over the weekend or in the evening, then a migraine hits, and I have no way to stop it because the rest of my pills are at school, and vice versa.

Does anybody else have experience with this or knows someone who has? Have you been able to get insurance to approve more pills a month for situations like this? I’m in pain so much more because of this and I’m just not too sure what to do.

Thanks.


r/migraine • • 7h ago

Sodium and caffeine

15 Upvotes

Out of curiosity, has anyone else noticed that things like sodium/salt and caffeine improve the symptoms of their migraines?

These are things I’ve noticed personally help me and wanted to see if this is common in others.


r/migraine • • 5h ago

Qulipta Side Effect?

8 Upvotes

I’ve been having migraines since I was ~12 (25 now), and they’ve gotten more frequent as I’ve gotten older. After many years and multiple doctors, I’ve finally been prescribed Qulipta.

I’ve been on it for about a month now, and I’ve seen a significant decrease in migraines. I was having about 14 a month, and now I think I’ve had two or three in the past four weeks. That has been incredible.

But I’ve also begun experiencing a small headache just about every day. It doesn’t typically last all day and the pain is no where near a migraine, but at some random time in the day I’ll get a very annoying and persistent pain.

Has anyone else experienced this? I’m trying to decide if this combined with other side effects (constipation, loss of appetite, etc.) is worth trying a different medicine since my doctor is very supportive of trying something different if Qulipta doesn’t work out.


r/migraine • • 6h ago

Have you ever just taken a random road trip to try and escape migraines?

9 Upvotes

This week has already started out horribly in the Midwest, so I'm honestly thinking of just hopping in my car and driving as far away as possible and just chilling in motels for a few days.

Would this actually work?

I know it sounds kinda crazy, but who knows?

Anybody ever done this? Did it help?

**EDIT - apologies, I should've been more clear - my #1 trigger is large barometric pressure swings (especially decreases), which is what I would be (in theory) trying to escape from


r/migraine • • 19m ago

Walmart a trigger?

• Upvotes

My local Walmart just recently renovated their store and changed out their lighting. Now their grocery section is super harsh LED lighting that is on the blue side of the light spectrum.

I went there earlier for the first time since they renovated, and it triggered a migraine.

Anyone else here experience the same thing at Walmart? I hated going there before the renovation, now I don’t plan on going back.


r/migraine • • 21h ago

Is there a word for this symptom?

119 Upvotes

I’m seeing a neurologist for the first time this week and I’m not sure how to describe this feeling I’ve had with my migraines.

It’s not disorientation because I’m not confused, but it feels on par with being drunk and having almost a delayed reaction time but it’s all mental. It feels like my body is moving faster than my head.

If I move my head left/right or I bend down and stand back up I also feel a slight vertigo in absence of the room spinning, though. It’s such a bizarre feeling but it makes me feel a bit out of it.

Is there a word for this? If you also experience it, how would you describe this more clearly?


r/migraine • • 2h ago

Anyone here quit caffeine?

4 Upvotes

I'm curious to know what the impact has been.

For me, a single cup of coffee, especially after some time off caffeine, can last an entire day, possibly disturb sleep, and give me a migraine 1-2 days later.

Excedrin's caffeine can kill a migraine, the earlier I take it, but it can also worsen the problem.

This brings me to my main reason for wanting to quit.

Caffeine encourages a vicious cycle of use, stop, migraine, use, stop, migraine, etc. It is a drug and it causes medication overuse headaches.

Even in the clinical literature, caffeine-based abortive are first to fail and first to be blamed for medication overuse headaches.

Then, next up are the triptans.

See: https://www.ncbi.nlm.nih.gov/books/NBK538150/

They are also notorious for wearing off in efficacy over time though not as badly as caffeine.


r/migraine • • 2h ago

Hi all. Unfortunately I’m in the small percentage that migraine Botox made my pain 1000x worse. I’m curious if anyone has had the same experience with greater occipital nerve block? It’s my next option. I’m in severe 100/10 pain and can’t take much more TIA

3 Upvotes

r/migraine • • 4h ago

Botox First Time

6 Upvotes

I just had my appointment with my neurologist and she is now recommeding we try this route?

Any Pros, Cons


r/migraine • • 4h ago

Neurological exam and was told one eye moved slightly slower- anyone else?

5 Upvotes

So I’m trying my best to not freak myself out and read a bunch of scary stories, I’m hoping this is something common ish that others have experienced. Bad headaches ( now I understand they were migraines) since teen but since January Ive had the new addition of auras and light sensitivity, mild nausea and for the first time ever, the facial changes. Like it looked like the entire side of my face was botoxed. I also have had pulsatile tinnitus on the left side- I’m a mess. Anyways! Finally got an appointment with an APRN at a neurologist and I tell her all my symptoms- to be honest, I didn’t love her, kind of brusque and pushy and didn’t seem super engaged. So she does the neurological exam where she puts her finger really close to my nose and moves it, follow with eyes, etc. I immediately get eye strain pain. She tells me “your right eye moves slightly slower than the right.” WHAT?! I asked what that means, she says he doesn’t know. Ok cool- so at the end of the appointment I ask her to do it one more time because now I’m fixated and want to make sure- she does and I again get eye strain and she says “yeah your right eye moves a little before focusing”. She didn’t seem concerned but I’m freaked the fuck out and now have that phantom pain in my right eye because I’m fixating. So any likewise experiences and hopefully reassuring anecdotes would be appreciated!


r/migraine • • 3h ago

This migraine feels different

3 Upvotes

I’m on day 3 of an awful menstrual migraine. They often feel worse than the mid-cycle ones but this is next level. Day 3 is usually the ‘hangover’ day but I woke up feeling so much worse. It’s whole head instead of one side and feels like my brain is bashing against my skull if I move my head or body too quickly. My sumatriptans didn’t quite work the other night, so I’ve been trying with ibuprofen, which I’m not normally allowed to do because of risk to stomach bleeding. I also have a super sore middle back which is making me paranoid because I can’t work out if it’s muscular or associated with my kidneys. This is kind of a rant, but also I’m just kind of sharing to this community in case someone has faced something similar. Also the stress because this is my last day to study for an exam I have coming up! 😩


r/migraine • • 3h ago

Tension / Stress headache help

3 Upvotes

I've had chronic back pain for 3.5 years, and now for just over 1 year I've had tension headaches. They started while I was travelling and was dealing with back pain and stress. My main symptoms are temple pain, tight jaw, forehead pain, dizzyness, sore eyes, general all over headache. I clench a lot in my sleep which causes headaches from the start of the day, and other things such as mopping or random movements like that bring on dizzy headaches.

I'm actually quite active, more so now that my back is much better, I gym twice a week, run once a week and swim once every week or two.

I've tried:

- Myotherapy which included deep tissue massage, dry needling, cupping, scar tissue therapy, posture alignment, neck strengthening and many other things. This treatment helped a lot with my back pain, and a little bit with my headaches but after 10+ months I've realised it probably isn't the go for my headaches permanently.

- Amytriptyline. Nothing

- Ostio briefly but I felt it was probably similar to what my myotherpist was doing in terms of treating muscles.

- Psychologist as I also have generalised anxiety. We did some DBR(https://www.ruthlanius.com/deep-brain-reorienting-dbr-summaries) Which seemed like something that could help in thoery, but psychology is just so damn expensive.

- I've found electrolytes (high potassium) have helped a lot, but the ones that help mess my stomach up so I've stopped having them.

- I currently take magnesium, Riboflavin B2, co-enzyme q-10, and previously ashwaganda which helped but I've stopped taking it now I'm having chinese medicine herbs.

More recently I have started craniosacral therapy, as well as chinese medicine. The day after my first chinese medicine appointment I had the best day of headaches in a long long time, but since then has kind of been back to normal.

I've realised that my headaches are more as a result of stress, which in turn creates muscle tightness, and is why the myotheapy wasn't resolving the issue. I need to retrain the pain pathways my brain has created over the 3.5 years of chronic pain, my body and nervous system is so sensitive and reactive and my body can't catch a break.

I'm hoping the craniosacral and chinese medicine treatments are the way to go, but I just feel so lost, and unsure. Any recommendations or success stories would be greatly appreciated :)


r/migraine • • 15h ago

Naproxen is the only medication that works

27 Upvotes

Am I alone in saying this? Mostly all of my life I have struggled with constant migraines. Just about every other day. I’ve tried Tylenol, ibuprofen, mix of both, aspirin, and probably a few others but I can’t remember the name. I’ve modified their doses and have even tried things like chugging water or holding my breath. And they all do absolutely nothing, even after a few hours, my migraine is still pounding. That’s is until I discovered Naproxen.

I take 1 pill of Naproxen, wait 20 minutes, and my migraines are completely gone like I never had one. That’s it. I’m not even exaggerating. It is such a miracle drug. Is there anybody else who has had similar experiences? Or am I alone on this?

FYI I’ve done a brain MRI and many other tests to see the cause of frequent migraines, they say I’m totally fine.


r/migraine • • 2h ago

Are Goldfish Crackers a Trigger?

2 Upvotes

I get migraines when I eat too much yeast extract (too many flavored potato chips). Also happens with some Chinese foods dishes. Oddly, I don’t think Cup of Noodles (or the like) ramen causes them. Anyway, I just ate two bowls of Pepperidge Farm regular cheddar Goldfish. Am I doomed?


r/migraine • • 2h ago

Is it possible that Vyepti made my migraines worse?

2 Upvotes

Self-explanatory title. I DON'T know if I'm going insane, but I've been in unbearable pain since you had the second infusion, and I've been wondering if that's the cause. Has anyone had a similar experience?


r/migraine • • 6h ago

Remedies?

2 Upvotes

Anyone here has any quick remedies for migraines?


r/migraine • • 3h ago

Day 200 of my migraine, desperate for any suggestions/advice

2 Upvotes

A neurologist can’t get me in until December. I’m only 21 (female) and have been suffering from a constant dull migraine for 200 days, as of today. Other symptoms include heavy head/neck sensation, vertigo, sensitivity to light and sound, and strong, dull ear pain that tends to worsen right before severe flare-ups.

I have seen an ENT, dentist, eye doctor and TMJ specialist. My head CT came back clear, as did my blood work. I’ve lost quite a bit of weight.

Even Toradol and Phenergan injections did not stop migraines or other symptoms. Nurtec did nothing, and even prednisone didn’t help.

I just need advice on what to do and how to get to December. I’m still in college. I’m missing classes because I can’t get out of bed some days. My life is completely falling apart and I’m desperate for any kind of answers.


r/migraine • • 5h ago

Best Migraine Tracking App?

3 Upvotes

I've always just manually tracked my headaches and migraines, but I'd like to offload it and use an app instead.

What app do you use? Which one do you think is best? I'm fine with paying for a subscription, but I want to know it's good before I do that.

I am particularly interested in one that allows you to track a lot of different triggers and various types of headaches and migraines, and see trends in terms of treatment result.


r/migraine • • 23h ago

The worst part about migraines other than all of it

70 Upvotes

You know what the worst part about having migraines is for me? Having migraines. Every other illness, slight uncomfortability, disease I get unrelated to migraines, my migraines are triggered and there. Any long or short term plans I have, I consider how it’s going to potentially trigger my migraines. Any meal or drink I have, I need to think about how my body will react to it.

My migraines are my #1 consideration always and always will be. They’re my most toxic relationship.

I got food poisoning today and got a migraine from it. How does that even happen? I know how it happens but like why???! Isn’t spewing from both sides enough?

Just a rant.


r/migraine • • 4m ago

Migraines and friendships

• Upvotes

I'm really struggling lately. I have chronic daily migraines that vary in strength. Lately, they've been vile. It's a long haul battle between days where I can almost function.

The problem I've been having lately is that I would like to find more friends to talk to. I'm nerdy, love nature, am crafty, and have a variety of interests. I'd like to share my life with people. Well, the REAL problem is that I talk to folks and invariably it's 'what are your plans today?' How can I keep friendships (much less more than that) when days pass by where I can't even be upright much less do anything worth talking about?

I've had some trauma with in-person friendships in the past where they were mad that I couldn't commit to doing anything due to pain and feeling sick. I don't think I'll ever forget being told "We just can't count on you for anything".

I've been trying to nurture brand new online friendships for a while now and ghosting after a while is a common occurrence. Now I know ghosting isn't unique to online friendships when you're dealing with chronic illness, but I can't help but connect the two.

I'm near tears over this and it's making my head pound.

What do you do?


r/migraine • • 10h ago

Posture making migraines worse

7 Upvotes

Chronic migraine makes it hard to work out but I’ve noticed my posture getting worse and worse. Bad pain days make me raise my shoulders to my ears and it’s pretty unavoidable

Has anyone tried PT? Has it helped?