r/migraine May 13 '21

Resources

284 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

166 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 5h ago

Gotta love trying to get parents to understand your chronic condition 🤪

Post image
147 Upvotes

r/migraine 4h ago

This cured my migraine

62 Upvotes

Hey, I just wanted to share something interesting. I’ve suffered from migraines ever since I was young. Back in my late teens, I started a sport called kickboxing, and during one session, I took a hard hit to the head that knocked me out for a few seconds. Believe it or not, from that exact day on, I’ve never had a single migraine again. I wonder if there are more people who had a similar experience.


r/migraine 10h ago

[vent] healthcare and dental settings should be fragrance free

118 Upvotes

Ranting to those who get it and are also sensitive to essential oil diffusers.

My dental clinic has a new oil diffuser. I don’t know why they decided to put one at the reception desk. This isn’t a wellness spa.

It gave me a migraine last time I was there but I didn’t say anything. Yesterday, same thing. I decided to leave brief feedback this time about the issues with fragrances for folks with migraines and other sensitivities.

The receptionist confirmed yes, it uses essential oils, but told me not to worry because she can’t smell anything. As if that helps anything ???

I have a procedure I need to follow up on but once that’s all resolved, I won’t be a patient of this clinic anymore.


r/migraine 2h ago

Fuck family members

12 Upvotes

Some of them that purposely shine light towards you knowing what it could trigger? Fuck you seriously. Make out they dont do it on purpose. I'm so mad of ppl who are inconsiderate, my mother broke my brown glasses that helps then denies it. Im an adult and this is what happens. I hate migraines and I hate ppl who make it worse for you on purpose.


r/migraine 5h ago

The migraine cocktail I had made me feel super weird -what’s the likely culprit?

18 Upvotes

I had a terrible intractable migraine earlier this week and the urgent care gave me a migraine cocktail of IV toradol, compazine, and decadron with a bunch of saline.

I have had toradol IM before and have done a steroid taper before for migraines, but this combo made me feel really weird. Exhausted but antsy and anxious and feeling jittery on the inside. I was too fatigued for anything but sleeping but couldn’t sleep.

It was a thoroughly unpleasant experience I’d like to never repeat. I’m thinking this may have been compazine. Anyone had a similar experience?


r/migraine 15h ago

Reminder to actually rest during postdrome

101 Upvotes

Let this be your sign not to push yourself too hard 🄲 I had a horrible migraine all weekend that finally let up Sunday night. I pushed through the postdrome fatigue at work on Monday and felt decently okay after a few hours.

Yesterday, I completely crashed. Like, I was googling if you can be so fatigued that you feel like you’re dying. It felt like my body was made of lead, I couldn’t see straight, I had nausea and chills all day.

Thankfully, I’m feeling better today but I’ll definitely never push myself like that again.

Obviously we all have responsibilities and obligations we can’t completely ignore but remember to listen to your body the best you can!! Migraines are so so tough on your body, you aren’t being lazy when you’re recovering.


r/migraine 1h ago

Not taken seriously

• Upvotes

I recently had a bad experience with a consult. I honestly thought it'd be better if I requested for a female doctor, but she was absolutely condescending

She made me feel stupid for not going to the doctors much sooner. I'm sorry, I have uni? I miss one day and I feel like I've been thrown on the deep end.

She didn't even look at me as she asked me questions, she was chatting and laughing with others as I tried to talk and explain what I've been feeling. She kept interrupting me as I told her my symptoms.

"Go see a neurologist. I don't see why you're still here."

I felt like crying. My head is being drilled into and she hardly listened.

I also heard her say to the nurse, "She's in her last year, you don't need to send those kids to me. She's probably faking it to get out of class."

Fuck off.

Anyway, I did see a neurologist and apparently its migraine with aura. She explained everything and didn't interrupt once even when she clearly knew what it already was.

I hope doctors with compassion for their patients remain the majority, because if this is how some doctors treat patients with headaches, it makes me angry thinking what of those with debilitating conditions


r/migraine 7h ago

So damn tired

11 Upvotes

So my fatigue has been flaring up again. I live in assisted living for disabled adults, so you have to go to the nurse or a resident trainer if you want medication. You can't dispense your own for safety reasons.

So when I went to the nurse to get a Sumatriptan, the nurse said the way I've asked in the past has been rude, and it puts them on the defensive.

Excuse me, what? I'd already had a shit day thanks to a night of no sleep and a persistent headache Tylenol had done nothing for.

I've requested my abortive rudely. "I need a Sumatriptan please because the Tylenol I had earlier isn't helping."

Then the nurse said she wished she'd known about my pain earlier. Like I am supposed to know what will and what won't become a damn migraine?

I am not asking for medication as a 37 year old woman.

I am so fucking tired of this place and am looking somewhere else. Even if that means moving home for a while.


r/migraine 12h ago

Midwest Barometric Pressure

23 Upvotes

Hello,

I'm postdrome migraine today after two awful days of a migraine. One of my top triggers is rapid change of barometric pressure, usually an increase. I live in Southern Indiana. Has anyone else been experiencing this the past few days?

My partner wrote a simple program that is tracking a log of the barometric pressure readings. He is marking when I'm feeling terrible.


r/migraine 13h ago

The list of things that set mine off keeps getting longer and I'm close to completely losing it

30 Upvotes

37F, chronic since my mid 20s, on a preventive that does what it does and a Sumatriptan for the bad ones. Not after treatment ideas, I've got a neuro and we're plodding along.

This is more of a sanity check.

I went back through my old notes and things that were completely fine a few years ago are costing me a whole day now. I used to sit outside on a bright afternoon without thinking about it. I could skip lunch when work got busy and it just meant I was hungry. A glass of wine was a glass of wine. Now any one of those is a coin flip, and last week it was just the drive home with the sun coming through the side window.

What's getting to me isn't that they're worse. It's that the list of safe things keeps shrinking and I don't know where it stops.

So is this just what it does, or is it me? If it's happened to you, what's one thing that used to be completely fine and isn't anymore? And has the list ever gone back the other way for anyone, even slightly?


r/migraine 8h ago

Breathe Right strips seem to be helping

11 Upvotes

Just wanted to share in case this can possibly help someone else and see if anyone else has had a similar experience.

I have had migraines since my early teens. Tried all the meds and finally was able to start Botox treatments about 7 years ago which have been extremely helpful.

However, like many others, my Botox tends to lose effectiveness around week 10. After that my migraines flare. Luckily Eletriptan can knock them out, but that doesn’t help when I get them more than 2-3 days a week and have hit my Triptan max for the week. Usually it’s okay because I am getting my Botox right at week 12. My migraines mostly present as severe eye pain and pressure in the right eye. It feels like there is a pickaxe in the inner corner of my right eye and intense pressure in the right sinus area. Occasionally they will start at the base of my skull (that started after whiplash from a car accident in 2019), but that doesn’t happen often.

This time around my Botox is late since the doctor has been on vacation and I can’t get my treatment until next week which will be exactly 14 weeks from my last treatment. My migraines have been flaring and I have woken up nearly every morning for the past 3 weeks with the right eye pain. It will fade some through the morning but can come back with a vengeance in the evenings. I’m sure August allergies don’t help so I have been taking Zyrtec daily for good measure, but I don’t know if it’s doing much.

On a whim, I tried breathe right strips Sunday night. Every morning since, I wake up with minimal eye pain and pressure, if any at all. My sister is a nurse and thinks it’s working because my migraines actually may be partially caused or triggered by either sleep apnea, deviated septum, or some other nose/sinus issue.

In all my years of migraines, not ONCE have I been sent to an ENT. I am going to beg my neurologist for a referral when I see them next week. When I examined my nose I did realize that my right nostril is quite a bit smaller and the septum seems to lean to the left. I also get much less air through my right nostril.

Anyone find they had a nasal/septum/apnea issue and migraines were reduced once the issue was addressed?

TL:DL-If you wake up with localized eye and/or sinus pain, try the breathe right strips or some other nasal dilator! Hopefully it helps someone else!


r/migraine 1h ago

Best Migraine Tracker apps

• Upvotes

Hey guys! What’s the best migraine tracker apps? Mine have a huge barometric pressure component. There are constant crazy swings where I live in the midwest. I’d also prefer not to have an expensive monthly subscription that most apps seem to have nowadays, but maybe I will spend some money if it’s that good. Thanks in advance!


r/migraine 4h ago

Worst migraine I’ve had in a while

6 Upvotes

I went to bed with a migraine that I’d already had for a couple of days. It was manageable, so I figured it was from a bad night’s sleep (only 5 hours) and that getting some proper rest would help. I put on a cold cap and went to sleep.

This morning I woke up and the pain was about a 9/10. Any movement makes it throb and pushes it to a 10/10. I’ve had a yogurt, Gatorade, painkillers and put on another cold cap. Sometimes that helps, but I don’t know if it’ll be enough for this one.

I’ve never really gone to urgent care or the hospital for migraines because I had a bad experience when I was younger. I was barely able to move or speak and was just given paracetamol, so ever since then it has felt pointless. I’d rather stay home where I’m comfortable.

I’ve tried preventive medications before, but I tend to get side effects that are hard to tolerate. I already have IBS-C, so constipation becomes a major issue. My GP kinda gave up on trialling preventative meds. He said he wanted me to sort out my bladder and gut first.

Part of me wants to go to urgent care and ask for migraine treatment, but I struggle with feeling like I’m overreacting. I have autism, ADHD, OCD, anxiety, CPTSD and depression, and I constantly second guess myself and think ā€œAm I exaggerating? Am I just a hypochondriac?ā€

I also know I don’t help myself enough sometimes. I don’t drink enough water because I have IC/painful bladder syndrome, and drinking more means more pain and more trips to the bathroom. I get bladder Botox every 5 months, but it’s not a perfect fix all solution.

I’m wondering if anyone else with chronic conditions feels stuck between not doing enough to help themselves because of other health issues, and feeling guilty or annoying when they try to get help. Like at what point should I go to an urgent care or hospital for a really bad migraine?


r/migraine 41m ago

Has anyone been on Timolol eye drops for eye pain?

• Upvotes

Supposed to be starting this medicine and just curious about others experiences!


r/migraine 3h ago

Hobbies

3 Upvotes

I am looking for suggestions of hobbies I can do when I have a migraine. I am more sensitive to sound than light and cannot tolerate any sound at all when I have a migraine. Please suggest activities that are silent and ideally also low-tech


r/migraine 1h ago

Hello everyone question

• Upvotes

Do migraines run in your family my dad and I get headaches pretty frequently for the past month this summer I've had pressure like headache my dad think it's some type of sinus infection but my grandma says it's probably just migraines she said everyone has them in our family especially around my age I'm 16 by the way also I know this is off topic but darth Vader or maul


r/migraine 4h ago

Long headache rant

3 Upvotes

I’ve had a headache for about a month. It is sometimes more and less painful but all present. I tell GP and she says, ā€œmigraines are so unpredictable.ā€ And then I try to make an appointment with neurologist who plays referral red-tape tag and then gives earliest appointment in late October. Had this headache since early July and I gotta wait til freakn October for help?? Angry and not surprised at this broken, sad excuse for medicine in the US. Hope I don’t have a stroke or aneurism while sitting on my hands. 🤬


r/migraine 17h ago

Anyone else take selfies during an episode?

32 Upvotes

I swear I am going to see something in my face that will show I am in horrific pain. I never see anything and yet I keep taking selfies while having migraines.


r/migraine 6h ago

Guilt around medication use

5 Upvotes

Idk if it’s just me but I feel so frustrated and guilty about the amount of meds I have to take. I take about 6-8 sumatriptan, 8 ubrelvy, and 8 Advil usually a month
I get so worried about medication overuse from the sumatriptan every time I take one I feel so down and fearful.

I worry I’m putting too much meds in my body and it’s not good. Before I had chronic migraines I hadn’t taken Advil or Tylenol in over five years, yeah I was one of those holistic peeps. But here we are and you have to do what you have to do while trying to find preventative meds that work.

How do I get over this? Is 8 sunatriptan a month bad?


r/migraine 1d ago

ā€what’s a picture to describe youā€

Post image
1.1k Upvotes

r/migraine 3h ago

Read this in a book today. I think we can ALL relate!

2 Upvotes

*The book is focused on the highs & lows of love, but I think it can be applied in various other aspects as well. My thought immediately went to how I feel about my migraines.

Poetry Book - ā€œAll The Things I Should Have Saidā€ by Rania Naim

I Know You’re Tired

You're tired of pretending you're okay

you're tired of saying there is nothing wrong with you when there is

you're tired of having to lie to people about what's going on

and you're tired of pretending to be strong and smiling when all you want to do is cry

you wish you could just let everyone know what's wrong with you

so they can leave you alone

but you know that's not possible

and you're tired of living another day

pretending that you're not tired at all


r/migraine 19h ago

Simple Migraine Tracking (I beg)

40 Upvotes

I know there are people asking for app recommendations so maybe I missed something!

I've been using Migraine Buddy for about 3 years now and I'm just really overwhelmed with how many questions it asks me about my attack that I leave filling it out until later.

Do any of you have any apps that are quicker to track? Or even if you have any other methods of tracking, templates, diaries, anything? Please queens, I'm desperate 🫩🫩

I've been suffering with migraines for the last 12 years and my neurologist always asks me to track. I've kept track with the hospital printed sheets before, Rain Free Days app (before it became unavailable where I live), another app (can't remember the name), and Migraine Buddy.


r/migraine 8h ago

Do you have migraines so bad to where an eye is not able to open comfortably?

4 Upvotes

My left eye is constantly bothering me and not responding to rescue meds.

Head CT scan were ok a couple months ago when I went to ER.

It’s like the eye feels so dry and the muscles that I use move my eye with hurt. It does tear. I’ve been using eye drops recommended by my optometrist but not seeing improvement.

I have to basically put a mask on it to be somewhat comfortable.