Migraine Headache

Summary

  Migraine headaches are a common experience in adults and teenagers.  Migraines often have an aura that precedes the headache.  An aura may include: flashes or blind spots in vision, numbness, tingling in the side of the face.  Migraines are considered primary headaches and often occur for no obvious reason or condition.  
 

Signs and Symptoms

  • Recurrent headaches
  • 4-72 hour duration
  • Pain on one side of the head
  • Pulsing or throbbing pain
  • Moderate to severe intensity
  • Often accompanied by nausea, vomiting, and sensitivity to light/sound
  • Aggravated by routine activity
 

Treatment

  • Chiropractic spinal manipulative therapy is recommended for the treatment of patients with episodic or chronic migraine with or without aura
  • Massage therapy
  • Exercise
  • Relaxation
  • Stress and nutritional counseling
  • Co-management with medical doctor
 

Tools

Headache Diary
Migraine disability assessment scale (MIDAS)
ID Migraine
Headache Impact test (HIT)