Daily migraines, or chronic migraines, are among the more common types of chronic pain. But migraines are more than just pain; they often have other associated symptoms as well, including visual disturbances, nausea or sensitivity to light and sound. Finding the right treatment can be a challenge and may require a combination of several approaches.
Prevention
According to the Mayo Clinic, around half of those who suffer from migraine headaches may benefit from the use of prophylactic medications. These are medications taken as a preventative measure. Migraines may be caused by what the National Institute for Neurological Disorders and Stroke, or NINDS, refers to as "fundamental neurological abnormalities." Prophylactic medications affect the brain and its blood vessels in order to reduce the frequency or intensity of migraine attacks. Some examples of daily medications for migraine include anticonvulsants, antidepressants and heart medications such as beta blockers or calcium channel blockers.
Abortive Medications
When a migraine attack hits, it causes throbbing pain along with other symptoms such as visual disturbances and nausea. Even if prophylactic medication is taken daily for migraine prevention, abortive meds may still be required when an attack occurs. These include pain-relieving medications such as ibuprofen, naproxen sodium or aspirin. Some people take triptans, which can relieve pain as well as other migraine-related visual symptoms. Some people may benefit from anti-nausea medications as well. Many pain-relieving abortive meds are available over-the-counter; however, some require a doctor's prescription.
Alternative Treatments
Some people who suffer from chronic migraines turn to alternative treatments to ease their pain and symptoms. According to the NINDS, therapies such as biofeedback, hormone therapy and relaxation training may help to keep migraine symptoms under control. The Mayo Clinic adds that acupuncture, massage and dietary supplements may also be of use. It is possible to combine these non-traditional remedies with migraine medications, and many people do.
Considerations
Many people benefit from both preventative medications and abortive medications for migraine management, especially if their condition is chronic or even daily. However, in addition to medical management, lifestyle changes can also prevent migraine attacks from occurring or decrease their severity. These include monitoring potential food triggers, such as caffeine and MSG. Other lifestyle changes that may prevent some migraines include managing stress and getting adequate sleep.
Warning
Even if daily migraines are managed well medically, it is still a good idea to check with your doctor from time to time. In some cases, if the time between migraine attacks is becoming longer, prophylactic medications may no longer be necessary. Additionally, regular use of certain NSAIDs or other medications may have other side effects, such as digestive tract problems or an increased possibility of rebound headaches. It is a good idea to discuss potential risks and benefits of daily migraine medications with your doctor.
