Migraine & Headache

Migraine is a recurrent type of headache, usually with throbbing pain on one side of the head, which may be accompanied by symptoms such as sensitivity to light and sound and nausea. Attacks can last for hours or days and can affect daily life.

• Throbbing, severe pain on one side of the head
• Increased sensitivity to light, sound and smell
• Nausea or vomiting
• Visual symptoms before the pain in some people (aura)
• Pain that worsens with movement and eases with rest

Headaches should be evaluated without delay when they become more frequent, grow increasingly severe, do not respond to painkillers, or when a sudden very severe pain occurs together with new symptoms such as weakness or difficulty speaking.

The type of headache is determined through a detailed history and a neurological examination. When needed, brain imaging is used to rule out other causes. A headache diary helps to identify triggers.

In migraine management, acute (attack) treatment and preventive approaches to make attacks less frequent are considered together. In suitable individuals, non-drug measures, preventive treatments and, in selected cases, options such as botulinum toxin (Botox) may be planned. The approach is individual.