[Music] [Music] hi i'm dr amal starling a neurologist at mayo clinic specializing in headache disorders in this video we will cover the basics of migraine what is it who gets it the symptoms the diagnosis and most importantly the treatment whether you're looking for answers for yourself or someone you love we are here to give you the best information available there is a lot of stigma around migraine that it's just a headache and that it's no big deal but migraine is a genetic neurologic disease it affects each person differently with a wide range of disease severity
some have infrequent attacks but others may have frequent disabling attacks expecting someone to push through or just take your mind off of it is never good advice [Music] migraine is very common affecting 1 in 5 women 1 in 16 men and even 1 in 11 children migraine attacks are three times more prevalent in women likely as a result of hormonal differences certain genetic and environmental factors play a role in the development of migraine disease and since it is genetic it is hereditary meaning if a parent has migraine there is about a 50 chance that a
child may develop migraine as well if you have migraine certain factors can trigger an attack however this does not mean that if you get a migraine attack that it's your fault or that you should feel any guilt or shame for your symptoms hormonal changes specifically fluctuations in estrogen that can occur during menstrual periods pregnancy and perimenopause can trigger a migraine attack other known triggers include certain medications drinking alcohol especially red wine drinking too much caffeine stress sensory stimulation such as bright lights or strong smells sleep changes weather changes skipping meals or even certain foods like
aged cheeses and processed foods [Music] the most common symptom of migraine is the intense throbbing head pain this pain can be so severe that it interferes with your day-to-day activities it can also be accompanied by nausea and vomiting as well as sensitivity to light and sound however a migraine can look very different from one person to another some people may get prodrome symptoms at the beginning of a migraine attack these can be subtle warnings such as constipation mood changes food cravings neck stiffness increased urination or even frequent yawning sometimes people may not even realize that
these are warning signs of a migraine attack in about a third of people living with migraine an aura might occur before or even during a migraine attack aura is the term that we use for these temporary reversible neurologic symptoms they're usually visual but they can include other neurologic symptoms as well they typically build up over several minutes and they can last for up to an hour examples of migraine aura include visual phenomena such as seeing geometric shapes or bright spots or flashing lights or even loss of vision some people may develop numbness or a pins
and needle sensation on one side of their face or body or even difficulty speaking at the end of a migraine attack you might feel drained or confused or washed out for up to a day this is called the post drone phase [Music] migraine is a clinical diagnosis that means the diagnosis is based on the symptoms reported by the patient there is no lab test or imaging study that can rule in or rule out migraine based on screening diagnostic criteria if you have the symptoms of headache associated with sensitivity to light a decrease in function and
nausea you likely have migraine please see your health care professional for the possible diagnosis of migraine and migraine-specific treatment because there is such a wide spectrum of disease severity with migraine there is also a wide spectrum of management plans some people need what we call an acute or a rescue treatment for infrequent migraine attacks whereas other people need both an acute and a preventive treatment plan preventive treatment reduces the frequency and severity of migraine attacks it might be a daily oral medication a monthly injection or even injections and infusions that are delivered once every three
months the right medications combined with lifestyle changes can be helpful to improve the lives of those living with migraine there are ways to manage and minimize the triggers of migraine using the seeds method the s is for sleep improve your sleep routine by sticking to a specific schedule reducing screens and distractions at night e is for exercise start small even five minutes once a week and slowly increase the duration and frequency to make it a habit and stick to movement and activities that you enjoy e is for eat healthy well-balanced meals at least three times
a day and stay hydrated the d is for diary track your migraine days and symptoms in a diary use a calendar an agenda or an app bring that diary with you to your follow-up appointments with your doctor to review the s is for stress management to help manage migraine attacks triggered by stress consider therapy mindfulness biofeedback and other relaxation techniques that work for you migraine attacks can be disabling but there are ways to manage the disease and to empower yourself to get the care and the support that you need first we need to end the
stigma around migraine it is not just a headache it is a genetic neurologic disease next talk to your health care professional about your symptoms eradicate the words i'm fine from your vocabulary and be honest with your health care professional your employer your loved ones about how you're feeling as well as the kind of support that you need make yourself a top priority when you're having a migraine attack and reduce the likelihood of attacks through lifestyle adjustments have a consistent schedule get adequate sleep and learn strategies to cope with the stresses of life using mindfulness and
meditation empower yourself to manage migraine with lifestyle changes and migraine-specific treatment options together you and your doctor can manage the disease of migraine if you'd like to learn more about migraine watch our other related videos or visit mayoclinic.org we wish you well
