Migraine is a recurring neurological condition, not simply a severe headache. Attacks may involve throbbing head pain, nausea, vomiting and sensitivity to light or sound. Symptoms and severity differ between people.
A medical clinician can help confirm the diagnosis and discuss acute and preventive treatment. Research on manipulation for migraine prevention is inconclusive.
Read NINDS migraine information and NCCIH’s review of headache research.
Migraine attacks can last hours to days. Some people experience aura, such as visual changes, but many do not. Keep a record of attack frequency, duration, associated symptoms, medication use and possible triggers to discuss with your clinician.
Call 911 for a sudden, extremely severe headache, especially with new weakness, confusion or trouble speaking. New or changing symptoms need assessment rather than being assumed to be migraine. Headache after an accident also warrants medical evaluation.
If considering manual therapy for associated neck symptoms, discuss potential benefits, risks and alternatives. Temporary soreness or headache can occur after manipulation, and rare serious complications have been reported with neck manipulation. Children with recurring headaches should be evaluated by an appropriate pediatric clinician.
