As a neurologist at a major heachache center, I see a lot of really tough headache and migraine cases. The hard part in treating them? A lot about migraines is still not fully understood by science.
They're believed to involve the trigeminovascular system, which is different for "migraineurs" (people prone to migraines) from those who cannot have migraines. So the bad news is if you have the circuitry in your brainstem for migraines to be triggered, you'll probably never fully get rid of your migraines.
The good news is you can get migraine relief and a change in their frequency by identifying the common factors that may be triggering them.
Here are the migraine triggers I see most often in my patients, along with tips on how to avoid them. Following these guidelines won’t cure you from the migraine cascade completely — but it will help you manage them and minimize their onset.