What Are the Causes of Chronic Migraine?
Oct 26, 2023 By Madison Evans

When headaches occur on 15 or more days per month, and at least 8 of those days match the criteria for migraine, the condition is considered chronic. Comorbidities, such as depression, anxiety, and sleep difficulties, compound the negative effects of chronic migraine on quality of life. We don't know what triggers chronic migraine attacks, but probably, several variables, including genetics, the environment, and one's way of life, all have a role. Some patients, however, suffer from chronic migraines rather than the more common episodic kind, which demands a different treatment approach. Improving the quality of life for those suffering from chronic migraine may be facilitated by better understanding and treating the illness's underlying causes and risk factors.

Factors That Increase Your Risk Of Chronic Migraine

Genetics:

Multiple genetic variables have been found that are related to an increased chance of having migraine, suggesting that the condition may have a strong hereditary component. The modulation of neurotransmitters and inflammation, as well as the form and function of brain blood vessels, may be affected by these hereditary variables. Although research has not yet pinpointed which genes play a role in migraine onset, it has uncovered several genetic variants linked to an elevated risk of the illness.

Environmental Triggers:

Some factors might bring on a migraine episode for certain individuals. Stress, lack of sleep, bright lights or loud sounds, changes in the weather, particular foods or beverages (such as alcohol, caffeine, or old cheeses), and hormonal changes in women are just a few examples of what could set off an anxiety attack in one person but might have no effect on another. Managing persistent migraines often involves identifying and avoiding particular triggers.

Underlying Medical Conditions:

A higher chance of acquiring chronic migraine has been related to various medical disorders. Among them include mental health issues like sadness and anxiety, as well as physical ones like trouble sleeping or neck pain. Another risk factor for persistent migraine is a history of head or neck injury.

Medications:

Chronic migraine may be exacerbated or made worse by some drugs. Certain forms of oral contraceptives, some antidepressants, and some hypertension and hypertension-related drugs fall under this category. If you take any drugs, you must tell your doctor about them and tell them if you see any changes in the frequency or intensity of your headaches.

Lifestyle Factors:

There may be a correlation between the certain way of life choices and the onset of chronic migraine. Not getting enough sleep, leading a sedentary lifestyle, and smoking are examples. Making adjustments to these areas may help in the management of chronic migraine.

Management Of Chronic Migraine:

When treating patients with chronic migraines, it is common to use a mixed approach, both pharmaceutical and non pharmaceutical methods. The treatment's purpose is to lessen the number and intensity of headache episodes and raise the patient's standard of living.

Medications:

Different drugs are utilized for different purposes when it comes to persistent migraines. Among them are:

  • Triptans and ergots are examples of migraine-specific medicines.
  • Migraine-preventative drugs are used regularly to lessen the likelihood of a migraine episode. Anticonvulsants, beta-blockers, and calcium-channel blockers are only a few examples.
  • Over-the-counter analgesics, including acetaminophen, ibuprofen, and aspirin, may help with mild to severe headache pain.

Non-Pharmacological Treatments:

Interventions that do not entail the use of pharmaceuticals are considered non-pharmacological therapy for persistent migraines. The management of chronic migraine may be achieved by using these therapies alone or in conjunction with pharmaceutical options. Biofeedback, cognitive behavioral therapy, physical activity, and stress reduction approaches are all examples of non-pharmacological therapies. Chronic migraine sufferers may find relief with non-pharmacological therapy, which may also have fewer negative side effects. When considering non-pharmacological therapy, it is essential to have a conversation with a healthcare professional about the best course of action.

Conclusion

In conclusion, chronic migraine is an intricate and often disabling condition that may majorly affect daily functioning and overall quality of life. A mix of genetic, environmental, and behavioral variables certainly contribute to the onset and maintenance of chronic migraine. However, the specific causes remain unknown. Migraine sufferers may benefit from a treatment plan that includes identifying and modifying these triggers. Chronic migraine may be treated with various pharmaceutical and non pharmaceutical methods; the most successful strategy, however, will vary from patient to patient. Collaborating with a healthcare practitioner to create a treatment plan that addresses the unique triggers and symptoms of your persistent migraines is essential.

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