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MigraineMigraine is the 2nd most prevalent cause of vertigo after Benign Paroxysmal Positional Vertigo (BPPV).Bening Paroxysmal Positional Vertigo (BPPV) is three times more prevalent in individuals with migraine than the general population. Individuals with a family history of migraine are also at an increased risk.The highest prevalence of migraine is among women, ages 18-44, with 1 in 4 women being affected. Symptoms may include headache, dizziness, and changes in vision.A migraine is not just a headache but is classified as a neurological disorder. Individuals with migraine may experience symptoms such as vertigo, or vision changes, with or without an accompanying headache.Migraine is a diagnosis of exclusion, which means there is no one test to diagnose migraine. The diagnosis is based on patient history, ruling out other causes, and response to treatment. Patients with migraines may be sensitive to light, sound or odors. Migraines typically have a genetic component. Do you have family members that suffer from migraines?Migraines have possible hormonal triggers such as menstrual cycle, hormone replacements, or changes in birth control prescription or regime.Patients with migraine may be photosensitive, especially with fluorescent lighting. Keep track of diet in a food diary to help identify possible triggers. Common triggers include: red wine, caffeine, and sodium nitrates.Migraines may be influenced by weather such as changes in barometric pressure. Monitor any pattern of symptoms associated with these changes.Stress, anxiety and changes in routine can all be triggers for migraine.Medicating for migraine can be frustrating. Vestibular therapy can help with the dizziness and vertigo, and it won’t interact with your other medications. Do your migraines make you dizzy? Do they make the room spin? Ask your doctor about a whether you are a good candidate for vestibular physiotherapy. Dizziness from your migraines might be causing you to change the way you walk, climb stairs, or even stand up. This could put you at risk for falling. Ask your doctor about a referral for balance therapy if you suffer from migraine related dizziness. Do you get dizzy or experience vertigo during migraine attacks? These symptoms increase your risk for anxiety and psychological distress. Make sure your treatment plan is addressing them. Has your child been diagnosed with a vestibular condition; Benign Paroxysmal Torticollis of Infancy (BPTI), Benign Paroxysmal Vertigo of Childhood (BPVC), Vestibular Migraine (VM)? These conditions are migrainous and people can progress between them as they age. Do you suffer from migraine and chronic pain? These conditions may be related, and your treatment plans should be too. ................
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