Migraines are more than just headaches—they are debilitating neurological events that can impact every aspect of a person’s life. From pounding pain and visual disturbances to nausea and light sensitivity, migraines can sideline even the most resilient individuals. According to Dr. Jordan Sudberg, a renowned pain management specialist, managing migraines effectively requires a proactive combination of prevention, early intervention, and lifestyle awareness.
“Migraines aren’t something you just ‘tough out,’” says Sudberg. “They are a complex neurological condition that requires both individualized treatment and thoughtful prevention strategies.”
In this article, Dr. Sudberg outlines the most effective preventative measures and current treatments available to those who suffer from migraines, offering hope and practical solutions to millions affected by this condition.
Understanding Migraines: More Than a Headache
Migraines often present as intense, throbbing headaches on one side of the head, but their impact extends beyond pain. Many sufferers experience aura (visual or sensory disturbances), fatigue, mood changes, and even temporary cognitive impairment. Migraines can last anywhere from a few hours to several days.
“Each patient experiences migraines differently,” explains Dr. Sudberg. “That’s why it’s important to look at both the triggers and the physical response. You can’t treat every migraine sufferer the same way.”
Top Preventative Strategies for Migraine Sufferers
1. Identify and Avoid Triggers
A foundational step in preventing migraines is recognizing what sets them off. Common triggers include:
- Stress
- Dehydration
- Lack of sleep
- Certain foods (e.g., chocolate, aged cheese, processed meats)
- Hormonal fluctuations
- Weather changes
- Caffeine overuse or withdrawal
Dr. Sudberg advises keeping a detailed migraine diary. “Tracking your symptoms alongside your diet, sleep, and stress levels can reveal patterns that help you take control,” he notes.
2. Establish a Healthy Routine
Regularity is key in migraine prevention. Disruptions in sleep, eating, or exercise patterns can increase the likelihood of an attack.
Sudberg’s core lifestyle recommendations include:
- Getting 7–8 hours of sleep per night
- Eating balanced meals at consistent times
- Engaging in regular physical activity (like yoga or walking)
- Managing stress through relaxation techniques like meditation or breathing exercises
“Your nervous system loves stability,” says Sudberg. “Migraines often flare when the body is off its rhythm.”
3. Supplements and Nutraceuticals
Certain vitamins and minerals may help reduce migraine frequency in some individuals. Under medical supervision, Dr. Sudberg recommends:
- Magnesium (helps with nerve function and may reduce migraine aura)
- Riboflavin (Vitamin B2) (linked to energy production and reduced attack frequency)
- CoQ10 (an antioxidant that supports brain health)
He cautions that supplements should not replace medical treatment but can complement it in a well-rounded prevention plan.
Treatment Options When Migraines Strike
Despite the best preventative strategies, migraines can still occur. Fortunately, treatment options have evolved significantly in recent years.
1. Abortive Medications
These are taken at the onset of a migraine to halt its progression. Common classes include:
- Triptans (like sumatriptan)
- NSAIDs (nonsteroidal anti-inflammatory drugs)
- Ergot alkaloids (less commonly used today)
- CGRP antagonists (a newer, promising class of medication)
“Early treatment is crucial,” says Sudberg. “The sooner you intervene, the more effective the relief.”
2. Preventative Prescription Medications
For patients with frequent or severe migraines, long-term preventative medications may be necessary. These can include:
- Beta-blockers (e.g., propranolol)
- Antidepressants (e.g., amitriptyline)
- Anti-seizure drugs (e.g., topiramate)
- Botox injections for chronic migraine (approved by the FDA)
Dr. Jordan Sudberg often tailors medication plans based on the patient’s history, tolerance, and lifestyle needs. “Personalized medicine is essential in migraine care. What works for one person may not for another.”