Migraines: Causes, Symptoms, and Treatment

Hashemi Eye Care

Migraines are a neurological condition that causes intense, throbbing headaches, often accompanied by other symptoms such as nausea, sensitivity to light and sound, and visual disturbances. They can last from a few hours to several days and significantly impact a person’s quality of life. At Hashemi Eye Care, we offer personalized treatments, including Medical Botox for chronic migraines, to help you find relief.

Understanding Migraines

Migraines are more than just severe headaches. They are complex neurological disorders that can manifest in different ways. While many people experience migraine pain on one side of the head, some suffer from more widespread pain, and others may have visual disturbances or no headache at all.

Common Symptoms of Migraines:

  • Intense, throbbing pain (often on one side of the head)

  • Sensitivity to light, sound, or smells

  • Nausea and vomiting

  • Visual disturbances, such as seeing flashes of light or blind spots (aura)

  • Dizziness or vertigo

  • Fatigue

For some, migraines occur with an aura, which includes visual symptoms like flashing lights or zigzag patterns before the onset of the headache. In other cases, migraines may occur without any visual warnings.

Flashing lights in your vision can sometimes be linked to conditions like floaters. Learn more about these symptoms on our Floaters and Flashes page.

What Causes Migraines?

The exact cause of migraines is still not fully understood, but they are believed to result from abnormal brain activity that affects nerve signals, chemicals, and blood vessels in the brain. Some common migraine triggers include:

  • Stress

  • Hormonal changes (especially in women)

  • Certain foods and drinks (e.g., caffeine, alcohol, aged cheeses)

  • Environmental factors (e.g., bright lights, loud noises)

  • Sleep disturbances

  • Physical exertion

A migraine aura might look like this:

Migraine Aura

Types of Migraines

Migraines can present in several forms, with varying degrees of intensity and symptoms. Some common types include:

  1. Migraine without Aura: The most common type, characterized by throbbing pain and other symptoms like nausea and sensitivity to light or sound.

  2. Migraine with Aura: Includes visual or sensory disturbances before the headache phase, such as seeing flashing lights or experiencing tingling in the limbs.

  3. Chronic Migraine: When headaches occur more than 15 days per month, with at least 8 days being migraine days.

  4. Vestibular Migraine: Causes dizziness or vertigo along with typical migraine symptoms.

Migraine Diagnosis and Evaluation

At Hashemi Eye Care, we provide a comprehensive approach to diagnosing migraines, particularly if they have neurological or visual components. We work with patients to assess their medical history, migraine patterns, and any related visual disturbances that may occur during or between attacks. Neuro-ophthalmology evaluations may be necessary to rule out any vision-related neurological issues.

Treatment Options for Migraines

Migraines are a chronic condition, but they can be managed with proper care. Treatment options include medications to relieve pain and prevent future attacks, lifestyle adjustments, and in some cases, Botox injections.

Medications for Migraines:

  • Over-the-Counter Pain Relievers: NSAIDs like ibuprofen or aspirin can help alleviate mild migraine pain.

  • Triptans: Prescription medications that target serotonin receptors to stop migraine attacks.

  • Preventive Medications: Beta-blockers, antidepressants, and anticonvulsants may be used to reduce the frequency of migraines.

  • Zavzpret: A nasal spray used to treat acute migraine symptoms, providing fast relief from migraine-related pain and visual disturbances. Learn more about Zavzpret here

  • Nurtec: A versatile medication used to both treat and prevent migraines, helping to reduce the frequency and severity of headaches, as well as associated symptoms like visual auras. learn about Nurtec here

  • Botulinum Toxin Type A (Botox): FDA-approved for chronic migraines, Botox is injected around the eyes, forehead, and neck to relax muscle contractions and prevent migraine symptoms. learn about Botox here

Botox for Migraines:

For patients with chronic migraines, Botox injections are an FDA-approved treatment that has been shown to significantly reduce the frequency and severity of attacks. Botox is injected into specific points around the head and neck to block pain signals and prevent migraine symptoms. Learn more about Medical Botox for migraines.

Preventing Migraines

Migraines can be debilitating, but with the right management strategies, many people find relief. Consider the following tips to help reduce your migraine frequency:

  • Identify Triggers: Keep a migraine diary to track triggers such as stress, food, or environmental factors.

  • Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and consistent sleep patterns can help prevent migraines.

  • Manage Stress: Techniques like yoga, meditation, or biofeedback can reduce stress levels and minimize migraines.

When to See a Doctor

If you experience frequent or severe migraines, it's essential to seek medical help, especially if your symptoms are not well-controlled with over-the-counter medications. You should also contact your doctor if you experience:

  • Sudden, severe headaches

  • Headaches after head trauma

  • A persistent headache that worsens over time

  • Neurological symptoms like vision loss, confusion, or weakness

If you're experiencing persistent migraines or concerning symptoms, reach out to Hashemi Eye Care today to schedule a consultation and get the expert care you need.

FAQs about Migraines

What is the difference between a migraine and a regular headache?
Migraines are a neurological condition characterized by throbbing pain, usually accompanied by symptoms like nausea, light sensitivity, or visual disturbances. Regular headaches, such as tension headaches, generally do not have these additional symptoms.

How is Botox used to treat migraines?
Botox is injected into specific areas around the head and neck to block pain signals and prevent migraine attacks. The treatment is usually recommended for chronic migraines, where headaches occur more than 15 days per month.

Can migraines affect my vision?
Yes, many people experience visual disturbances known as auras before or during a migraine. These can include flashing lights, blind spots, or zigzag patterns.

What lifestyle changes can help reduce migraines?
Identifying and avoiding triggers, maintaining a regular sleep schedule, eating a balanced diet, managing stress, and staying hydrated can all help reduce migraine frequency.

External Resources

For more information on migraines, visit:

If you're experiencing migraines and are looking for relief, schedule a consultation at Hashemi Eye Care to discuss your treatment options. Our team of specialists is here to help you manage your symptoms and improve your quality of life.