Migraines – a common yet debilitating headache disorder that can impact anyone, but disproportionately affects women (2-3 times more likely than men). In fact, research suggests that migraine is one of the most significant causes of disability worldwide. So, what’s going on? And how do we make sense of this complex condition?
The Migraine Spectrum
Everyone experiences migraines uniquely, and it’s not uncommon for someone to encounter multiple types throughout their life. The good news is that by categorizing migraines into different types, doctors can better understand and treat the symptoms.
Episodic vs. Chronic: What’s the Difference?
Traditionally, episodic migraine is defined as fewer than 15 headache days per month. This definition was created to distinguish migraine from tension headaches. However, a recent study (2021) challenged this notion by examining the connection between migraine frequency and quality of life.
The Study Reveals…
Researchers divided participants into four groups based on their monthly headache days:
* Fewer than 8: had a significantly smaller impact on quality of life
- 8-14: similar effects on quality of life as those with 15-23 headache days per month (previously considered chronic migraine)
- 15-23: previously considered episodic, but now seen as having similar impacts on quality of life as the previous group
- More than 24: severely affected, impacting quality of life and ability to work
The Chronification Conundrum
Some people may experience a transition from episodic to chronic migraine (chronification or transformation). This process can occur in up to 70% of people living with migraine. The good news is that some individuals with chronic migraine may also transition back to having episodic migraines.
Chronic Migraine: The Double Whammy
Unfortunately, those living with chronic migraine are more likely to experience anxiety and depression, as well as a lower quality of life compared to those with episodic migraine. If you’re struggling with your mood or mental health, don’t hesitate to reach out for help.
Your Doctor’s Questions: A Migraine Journal
To better understand your migraines, your doctor may ask you to keep a daily journal of symptoms for a month or more. This can be an invaluable tool in understanding what migraine attacks are like for you. If you have any questions about your experience with migraine, don’t hesitate to talk to your doctor.
In conclusion, migraines are complex and multifaceted. By recognizing the different frequencies and patterns, we can work towards a better understanding of this condition and develop more effective treatments.
