Migraines are complex and unpredictable, but understanding the four phases can help you better manage your attacks. By recognizing the signs and symptoms, you can take control of your treatment plan and work with your doctor to find the best solutions.
Phase 1: The Pre-Game Show (Prodrome)
Before a migraine attack, many people experience a pre-headache phase that can last up to 48 hours. Also known as “premonitory phase,” this is your chance to take preventative measures and reduce the severity of the upcoming attack. If you’re one of the nearly 8 out of 10 people who experience prodrome, recognize the signs: changes in mood, sleep patterns, or appetite; sensitivity to light or sound; or even a feeling of “something’s coming.”
Phase 2: The Visual Distortions (Aura)
About 1 in 4 people with migraines experience aura, which is characterized by sensory changes. The most common are visual disturbances, such as flashing lights, zigzag patterns, or blind spots. You might also notice changes in your sense of smell, hearing, touch, or even speech and movement. In rare cases, people may experience a phenomenon called Alice in Wonderland Syndrome, where objects appear larger or smaller than they really are.
Phase 3: The Headache Phase
This is the most well-known phase of migraine, but it’s not the only one. The headache phase can last anywhere from 4 to 72 hours and typically affects one side of the head (although it can switch sides). The pain is often described as pulsing or throbbing and may worsen with physical activity. In addition to pain, you might experience other symptoms like sensitivity to light or sound, nausea, vomiting, or even changes in your mental state.
Phase 4: The Aftermath (Postdrome)
After the headache phase passes, many people are left feeling drained, exhausted, or hungover. Some may even experience euphoria or a heightened sense of well-being. This postdrome phase can last up to two days and may be accompanied by symptoms like depression, trouble concentrating, or difficulty understanding.
Take Control
By recognizing the four phases of migraine, you can take control of your treatment plan and work with your doctor to find the best solutions for managing your attacks. Remember: learning how to spot a migraine attack early is key to treating it quickly and effectively. If your patterns change or you experience new symptoms, be sure to discuss them with your doctor – changes in your usual symptoms can be a sign of other health conditions.
Get Educated
Head to [migrainemedicine.org](http://www.migrainemedicine.org) for more information on migraines and how to manage them. With the right knowledge and support, you can take charge of your migraine journey and start living the life you deserve.
