Chronic Migraine
Dr. Mit Ankur Raval
Chronic migraine is a high-burden migraine disorder. According to ICHD-3, headache occurs on at least 15 days/month for more than 3 months, with migraine features on at least 8 days/month.
The pattern matters.
Headache days
Track total headache days each month.
Migraine days
Note days with migraine features, not just the presence of any headache.
Medication use
Record acute medicines and frequency because medication overuse can coexist.
Disability
Work, family, sleep and daily function help determine the treatment goal.
Prevention is usually central.
Preventive therapies
Current migraine prevention includes conventional options and CGRP-targeting therapies; selection is individualised.
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Established preventive therapy for appropriately diagnosed chronic migraine after specialist assessment.
Acute treatment
Acute treatment remains important but frequency should be monitored.
Follow-up
Headache days, disability, acute medicine use and overall function help measure progress.
Patient questions
Does every headache day feel like migraine?
Is medication overuse the same as chronic migraine?
What should I bring to consultation?
Book a neurological consultation.
Clinic and appointment details will be updated here.