• one football player tackles another like tackling migraine
    Chronic Migraine,  Episodic Migraine,  Medication,  Migraine,  Rebound,  The Bucket Theory

    4 Steps To Tackle Migraine Headaches

    For as long as I could remember, I considered myself a headachy person.  At some point the headaches progressed to migraine.  Fortunately, for most of my life I had infrequent episodic migraine (EM).  An attack would start, I’d treat it with ibuprofen and I was better in an hour.  I sought treatment when I began losing a few days per month to terrible attacks that didn’t respond to over-the-counter (OTC) remedies.  Over time, my frequency of attacks increased and I “chronified” while under the care of my well-intentioned primary care physicians.  Differences Between Chronic and Episodic Migraine I was diagnosed with chronic migraine after seeking help from a headache specialist. …

  • a rabbit going down a hole after the root cause of migraine
    Chronic Migraine,  Diet,  Migraine,  Science/Research,  Sleep,  Supplements,  The Bucket Theory,  The Treatment Pie

    What Is The Root Cause of Migraine

    Back in my early days of episodic migraine I didn’t give much thought to the root cause of migraine attacks.  It wasn’t until I had chronic migraine (defined as 15 or more days per month with migraine symptoms) that I started to wonder what the heck was causing my once full life to get smaller and smaller.  Once I was satisfied that it was “just” migraine and not a brain tumor or aneurysm ready to blow, I wanted to know what was wrong with my body so I could fix it. What was my root cause of migraine? The Question of Why? What is MY Root Cause of Migraine? My interest…

  • a satellite photo of a hurricane, a major migraine trigger
    Anxiety,  Migraine,  The Bucket Theory,  Wine

    Migraine Attack Free While Being Stalked by a Hurricane

    A Turtle Named Dorian Staying migraine attack free while fighting off stress and a hurricane is tough. A fellow Floridian posted a funny meme while Florida waited for news about hurricane Dorian. Something to the effect of waiting on hurricanes was like being stalked by a turtle. We all felt like we were being stalked by a turtle that would likely be a very serious threat to life and property in the coming days.  However, this stress is very different than the colossal stress I have had over the past few months.  The Stress Is Real Just to name a few stressful things I have dealt with – we decided…

  • Too many medications used to treat migraine can can lead to rebound headaches
    Medication,  Migraine,  Rebound

    The Vicious Cycle of Rebound

    What is rebound? And how do you tell the difference between rebound or frequent/chronic migraine?  The more commonly used term in the medical community is medication-overuse headache (MOH).  We call it ‘rebound’ as MOH tends to imply patients are to blame for their pain. Rebound happens when prescribed and/or over-the-counter (OTC) meds used to relieve pain, begin to cause pain or “stop working.” Initially, I didn’t know about rebound. And besides, I couldn’t possibly have rebound from medications prescribed by my doctor! My triptan (sumatriptan) had worked beautifully for many years…until it didn’t.  Maybe I just needed a bigger dose? Perhaps I could take it with ibuprofen or another NSAID (non steroidal anti-inflammatory…

  • Help to manage migraine by attaining and maintaining optimal levels of vitamin D
    Migraine,  Science/Research,  Sleep,  Supplements

    How Vitamin D Can Help Manage Migraine

    There are very few studies exploring vitamin D and migraine. That didn’t stop me from reading the scientific literature to get me closer to a possible connection.  Could supplementing with vitamin D help prevent migraine symptoms? We’re all looking for pieces to our personal “migraine puzzle.” I watched a series of videos from a neurologist who strongly believes that there is a relationship. This study suggests that vitamin D may play a role.  From what I have read, I think the answer is yes for some people and possibly for many. What Is Vitamin D? First, a little about vitamin D. It’s not really a vitamin but a hormone.  I’ll continue to refer…

  • Chronic Migraine,  Diet,  Keto,  Migraine

    Keto for Migraine – Phases 2 & 3

    The goal of Phase 1 of the ketogenic diet is to get your body into consistent ketosis by limiting your carbohydrate intake to ~25g/day while having adequate protein and getting most of your calories from fat. Read our Starting Keto From Scratch blog to get a jump on this way of eating. This eating pattern allows your body to burn-off a significant portion of your stored glucose (glycogen) and eventually get to the point where it’s using fat for fuel – nutritional ketosis. As promised, this will help explain the goals and tips beyond the first phase of keto for migraine. Phase 2 of The Ketogenic Diet for Migraine –…

  • Tips for beginners of Ketogenic diet for migraine. Read this to succeed! Includes video interview by Ashley Koff, RD. | Migraine Strong
    Chronic Migraine,  Diet,  Keto,  Migraine,  Science/Research,  Vestibular Migraine

    Keto For Migraine – Starting From Scratch

    If you are reading this, then you have heard that the ketogenic diet can be an excellent way to help manage migraine. As a registered dietitian schooled in the low-fat era, I thought “Eww, gross!” about low-carb and keto. I wish I had been more open-minded sooner as keto is not at all what I thought it would be like. It helped my head and my overall wellness and was delicious. You may be considering this significant change in the way you eat to help you find a new level of relief from migraine attacks. I will focus this piece on some basics and not on a history of keto nor…

  • 5 Nutrients / Supplements proven to help to treat migraine symptoms. #Migraine #ChronicMigraine #Magnesium #Supplements
    Migraine,  Science/Research,  Supplements

    5 Proven Migraine Supplements You Must Know About

    The evidence for nutritional supplements to help with migraine prevention and treatment of active attacks exists. We wish there were bigger studies on migraine supplements so that more doctors in primary care and general neurology would learn some of the things that certified headache specialists know – they work! So, since social media continues to transform how people with migraine educate themselves, we hope this little summary of the five most effective migraine supplements can help you soothe your own cranky neurons. Please understand that “most effective” means that there has been enough research plus clinical observations in the medical community to deem these 5 supplements as probably or possibly…

  • Migraine elimination diets can help get migraine under control. #migrainediet #chronicmigraine #vestibularmigraine
    Diet,  Migraine,  Science/Research,  The Bucket Theory

    Diet – Show Me the Science!

    You know what used to really irk me? When people would say, “there is no science to support changing your diet to help reduce migraine.” It doesn’t bother me much anymore as I have experienced the powerful effect of diet for myself as well as witnessed countless examples of diet helping people get significantly better. As a licensed professional (registered dietitian), I pride myself on only using evidence-based approaches to help people, but there are few studies to point to and say “A-ha!” I’m bummed that I have no solid response to the demand, “show me the science!” but I don’t let it get to me anymore. Diet Studies So,…

  • Diet,  Rebound

    Coffee: Friend or Foe? Caffeine and Migraine

    Updated July 2020. This is one of the most common questions people ask me. In general, caffeine helps the average person with headaches and occasional migraine attacks. They may enjoy a rich cup of coffee each morning to get things going as well as an afternoon pick-me-up. And, some people love to relax after a nice dinner and sip an espresso, cappuccino or cup of decaf. They may notice that their occasional tension headache or even migraine attack vanishes after enjoying a strong cup of coffee. Caffeine and migraine is often a hotly debated topic. How Caffeine Works Caffeine acts to constrict blood vessels and speed everything up. It is…