Adult, Adolescent & Geriatric Neurology

VNG · Learning Center

Chronic headache, migraine & triggers

Understand your condition · Build safer routines

Sources checked September 2026

Understand & manage

  • Migraine can involve throbbing pain, nausea, and sensitivity to light or sound. Some people have aura; new neurological symptoms still need assessment.
  • Keep a diary of headache days, medicines, sleep, meals, and possible triggers. Regular sleep, meals, hydration, and manageable activity can support care.
  • Triggers differ between people. Avoid broad food restrictions without a clear pattern. Frequent pain-reliever use can worsen headaches; discuss acute and preventive treatment.
  • VNG evaluates migraine, tension-type and cluster headaches. Individual care may include acute and preventive medicines, trigger review, and Botox for eligible chronic migraine patients.

When to get medical help

Call 911 for a sudden worst-ever headache, new one-sided weakness, confusion, trouble speaking, or vision loss. Seek prompt assessment for a new or changing headache pattern.

Bring this question to your visit

How many headache days or medication-use days should prompt a treatment review?

Education & translation notice

For educational and informational purposes only. This content is not medical advice and does not replace medical consultation or evaluation. Call 911 for any medical emergency. Do not change medicines or begin exercises based only on this page. Ask your clinician about new or worsening symptoms, falls, medication side effects, and the right level of care. For severe or sudden symptoms, serious injury, breathing difficulty, or another medical emergency, call 911; do not wait for a website, form, or chatbot reply. English and translated summaries can contain errors or become outdated. Spanish and other translations may lose medical meaning; confirm important instructions with your clinician and a qualified interpreter. Linked materials may have different regional emergency numbers; in the United States use 911.