Managing Migraines: Expert Tips from Leading Neurologists

Migraines are more than just headaches—they are a complex neurological condition that can disrupt your work, social life, and mental well-being. Affecting over a billion people globally, migraines often go undiagnosed or poorly managed. Fortunately, with the right medical guidance, migraines can be effectively controlled.

Dr. Pooja Narang, a leading neurologist, specializes in diagnosing and treating migraines with a comprehensive, personalized approach. In this blog, she shares expert tips to help patients understand their condition, recognize warning signs, and manage their symptoms proactively.

What Are Migraines?

Migraines are intense, throbbing headaches typically felt on one side of the head. They are often accompanied by nausea, vomiting, and sensitivity to light or sound. Some patients also experience aura, a warning sign such as visual disturbances, numbness, or tingling before the headache begins.

While migraines can affect anyone, they are more common in women and tend to run in families. Triggers vary from person to person, making individualized care crucial.

Understanding Your Triggers

One of the most effective ways to manage migraines is to identify and avoid triggers. According to Dr. Pooja Narang, common triggers include:

Lifestyle Modifications to Prevent Migraines

Lifestyle plays a major role in migraine prevention. Dr. Pooja Narang recommends the following changes for better control:

1. Stick to a Routine

Maintaining a consistent sleep-wake cycle and meal schedule can reduce the chances of an attack. Avoid oversleeping or skipping meals.

2. Stay Hydrated

Dehydration is a major migraine trigger. Aim to drink 8–10 glasses of water daily, especially in hot weather or after physical activity.

3. Eat a Balanced Diet

Avoid trigger foods and consume a diet rich in fresh vegetables, fruits, whole grains, and lean proteins. Limit caffeine and alcohol.

4. Manage Stress

Stress is a leading cause of migraines. Practice relaxation techniques like:

• Deep breathing
• Meditation
• Progressive muscle relaxation
• Yoga or light exercise

5. Exercise Regularly

Engage in moderate exercise like walking or swimming for at least 30 minutes, 4–5 times a week. Exercise improves blood flow and helps reduce stress levels.

Medical Treatment Options

While lifestyle changes help, some patients need medications to manage or prevent migraines. Dr. Pooja Narang customizes treatments based on the patient’s severity and medical history.

1. Acute Migraine Medications

These are taken during an attack to relieve pain and symptoms:

• NSAIDs (e.g., ibuprofen)
• Triptans (e.g., sumatriptan, rizatriptan)
• Anti-nausea medications
• CGRP receptor antagonists (a newer class for migraine relief)

2. Preventive Medications

These are prescribed when migraines are frequent or severe:

• Beta-blockers
• Antidepressants
• Anticonvulsants
• CGRP inhibitors (monoclonal antibodies given monthly or quarterly)

Regular follow-ups with a neurologist are essential to monitor side effects and evaluate the effectiveness of treatment.

Advanced Treatment Options

If medications and lifestyle changes aren't enough, advanced therapies are available:

1. Botox Injections

Botox has been FDA-approved for chronic migraines. It works by blocking pain signals and can reduce the frequency and severity of attacks. Dr. Pooja Narang provides this treatment to patients who meet specific criteria.

2. Nerve Blocks

Peripheral nerve blocks are injections around specific nerves that reduce pain signals. They are safe and often effective in breaking the cycle of chronic migraines.

3. Neuromodulation Devices

Wearable devices that use electrical or magnetic pulses can help prevent or treat migraines. These are especially useful for patients who can’t tolerate medications.

When to See a Neurologist

You should consult a neurologist like Dr. Pooja Narang if:

• You experience frequent headaches (more than 4 times a month)
• Over-the-counter medications no longer help
• Headaches interfere with your work or personal life
• You notice changes in headache pattern or intensity
• You have neurological symptoms like vision changes, weakness, or speech difficulty
• Early diagnosis ensures better management and reduces the risk of chronic migraine or medication overuse headaches.

Migraine in Women: Special Considerations

Hormonal fluctuations during menstruation, pregnancy, or menopause can significantly impact migraine patterns. Dr. Narang often sees patients who experience menstrual migraines or worsening symptoms with oral contraceptives.

Customized treatment—including hormone therapy, magnesium supplements, or preventive medications—is available for women struggling with migraine during hormonal changes.

Dr. Pooja Narang’s Message to Migraine Sufferers

“Don’t normalize migraine pain or try to push through it. Migraines are a real neurological condition that deserves proper care. With the right diagnosis, treatment, and self-care strategies, most patients can significantly reduce their symptoms and live a full life.”

Take Control of Your Migraines

Migraines can be unpredictable and disabling, but they are manageable with expert care. Identifying your triggers, making simple lifestyle adjustments, and getting the right medical treatment can dramatically improve your quality of life.

If you're tired of dealing with migraines alone, consult Dr. Pooja Narang, an experienced neurologist who offers compassionate and evidence-based care. Early intervention leads to faster relief and fewer attacks.