Migraine

What is it?

Migraines are a neurological condition that cause intense, often throbbing headaches typically on one side of the head. They may also be accompanied by nausea, vomiting, and sensitivity to light or sound. Some people experience warning symptoms known as aura—visual disturbances like flashing lights or blind spots—before the migraine begins. Migraine episodes can last anywhere from a few hours to several days and may significantly interfere with daily life.

Common Symptoms

Migraine symptoms vary between individuals but commonly include moderate to severe head pain, nausea, and heightened sensitivity to light and sound. Some people also report fatigue, difficulty concentrating, and visual changes such as zigzag lines or shimmering spots. These symptoms often worsen with physical activity and improve with rest in a dark, quiet room.

What Causes It?

The exact cause of migraines is still unknown, but they are thought to involve changes in brain chemistry and activity, especially involving serotonin and other neurotransmitters. Genetics play a strong role—people with a family history of migraines are more likely to develop them. Common triggers include stress, poor sleep, dehydration, hormonal changes, certain foods, and sensory overload like bright lights or loud sounds.

What to Expect During a Telehealth Visit for Migraine:

Your provider will ask about your headache patterns, triggers, and any past treatments to assess your migraine history.
They’ll share guidance on identifying triggers and managing lifestyle factors such as sleep, stress, and diet.
If appropriate, you may receive a same-day prescription for acute relief medications or daily preventive treatment.
Follow-up visits may be recommended to fine-tune your treatment or monitor medication effects.
If symptoms are complex or worsening, your provider may refer you to a neurologist for further evaluation.

How to Treat Migraines

Migraine treatment can include both fast-acting relief and preventive strategies. Your provider may recommend a combination of prescription medications like triptans, NSAIDs, anti-nausea drugs, or preventive options depending on your symptom pattern and frequency.

Track Your Triggers: Keep a headache journal to find patterns in your migraines.
Stick to a Routine: Regular sleep, hydration, and meals can reduce attack frequency.
Limit Stimulation: Avoid bright lights, loud noises, and strong smells when possible.
Use Medications Early: Take your prescribed migraine medication at the first sign of an attack.
Practice Relaxation: Deep breathing, meditation, and gentle yoga can help manage stress.

When Should I Go to Urgent Care or the ER?

Visit urgent care if your migraine is more severe than usual, lasts longer than 72 hours, or does not respond to your usual medication. Go to the ER if you experience a sudden, severe headache unlike anything you’ve had before, vision loss, slurred speech, weakness, or confusion. These may be signs of a serious medical emergency such as a stroke or aneurysm.

Most migraines can be managed at home or with telehealth care, but some situations require immediate attention:

Sudden Onset: An abrupt, intense headache could be dangerous.
Neurological Changes: Numbness, confusion, or difficulty speaking should be evaluated urgently.
No Relief: If symptoms persist despite medication or worsen rapidly.
Frequent Episodes: More than 15 headache days per month may need a new treatment approach.
Post-Trauma Headache: If your migraine follows a head injury, get checked immediately.

How to Prevent Future Flare-Ups?

Prevent future migraines by maintaining a regular routine—consistent sleep, meals, and hydration can make a big difference. Avoid known food and environmental triggers, reduce screen time, and manage stress proactively. Your provider may recommend preventive medication if migraines occur more than four times per month.

Your brain health affects your energy, clarity, and focus—starting with your head.

How It Works

1. Purchase Your Visit

Add your visit to the cart and complete your purchase—it only takes a few minutes. Once paid, you’ll receive a confirmation email with your next steps.

2. Register and Book Your Appointment

You’ll be invited to register in our secure patient portal. Once inside, you’ll be prompted to schedule your appointment. After booking, check your email for the required medical forms—these must be completed and signed before your visit.

3. Meet With a Doctor and Get Treated

On the day of your appointment, you’ll connect with a board-certified doctor by video. Prescriptions or treatments—if needed—will be sent to your preferred pharmacy or shipped directly to you.

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