Great news for migraine sufferers: Scientists are developing a test that can predict when a crippling headache may strike

  • Migraines could be predicted based on stress levels experienced the day before
  • Sufferers reported stress was the greatest around 24 hours preceding an attack
  • Patients are often unprepared to take medications or wait until pain worsens
  • The model could allow doctors to treat patients with preventative therapies
  • Migraines affect one billion people worldwide and can be debilitating 

Migraine sufferers know that a debilitating attack can strike unpredictably.  

Now a new model developed by scientists could help predict when a painful headache might next occur.

The test involves monitoring stress levels experienced the day before, and could allow doctors to treat patients with preventative therapies. 

Patients reported experiencing the greatest amount of stress around 24 hours previously.

Lead author Dr Tim Houle, associate professor of anaesthesia and pain medicine at Massachusetts General Hospital and Harvard Medical School, said: 'We know that certain people are at greater risk of having an attack over other people, but within a person, we have not been able to predict increased risk for an attack with any level of accuracy.

'This study demonstrates that it is quite possible to forecast the occurrence of a headache attack within an individual headache sufferer.'

Predicting a migraine attack by monitoring stress levels could mean they could be prevented

Predicting a migraine attack by monitoring stress levels could mean they could be prevented

The researchers, writing in the journal Headache, note that because migraines are unpredictable, patients are often unprepared to take medications in a timely manner or they choose to wait to take medications until their pain escalates.

Migraine affects one billion people worldwide, according to Migraine Research Foundation.

INDUCING BRAIN FREEZE COULD HELP A MIGRAINE

There are anecdotal reports from migraine sufferers that inducing brain freeze – caused by downing a cold treat or drink too quickly – can stop a migraine in its early phases.

Now a headache specialist has given her backing to the theory.

Neurologist Stephanie Vertrees, assistant professor at the Texas A&M College of Medicine, said: 'It may not work for everyone or work every time, but giving yourself a brain freeze can possibly alleviate a migraine.' 

Previous research discovered brain freeze and migraines share a common blood flow mechanism.

Dr Jorge Serrado and his team in 2010 traced the blood flow in the brains of 13 volunteers as they drank ice water through a straw. 

This caused a dramatic and sudden increase in blood flow through the brain's anterior cerebral artery. 

The body then floods the brain with blood to help keep it warm to reduce pain.

Migraines are believed to be triggered by changes in blood flow to the brain. 

It's unclear exactly how it happens, but experts think inducing an ice cream headache somehow regulates the blood flow associated with migraines.

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A migraine is more than just a headache – as well as pain other symptoms can include disturbed vision, sensitivity to light, sound and smells, feeling sick and vomiting.

The incapacitating nature of migraines is underestimated and migraine is the sixth most disabling illness in the world, it says.

While most sufferers experience attacks once or twice a month, more than four million people have chronic daily migraine, with at least 15 migraine days per month.

More than 90 percent of sufferers are unable to work or function normally during their migraine.

Key findings

The study looked at 95 individuals over 4,195 days of diary data and discovered that patients experienced a headache attack on nearly 39 percent days.

The team said that a simple forecasting model using either the frequency of stressful events or the perceived intensity of these events had ‘promising predictive value.’

While the participants reported low to moderate levels of stress overall, stress was the greatest on days preceding a headache.

Dr Houle said that further studies work need to be carried out to make the prediction model more accurate before they will be of widespread use clinically. 

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