Migraine is a neurological disease that causes various symptoms. Experts do not know the exact cause of the condition but have some theories regarding genetics and environmental triggers.
Migraine may affect at least 39 million Americans, according to the American Migraine Foundation (AMF). It can cause severe symptoms that affect a person’s ability to work, study, or socialize.
The exact cause of migraine is still not clear. Currently, experts
This article discusses potential causes of migraine, risk factors and triggers for the condition, and prevention.
A note about sex and gender
Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.
According to the AMF, if one or both of a person’s parents have migraine, there is a 50–75% chance that they have it too.
Researchers of a
They also noted that more common forms of migraine may involve a variety of genes. These genes primarily affect blood vessel and neuron function.
The authors of a
Researchers will likely continue to explore how genes cause or contribute to a person’s risk of developing migraine.
In a 2020 study, researchers suggested that chronic and episodic migraine is likely the result of a combination of structural and functional changes in the brain. They also noted that a person with chronic migraine may experience dysfunction in the pain inhibitory network as well as an increased sensitization of the central pain pathways. They suggested this may be why people with chronic migraine are more susceptible to migraine attacks.
To discover more evidence-based information and resources for headache and migraine, visit our dedicated hub.
Risk factors of chronic migraine
- ineffective acute migraine treatment
- overuse of acute migraine medication
- being female
- low educational status
- family history
Having one or more risk factors for migraine does not mean a person is certain to develop the condition. Similarly, a person with no apparent risk factors may develop migraine.
Triggers are any situation, substance, or another environmental factor that leads to a migraine attack. Due to the complexity of migraine and differences between people, triggers can vary greatly.
If a person experiences a variety of different triggers, rather than one, they are more likely to experience a migraine attack. However, triggers vary between people, and a person’s response to triggers can differ between migraine attacks.
Some commonly reported triggers include:
- skipping meals
- alcohol use
- sleeping too little or too much
- certain foods
- traumatic brain injuries
- hormonal changes, particularly during the menstrual cycle
- changes in weather or barometric pressure
Foods, drinks, and substances that may trigger migraine attacks in some people
- caffeine withdrawal or consuming too much caffeine
- tyramine, which is a substance found in foods such as:
- nitrates, which are substances found in foods such as lunch meats and hot dogs
- monosodium glutamate
A person likely cannot stop migraine from developing. However, they can take steps to
Preventive medication is available for migraine in adults, such as erenumab. A person should follow all instructions for medication carefully and speak with a healthcare professional about any potential side effects and drug interactions.
In addition, a person can aim to identify and avoid their triggers. The
- time of day it started
- location and activity at the time of the attack
- all foods and drinks consumed in the 24 hours before the attack
- each day of their period
A person should speak with a doctor about their potential triggers to help identify which migraine treatments may work best for them.
Experts do not know the exact underlying cause of migraine. However, a combination of genetics and environmental triggers is a possible cause. Migraine pain likely occurs due to functional and structural changes in the brain and environmental triggers.
Several factors, including hormonal changes, age, and stress, may increase a person’s likelihood of developing migraine. Additionally, migraine attack triggers differ between people and can vary from attack to attack. A person may be able to reduce their risk of migraine attacks by identifying and avoiding their triggers.
People should speak with a healthcare professional for more information about migraine.