Migraine headaches are often undiagnosed and untreated. If you regularly experience signs and symptoms of migraine attacks, keep a record of your attacks and how you treated them. Then make an appointment with your doctor to discuss your headaches and decide on a treatment plan. Even if you have a history of headaches, see your doctor if the pattern changes or your headaches suddenly feel different.

Medications can help reduce the frequency and severity of migraines. If treatment hasn’t worked for you in the past, talk to your pain mangement doctor about trying different migraine treatment including invasive procedures to relieve the pain or even undergo required surgery.
See your doctor immediately or go to the emergency room if you have any of the following signs and symptoms, which may indicate other, more serious medical problems: An abrupt, severe headache like a thunderclap. Headache with fever, stiff neck, rash, mental confusion, seizures, double vision, weakness, numbness or trouble speaking. Headache after a head injury, especially if the headache gets worse. A chronic headache that is worse after coughing, exertion, straining.