If you’ve ever had someone say, “It’s just a headache — take something and push through,” — you’re not alone. But if you live with migraines, you know: this isn’t just a headache. It can feel like your whole body is shutting down. Lights hurt. Sounds hurt. Your stomach turns. You can’t focus. And sometimes, you just have to lie down and pray it passes. That’s not “just a headache.” That’s a migraine.
Migraines are a neurological condition, not a sign of weakness or drama. And they deserve more than an over-the-counter pill and a pat on the back. Let’s talk about what migraines really are, how to get the care you need, and what to do if you feel like your pain is being dismissed.
Migraine vs. Headache: What’s the Difference?
Not all headaches are migraines, and not all migraines include head pain. That’s part of what makes them so misunderstood.
A regular (tension) headache might feel like:
- Mild to moderate pressure or tightness around your head
- Usually goes away with rest or over-the-counter meds
- Doesn’t usually come with other symptoms
A migraine can include:
- Throbbing or pulsing pain (often one-sided, but not always)
- Nausea, vomiting, or dizziness
- Sensitivity to light, sound, or smells
- Blurry vision, flashing lights, or aura (visual or sensory changes before or during the migraine)
- Fatigue before, during, and after the attack
And here’s the kicker: A migraine can last anywhere from four to 72 hours — sometimes longer. And the recovery phase (called the “postdrome”) can leave you feeling foggy or exhausted even after the pain fades.
RELATED: Why Black Patients Are Less Likely to Receive Migraine Treatment
Why Migraines Need Expert Care
If you’ve been treating migraines with just painkillers and wishful thinking, you’re not alone. Many people — especially women and especially Black and Brown folks — are underdiagnosed or not taken seriously when they talk about migraine symptoms.
The truth is: migraines are a brain condition, and they often require more specialized care than most people realize.
You may need:
- Preventive treatment (not just relief when the pain hits)
- Support identifying your unique triggers (stress, hormones, certain foods, lack of sleep, etc.)
- Guidance on how to manage migraines without overusing medications (which can make headaches worse over time)
- Access to newer, science-backed treatments that go beyond standard pain relievers
If you’ve been powering through migraines because you didn’t think it “counted” as a real medical issue — let this be your reminder: it absolutely does.
When to See a Specialist (And Not Just Your Primary Doctor)
Your primary care doctor might be the first person you talk to, and that’s a great start. But if your migraines are frequent, severe, or not improving, it may be time to bring in an expert: a neurologist or headache specialist.
Here are some signs it’s time to level up your care:
- You get four or more migraines a month
- Your migraines last more than a day or two
- Over-the-counter meds don’t work — or you have to take them constantly
- You have aura symptoms (visual changes, numbness, speech problems)
- The pain is so bad it disrupts work, school, or daily life
- You feel foggy, drained, or “off” even after the headache ends
- Your migraine pattern has changed — they’re getting worse, more frequent, or different
- You’ve ever had a migraine so bad you thought you were having a stroke (and yes, that happens to people!)
Your brain deserves the same care as your heart or lungs. Don’t settle for “just take this and rest.” You deserve real answers and real relief.
Warning Signs You Shouldn’t Ignore
While most migraines aren’t dangerous, there are times when head pain could signal something more serious. Call your provider or go to the ER if:
- You experience the worst headache of your life that comes on suddenly (thunderclap headache)
- You lose consciousness or feel extremely confused
- You have trouble speaking, walking, or seeing
- You have a high fever or stiff neck with the headache
- Your headache is accompanied by seizure-like activity
Trust your gut. If something feels “off,” speak up.
RELATED: Living with Migraines: “I Was Dismissed, But I Never Gave Up”
New Migraine Treatments Worth Knowing About
The good news? Migraine care has come a long way. If your treatment plan hasn’t changed in 10 years, it might be time for an update.
Here are a few options you can ask your doctor about:
CGRP Inhibitors
These are newer medications (like Aimovig, Emgality, Nurtec, Ubrelvy) that block a protein involved in migraine attacks. Some are preventive (you take them regularly) and some are acute (you take them during an attack). They tend to have fewer side effects than older migraine meds.
Neuromodulation Devices
These are wearable tools that use gentle electrical pulses to calm the nerves that trigger migraines. Some are handheld; others go on your forehead or neck. You can ask your neurologist about brands like Cefaly or gammaCore.
Lifestyle + Digital Tools
Many migraine patients benefit from mind-body tools like stress management, mindfulness, sleep regulation, and nutrition. Apps like Migraine Buddy or Happify Health can help track symptoms and patterns so you and your doctor can find better solutions.
How to Advocate for Yourself in the Doctor’s Office
Unfortunately, not everyone is listened to equally. Studies show that Black patients — especially Black women — are less likely to be offered pain relief or referred to specialists compared to white patients. That’s not okay, and it’s not your fault.
Here are some ways to speak up for yourself:
- Bring a migraine diary: Track your pain, symptoms, and triggers. This helps your provider take you seriously and spot patterns.
Try apps like Migraine Buddy or use a simple journal. - Come with questions: Don’t be afraid to ask:
- “What type of migraine do I have?”
- “What are my treatment options?”
- “Should I see a neurologist?”
- “Are there any newer treatments that might work for me?”
- Take someone with you: A support person can help you remember what was said and speak up if you’re feeling overwhelmed.
- Switch doctors if needed: If your provider isn’t listening, validating, or offering new ideas — it’s okay to move on. You are allowed to find someone who will take your pain seriously.
Migraine & Identity: Why Cultural Context Matters
Migraines can affect anyone — but your identity matters when it comes to how your symptoms are understood and treated.
For example:
- Black women are more likely to experience chronic migraines but are less likely to be properly diagnosed or treated (American Headache Society, 2021)
- Cultural pressures to “push through pain” or not “make a big deal” can keep people from seeking care
- Language barriers, financial access, and mistrust of the medical system all make it harder for folks to get the care they need
That’s why culturally informed care — from providers who understand your story — can make all the difference. You deserve care that sees all of you: your pain, your resilience, and your context.
Final Thoughts: You’re Not Overreacting — You’re Living With a Real Condition
Migraines are more than just head pain — they affect your whole life. And you’re not weak for needing help. You’re not “dramatic” for staying in a dark room. You’re not being lazy if you can’t work or cook or go out during a flare-up.
