Migraine: Burden of Disease, Treatment, and Prevention

Migraine headache is a widely studied disorder due to its high prevalence. The high morbidity experienced by patients and economic burden of care has resulted in migraine being ranks among the top ten causes of global disability. Despite the high prevalence of this disorder, an estimated two-thirds of patients have either never consulted a physician or have stopped doing so due to inadequate management. Evidence-based guidelines for both the immediate treatment as well as the prevention of migraines have been established. This complex neurologic disorder requires a multidisciplinary approach to care that engages with the patient. A comprehensive care plan that incorporates lifestyle changes, attention to nutrition, complementary and alternative therapies, and pharmacologic management will improve the outcome of migraine patients.