{"id":30959,"date":"2021-06-02T09:30:27","date_gmt":"2021-06-02T13:30:27","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=30959"},"modified":"2023-04-17T09:00:33","modified_gmt":"2023-04-17T13:00:33","slug":"silent-migraine","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/silent-migraine\/","title":{"rendered":"What is a silent migraine?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Most people who experience migraine would consider their condition to be largely misunderstood by other people, especially those who have never had a migraine headache. But one subset of migraine is so misunderstood, even people who <\/span><i><span style=\"font-weight: 400;\">do <\/span><\/i><span style=\"font-weight: 400;\">have migraine may not know much about it: silent migraine, or migraine without pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re wondering how you can have a headache without the&#8230;well, <\/span><i><span style=\"font-weight: 400;\">headache<\/span><\/i><span style=\"font-weight: 400;\">, we understand your confusion! Here\u2019s what you need to know about the symptoms of silent migraine, who is most at risk for developing it, and how you can treat this headache-without-the-headache.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is a silent migraine?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Silent migraine (or acephalgic migraine, in medical terms) is a migraine without the headache, but it\u2019s not as strange as it sounds.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Migraine is<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/pharmacist-knows-best-migraine\/\"><span style=\"font-weight: 400;\">more than just a bad headache<\/span><\/a><span style=\"font-weight: 400;\">\u2014it\u2019s a whole body experience. Looking at migraine through that lens makes it easier to understand the silent variety: You might have several other symptoms of migraine, such as aura, sensitivity to light, smells, or noise, and nausea or vomiting, but not the traditional throbbing or stabbing head pain typically associated with migraine. There are two classifications of migraine headaches. Classic migraine involves pain and <\/span><i><span style=\"font-weight: 400;\">aura<\/span><\/i><span style=\"font-weight: 400;\">, which has negative symptoms (numbness or loss of vision) or positive symptoms (visual spots, lines, or flickering lights, difficulty swallowing, or the sensation of pins or needles). Common migraine presents with pain, but no aura.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Traditional migraines aren\u2019t dangerous in themselves, but they can lead to other problems such as dehydration and insomnia, plus they can affect your quality of life (by interfering with your ability to work or maintain relationships).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The same is true for silent migraine, says Medhat Mikhael, MD, a pain management specialist and medical director of the non-operative program at the Spine Health Center at MemorialCare Orange Coast Medical Center, though there is good reason not to ignore episodes of silent migraine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cYou want a neurological exam to rule out other problems that cause similar symptoms [like mini strokes or meningitis],\u201d he explains. \u201cWith silent migraine, you\u2019re also at higher risk for strokes in the future, so we keep an eye on [these patients] and follow them closely.\u201d<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Silent migraine symptoms<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The symptoms of silent migraine are the same as traditional migraine, with the exception of head pain. In classic or common migraine (<\/span><a href=\"https:\/\/practicalneurology.com\/articles\/2014-apr\/the-clinical-features-of-migraine-with-and-without-aura\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">migraine with or without aura<\/span><\/a><span style=\"font-weight: 400;\">, respectively), people will have throbbing or stabbing pain, usually on one side of their head.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With silent migraine, you may experience:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moderate to severe aura symptoms, such as noticing strange smells, having numbness or tingling in the arms and neck, trouble hearing, weakness in arms, and loss of speech<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sensitivity to bright lights and\/or loud noises<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sensitivity to particular smells<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea and vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vision changes, including seeing spots or wavy lines, or tunnel vision<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Common<\/span> <a href=\"https:\/\/migrainedisease.org\/essentials\/descriptive-migraine-terms\/acephalgic-silent-migraine-essentials\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">prodrome symptoms<\/span><\/a><span style=\"font-weight: 400;\">, like food cravings, irritability, fatigue, and neck stiffness<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These are the symptoms of classic silent migraine. According to Clifford Segil, DO, a neurologist at Providence Saint John\u2019s Health Center, ocular and hemiplegic migraine are also forms of silent migraine.<\/span> <a href=\"https:\/\/www.aoa.org\/healthy-eyes\/eye-and-vision-conditions\/ocular-migraine\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Ocular migraine<\/span><\/a><span style=\"font-weight: 400;\"> can temporarily affect your vision, causing blurriness and dizziness, while<\/span> <a href=\"https:\/\/rarediseases.org\/rare-diseases\/hemiplegic-migraine\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">hemiplegic migraine<\/span><\/a><span style=\"font-weight: 400;\"> comes with temporary stroke-like symptoms such as paralysis, weakness, or numbness on one side of the body.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most effective diagnostic approach includes a thorough history and physical examination by your provider. For non-complicated common or classic migraines, <\/span><a href=\"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.13720\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">the American Headache Society<\/span><\/a><span style=\"font-weight: 400;\"> does not recommend routine neuroimaging. With some symptoms of silent migraine mimicking more serious conditions, it\u2019s important to determine if you have silent migraine and not something else. For silent migraine, Dr. Mikhael says blood tests and brain imaging, either through a CT scan or MRI, can rule out any underlying issues.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf these symptoms are happening frequently, if there are visual changes, if you\u2019re having intermittent weakness, or if it\u2019s causing stress or lack of sleep,\u201d you should talk to your doctor about how silent migraine is affecting your quality of life, advises Dr. Mikhael.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Silent migraine triggers<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A family history of migraine or silent migraine is one of the biggest risk factors for experiencing silent migraine yourself. It\u2019s also more common in women, says Dr. Mikhael, especially when they are in their childbearing years and coping with the fluctuating hormones associated with menstruation. It\u2019s often less common during pregnancy or menopause because female hormones are largely stable during those reproductive phases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beyond a family history of migraine and hormonal triggers, there are many other common triggers for silent migraine. Most of them are the same as traditional migraine triggers, and include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lack of sleep<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stress or illness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caffeine or acute caffeine withdrawal<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain smells, sounds, or lighting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alcohol, especially wine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden changes in temperature or weather<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dehydration or skipping meals<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dietary ingredients, like preservatives (such as monosodium glutamate), nitrates, and artificial sweeteners<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergies<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sexual intercourse<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">All migraine sufferers have different triggers, so it\u2019s important to pay attention to what you do and what you consume in the hours before you have an episode to narrow down your personal triggers and try to avoid them. Some people find it helpful to keep a <\/span><a href=\"https:\/\/headaches.org\/resources\/headache-diary-keeping-a-diary-can-help-your-doctor-help-you\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">headache diary<\/span><\/a><span style=\"font-weight: 400;\"> to review with their provider<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Treatments for silent migraine<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It can be a little trickier to treat silent migraine, if only because there\u2019s no pain symptom that can be handled with an OTC pain reliever. Other than that, however, treatment of silent migraine isn\u2019t much different than it is<\/span> <a href=\"https:\/\/www.singlecare.com\/conditions\/migraine-treatment-and-medications\"><span style=\"font-weight: 400;\">for traditional migraine<\/span><\/a><span style=\"font-weight: 400;\"> (with a few exceptions).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">First up is sensory deprivation: lying in a dark, quiet room can work wonders for soothing the sensory overload that may have triggered your migraine in the first place. If you can keep liquids down, be sure to hydrate since dehydration can worsen your symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can also try alternative therapies, such as acupuncture, massage, and vitamin supplementation. Magnesium, for example, has been classified by the<\/span> <a href=\"https:\/\/americanmigrainefoundation.org\/resource-library\/magnesium\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">American Migraine Foundation<\/span><\/a><span style=\"font-weight: 400;\"> as a supplement that is \u201cprobably effective\u201d and generally considered safe for most people to use as a preventive treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finally, Dr. Segil says there are two pharmaceutical approaches to treating migraine: daily medications, which are taken to prevent episodes, and rescue medications, which are taken to relieve symptoms during an episode. Typically, doctors recommend using a daily medication if you have 14 or more migraine days per month. If you do not need daily preventive medication, then you can use rescue medication with symptoms.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While both of these types of medications can be used to address silent migraine in most cases, Dr. Segil warns that hemiplegic migraine is often handled differently because of its stroke-like symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cYou have to be more careful with rescue meds [like triptans] with hemiplegic migraine, because they can increase your stroke risk,\u201d he says. \u201cThat trumps the frequency criteria and you may need a daily med [no matter how many days per month you have migraine].\u201d<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Pharmaceutical treatments for silent migraine<\/span><\/h2>\n<table class=\" singlecare-table\" style=\"height: 1018px;\" width=\"837\">\n<tbody>\n<tr class=\"header-row\">\n<td><span style=\"color: #ffffff;\"><b>Drug name<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Drug class<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>OTC or Rx<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>What it does<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Daily or rescue<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Coupons<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Learn more<\/b><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Ibuprofen or naproxen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OTC<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Relieves pain<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rescue<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/naproxen-sodium\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/naproxen-sodium\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Acetaminophen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Analgesic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OTC<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Relieves pain<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rescue<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/acetaminophen-extra-strength\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/acetaminophen-extra-strength\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Excedrin Migraine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Mixed: acetaminophen, aspirin, &amp; caffeine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OTC<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Relieves pain, stimulates nervous system<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rescue<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/excedrin-migraine\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/excedrin-migraine\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Imitrex (also Maxalt, Frova, Zomig, et al)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Triptan<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Stimulates serotonin to reduce inflammation and constrict dilated blood vessels<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rescue<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/imitrex\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/imitrex\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Topiramate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anticonvulsant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Unknown; may calm overactive nerve cells in brain<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/topiramate\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/topiramate\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Propranolol\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Beta-blocker<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Relaxes blood vessels and increases blood flow<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/propranolol-hcl\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/propranolol-hcl\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Metoprolol<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Beta-blocker<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Relaxes blood vessels and increases blood flow<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/metoprolol-succinate-er\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/metoprolol-succinate-er\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Timolol<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Beta-blocker<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Relaxes blood vessels and increases blood flow<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/timolol-maleate\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/timolol-maleate\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Divalproex\/sodium valproate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anticonvulsant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Unknown; may calm overactive nerve cells in brain<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/divalproex-sodium\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/divalproex-sodium\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Emgality, <a href=\"https:\/\/www.singlecare.com\/prescription\/aimovig\">Aimovig<\/a>, or Ajovy<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anti-CGRP injectables<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Targets the CGRP protein that can cause inflammation<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily (taken once per month but used as a daily preventive)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/emgality\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/emgality\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Amitriptyline<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antidepressant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Second-line Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Maintains a normal serotonin level<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Botox<\/span><\/td>\n<td><span style=\"font-weight: 400;\">n\/a<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Blocks neurotransmitters that send pain signals<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Daily (administered on a recurring schedule but used as a daily preventive)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/botox?q=Botox\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/botox\/what-is\"><span style=\"font-weight: 400;\">Learn more<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Prevention<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Because it may be harder to identify and treat the symptoms of a pain-free migraine, prevention is really the key to having fewer episodes. It\u2019s important to identify your triggers and avoid them as much as possible (or make a plan for treating any migraine that occurs when you can\u2019t). Avoiding stress, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-sleep-better\/\"><span style=\"font-weight: 400;\">getting enough sleep every night<\/span><\/a><span style=\"font-weight: 400;\">, and eating a healthy diet can also reduce the number of silent migraine episodes you have. When leaving your home, make sure you have a few doses of your migraine rescue medication with you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Don\u2019t be afraid to talk to your doctor about a daily medication to prevent migraine if you think your migraine has become chronic, i.e. occurring more than 14 days per month. There are several \u201cnext generation\u201d migraine drugs, like anti-calcitonin gene-related peptide (CGRP) injections and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/nurtec\"><span style=\"font-weight: 400;\">Nurtec ODT<\/span><\/a><span style=\"font-weight: 400;\">, that have been recently released to the market and are showing strong results in many patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe used to just have repurposed seizure, blood pressure, and antidepressant medications to treat migraine,\u201d says Dr. Sigal, \u201cbut we now have a blossoming of migraine treatments [that may be an option for you].\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Since silent migraine is basically aura without pain, it is important that women do not take estrogen containing products, especially <\/span><a href=\"https:\/\/www.cdc.gov\/reproductivehealth\/contraception\/mmwr\/mec\/summary.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">combined hormonal contraception<\/span><\/a><span style=\"font-weight: 400;\"> (pills, patch, or vaginal ring) as taking these medications can increase their risk of stroke or other cerebral event.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One word of warning: Dr. Sigal notes that many of these new drugs come with a lack of data about their safety during pregnancy, so make sure you talk to your doctor if you are planning to become pregnant.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most people who experience migraine would consider their condition to be largely misunderstood by other people, especially those who have never had a migraine headache. But one subset of migraine is so misunderstood, even people who do have migraine may not know much about it: silent migraine, or migraine without pain. If you\u2019re wondering how [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":33445,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[790,4316,808],"coauthors":[8860],"class_list":["post-30959","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-chronic-disease","tag-migraine","tag-pain-management","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What is a silent migraine and how do you treat it?<\/title>\n<meta name=\"description\" content=\"Symptoms of a silent migraine can include sensitivity to light or noise, nausea, and more. 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