Your Local Forecast

April showers bring...April headaches? It's true: Springtime storms and changing weather triggered pain in 83 percent of migraine sufferers, according to a study from the Mayo Clinic in Scottsdale, AZ. Experts speculate that changes in barometric pressure play a role, though it's not yet known how they affect your brain and make your noggin throb.

What to do: Sign up to receive weather alerts at When the forecast looks lousy, pop a painkiller, such as acetaminophen, as a preventive fix.

Your Bedtime Routine

If you watch TV or read to "unwind" before bed, maybe you shouldn't. Some 80 percent of women with chronic migraines end the day this way, research shows. These activities stimulate brain wave activity, making it harder to sleep, says Anne H. Calhoun, M.D., a clinical associate professor of neurology at the University of North Carolina at Chapel Hill. You're conditioning the brain to remain awake, she says, so you may be waking during the night without knowing it--and disrupted sleep is associated with headache frequency.

What to do: Skip (or TiVo) Letterman, turn in at the same time every night, and don't eat for four hours before bed. Migraine sufferers who learned how to change their bedtime habits had a 40 percent overall improvement in headache frequency and intensity, a recent study found.

Your Pain Medicine

An estimated 80 percent of people who seek medical help for daily headaches can blame their pain on the very medicines they take to tame it. "Medication-overuse headaches" can occur when you take over-the-counter pain relievers or prescription anti-migraine medications known as triptans (like Imitrex or Zomig) more than twice a week. Experts suspect that these drugs, when overused for several months, heighten headache sensitivity by interfering with pain regulators in the brain.


What to do: Change your meds. Migraine sufferers who stopped taking their triptans or other pain relievers for two months had a 67 percent reduction in headaches, according to one study. To get through the withdrawal period, ask your doctor about daily headache-preventive prescription medicines, which don't cause boomerang headaches. Your doctor may keep you on these pills for a few weeks, until your pain subsides, or indefinitely, if you continue to need meds for headache relief.

Your Hormones

Sixty percent of women who suffer from migraines have more frequent and intense pain before menstruation, and those who get tension headaches are more likely to have them around that time of the month, says Elizabeth W. Loder, M.D., chief of the headache and pain division at Brigham and Women's Hospital in Boston. The drop in the hormone estrogen right before your period may correspond with changes in sensitivity to brain chemicals that help regulate pain, causing your headache.

What to do: If you're on the Pill, talk to your doctor about taking it continuously, skipping the placebo days to avoid a monthly estrogen withdrawal. Women who did this had fewer and less-severe headaches within a month, according to a recent study. Non-Pill users can take painkillers such as ibuprofen or a prescription medicine, like Amerge or Frova, for five days, starting two days before your flow begins. Or treat yourself to a massage, which can reduce headache frequency (see "The Healing Power of Touch").

Your (Artificial) Sweet Tooth

Downing foods or drinks that contain aspartame may set off the release of brain chemicals that cause blood vessels to swell, leading to head pain, research shows. Sucralose (Splenda) also may cause headaches in some women, preliminary reports indicate.

What to do: Cut out foods that contain these chemicals. Aspartame (also marketed as Equal and NutraSweet) is a common ingredient in flavored water, fat-free yogurt, diet soda, low-calorie ice cream, and even chewable vitamins and gum that aren't necessarily touted as "sugar-free."

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