Cold weather can trigger migraines as temperatures drop, experts say

Cold weather can trigger migraines as temperatures drop, experts say

FORT LAUDERDALE, Fla. — As much of the country braces for colder temperatures, doctors warn that dropping temperatures can do more than make people uncomfortable -- it can also trigger debilitating migraines for millions who suffer from the condition.

Extreme cold, shifts in barometric pressure and sudden weather changes can create what specialists describe as a “perfect storm” for migraine attacks.

“For a lot of people, that is a major trigger,” said Dr. Emad Estemalik, a headache specialist at the Cleveland Clinic.

Estemalik said winter weather can cause blood vessels in the brain to dilate, leading to inflammation and increased sinus pressure. Both reactions can raise the frequency and intensity of migraines.

Migraine sufferers are encouraged to pay close attention to their personal triggers, which often include certain foods, caffeine, stress and sleep problems.

“Those who have migraines know what they can do generally to minimize triggers,” Estemalik said.

He recommends limiting exposure to extreme cold when possible, staying indoors during harsh weather, keeping well hydrated and avoiding the overuse of over-the-counter pain medications.

“Too much over-the-counter painkillers for migraine patients can have a rebound effect,” Estemalik said. “So suddenly they can develop what we call rebound headaches. So typically, we recommend no more than two to three times a week and then really trying to minimize the other factors.”

While weather changes are unavoidable, experts say preparation is key.

Patients should keep prescribed rescue or abortive migraine medications on hand, particularly when air pressure is expected to fluctuate.

If symptoms persist or worsen, doctors urge patients to seek medical care.

“There are a lot of ways to deal with sudden changes in headache frequency,” Estemalik said. “That’s when patients should reach out to their health care provider.”

He added that managing stress and addressing mental health concerns such as anxiety or depression is also critical, as both can trigger or intensify migraine attacks during the winter months.

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Jenise Fernandez

Jenise Fernandez

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