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It may follow a cold and can trigger pain in the face that lasts up to four weeks — the pain is due to the membrane that lines the sinuses becoming swollen and inflamed, trapping air and mucus inside.Some women suffer severe migraine-like headaches for the first few days of their period — this can be caused by levels of the female hormone oestrogen dropping in the body as part of the monthly menstrual cycle, says Dr Ahmed. Dr Brendan Davies, a consultant neurologist at the Midlands Regional Headache Unit at North Staffordshire Hospital, says the two can be linked.

If you suffer from chronic migraine you may be able to get acupuncture on the NHS — under current guidelines, patients can have up to ten acupuncture sessions over a two-month period.These include betablockers such as propanolol which work by narrowing the blood vessels in the brain and reducing activity of brain cells.Antidepressants such as amitriptyline, which acts on the brain’s receptors for serotonin, may also be offered; the anti-convulsive drug, topiramate (usually prescribed for epilepsy) can help control electrical activity in the brain.‘People are so busy that they don’t have the time to think about the most obvious things that could be causing their migraine,’ he says.3 Try acupressure: Place both thumbs at the point where your skull joins your neck; apply pressure and move your thumbs in small circles in 30-second bursts, suggests Tamzin Freeman, of the British Acupuncture Council For the millions of Britons who suffer from migraine the symptoms are all too horribly familiar — a very painful throbbing ache at the front or side of the head, along with sensitivity to light and noise, and nausea.A third of migraine sufferers also experience ‘aura’ — neurological disturbances such as changes to the vision (seeing zig-zag lines, flashing lights and blind spots), numbness and tingling in limbs and dizziness. Experts used to think migraines were caused by the blood vessels in the brain expanding and contracting, but now it’s thought the symptoms are due to abnormal brain activity affecting nerve signals and chemicals in the brain (such as serotonin, which carries messages across the brain).They’re thought to affect the chemicals that transmit signals across the brain which trigger migraines.

Two large studies led by the University of Essen in Germany and the Swedish Neuroscience Institute in the U. found those who received the Botox injections every three months for a year had 50 per cent fewer headaches, compared to those receiving placebo injections.

However, there is limited availability and funding.

For private sessions expect to pay £30 to £50 a time.

‘Time is of the essence — if you can tackle the migraine in the first half hour any treatment will be far more effective,’ says Dr Andrew Dowson, director of the headache service at King’s College Hospital, London.‘Migraines can slow down the progression of the gastrointestinal tract resulting in sluggish absorption, so you might want to take three ibuprofen or paracetamol for the first dose to achieve the same blood level of the painkiller, then return to the normal dose thereafter.’Or you could try pain relief in a fast-acting form — for instance, Nurofen migraine pain caplets (£5.28 for 12) contain ibuprofen lysine which speeds absorption.

Dr Dowson also suggests having an anti-sickness drug (domperidone) handy.

Migraleve is expensive, and you may have to fill out a questionnaire to get it from your pharmacist (to screen for possible contraindications and to ensure you don’t take too many), but you may find it useful to take at the first sign of a migraine.