 Hello friends, I am Dr. Bhushan Joshi, I am a consultant neurologist practicing at Manipal Hospital, Kharadi, Pune. These are attempts to create awareness regarding the most common neurological condition called as migraine. Let us understand what is migraine. Migraine is a disease which is presenting most commonly with a symptom of headache. In other words, it is most common cause of headache among the patients who are visiting to a neurology, OPD. Migraine is a genetic tendency and it is expressed in certain lifestyle situations. As I said, it is the most common cause of headache. What are the other symptoms of migraine? Usually, headache is focal. It starts at one point in your head and then it spreads to other areas. It is misnomer that it always has to be hemicrenial, that is half of your head. So, headache. These headaches are episodic. That means one day patient will have headaches, some days he will be headache-free. These headaches are usually associated with some other symptoms. Most common of those other symptoms are nausea, vomiting like sensation. Irritation of light, irritation to noise and mood swings, stress, increased anger or unexplained depression. These are the most common associated symptoms with migraine. We treat migraine based on the frequency of headache. Apart from severity, frequency is most important. That means how many days in a month a patient gets headaches? That decides the treatment part of the migraine. The treatment of migraine is mainly divided into two subtypes. We call them medicinal, that is pharmacological. Second is lifestyle modification. First, we will see what are the lifestyle modifications I suggest for migraine. Sleep is the most important factor which triggers migraine. I suggest usually to have a 6-7 hours of good continuous night time sleep for all migraine patients. Second is food. Content of the food is important but frequency is even more important. First, most important suggestion is to do not skip any meal. You should have your breakfast, lunch and dinner on time. Regarding content of the food, some food items can trigger migraine but they are patient specific. If you have identified any particular food which triggers your migraine, then I will suggest you to skip that food but apart from that having food on time is sufficient. Third, deep breathing exercises, meditation, stress management is very helpful in long term management of the migraine. We will speak about medication. There are two types of medicines. First is called as abortive treatment. These are type of painkillers or equivalent to that which we prescribe when patient have ongoing bad headache. These are to be taken as and when basis and certain medicines which we call as prophylactic medication, they are to be taken on daily basis. We usually keep following up patient every month and we request patient to maintain their headache diary. Headache diary is very important concept of migraine treatment. That is you have to maintain how frequently you are getting your headaches and what are the associated symptoms. More accurate you maintain that diary, more accurate will be your treatment. Regarding another commonly asked question is why you are not asking me for MRI scan. MRI scan, CT scan, unless until there are particular clinical characters we call them red flag signs are usually not recommended or if done they turn out to be normal. Your doctor will suggest you for a scan on appropriate time. Do not insist for the scan. Understanding your problem as of a migraine, improving your lifestyle and taking your medication on time is the best solution. With this we can control your migraine. Thank you.