Understanding Triggers

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Key Questions

  • During the Migraine World Summitseveral triggers including weather, food, fasting, dehydration, weight, and light sensitivity are covered. What are some other common triggers that patients may experience? (Sleep, neck pain, TMJ dysfunction, cranial neuralgias, other pain disorders)
  • What is the migraine threshold? How does it work? 
  • Sleep is an interesting trigger because it is also helpful as a treatment for many people. Can you tell us about the relationship between sleep and migraine?
  • Can sleep apnoea affect migraine? What about sleep apnoea from a partner of someone with migraine?
  • There has been a lot of debate amongst those with migraine about whether the neck is a trigger or a symptom of migraine. What do you think?
  • What is occipital neuralgia? Is it a migraine trigger or a separate pain condition?
  • How do you treat constant light sensitivity?
  • Are there differences in how we treat ‘junior’ migraine attacks versus full-blown attacks? Are those ‘junior’ migraine attacks worth treating? If we do not treat it, can that lead to central sensitization and other issues?
  • What treatments work very well synergetically if you have less frequent migraine attacks? What about treatments for those with more frequent migraine attacks?
  • What is one of the most important factors when treating a migraine attack?
  • How do you manage the unmanageable triggers such as weather?
  • How can I move more often if walking for 5 mins triggers an attack? 
  • When is it a good time to take anti-emetic in combination with other treatments?
  • What are NSAIDs? What can you take if you cannot tolerate NSAIDs?  
  • When would What type of magnesium do you recommend? What dose?
  • And other live audience questions.

The Migraine World Summit will be running a live expert webinar EVERY DAY during the June Replay of the 2020 Migraine World Summit, June 10 – 19

Webinar Access

Live attendance for each webinar will be available exclusively for those who purchased an All Access, VIP, or Box Set Pass for the 2020 Migraine World Summit. This is a special opportunity for customers to connect with a different expert each day, engage in live Q&A, and interact with other participants and Summit hosts.

If you didn’t buy an Access Pass, don’t worry! The recording of each webinar will be shared with the entire Migraine World Summit community on this page shortly after the live event takes place, allowing everyone to take advantage of the important information presented during that day’s webinar.

This is our way to recognize those who have supported the 2020 Migraine World Summit financially while making sure our entire community has access to critical information about the changes taking place in the migraine community and beyond.

Webinar Lineup

Each day during the Replay period, the live webinar will take place at 5:00 pm Eastern Time (New York).

Here’s the lineup for the webinar topics: 

  • 5:00 pm (ET) June 10 – Mental Health & Building Resilience
  • 5:00 pm (ET) June 11 – Understanding Causes 
  • 5:00 pm (ET) June 12 – COVID-19 Considerations for Migraine Patients
  • 5:00 pm (ET) June 13 – Understanding Symptoms
  • 5:00 pm (ET) June 14 – Understanding Triggers 
  • 5:00 pm (ET) June 15 – Non-Drug Options 
  • 5:00 pm (ET) June 16 – New Treatments 
  • 5:00 pm (ET) June 17 – Telemedicine 
  • 5:00 pm (ET) June 18 – Finding Calm in a Crisis 
  • 5:00 pm (ET) June 19 – The Role of Self Management

Don’t miss out! Get your access pass here to attend the live expert webinars.

Dr. Paul Mathew


Assistant Professor of Neurology
Harvard Medical School

Paul G. Mathew, MD, DNBPAS, FAAN, FAHS completed his neurology residency at Temple University Hospital in Philadelphia, PA, and then completed a fellowship in headache medicine at Mayo Clinic in Rochester, MN.  He is board certified in neurology and headache medicine.  He is an Assistant Professor of Neurology at Harvard Medical School (HMS), and holds positions at three HMS affiliated institutions.  He has clinical appointments at Brigham & Women’s Hospital and Harvard Vanguard Medical Associates/Atrius Health, as well as a teaching appointment at the Cambridge Health Alliance.  In addition to conventional headache treatments, Dr. Mathew performs Botox injections, trigger point injections, and nerve blocks.

He has written over 90 publications, taught countless medical trainees and has presented at both national and international conferences.  Dr. Mathew has served as a peer reviewer for multiple journals and is the Co-Chief Medical Editor of the journal Practical Neurology. He is the current Chair of the American Headache Society Procedural Special Interest Section, Vice-Chair of the Headache and Facial Pain Section of the America Academy of Neurology, a Member of the Board of the Directors of the National Headache Foundation, and an Executive Board Member of the Indian Medical Association of New England.

Dr. Mathew also applies his passion and expertise to the role of advocate, and has participated in multiple successful lobbying efforts in Washington, DC.  In March, 2015, Dr. Mathew was appointed as the neurology representative on the advisory board of the National Board of Physicians and Surgeons (NBPAS.org), and in January, 2019 was appointed Director of Legislative Affairs.  NBPAS is an organization committed to providing board re-certification that ensures physician compliance with national standards and lifelong learning after completing initial board certification with an American Board of Medical Specialties Board.

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Related Talks for: Day 5 (2020) Triggers

Weather, Food, and More: The Truth About Triggers

Vince Martin, MD, AQH

How Fasting, Weight and Dehydration Affect Your Brain

Elizabeth Leroux, MD, FRCPC

Pros and Cons of Blocking CGRP

Antoinette Maassen van den Brink, PhD

The Science of Light Sensitivity and How to Manage It

Rami Burstein, PhD

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