Being active is a key part of healthy living. But for some people with migraines, exercise can be tricky. For some, exercise can be a migraine trigger.
Terrell Davis, a former Denver Broncos running back, sat out most of the second quarter of Super Bowl XXXII in 1998 because of a migraine. Yet after taking his medication, he came back to the game and was named Most Valuable Player.
The good news is that there are steps you can take to make exercise-related migraines less likely. Here are four ways to do that.
During a migraine headache, blood vessels in the head dilate and stretch nerve endings, causing them to send pain signals. Exactly how exercise can trigger migraine headaches isn't known. But sudden, extreme exercise is usually to blame, says Stephen Silberstein, MD, director of the Jefferson Headache Center at Thomas Jefferson University in Philadelphia.
Don't start high-intensity exercise suddenly. Always warm up first and cool down slowly afterward, says Jessica Ailani, MD, director of the Georgetown Headache Center at MedStar Georgetown University Hospital in Washington, D.C.
People who get exercise-related migraines "need to start gradually, not go from 0 to 100," Silberstein says. "Like everything else in life, you should avoid extremes. A program of gradual conditioning exercise will help."
It's important to hydrate before and after exercise, Ailani says.
How much should you drink? That depends on what you're doing. There's no exact science to how much you need. It depends, in part, on your workout. If it's very intense or lengthy -- like running a marathon -- a bottle of vitamin-enhanced water or a sports drink before and/or during exercise may help. But if it's moderate, drinking a little water periodically during your activity may be enough.
Taking an anti-inflammatory over-the-counter medicine like naproxen or ibuprofen before exercising also can help. But if you take those regularly, tell your doctor and follow the dosing guidelines on the label. And of course, you should take any medicines your doctor has prescribed to help prevent migraines. You may also want to talk with your doctor about alternative treatments for migraines, including acupuncture, stress management, and certain herbal extracts.