After the Migraine Attack

The migraine is over, and I’m ready to take on the day — or am I?

The first thing I notice, upon waking, is that the pain is gone, and I feel elated like the pain from yesterday has caused a rebirth in me! I move to get out of bed and sense the soreness that tightens and ripples through my body. I stand up, determined to ignore the aching, but my head reels and swirls causing me to steady myself for a minute. Then, adrenalin cascades through my veins as I contemplate the tasks ahead of me today.

Once dressed, I open the curtains and then immediately close them because the daylight feels too intense and is burning into the pupils of my eyes. A hat, dark sunglasses, and lots of squinting facilitate the morning drive to the kid’s school. Soon, I find myself sitting at my desk, staring at the computer screen and thinking, “What was it that I needed to do today?” I read the to-do list and decide to do it tomorrow and feel comforted by the fact that I actually made a decision..

I decide to write a post about migraine postdrome, also known as migraine hangover, in hopes that it may be helpful to others. For so many years, I was unaware of this final stage of a migraine attack and understanding it has helped me learn to cope better. The worst part of migraine postdrome for me used to be accompanying depression because when I realized that I was unable to perform at a “normal” level of activity after a migraine, I felt weak, lazy, and useless.

Now, I take a step back and remind myself that I can be productive as long as I modify my activity. Simple and mundane tasks are now on the to-do list for today so that when I am feeling better, I’ll have more time to focus on more ones. It is still a struggle for me to quiet the negative self-talk, but I’m very much a work in progress.

Migraine postdrome is real and can last for up to 2 days. With all the focus on treating the migraine attack, we must not lose sight of the final stage of migraine and how to recover in a way that works best for us.

For more information about migraine and migraine postdrome, visit the American Migraine Foundation.