5 Potential Causes of Chronic Migraines (And How a PCP Can Help You Find Relief)

If you suffer from chronic migraines, you know they’re far more than a regular headache. These recurring, often debilitating episodes can impact your work, relationships, and quality of life. Many people turn to prescription medications to manage symptoms—but understanding the root cause of migraines can make a huge difference in prevention.

From stress to underlying neurological issues, many different triggers could be behind your migraines. With the help of your primary care provider (PCP), you can start to pinpoint and manage the causes. Here are five possible reasons you may be experiencing chronic migraines—and how to take the next step toward lasting relief.

1. Vascular Irregularities

Migraines can sometimes be linked to vascular issues in the brain. Abnormalities in the shape or size of blood vessels can affect blood flow, potentially triggering recurring migraines. Your doctor may recommend imaging tests to rule out any underlying vascular concerns.

2. Genetics

Migraines often run in families. If a parent, sibling, or grandparent suffers from migraines, your risk increases. While you can’t change your genetics, knowing your family history can help your PCP develop a prevention plan tailored to you.

3. Chemical Imbalances in the Brain

Neurotransmitters like serotonin and dopamine help regulate pain signals. When those chemicals are out of balance, migraines may occur more frequently or more intensely. Your PCP may recommend medications that stabilize these imbalances or refer you to a neurologist for further evaluation.

4. Central Nervous System Disorders

Underlying neurological conditions such as epilepsy, spinal cord disorders, or other central nervous system issues can increase your likelihood of developing chronic migraines. Your doctor may perform further testing if you have symptoms that suggest a neurological connection.

5. Triggers Like Stress, Hormonal Changes, and Allergies

External and lifestyle-related factors are among the most common migraine triggers. These may include:

• Stress or anxiety
• Hormonal changes (especially during menstruation)
• Seasonal or environmental allergies
• Food sensitivities (such as aged cheese, chocolate, or MSG)
• Lack of sleep or dehydration

Your primary care provider can help identify these triggers through detailed health history and possibly allergy testing. Together, you can develop a migraine action plan to avoid or manage them.

How a PCP Can Help with Migraine Diagnosis and Treatment

If you’ve been living with frequent headaches, it’s time to speak with a doctor. Your primary care provider can:

• Review your health history and symptoms
• Order tests to rule out more serious causes
• Identify possible migraine triggers (like allergies or food sensitivities)
• Recommend medications such as Almotriptan, Eletriptan, or preventative treatments
• Refer you to a neurologist or allergist if needed

Lifestyle & Supplement Tips for Migraine Prevention

Beyond medication, there are natural ways to manage or reduce migraine frequency:

• Relaxation techniques: Mindfulness, deep breathing, and adequate sleep can reduce stress-related migraines.
• Nutrition: Vitamin B-2 (riboflavin) has been shown to help prevent migraines. Foods like eggs, salmon, and cottage cheese are rich in B-2.
• Hydration: Drink enough water daily to help prevent dehydration-triggered migraines.

Chronic Migraine Symptoms to Watch For

Not sure if it’s a migraine or just a headache? Symptoms of chronic migraines often include:

• Severe pulsing or throbbing pain (often on one side)
• Nausea or vomiting
• Dizziness or vertigo
• Sensitivity to light, sound, or smell
• Disorientation or visual disturbances
• Fatigue before or after the headache phase

Don’t Let Migraines Control Your Life — Talk to BASS Medical Group

At BASS Medical Group, our team of primary care physicians and specialists can help you get to the root of your chronic migraines. Whether it’s through medication, trigger identification, or lifestyle changes, we’ll work with you to create a personalized care plan that fits your life.

Schedule an appointment today to take control of your migraines and find lasting relief.