Why do I feel so tired before, during and after a migraine attack, and no amount of sleep helps?
Feeling fatigued before, during, and after a migraine attack is a common experience and is tied to the complex neurological changes that occur throughout the migraine cycle. Fatigue can occur during multiple phases of a migraine:
- Before the attack (prodrome phase): Many people experience fatigue as an early warning sign of an impending migraine. This may be linked to changes in brain activity and hormone levels which influence energy levels.
- During the attack (headache phase): The brain is in a hyperactive state during a migraine, and the pain, sensory sensitivities, and other symptoms require significant physical and mental energy to endure. This can leave the body feeling drained, particularly when combined with symptoms like nausea and vomiting.
- After the attack (postdrome phase): Often referred to as a “migraine hangover,” the postdrome phase is characterized by lingering fatigue, brain fog, and a sense of overall exhaustion. During this phase, the body and brain are recovering from the intense neurological activity and inflammation caused by the migraine attack.
Other factors can also contribute to fatigue during a migraine, including poor sleep quality, dehydration, and the body’s response to stress or pain. Additionally, if migraine attacks are frequent, the cumulative effect of repeated attacks can exacerbate overall tiredness.
Managing fatigue often involves addressing the underlying migraine itself and supporting recovery through adequate rest, hydration, balanced nutrition, and stress management. For individuals experiencing persistent or debilitating fatigue, it may be helpful to consult with a healthcare professional to explore personalized strategies and ensure there are no other contributing health conditions.