Why Is Migraine Often Misdiagnosed?

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Again it's very unfortunate for such a common problem but part of the reason is because of the anatomy of migraine. The pain center of the brain is deep in the brain stem is called the trigeminal nucleus and essentially pain from the neck up is created from this area. So, the confusion comes from the fact that the brain stem is felt or the pain originating in the brain stem, it starts in the back of the head and the neck and shoulders, so these patients are often told they have tension headache, after that area is activated, you have activation of the trigeminal nerves that come up behind the eye to the sinus area and down to the teeth.

So the majority of migraine patients unfortunately are told that they have sinus headache and they are given unnecessary anti-biotics and their pain is sub-optimally treated, and again this confusion is because the pain is felt in the sinuses. Now interestingly there is really, I would go so far as to say no such thing as sinus headache, which is very surprising to people but that's really what the literature supports, I'm not saying that sinusitis is not common, it's very common, people get green stuff coming out over nose, they feel sick, they have fever, but headache is not a primary component of sinusitis.