Key Chapter Points
Three in every four fibromyalgia patients have troublesome headaches.
Migraine can be divided into four phases: prodrome, aura, headache phase, and postdrome.
Features of migraine prodrome and postdrome may mimic fibromyalgia symptoms, resulting in failure of patients to identify migraine.
Healthy lifestyle changes, including regulation of eating and sleeping schedules, avoiding nicotine, and regular aerobic exercise, may reduce symptoms of recurring headaches and fibromyalgia.
Infrequent, disabling headaches may be effectively treated with analgesics, triptans, or dihydroergotamine.
Antidepressants and neuromodulating antiepileptics are first-line medications for headache prevention in patients with frequent attacks (regularly occurring >3 days per week).