Can Migraines be painless?

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  • Full Question:

    Can migraines be painless? My neuro diagnosed me with painless migraines with aura? sounds crazy to me. I find this very hard to believe. I have pins and needles with slight burning on my left side of my body and my lips and face have pins and needles. I have lip and eye twitching and it feels like my skin is tightening on my left arm? I get muscle spasms on my left upper arm and occasionally get pins and needles down my back? I'm baffled at what is going on with me. I really don't think it's migraines? Nancy.


    Full Answer:

    Dear Nancy;


    Yes, Migraines can be painless. When this occurs, they're usually described as silent or acephalgic. Migraines can have up to four phases - prodrome, aura, headache, and postdrome. It's actually not that unusual for someone to have some Migraines that skip the headache phase. You can find more information on this type of Migraine in Acephalgic or Silent Migraine – The Basics. Another article that you may find helpful is Anatomy of a Migraine.


    If you're not confident in your doctor's diagnosis, please remember that there's nothing wrong with getting a second opinion from another doctor.


    Good luck,
    John Claude Krusz and Teri Robert



    If you need help finding a  Migraine and headache specialist,
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    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and  Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and  Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated March 11, 2013.


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Published On: March 11, 2013