Hi Kathlene,

One of the most important things is to get an accurate diagnosis. To simplify matters and make it easier for people to get information and treatment, doctors usually go by the gold standard for diagnosis, the International Headache Society's International Classification of Headache Disorders, 2nd Edition (ICHD-II). Under ICHD-II, there is no diagnosis of "optical Migraine." We do see it used, but doctors use it differently, so it really doesn't tell anyone what type of Migraine you actually have. You can read more about this in Ocular, Optical, and Opthalmic Migraines and The Type of Migraine Does Matter.

Exertion can be a Migraine trigger. It can trigger whatever form of Migraine you may have. Sometimes, Migraine preventive medications can help keep these at bay along with Migraines brought on by other triggers. You can find a list of potential Migraine and headache preventives in Migraine preventive medications - too many options to give up!

Hemicranic Continua is a primary headache disorder that is completely responsive to indomethicin. Continue reading this article for more information: Hemicrania Continua - The Basics 

Good luck

Nancy