Resolving painful migraine is a challenge but with consistent, dedicated effort it is achievable.   The first step is to recognize that all migraine is not alike.  In fact most migraines are actually mixed headaches.   Mixed headache means that there are multiple factors involved; the migraine, or headache, is actually not just one headache but the result of several headaches.    Common factors include cervicogenic (derived from the musculoskeletal structures of the neck), vasomotor (derived from either the vascular tree, sympathetic nervous system, or both), temporal mandibular related, tension, sinus, hormonal, and postural mechanical.   There are other factors as well.   By carefully teasing out which of these factors contribute to your migraine or headache a treatment plan that addresses each factor one at a time can then be crafted.  Learn more about diagnosis and treatment options for Migraine in Greenville, Spartanburg, and Anderson at piedmontpmr.com.