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  • Migraines in winter: triggers and treatment
Women holding her head because of head aches
12.02.2026

Migraines in winter: triggers and treatment

Many people suffer from migraine attacks, especially during the cold season – and it is not uncommon for these attacks to seem more intense or frequent. But why is this the case, and what measures can sufferers take to prevent attacks? According to neurologist Daniela Damaske, an expert in headache disorders, changes in weather, lack of light and changes in daily routines play a key role. 

In this guide, you will learn which typical winter triggers exacerbate migraine attacks, how patients can take preventive action – from diet and exercise to daylight – and which drug and non-drug therapies have been proven to be effective. 

Are migraine attacks influenced by the weather?

Meteorological factors are often perceived by patients as significant triggers for migraine. Studies show that fluctuations in temperature and air pressure are significantly associated with an increased frequency of attacks, with foehn weather conditions also playing a relevant role.

What are the typical triggers during the cold season?

A Canadian study showed that a sudden rise in average temperature of 5°C combined with a drop in air pressure can significantly trigger migraine attacks.

In autumn and winter, numerous low-pressure systems move from the Atlantic across Central Europe and the Alpine region, often leading to rapid and sharp drops in air pressure.

These seasons are therefore also considered "pressure change seasons" in Switzerland, particularly due to the frequency of low-pressure systems and foehn conditions.

How can patients prevent migraine attacks in winter?

In winter, as in other seasons, the following general rules apply to prevent migraines:

  • Regular meals and adequate fluids: Drink 1.5–2 litres of water daily and avoid personal trigger foods.
  • Regular sleep-wake cycle: Make sure you get enough sleep and go to bed at regular times.
  • Exercise: Do at least 30 minutes of moderate aerobic activity in daylight three times a week, e.g. walking or cycling.
  • Weather management: Use weather apps or barometers and prepare for low pressure or foehn conditions. Protect yourself with rest and warm clothing if necessary.

Which drug and non-drug therapies are effective?

Although medical research has made significant progress in recent years in developing new and highly effective drugs for the treatment of migraine, this neurological disorder is still incurable.

The most effective treatment consists of a combination of individually tailored therapeutic methods. Important approaches include:

  • Pain medication: To relieve acute pain and prevent migraine attacks.
  • Physiotherapy and exercise therapy: To improve muscle tone and reduce tension in the neck and shoulder area.
  • Relaxation techniques: Measures such as biofeedback, progressive muscle relaxation and breathing exercises promote stress reduction and contribute to pain relief.
  • Behavioural and cognitive therapy: Supports coping with stress factors and helps to recognise and change harmful behaviour patterns.
  • Lifestyle modifications: Dietary adjustments, sleep hygiene and stress management help to identify and avoid trigger factors.
  • Local interventional therapies: These include nerve blocks and Botox therapy.

When should you definitely see a doctor for migraine?

  • If warning signs occur:
    • Sudden, very severe headaches
    • Accompanying symptoms such as fever, neck stiffness, paralysis, speech or vision problems
    • First occurrence of severe headaches after the age of 50
    • Change in the familiar headache pattern
  • In the case of frequently recurring, debilitating headaches, especially if painkillers do not help, must be taken regularly, or if regular use itself triggers headaches.

About the expert

Daniela Damaske is a neurologist specialising in migraine treatment and headache disorders. She helps patients prevent migraine attacks, reduce the frequency of headaches and implement individually tailored therapies in winter and throughout the year.

Ms Damaske provides practical tips on nutrition, exercise, sleep hygiene and stress management to effectively control migraines, and explains the influence of weather changes and air pressure fluctuations on headaches.

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