I have had migraines since I was 13, and I'm 40 now. Until about 4 years ago, my migraines were very predictable. The same triggers, the same pain in the same places, almost always accompanied by the same extras (nausea, light and sound sensitivity, etc). However, about 4 years ago, about the same time my fibro symptoms started becoming noticeable, my migraines began changing. It became frustrating because they were no longer the same, so it was getting harder to treat them. I can't take meds like Imitrex and that entire class of drugs, so that made it harder. My neuro just kept trying me on different pills every six months, until my hubby made me quit seeing him.
I started seeing another neuro, one that doesn't believe in narcotics for migraine (my other neuro gave me an endless supply of Tylenol w/Codeine, and the neuro before that didn't give me prescriptions, she had me report to the ER for each episode, where I had a standing order of a drug cocktail injection, no questions asked), and he told me I had fibro. I was sent to a rheumy, who confirmed it, and the neuro told me I had to treat the migraines differently now because they are more than likely a by-product of the fibro. Since I started seeing him and detoxed from all that other junk the prior neuro had me on, my migraines, as well as my "dailies" have gotten significantly better. I still have the migraines, but will be trying a new prescription for a nasal migraine spray, Migranal. I hope it works. I also do fibro physical therapy, which helps to stop a lot of the stress pain I get in my back, shoulders, and neck that seemed to precede about half of my migraines.
Obviously, migraines can't be avoided completely, but I'm aware, now, that more than just my "normal" triggers contribute to a migraine, and in relieving or eliminating tension that can cause my fibro flares, it seems to be helping my migraines also.
Live, Love, Laugh. We only get to ride this ride once!