This article is aimed at primary care nurses and covers the presentation of migraine across the whole lifespan. It reminds the reader that migraine is a genetic condition, and gives an overview of presentation, phases of migraine attacks, triggers, treatment strategies and situations that may be seen in primary care. It discusses the differences between migraine with and without aura and the importance of accurate diagnosis. Issues pertinent to pregnancy, breastfeeding, contraception, perimenopause and children are discussed, as well as when to scan and when to refer patients with headaches.

The article is intended to provide insights into the effects of this diagnosis on adults and children. It also highlights the causes and solutions of the common problem of medication overuse headache.