MS and Migraine: What’s the Connection?

Stuart SchlossmanComorbidities, MS Pain and Side Effects, Multiple Sclerosis

 By Becky Upham  — Reviewed: May 5, 2022

Medically Reviewed by Samuel Mackenzie, MD, PhD

Headache isn’t typically a symptom of multiple sclerosis, but recurrent or persistent head pain is worth discussing with your doctor.
  Getty Images


A high proportion of people with MS also have migraine. Is it just a coincidence? And if not, what’s the link?

Migraine is one of the most common chronic diseases in the United States and around the world. About 15 percent of Americans have migraine, and about 14 percent of people worldwide have it.

But among people with multiple sclerosis (MS), the prevalence of migraine is about 30 percent overall, with a higher prevalence in American and African countries and a lower prevalence in Asian and European countries.

“The emerging science suggests a higher morbidity of migraine in patients with other inflammatory or immunological conditions such as multiple sclerosis,” says Ana Felix, MBBCh, assistant professor in the division of general medicine and clinical epidemiology at the University of North Carolina School of Medicine in Chapel Hill.

This suggests (with an emphasis on “suggests”) that there may be some link, although there is no data available to support the hypothesis to date, says Dr. Felix.

Both MS and Migraine Are Relapsing-Remitting Conditions

From a distance, MS and migraine can look similar, says Anne Damian Yacoub, MD, co-director of the Johns Hopkins Headache Center in Baltimore who specializes in both multiple sclerosis and headache.

“Both are relapsing-remitting conditions, and they both tend to preferentially affect young women,” she says.

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