Question: treatment options versus migraine types Migraine seems to be a spectrum of conditions rather than only one easily diagnosed affliction.  Many innovative migraine treatments are now in use, but it seems that each treatment only addresses a narrow set of conditions; for example, my daughter has tried many different treatment options (QEEG, HEG, TMS, topamax, ...) without success.  Has any research been done to characterize which treatment types are effective against which migraine types?

Reference:
Migraine (Treatment): There is no specific cure for migraine headaches. The goal is to treat your migraine symptoms right away, and to prevent symptoms by avoiding or changing your triggers.    A key step is learning how to manage your migraines at home. A headache diary can help you identify your headache triggers. Then you and your doctor can plan how to avoid these triggers.   If you have frequent migraines, your doctor may prescribe medicine to reduce the number of attacks. You need to take the medicine every day for it to be effective. Medicines may include:     - Antidepressants   - Blood pressure medicines   - Seizure medicines      Botulinum toxin type A (Botox) injections may also help reduce migraine attacks if they occur more than 15 days a month.   Some people find relief with minerals and vitamins. Check with your doctor to see if riboflavin or magnesium is right for you.   TREATING AN ATTACK   Other medicines are taken at the first sign of a migraine attack. Over-the-counter (OTC) pain medicines, such as acetaminophen, ibuprofen, or aspirin are often helpful when your migraine is mild. Be aware that:      - Taking medicines more than 3 days a week may lead to rebound headaches. These are headaches that keep coming back due to overuse of pain medicine.   - Taking too much acetaminophen can damage your liver.   - Too much ibuprofen or aspirin can irritate your stomach or kidneys.      If these treatments do not help, ask your doctor about prescription medicines. These include nasal sprays, suppositories, or injections. The group of medicines most often used is called triptans.   Some migraine medicines narrow the blood vessels. If you are at risk for having a heart attack or have heart disease, talk with your doctor before using these medicines. Some migraine medicines should not be used by pregnant women. Talk with your doctor about which medicine is right for you if you are pregnant or planning to become pregnant.   Other medicines treat symptoms of migraine, such as nausea and vomiting. They may be used alone or along with the other drugs that treat the migraine itself.    Feverfew is an herb for migraines. It can be effective for some people. Before using feverfew, make sure your provider approves. Herbal remedies sold in drugstores and health food stores are not regulated. Work with a trained herbalist when selecting herbs.

Answer: There is no cure for migraines. There are methods for treatment and prevention. A headache diary can help you identify triggers, and you  and your doctor can help you plan to avoid those triggers. Your doctor can also prescribe medicine to reduce the frequency of attacks. This includes antidepressants, blood pressure medication, seizure medication, and Botulinum toxin A. Mineral and vitamin supplements may provide relief. For  treatment of symptoms, acetaminophen, ibuprofen, or aspirin are helpful. If these do not help, talk to your doctor about prescription medicines, such as triptans.