Should people with migraine exercise? CMC Vellore doctor shares what kind of exercise actually works

Think migraines mean you should skip workouts? Think again. According to neurologist Dr Sudhir Kumar from Hyderabad, exercise can actually help reduce the frequency and severity of headaches. But the key is how you do it. Done right, regular physical activity can be as effective as preventive medication for some migraine sufferers. The trick lies in consistency, timing, environment, and knowing your personal triggers.

Why exercise helps—and how to do it safely

Regular, moderate workouts are protective, lowering the chances of migraine attacks. Sporadic, all-or-nothing sessions, on the other hand, may backfire. Certain activities may trigger headaches in some people—like heavy lifting, running in direct sunlight, or skipping warm-ups—so keeping a headache diary can be a game-changer.

Timing and environment matter

Intense late-evening workouts can interfere with sleep, another migraine trigger. Morning or daytime sessions in cool, ventilated, low-glare spaces are often safer. Mind–body practices such as yoga, breathing exercises, or mindfulness can further boost the benefits.

Practical takeaways

The most effective routine combines moderate-intensity aerobic exercise 3 times a week for 30–40 minutes with neck and shoulder strengthening or stretching. If workouts trigger headaches, adjust intensity, duration, warm-ups, hydration, and nutrition. And if headaches only appear after exercising, rule out other causes and consider tailored medical advice. With the right approach, exercise isn’t your enemy—it can actually be one of the best tools in managing migraines.

❓Should people suffering from migraine exercise?
✅The answer is YES.
Exercise, overall, is beneficial, as it results in reduction in headache frequency and severity.

▶️Notable points about Exercise in Migraine
1. Consistency: Regular, moderate exercise is preventive (reduces… pic.twitter.com/YUUwWQ1KTY

— Dr Sudhir Kumar MD DM (@hyderabaddoctor) September 24, 2025

What is a migraine?
According to Cleveland, migraines are intense headaches that can last from four hours to several days, often causing throbbing, pulsing, or pounding pain on one side of the head. They’re triggered or worsened by physical activity, bright lights, loud noises, and strong odours. Symptoms vary across stages: prodrome may bring mood changes, fatigue, or nausea; aura can cause vision changes, tingling, or difficulty speaking; the headache phase involves severe head pain with nausea and light or sound sensitivity; and postdrome leaves fatigue, dizziness, and neck stiffness. Migraines are highly disruptive but manageable with proper treatment.