Many questions remain unanswered about the cause and mechanism of migraine.

Ignorance in these areas did not, until now, allow us to offer a real thorough treatment for patients who suffer, a therapy whose aim should be the total absence of new attacks, even after complete cessation of treatment.

But if we have the answers, we have also all the pieces of the puzzle, which is then rather easy to finish.

The main issues are:

- Why is the pain of migraine usually on one side only ?

- What causes aura (visual or other symptoms that may herald migraine) ?

- Why is aura inconstant ?

- Why is it usually visual ?

- Why is there a hypovascularisation of the brain during the aura ?

- Why does hypovascularisation spread forwards ?

- Why is there a dilation of the arteries during pain, and what connection does this have with pain ?

- Why do more women have headaches than men ?

- Why does oxygen inhalation stop the the most severe headaches ?

- Why does pressure on the internal jugular veins increase the intensity of migraine pain ?

- How do triggers act ?

- And, last but not least, what is the underlying cause of migraine, the primary cause ?

This makes twelve basic questions that are still unanswered until now. Because there is no overall view in the different theories about migraine, and as a consequence no thorough treatment.

We would like to explain here that this is nevertheless possible.

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The idea that we develop here is that if migraine is of vascular origin, as many authors have recognized, its cause is primarily to find in the venous system and not the arterial one. And these disturbances of venous drainage themselves are mechanical, of muscular origin.

Thus treating the muscle spasms will cure migraine, i.e. achieve complete cessation of attacks, as we have proven in a study including nearly 300 patients with migraine, with an average 13 years follow-up.

This can only be obtained manually, ideally with a specific therapy called Brachy-Myotherapy.

We will also show that there is no fundamental difference between migraine headache and so-called tension headache, neither at the level of cause or treatment.