Migraine triggers could be increased according to social distancing measures, according to doctors. Unsplash
Migraine triggers could be increased according to social distancing measures, according to doctors. Unsplash
Migraine triggers could be increased according to social distancing measures, according to doctors. Unsplash
Migraine triggers could be increased according to social distancing measures, according to doctors. Unsplash

Feel like you're getting more migraines working from home? You might not be imagining it


Emma Day
  • English
  • Arabic

Double vision. Partial blindness. Throbbing headache. Nausea. Sensitivity to light.

There are myriad symptoms that migraine sufferers can experience, but for those prone to the condition, each and every one is a debilitating side effect that can last between several hours and a number of days.

Contrary to popular belief, a migraine is not simply a headache. The neurological condition, which can appear in either childhood or adulthood, is frequently characterised by intense, pulsating, splitting pain, often localised in one part of the head.

They can be a very individualised experiences, with some sufferers also experiencing vomiting, a tingling or numb sensation in the hands or feet, and sensitivity to sound.

Those who suffer from what are known as migraines with aura, can also encounter symptoms such as trouble speaking or recalling words, and seeing flashing lights or temporarily losing vision.

Whichever symptoms you suffer from, chances are that your migraines completely disrupt your day, rendering you unable to work. The frequency of attacks can vary wildly person to person but, according to whispers on social media and anecdotal accounts, many people are finding they are experiencing more migraines since the Covid-19 pandemic began.

This writer is one of them. Typically experiencing a migraine every five to six months, I had an attack three weeks into social distancing measures, about three months since my last one.

But could simply being home more really account for an increase in attacks?

“Right now, in the world, everyone’s under collective anxiety and grief with what’s going on, and everyone’s dealing with it differently,” says Dr Sana Kausar, a family medicine consultant at King’s College Hospital Dubai.

“I’m not surprised there is more of a trigger without it being one specific thing you would be aware of. Collectively, we’re all absorbing what’s going on – the world has changed a bit, we don’t know how long it will be changed for, there’s a lot of uncertainty.”

Some people get worse migraines when they're stressed, angry, anxious or when they're dealing with grief

Migraines can be triggered by any number of things depending on the sufferer. Some are susceptible to caffeine, others find attacks are brought on by a lack of sleep, some find fluorescent light aggravates the condition, others can be affected by something as seemingly innocuous as the weather or eating cheese.

Triggers can, more crucially, also be psychological.

“Some people get worse migraines when they’re stressed, angry, anxious or when they’re dealing with grief,” says Dr Kausar.

“Currently, there’s a lot of uncertainty, where you’re missing your family, you don’t know how they’re getting on, you can’t get out to see them, so that’s not going to help with psychological triggers, which, to be honest, I think most people have.”

Such worry, combined with news headlines dominated by the global crisis, could negatively impact the regularity of a sufferer’s migraines, agrees Dr Vivek Karan.

“In a chronic migraine patient who is already in a fragile state of mind, this stressful external stimulus can lead to imbalance and cause a migraine attack,” says the stroke and interventional neurologist at RAK Hospital.

Dr Vivek Karan is a neurologist at RAK Hospital
Dr Vivek Karan is a neurologist at RAK Hospital

“Even though people are safe in their homes during isolation, they do get information from newspapers, WhatsApp, Facebook, Twitter and other social media sites. This information is stressful, and people are uncertain of how the pandemic might pan out and this is affecting the allostatic balance, the amount of brain activity required to appropriately manage the level of emotional or physiological stress at any given point of time.”

How can you reduce the likelihood of migraines?

For new sufferers, to determine your trigger, Dr Kausar recommends keeping a diary of attacks, detailing what you ate that day, how you slept, how you were feeling and anything else going on in your life.

For people experiencing attacks while staying home, she also recommends a number of preventative measures to incorporate into your daily life.

“One of the things that can help pretty much everyone across the board is to take time out on a regular basis. So schedule time off – five minutes every hour or two – and take that time to close your eyes, breathe and meditate,” she says. "You can use apps and you don’t need to look at them, you can place your phone under the sofa.”

A good, healthy diet, monitoring your caffeine intake and regular exercise, even just a few simple workouts with a mat and exercise ball in your apartment, are also lifestyle choices to adopt on a daily basis.

And ensure you get at least six to eight hours of sleep a night and stay adequately hydrated, adds Dr Anandi Damodaran, a specialist neurologist at Medcare Hospital Sharjah.

“Have a fixed time to go to bed and get up,” she recommends. “Getting fresh air and natural lighting may be beneficial. Some studies show that supplementation with low-dose vitamin D may help to reduce the number of migraine attacks. Take supplements after getting advice from your doctor.”

Dr Anandi Damodaran is a specialist neurologist at Medcare Hospital Sharjah.
Dr Anandi Damodaran is a specialist neurologist at Medcare Hospital Sharjah.

Dr Karan also advises sufferers should not skip meals, drink about six to eight glasses of water per day, avoid perfumes, and limit their intake of tea, coffee, lemon, spices and foods rich in the compound tyramine, such as strong or aged cheeses and cured or smoked meats.

“Manage your stress by relaxation in the form of meditation or exercise,” he says. “Establish realistic expectations about the pandemic, and strengthen your ego by telling yourself that you, your family, your job and everything else will be fine.”

What should you do when you get a migraine?

“Once one comes on, people usually have a strategy to make it go away, which might be a dark room, lying down, sleeping it off, and also a lot of people will take over-the-counter medication like paracetamol or ibuprofen,” Dr Kausar says.

Start with such medication first, she advises, before visiting your healthcare provider to discuss prescription drugs should migraines prove too severe to be dulled with Panadol.

“There are a lot of teleconsultations you can do now,” she says. “Don’t suffer too much, but try the basic things first.”

Finding the exact reason behind your migraines is important in managing your triggers

A cold shower or gentle head massage can also ease symptoms, says Dr Karan.

“Finding the exact reason behind your migraines is important in managing your triggers, but generally speaking, people feel better with magnesium-rich, alkaline diets, with lots of dark-green veggies, wholegrains and nuts,” he says.

Ice packs wrapped in a towel or a cool cloth applied to the forehead and neck can also provide some relief, says Dr Damodaran.

For chronic sufferers, monthly injections have shown positive results.

“In recent years, monoclonal antibodies which target CGRP – calcitonin gene related peptides – have been developed,” Dr Damodaran adds. “These are used for reducing the frequency of acute attacks.”

Above all else, give yourself a break

The current situation is stressful enough without heaping unnecessary pressure on yourself, whether by feeling guilty for being unproductive or working longer hours due to your close proximity to the computer.

Meditiation can prove a useful tool in managing the frequency and severity of migraines. Unsplash
Meditiation can prove a useful tool in managing the frequency and severity of migraines. Unsplash

“We’re living through difficult times, and we have to think about it in a positive way. We’ve still got access to healthcare, food, entertainment, and the freedom to go out for a walk. We need to refocus and look at the positive aspect of it, because that will also make a difference. It’s all about mental well-being,” Dr Kausar urges.

“People want to be seen to be online all day, they want to be seen to be working hard but actually, psychologically, they’re pushing themselves and you need those little breaks.

“Enough is enough at some point. Have good boundaries between your work time and your home time – put yourself first.”

The President's Cake

Director: Hasan Hadi

Starring: Baneen Ahmad Nayyef, Waheed Thabet Khreibat, Sajad Mohamad Qasem 

Rating: 4/5

Company%20profile%20
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TECH%20SPECS%3A%20APPLE%20WATCH%20SERIES%208
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Wicked: For Good

Director: Jon M Chu

Starring: Ariana Grande, Cynthia Erivo, Jonathan Bailey, Jeff Goldblum, Michelle Yeoh, Ethan Slater

Rating: 4/5

What can victims do?

Always use only regulated platforms

Stop all transactions and communication on suspicion

Save all evidence (screenshots, chat logs, transaction IDs)

Report to local authorities

Warn others to prevent further harm

Courtesy: Crystal Intelligence

FIGHT CARD

 

1.           Featherweight 66kg

Ben Lucas (AUS) v Ibrahim Kendil (EGY)

2.           Lightweight 70kg

Mohammed Kareem Aljnan (SYR) v Alphonse Besala (CMR)

3.           Welterweight 77kg

Marcos Costa (BRA) v Abdelhakim Wahid (MAR)

4.           Lightweight 70kg

Omar Ramadan (EGY) v Abdimitalipov Atabek (KGZ)

5.           Featherweight 66kg

Ahmed Al Darmaki (UAE) v Kagimu Kigga (UGA)

6.           Catchweight 85kg

Ibrahim El Sawi (EGY) v Iuri Fraga (BRA)

7.           Featherweight 66kg

Yousef Al Husani (UAE) v Mohamed Allam (EGY)

8.           Catchweight 73kg

Mostafa Radi (PAL) v Abdipatta Abdizhali (KGZ)

9.           Featherweight 66kg

Jaures Dea (CMR) v Andre Pinheiro (BRA)

10.         Catchweight 90kg

Tarek Suleiman (SYR) v Juscelino Ferreira (BRA)

COMPANY%20PROFILE
%3Cp%3E%3Cstrong%3ECompany%3A%3C%2Fstrong%3E%20Vault%3Cbr%3E%3Cstrong%3EStarted%3A%20%3C%2Fstrong%3EJune%202023%3Cbr%3E%3Cstrong%3ECo-founders%3A%20%3C%2Fstrong%3EBilal%20Abou-Diab%20and%20Sami%20Abdul%20Hadi%3Cbr%3E%3Cstrong%3EBased%3A%20%3C%2Fstrong%3EAbu%20Dhabi%3Cbr%3E%3Cstrong%3ELicensed%20by%3A%3C%2Fstrong%3E%20Abu%20Dhabi%20Global%20Market%3Cbr%3E%3Cstrong%3EIndustry%3A%20%3C%2Fstrong%3EInvestment%20and%20wealth%20advisory%3Cbr%3E%3Cstrong%3EFunding%3A%20%3C%2Fstrong%3E%241%20million%3Cbr%3E%3Cstrong%3EInvestors%3A%20%3C%2Fstrong%3EOutliers%20VC%20and%20angel%20investors%3Cbr%3E%3Cstrong%3ENumber%20of%20employees%3A%20%3C%2Fstrong%3E14%3Cbr%3E%3C%2Fp%3E%0A
How to apply for a drone permit
  • Individuals must register on UAE Drone app or website using their UAE Pass
  • Add all their personal details, including name, nationality, passport number, Emiratis ID, email and phone number
  • Upload the training certificate from a centre accredited by the GCAA
  • Submit their request
What are the regulations?
  • Fly it within visual line of sight
  • Never over populated areas
  • Ensure maximum flying height of 400 feet (122 metres) above ground level is not crossed
  • Users must avoid flying over restricted areas listed on the UAE Drone app
  • Only fly the drone during the day, and never at night
  • Should have a live feed of the drone flight
  • Drones must weigh 5 kg or less

Engine: 80 kWh four-wheel-drive

Transmission: eight-speed automatic

Power: 402bhp

Torque: 760Nm

Price: From Dh280,000

Terror attacks in Paris, November 13, 2015

- At 9.16pm, three suicide attackers killed one person outside the Atade de France during a foootball match between France and Germany- At 9.25pm, three attackers opened fire on restaurants and cafes over 20 minutes, killing 39 people- Shortly after 9.40pm, three other attackers launched a three-hour raid on the Bataclan, in which 1,500 people had gathered to watch a rock concert. In total, 90 people were killed- Salah Abdeslam, the only survivor of the terrorists, did not directly participate in the attacks, thought to be due to a technical glitch in his suicide vest- He fled to Belgium and was involved in attacks on Brussels in March 2016. He is serving a life sentence in France

Company%20Profile
%3Cp%3E%3Cstrong%3ECompany%20name%3A%20%3C%2Fstrong%3ENamara%0D%3Cbr%3E%3Cstrong%3EStarted%3A%20%3C%2Fstrong%3EJune%202022%0D%3Cbr%3E%3Cstrong%3EFounder%3A%20%3C%2Fstrong%3EMohammed%20Alnamara%0D%3Cbr%3E%3Cstrong%3EBased%3A%20%3C%2Fstrong%3EDubai%20%0D%3Cbr%3E%3Cstrong%3ESector%3A%20%3C%2Fstrong%3EMicrofinance%0D%3Cbr%3E%3Cstrong%3ECurrent%20number%20of%20staff%3A%20%3C%2Fstrong%3E16%0D%3Cbr%3E%3Cstrong%3EInvestment%20stage%3A%20%3C%2Fstrong%3ESeries%20A%0D%3Cbr%3E%3Cstrong%3EInvestors%3A%20%3C%2Fstrong%3EFamily%20offices%0D%3Cbr%3E%3C%2Fp%3E%0A
MATCH INFO

What: 2006 World Cup quarter-final
When: July 1
Where: Gelsenkirchen Stadium, Gelsenkirchen, Germany

Result:
England 0 Portugal 0
(Portugal win 3-1 on penalties)

Who has lived at The Bishops Avenue?
  • George Sainsbury of the supermarket dynasty, sugar magnate William Park Lyle and actress Dame Gracie Fields were residents in the 1930s when the street was only known as ‘Millionaires’ Row’.
  • Then came the international super rich, including the last king of Greece, Constantine II, the Sultan of Brunei and Indian steel magnate Lakshmi Mittal who was at one point ranked the third richest person in the world.
  • Turkish tycoon Halis Torprak sold his mansion for £50m in 2008 after spending just two days there. The House of Saud sold 10 properties on the road in 2013 for almost £80m.
  • Other residents have included Iraqi businessman Nemir Kirdar, singer Ariana Grande, holiday camp impresario Sir Billy Butlin, businessman Asil Nadir, Paul McCartney’s former wife Heather Mills. 
Hunting park to luxury living
  • Land was originally the Bishop of London's hunting park, hence the name
  • The road was laid out in the mid 19th Century, meandering through woodland and farmland
  • Its earliest houses at the turn of the 20th Century were substantial detached properties with extensive grounds

 

Low turnout
Two months before the first round on April 10, the appetite of voters for the election is low.

Mathieu Gallard, account manager with Ipsos, which conducted the most recent poll, said current forecasts suggested only two-thirds were "very likely" to vote in the first round, compared with a 78 per cent turnout in the 2017 presidential elections.

"It depends on how interesting the campaign is on their main concerns," he told The National. "Just now, it's hard to say who, between Macron and the candidates of the right, would be most affected by a low turnout."

WHAT%20IS%20THE%20LICENSING%20PROCESS%20FOR%20VARA%3F
%3Cp%3EVara%20will%20cater%20to%20three%20categories%20of%20companies%20in%20Dubai%20(except%20the%20DIFC)%3A%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ECategory%20A%3A%3C%2Fstrong%3E%20Minimum%20viable%20product%20(MVP)%20applicants%20that%20are%20currently%20in%20the%20process%20of%20securing%20an%20MVP%20licence%3A%20This%20is%20a%20three-stage%20process%20starting%20with%20%5B1%5D%20a%20provisional%20permit%2C%20graduating%20to%20%5B2%5D%20preparatory%20licence%20and%20concluding%20with%20%5B3%5D%20operational%20licence.%20Applicants%20that%20are%20already%20in%20the%20MVP%20process%20will%20be%20advised%20by%20Vara%20to%20either%20continue%20within%20the%20MVP%20framework%20or%20be%20transitioned%20to%20the%20full%20market%20product%20licensing%20process.%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ECategory%20B%3A%3C%2Fstrong%3E%20Existing%20legacy%20virtual%20asset%20service%20providers%20prior%20to%20February%207%2C%202023%2C%20which%20are%20required%20to%20come%20under%20Vara%20supervision.%20All%20operating%20service%20proviers%20in%20Dubai%20(excluding%20the%20DIFC)%20fall%20under%20Vara%E2%80%99s%20supervision.%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ECategory%20C%3A%3C%2Fstrong%3E%20New%20applicants%20seeking%20a%20Vara%20licence%20or%20existing%20applicants%20adding%20new%20activities.%20All%20applicants%20that%20do%20not%20fall%20under%20Category%20A%20or%20B%20can%20begin%20the%20application%20process%20through%20their%20current%20or%20prospective%20commercial%20licensor%20%E2%80%94%20the%20DET%20or%20Free%20Zone%20Authority%20%E2%80%94%20or%20directly%20through%20Vara%20in%20the%20instance%20that%20they%20have%20yet%20to%20determine%20the%20commercial%20operating%20zone%20in%20Dubai.%C2%A0%3C%2Fp%3E%0A
The bio

Job: Coder, website designer and chief executive, Trinet solutions

School: Year 8 pupil at Elite English School in Abu Hail, Deira

Role Models: Mark Zuckerberg and Elon Musk

Dream City: San Francisco

Hometown: Dubai

City of birth: Thiruvilla, Kerala

ALRAWABI%20SCHOOL%20FOR%20GIRLS
%3Cp%3ECreator%3A%20Tima%20Shomali%3C%2Fp%3E%0A%3Cp%3EStarring%3A%C2%A0Tara%20Abboud%2C%C2%A0Kira%20Yaghnam%2C%20Tara%20Atalla%3C%2Fp%3E%0A%3Cp%3ERating%3A%204%2F5%3C%2Fp%3E%0A
Benefits of first-time home buyers' scheme
  • Priority access to new homes from participating developers
  • Discounts on sales price of off-plan units
  • Flexible payment plans from developers
  • Mortgages with better interest rates, faster approval times and reduced fees
  • DLD registration fee can be paid through banks or credit cards at zero interest rates
COMPANY%20PROFILE
%3Cp%3E%3Cstrong%3ECompany%20name%3A%3C%2Fstrong%3E%20OneOrder%3Cbr%3E%3Cstrong%3EStarted%3A%3C%2Fstrong%3E%20March%202022%3Cbr%3E%3Cstrong%3EFounders%3A%3C%2Fstrong%3E%20Tamer%20Amer%20and%20Karim%20Maurice%3Cbr%3E%3Cstrong%3EBased%3A%3C%2Fstrong%3E%20Cairo%3Cbr%3E%3Cstrong%3ENumber%20of%20staff%3A%20%3C%2Fstrong%3E82%3Cbr%3E%3Cstrong%3EInvestment%20stage%3A%3C%2Fstrong%3E%20Series%20A%3C%2Fp%3E%0A
Essentials

The flights
Etihad and Emirates fly direct from the UAE to Delhi from about Dh950 return including taxes.
The hotels
Double rooms at Tijara Fort-Palace cost from 6,670 rupees (Dh377), including breakfast.
Doubles at Fort Bishangarh cost from 29,030 rupees (Dh1,641), including breakfast. Doubles at Narendra Bhawan cost from 15,360 rupees (Dh869). Doubles at Chanoud Garh cost from 19,840 rupees (Dh1,122), full board. Doubles at Fort Begu cost from 10,000 rupees (Dh565), including breakfast.
The tours 
Amar Grover travelled with Wild Frontiers. A tailor-made, nine-day itinerary via New Delhi, with one night in Tijara and two nights in each of the remaining properties, including car/driver, costs from £1,445 (Dh6,968) per person.

Timeline

2012-2015

The company offers payments/bribes to win key contracts in the Middle East

May 2017

The UK SFO officially opens investigation into Petrofac’s use of agents, corruption, and potential bribery to secure contracts

September 2021

Petrofac pleads guilty to seven counts of failing to prevent bribery under the UK Bribery Act

October 2021

Court fines Petrofac £77 million for bribery. Former executive receives a two-year suspended sentence 

December 2024

Petrofac enters into comprehensive restructuring to strengthen the financial position of the group

May 2025

The High Court of England and Wales approves the company’s restructuring plan

July 2025

The Court of Appeal issues a judgment challenging parts of the restructuring plan

August 2025

Petrofac issues a business update to execute the restructuring and confirms it will appeal the Court of Appeal decision

October 2025

Petrofac loses a major TenneT offshore wind contract worth €13 billion. Holding company files for administration in the UK. Petrofac delisted from the London Stock Exchange

November 2025

180 Petrofac employees laid off in the UAE

The Details

Article 15
Produced by: Carnival Cinemas, Zee Studios
Directed by: Anubhav Sinha
Starring: Ayushmann Khurrana, Kumud Mishra, Manoj Pahwa, Sayani Gupta, Zeeshan Ayyub
Our rating: 4/5 

THE SPECS

Engine: 3.9-litre twin-turbo V8

Transmission: seven-speed dual clutch

Power: 710bhp

Torque: 770Nm

Speed: 0-100km/h 2.9 seconds

Top Speed: 340km/h

Price: Dh1,000,885

On sale: now

LILO & STITCH

Starring: Sydney Elizebeth Agudong, Maia Kealoha, Chris Sanders

Director: Dean Fleischer Camp

Rating: 4.5/5

The biog

Name: Greg Heinricks

From: Alberta, western Canada

Record fish: 56kg sailfish

Member of: International Game Fish Association

Company: Arabian Divers and Sportfishing Charters

UAE v Gibraltar

What: International friendly

When: 7pm kick off

Where: Rugby Park, Dubai Sports City

Admission: Free

Online: The match will be broadcast live on Dubai Exiles’ Facebook page

UAE squad: Lucas Waddington (Dubai Exiles), Gio Fourie (Exiles), Craig Nutt (Abu Dhabi Harlequins), Phil Brady (Harlequins), Daniel Perry (Dubai Hurricanes), Esekaia Dranibota (Harlequins), Matt Mills (Exiles), Jaen Botes (Exiles), Kristian Stinson (Exiles), Murray Reason (Abu Dhabi Saracens), Dave Knight (Hurricanes), Ross Samson (Jebel Ali Dragons), DuRandt Gerber (Exiles), Saki Naisau (Dragons), Andrew Powell (Hurricanes), Emosi Vacanau (Harlequins), Niko Volavola (Dragons), Matt Richards (Dragons), Luke Stevenson (Harlequins), Josh Ives (Dubai Sports City Eagles), Sean Stevens (Saracens), Thinus Steyn (Exiles)

Why it pays to compare

A comparison of sending Dh20,000 from the UAE using two different routes at the same time - the first direct from a UAE bank to a bank in Germany, and the second from the same UAE bank via an online platform to Germany - found key differences in cost and speed. The transfers were both initiated on January 30.

Route 1: bank transfer

The UAE bank charged Dh152.25 for the Dh20,000 transfer. On top of that, their exchange rate margin added a difference of around Dh415, compared with the mid-market rate.

Total cost: Dh567.25 - around 2.9 per cent of the total amount

Total received: €4,670.30 

Route 2: online platform

The UAE bank’s charge for sending Dh20,000 to a UK dirham-denominated account was Dh2.10. The exchange rate margin cost was Dh60, plus a Dh12 fee.

Total cost: Dh74.10, around 0.4 per cent of the transaction

Total received: €4,756

The UAE bank transfer was far quicker – around two to three working days, while the online platform took around four to five days, but was considerably cheaper. In the online platform transfer, the funds were also exposed to currency risk during the period it took for them to arrive.

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MOUNTAINHEAD REVIEW

Starring: Ramy Youssef, Steve Carell, Jason Schwartzman

Director: Jesse Armstrong

Rating: 3.5/5

Company Profile 

Founder: Omar Onsi

Launched: 2018

Employees: 35

Financing stage: Seed round ($12 million)

Investors: B&Y, Phoenician Funds, M1 Group, Shorooq Partners

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