‘Migraine’ or ‘Migraines’? A Wordsmith’s Take on the Power of Language
Dr Dean Watson PhD Musculoskeletal Physiotherapist
International Educationalist Watson Headache? Institute; Adjunct Senior Lecturer UniSA; Educating in and Identifying Cervical Afferents in Cervicogenic and Primary Headache; Clinical Consultant Watson Headache? Clinic
Watson is interrupted by a gentle knock on the slightly ajar door.
“Happy New Year, Watson,” exclaims Watson’s colleague. “There’s someone I’d like you to meet.”
After the formal introduction, Watson’s colleague explains that his new acquaintance is a wordsmith, and his partner experiences migraine.
“Pleased to meet you – come in and sit down,” beckons Watson.
“When your colleague mentioned your work, I wanted to meet with you and run something by you. My partner wanted to meet you but couldn’t make it this time,” explains the wordsmith.
“Of course! What’s on your mind?”
Why the Shift from ‘Migraines’ to ‘Migraine’?
“Well, I’ve been thinking about the terminology we use when talking about migraine. There’s been a shift lately, especially among advocacy groups like The Migraine Trust (London UK), to use ‘migraine’ in the singular form when referring to the condition as a whole…”
Watson interjects, “Yes, I was aware of this and am excited; I have never used the term ‘migraines’ and find it annoying.”
“Oh, interesting. I’ve always heard people say ‘migraines.’ What’s the reasoning behind the change?”
“Great question. The idea is to emphasise that migraine is a chronic, complex neurological disease—more like ‘diabetes’ or ‘asthma.’ Saying ‘I have migraine’ reflects the ongoing nature of the condition rather than framing it as isolated episodes,” explains Watson.
When Is ‘Migraines’ Still Appropriate?
“That makes sense. So, when would ‘migraines’ still be appropriate?” enquires Watson’s colleague.
“‘Migraines’ is still fine when discussing individual attacks or episodes. For example, ‘I had three migraines last month’ works when referring to specific occurrences. But when discussing the condition overall, ‘migraine’ singularly helps to highlight its seriousness and systemic nature.”
“That makes sense,” confirms Watson’s colleague.
The Power of Language in Reducing Stigma
“I see. That’s a subtle but important distinction. It also feels more validating for people living with it, doesn’t it?” comes the wordsmith’s rhetorical answer.
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“Exactly! It’s part of a broader effort to reduce stigma and improve public understanding of migraine as a legitimate, chronic health issue. Plus, it aligns with medical terminology, which adds clarity and credibility to our messaging,” explains Watson.
“That’s really thoughtful. I imagine this could make a big difference for my partner and generally how people perceive the condition,” reaffirms the wordsmith.
“I hope so. I am sure your partner will have insights from their own experience; I’d love to hear their perspective. Let me know what they think,” invites Watson.
“Will do! Thanks for your perspective—it’s such an important conversation.”
“My pleasure…”
Until next time
Dr Dean Watson PhD
Watson Headache? Institute
Email [email protected] Web www.WatsonHeadache.com
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