Why does light make migraines worse?
Light sensitivity, or photophobia, is one of the defining symptoms of migraine: up to 80% of people with migraine have it during an attack.1 In vestibular migraine, dizziness can be the main symptom; see screens, dizziness and vestibular migraine.
Part of the reason is wiring. Light-sensing cells in the retina send signals to neurons in the thalamus that also carry headache pain from the trigeminal nerve system. Even blind people with migraine report that light makes their headache worse, as long as these light-sensing cells still work.2 In animal studies, bright light switches on pain-signaling neurons in the trigeminal part of the brainstem.5
Is flicker a migraine trigger?
Many people with migraine name flickering light as a trigger, and lab studies back them up. When researchers showed flickering patterns repeatedly, people without migraine gradually became less sensitive to them. People with migraine became more sensitive, even when tested between headaches.3
Most screens flicker. Many dim their LED backlight with PWM, switching it fully on and off hundreds of times a second, and the lower the brightness, the longer the dark gaps. You can’t see it, but your retina responds to flicker well above the rate you can perceive.6 Read more about PWM sensitivity.
Can steadier light mean fewer headaches?
In a double-blind trial in offices, replacing flickering fluorescent lights with high-frequency lighting that was nearly steady cut workers’ headaches and eye strain by more than half. The flicker was too fast to see in either case.4
Tension headaches and neck strain
Not every screen headache is a migraine. Squinting and leaning toward a harsh screen loads the muscles of your forehead, jaw and neck. In one lab study, glare alone tipped people’s heads forward and increased blood flow in their shoulder muscles, a sign the muscles were working harder.7 See neck, jaw and shoulder tension.
What to look for in a screen if you get migraines
- No PWM flicker. DC dimming keeps the light steady at every brightness, including the low settings you want on a bad day.
- Warm, soft light. Less harsh glare to squint against.
- Steady pixels. A true 8-bit panel without FRC dithering.
- Easy dimming. Turn it down as far as you need without adding flicker.