Chronic migraines, characterized by headaches occurring at least 15 days per month with migrainous symptoms on eight days, are a neurological disorder causing intense throbbing pain, nausea, light/sound sensitivity, and visual disturbances. Their etiology involves abnormal brain activity affecting nerve signaling, blood vessels, and neurochemical balances. Effective management requires addressing personal triggers and employing a multifaceted treatment approach. Common triggers include stress, dietary factors (e.g., caffeine, alcohol, processed foods, aged cheeses), hormonal fluctuations (particularly estrogen-related in women), sleep irregularities (insufficient or excessive sleep), environmental stimuli (bright lights, loud noises, strong odors), and weather changes. Tracking these triggers via a headache diary is emphasized to mitigate frequency and severity. Medical treatments include preventive medications such as beta-blockers, antidepressants, anticonvulsants, and newer therapies like calcitonin gene-related peptide (CGRP) inhibitors (e.g., erenumab, galcanezumab). Botox injections, approved by the FDA for chronic migraine, are noted for reducing headache days. Acute treatments include over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), prescription triptans (e.g., sumatriptan) for aborting attacks, and nerve stimulation devices like transcranial magnetic stimulation (TMS) and vagus nerve stimulators. Individualized medical consultation is stressed for tailored treatment plans. Lifestyle modifications and natural remedies complement medical interventions. Dietary adjustments to avoid triggers, adequate hydration, and low-impact exercise (e.g., yoga, walking, swimming) are recommended. Stress reduction techniques (meditation, deep breathing) and consistent sleep patterns support symptom management. Supplements like magnesium and riboflavin (vitamin B2) are highlighted for their efficacy in reducing attack frequency, while topical application of peppermint or lavender oil may alleviate acute episodes. Alternative therapies, including acupuncture, massage, biofeedback, chiropractic care, and herbal remedies (e.g., feverfew, butterbur), are presented as supplementary strategies to ease symptoms. These approaches focus on relaxation, tension relief, and physiological self-regulation. Seeking professional medical care is advised when migraines exceed 15 days monthly, pain is unremitting despite over-the-counter medications, neurological symptoms emerge (e.g., vision loss, weakness), or frequent use of pain relievers occurs. Early intervention can prevent escalation and optimize treatment strategies. The conclusion underscores that while chronic migraines are disabling, combining medical therapies, lifestyle adaptations, and complementary treatments enables effective symptom control. Key steps include identifying individual triggers, staying informed about therapeutic advancements, and collaborating with healthcare providers to enhance quality of life through proactive management. This holistic approach aims to minimize disability, reduce attack frequency, and improve daily functioning.