Published On: April 15th, 2026

TBP 310: What to Do about Migraines as an Athlete with Dr. Danielle Wilhour

Migraines are one of those things that can completely derail your life—and if you’re a climber who’s trying to perform and train regularly, they can be especially frustrating.

I’ve dealt with migraines for years, and I still feel like I’m trying to understand what’s actually happening in my body. So I brought on Dr. Danielle Wilhour, a neurologist and headache specialist at the University of Colorado, to help us break it all down.

We talk about what migraines actually are (it’s way more than just a headache), the different phases of a migraine, and why things like exercise, hormones, and even talking for long periods of time (??) can be triggers.

We also get into:

  • Whether it’s safe to exercise during a migraine (and when it’s not)
  • Why some medications can affect athletic performance
  • The difference between rescue vs. preventive treatments
  • My own hesitation around taking medication—and what the actual risks are
  • Hormones, birth control, and why migraines are more common in women
  • Nutrient deficiencies and supplements like magnesium and CoQ10
  • What to do if exercise itself triggers headaches

One thing I appreciated about this conversation is that it’s not just “take this pill and you’re good.” Dr. Wilhour takes a holistic approach and looks at sleep, hydration, stress, nutrition, and overall lifestyle in addition to medication.

If you’ve ever wondered:

  • “Should I be pushing through this?”
  • “Am I making this worse by not treating it?”
  • “Why does this keep happening to me?”

…this episode will give you a much clearer picture of what’s going on.

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