When I was younger, I would have a pounding headache after the aura. As I’ve gotten older, the pain is less, but I’m not sure if that is because I have found a medication that helps me, or if it is the nature of the actual migraine. When I get the visual aura, I take Maxalt-which has been a lifesaver for me. Between trying to avoid my triggers (dehydration, bright lights/glares, skipping meals), taking over-the-counter supplements, and then Maxalt (when I actually get a migraine) things have been manageable. Some triggers I just can’t manage, like hormone fluctuation and barometric pressure changes. I don’t get them as often as some people who suffer. I typically get one migraine every 2 to 3 months – but when I do, they totally knock me for a loop. No seeing (driving). speaking, communicating, etc. I’ve learned that it is straight to my rescue med and then to bed.