The migraine patients, especially those with chronic‐type migraine, undergo physical, emotional, and functional handicaps due to dizziness, as explained in a study published in
'PAIN Practise'.

Dizziness is a common problem faced by migraine patients. But, its evaluation is generally neglected in clinical practice. Sun Hwa Lee MA et al. examined the dizziness handicap experienced by patients with migraine and its promoting factors.

Total 361 migraine outpatients having 270 women and 91 men with a mean age 39.01 ± 11.2 years were provided with the Korean Dizziness Handicap Inventory (KDHI) questionnaire. The Patient Health Questionnaire‐9, Headache Impact Test, Generalized Anxiety Disorder‐7 and Pittsburgh Sleep Quality Index were also used. To reveal its promoting factors, age, sex, number of headache attacks in a month, pain intensity on the visual analogue scale, and average sleep hours (clinical data) were considered. Episodic and chronic migraine were compared accordingly.
It was found that 153 patients were portrayed as having dizziness handicap (M+DH) and 208 had migraine without dizziness handicap (M‐DH). There were more headache attacks per month in M+DH patients than patients with M‐DH. The proportion of patients with chronic migraine was larger in the M+DH group (29.4% versus 17.3%). Assessing all the KDHI subscales, the patients with M+DH had higher scores than patients with M‐DH. The multivariable logistic regression depicted headache impact, pain intensity, anxiety, and depression to be notably connected with dizziness handicap.

The dizziness handicap is concerned with headache impact, anxiety, and depression. The study authors further concluded, "Targeted management of such factors is needed to decrease the severity of subjective discomfort."