During the Exam Be honest — do not exaggerate or minimize your symptoms Describe your worst days, not just how you feel right now If something hurts during a range-of-motion test, say so Mention all functional limitations: sleep, work, chores, driving, social activities Report flare-ups: how often, how long, how severe, and what triggers them Do not say "I'm fine" out of habit — describe your actual condition Emphasize the frequency and severity of prostrating attacks Report associated symptoms: nausea, vomiting, light sensitivity, sound sensitivity, aura Describe the economic impact: missed work, reduced productivity Mention if migraines are secondary to another service-connected condition (TBI, PTSD, etc.) The 50% rating requires very frequent, completely prostrating attacks productive of severe economic inadaptability