Finally, a Migraine Tracker That Understands Every Phase
Statistical migraine predictions that learn your personal triggers. Phase-by-phase attack timer with aura classification. Weather-based risk scoring with barometric pressure tracking. Medication effectiveness ratings. MIDAS disability scoring.
Built for the 39 million Americans living with migraine — the 4th leading cause of disability worldwide. No more vague diary entries. No more forgotten details at appointments.
Know Before It Hits
Leo learns your personal migraine patterns and combines them with real-time weather data to predict attacks before they start — so you can take preventive action.
Elevated Risk
Multiple risk factors detected
Contributing Factors
Current Weather
How Leo Predicts Your Migraines
Learns Your Pattern
After 10 logged attacks, Leo builds a personal trigger profile — analyzing which weather conditions, sleep patterns, cycle phases, and days of the week correlate with your migraines.
Monitors Real-Time Signals
Leo continuously checks barometric pressure, temperature swings, humidity levels, and storm fronts using live weather data from your location.
Calculates Your Risk
A multi-signal scoring engine combines weather forecast, cycle phase, recent sleep quality, and personal patterns into a single risk percentage with contributing factors ranked by impact.
Gives You Time to Act
See your risk level on the migraine hub dashboard. When risk is elevated, you can take preventive medication, adjust your schedule, or prepare — before the attack starts.
Weather
Barometric pressure, temperature swings, storm fronts, humidity
Cycle Phase
Menstrual cycle tracking with phase-specific migraine sensitivity
Sleep Quality
Hours slept, sleep debt, and disrupted sleep patterns
Personal Patterns
Day of week, time of day, and recurring trigger combinations
What is Migraine?
Migraine is a complex neurological disease — not "just a headache." It involves abnormal brain activity, neurotransmitter imbalances, and sensitized pain pathways that affect multiple body systems. The headache is just one symptom of a much larger neurological event.
A migraine attack unfolds in up to 4 distinct phases: prodrome (early warning signs 24-48 hours before), aura (neurological symptoms in ~25% of patients), headache (moderate-to-severe pain lasting 4-72 hours), and postdrome (the "migraine hangover" lasting up to 48 hours). Each phase has distinct symptoms that Leo tracks separately.
The Numbers
- 39 million Americans, 1 billion people worldwide
- 3:1 female-to-male ratio (hormonal component)
- Average 7.7 years from onset to proper diagnosis
- 70% have a family history (strong genetic component)
- Chronic migraine is widely underdiagnosed
Detailed attack data helps your neurologist understand your patterns. That's what Leo provides — phase-level precision with prodrome, aura, headache, and postdrome tracking that no other app offers.
Migraine Types
Migraine with Aura
Neurological symptoms (visual, sensory, or motor) precede or accompany the headache. Affects ~25-30% of migraine patients.
Common treatment: Triptans at aura onset, CGRP preventives
Migraine without Aura
The most common type (~70%). Moderate-to-severe headache with nausea, photophobia, and phonophobia. No preceding aura.
Common treatment: Triptans, NSAIDs, gepants, preventives
Chronic Migraine
15 or more headache days per month, with at least 8 having migraine features. Affects ~2% of the population. Often develops from episodic migraine.
Common treatment: Botox (FDA-approved), CGRP mAbs, topiramate
Vestibular Migraine
Vertigo, dizziness, and balance problems as primary symptoms. May occur with or without headache. Underdiagnosed.
Common treatment: Vestibular rehab, verapamil, triptans
Hemiplegic Migraine
Temporary motor weakness on one side of the body during aura. Can mimic stroke. Familial (FHM) or sporadic forms.
Common treatment: Avoid triptans; verapamil, valproate
Menstrual Migraine
Attacks occur within -2 to +3 days of menstruation onset. Triggered by estrogen withdrawal. Often more severe and longer-lasting.
Common treatment: Perimenstrual triptans, estrogen patches, frovatriptan
Many patients experience more than one migraine type. Types can evolve over time.
Track Every Migraine Symptom
Migraine is far more than head pain. Leo tracks symptoms across every body system and attack phase — with severity ratings, trigger correlation, and trend analysis over time.
Pain Features
- Throbbing / pulsating
- Unilateral (one-sided)
- Moderate-to-severe intensity
- Worsens with physical activity
Aura
- Visual zigzag lines / scotoma
- Sensory tingling / numbness
- Speech difficulty (aphasia)
- Visual snow / photopsia
Autonomic
- Nausea / vomiting
- Nasal congestion / rhinorrhea
- Watery / red eyes (lacrimation)
- Pallor / skin color changes
Sensory
- Photophobia (light sensitivity)
- Phonophobia (sound sensitivity)
- Osmophobia (smell sensitivity)
- Allodynia (touch sensitivity)
Other
- Brain fog / cognitive difficulty
- Neck stiffness / tension
- Fatigue / exhaustion
- Mood changes / food cravings
Migraine Attack Timer: Phase-by-Phase Logging
The only migraine tracker that captures every phase of an attack — from the earliest prodrome warning signs through postdrome recovery — with precise timestamps, aura classification, pain mapping, and medication effectiveness tracking.
Log early warning signs: neck stiffness, yawning, food cravings, mood changes, fatigue. Up to 48 hours before headache.
Record aura type (visual, sensory, motor, speech). Track duration. Typical: 5-60 minutes. Log specific patterns (zigzag lines, scotoma, tingling).
Mark pain start time. Select location on head map, side (left/right/bilateral), quality (throbbing/pressing/stabbing), initial severity 1-10.
Auto-record peak severity. Log accompanying symptoms: nausea, photophobia, phonophobia, osmophobia, allodynia. Track position (lying down, sitting, standing).
Log acute medication taken (triptan, gepant, NSAID, antiemetic). Record time to relief. Rate effectiveness 0-10. Track if second dose needed.
Mark when pain subsides below 3/10. Calculate total attack duration. Record what helped: medication, dark room, ice, sleep, caffeine.
24-hour follow-up: brain fog, fatigue, mood, residual sensitivity. The 'migraine hangover' that 80% of patients experience.
Auto-Generated Attack Summary
Duration: 14h 23mCompare Attacks
See patterns across attacks: duration, severity, medication response
Prodrome Alerts
Recognize prodrome symptoms early for faster intervention
PDF Export
Share complete attack timeline with your neurologist
Your Complete Migraine Toolkit
Everything migraine patients need to understand their condition, optimize treatment, and communicate effectively with their neurologist — in one app.
Migraine Attack Timer
Killer FeaturePhase-by-phase attack logging with precise timestamps. From the first prodrome symptom through postdrome recovery, every stage is captured. Automatically calculates total attack duration, time-to-peak, and medication response time. Log aura type (visual, sensory, motor, speech), pain location on an interactive head map, side (left/right/bilateral), quality (throbbing/pressing/stabbing), and severity 0-10. Rescue medication logging with effectiveness rating helps you identify what actually works.
- Phase-by-phase timestamps
- Auto-calculate attack duration
- Interactive head pain map
- Aura type classification
- Rescue medication + effectiveness
- Attack history comparison
Aura Visual Logger
Specialized aura tracking with detailed type classification: scintillating scotoma, fortification spectra, visual snow, tunnel vision, hemianopia, photopsia, sensory numbness and tingling, speech difficulty (aphasia), and motor weakness. Track duration of each aura phase, progression patterns, and whether aura occurs with or without headache. Over time, pattern recognition reveals whether your auras are changing in frequency, duration, or type.
- Visual aura subtype classification
- Sensory & motor aura tracking
- Duration + progression logging
- Aura-without-headache detection
- Pattern changes over time
- Share visual aura descriptions with neuro
Trigger Correlation Engine
Smart trigger detection that goes beyond simple diary logging. Automatically correlates your attacks with weather and barometric pressure data, sleep quality from Apple Watch, food diary entries, stress levels, hormonal cycle phase, screen time, and hydration. Shows 'suspect triggers' ranked by correlation strength with statistical confidence scores. Identifies triggers you might never have connected to your migraines.
- Ranked suspect triggers
- Weather + barometric auto-import
- Sleep quality correlation
- Hormonal cycle tracking
- Food diary integration
- Statistical confidence scoring
Barometric Pressure Tracking
Automatic local weather data integration using your location. See barometric pressure overlaid with your attack history on a timeline chart. Get push notifications when a significant pressure drop is detected — research shows 30% of migraine patients are weather-sensitive, with rapid pressure drops being the most common trigger. Track temperature, humidity, and pressure changes alongside your migraine diary.
- Auto weather data import
- Pressure + attack overlay chart
- Pressure drop notifications
- Temperature & humidity tracking
- Weather sensitivity scoring
- Historical weather-attack analysis
Medication Effectiveness Tracker
Track both preventive (daily) and acute (rescue) medications with outcome data. Rate effectiveness 0-10 for each attack. See which rescue meds work fastest and most reliably, which preventives reduce attack frequency and severity, and how your response changes over time. Track Botox injection cycles (every 12 weeks), CGRP antibody injection schedules, and correlate injection timing with attack frequency. Identify medication overuse patterns before they become rebound headaches.
- Preventive vs acute tracking
- Effectiveness rating per attack
- Time-to-relief measurement
- Botox cycle timing
- Medication overuse detection
- Response trend over time
MIDAS Disability Assessment
Built-in Migraine Disability Assessment Scale — the gold standard tool neurologists use to assess migraine impact. Auto-calculate your MIDAS score from your logged attack data: missed work/school days, reduced productivity days, missed household activities, and missed social events. Track your disability score over time to demonstrate treatment effectiveness or justify treatment escalation. MIDAS grade I-IV classification included.
- Auto-calculate from logged data
- MIDAS Grade I-IV classification
- Track score over time
- Treatment response evidence
- Share with neurologist
- Qualifies for treatment escalation
Migraine Report Card
Generate doctor-ready PDF reports organized how neurologists actually want to see data: attack frequency per month, average duration, peak severity trends, medication response rates, trigger analysis summary, MIDAS score trend, aura frequency and type distribution, and menstrual correlation data. Stop trying to recall 3 months of migraines from memory in a 15-minute appointment — let your data speak.
- Attack frequency charts
- Medication response analysis
- Trigger analysis summary
- MIDAS score trend
- Aura type distribution
- Export as PDF or share directly
Photosensitivity Logger
Track light sensitivity levels throughout the day with a quick severity scale. Correlate photophobia episodes with screen time (auto-imported), outdoor sun exposure, fluorescent lighting environments, and time of day. Identify your personal light sensitivity patterns — many migraine patients are photosensitive even between attacks (interictal photophobia). Track FL-41 tinted lens usage and effectiveness.
- Daily light sensitivity rating
- Screen time auto-correlation
- Fluorescent exposure logging
- Interictal photophobia tracking
- FL-41 lens effectiveness
- Environment-specific patterns
Your Apple Watch, Supercharged for Migraine
Leo pulls heart rate, HRV, sleep data, and activity metrics directly from HealthKit. Discover physiological patterns you never knew were connected to your migraines.
HR Elevation During Attacks
Autonomic changes during migraine can elevate heart rate. Track the correlation.
Sleep Quality Correlation
Poor sleep is a top trigger. See sleep score overlaid with attack frequency.
Haptic Medication Reminders
Gentle wrist tap reminders for preventive medications. Never miss a dose.
Migraine-Free Day Streak
Watch complication showing your current streak of migraine-free days.
Quick Attack Logging
Start an attack log directly from your wrist when you feel the first symptoms.
12
day streak
Sleep
6.2 hrs
HRV
42 ms
Attacks
3/mo
Meds
On time
Migraine Rarely Travels Alone
Leo's multi-condition system lets you track migraine alongside common comorbidities. Because managing migraine, anxiety, and IBS shouldn't require 4 separate apps.
POTS / Dysautonomia
In LeoShared autonomic dysfunction. 40% of POTS patients experience migraines. Leo has full POTS tracking.
Depression & Anxiety
In LeoBidirectional relationship. Migraine triples depression risk. Shared serotonin pathways.
Fibromyalgia
In LeoCentral sensitization overlap. 35-50% of fibromyalgia patients have comorbid migraine.
IBS
In LeoGut-brain axis connection. Shared serotonin dysregulation. 25-50% comorbidity rate.
Epilepsy
Shared cortical hyperexcitability. Migraine with aura increases epilepsy risk 2.4x.
TMJ Disorders
Jaw clenching and trigeminal nerve involvement. Common trigger and comorbidity.
Insomnia
In LeoBidirectional relationship. Poor sleep triggers migraines; migraines disrupt sleep.
Raynaud's Phenomenon
Vascular dysfunction overlap. More common in migraine with aura patients.
How Leo Compares
There are several migraine apps on the market. None offer phase-level attack tracking, smart trigger detection, Apple Watch integration, and multi-condition support — all for free.
| Feature | Leo | Other Apps |
|---|---|---|
| Attack Phase Timer | ||
| Aura Type Classification | ||
| Barometric Pressure Correlation | ||
| Apple Watch Integration | ||
| Smart Trigger Detection | ||
| Medication Effectiveness Rating | ||
| MIDAS Scoring | ||
| Doctor-Ready PDF Reports | ||
| Multi-Condition Support | ||
| Hormonal Cycle Correlation | ||
| Food Trigger Diary | ||
| Gamification & Rewards | ||
| Free (No Premium Paywall) |
= available in some apps
Identify Your Triggers
Migraine triggers are highly individual. Leo helps you discover yours by correlating attack timing with environmental factors, lifestyle patterns, dietary intake, and hormonal cycles — using an on-device correlation engine to find patterns you would miss.
Environmental
- Weather / barometric drops
- Bright or flickering lights
- Screen time / blue light
- Fluorescent lighting
- Strong smells / perfumes
- Altitude changes
Lifestyle
- Sleep disruption / oversleeping
- Dehydration
- Skipped meals / fasting
- Physical overexertion
- Alcohol (especially red wine)
- Caffeine withdrawal
Hormonal & Food
- Menstruation (estrogen drop)
- Aged cheese / tyramine
- Chocolate
- Red wine / histamine
- MSG / nitrates
- Caffeine withdrawal
Emotional & Other
- Stress / anxiety
- Letdown after stress
- Strong smells / perfume
- High altitude / travel
- Neck tension / posture
- Teeth grinding / TMJ
Track Medication Effectiveness, Not Just Adherence
Migraine treatment is highly individualized — what works for one patient may fail for another. Leo tracks not just whether you took your medication, but how well it worked, how fast, and whether you needed a rescue dose.
Sumatriptan (Imitrex)
Triptan
Gold standard acute treatment
Best if taken within 30 min of pain onset
Ubrelvy / Rimegepant (Nurtec)
CGRP Antagonist (Gepant)
Acute treatment, no vasc. risk
Works differently than triptans; safe for vascular patients
Aimovig / Ajovy / Emgality
CGRP Monoclonal Antibody
Monthly preventive injection
50%+ reduction in monthly attacks for many patients
Topiramate (Topamax)
Anticonvulsant
Daily oral preventive
Proven effective; watch for cognitive side effects
Propranolol (Inderal)
Beta Blocker
Daily oral preventive
First-line preventive, especially with anxiety/tremor
Botox (onabotulinumtoxinA)
Neurotoxin
Chronic migraine preventive
FDA-approved for 15+ headache days/month. Every 12 weeks
Non-Pharmacological Treatments Leo Tracks
Stop Just Surviving Migraine Days. Start Understanding Your Patterns.
Leo gives you the data and tools to take control of your migraine management — and the clean, professional reports to make your neurologist listen.
Free to download. No premium paywall for migraine features.