Background: Migraine represents the second most disabling condition worldwide. The prevalence of migraine varies from one region and one population to another. Aim: This study was conducted to estimate the prevalence of migraine in Tabuk and assess the associated factors. Methods: This cross-sectional study included a sample from the general population in Tabuk City, Saudi Arabia. A structured questionnaire was utilized to collect the participants' data. It comprised questions about the socio-demographic characteristics of the participants and the experienced headaches, the ID Migraine questionnaire and the Migraine specific quality of life questionnaire (MSQ 2.1). Results: The prevalence of migraine was 64.2%. Migraine was significantly associated with female gender (p<0.001), anxiety (p=0.046) and family history (p<0.001). Migraine had a significantly higher frequency (p<0.001), longer duration (p<0.001), more severity (p<0.001) and lower MSQ scores than non-migraine headaches. The most prevalent and significant triggers for migraine were noise (p<0.001), stress (p=0.001), screen usage (p=0.003) and fasting/skipping meals (p<0.001). The significantly associated relieving factors were dark and quiet environment (p<0.001), reducing noise (p<0.001) and local massage (p=0.036). Conclusions: The prevalence of Migraine headache toward our population in Tabuk city was high and consistent with current literature. Since quality of life is affected in these patients, efforts should be made to promote and support public awareness and health education of migraine headache.

Background: Adequately informed family physicians have the greatest potential to correctly identify the diagnosis of fibromyalgia (FM) and develop an initial treatment plan. Therefore, it is substantial to determine the levels of weakness and inaccuracy among primary care physicians regarding FM diagnostic criteria and management strategies. Aim: This study aimed to assess the knowledge, attitude, and practices regarding FM among primary care physicians in Tabuk, Saudi Arabia. Methods: This cross-sectional study included family physicians who were board-certified or registered in the family medicine training program and working at the government family healthcare centers in Tabuk. A pre-designed, structured questionnaire was distributed either in written form or as an online survey. Results: This study included 52 primary healthcare physicians. Twenty-two (42.3%) participants incorrectly recorded localized pain as a diagnostic symptom, and 45 (86.5%) incorrectly recorded nonsteroidal anti-inflammatory drugs (NSAIDs), prednisolone, and/or opioids as drugs that are used for treating FM. Only 59.6% were confident in recognizing the symptoms of FM, and 55.8% were confident in differentiating FM from other similar diseases. Conclusions: The primary healthcare physicians working in the government’s primary healthcare centers in Tabuk City, Saudi Arabia, have low levels of knowledge about diagnostic criteria and treatment strategies for FM. These findings highlight the need for continuous professional development involving family physicians in the primary healthcare setting with suitable continuous medical education (CME) programs concerning FM.