Thunder, Lightning, and Sferics: Electromagnetic Weather Effects
The best evidence on lightning and headache comes from a 2013 University of Cincinnati study that tracked 90 people with migraine in Ohio and Missouri and found that headache risk rose roughly 30 percent, and new-onset headache roughly 24 percent, on days with lightning within 40 kilometres. The effect survived statistical adjustment for barometric pressure and for the general presence of a storm, which is what made it notable. But the study could not identify a mechanism, and the leading candidate — electromagnetic radiation from lightning strokes, known as sferics — remains a hypothesis rather than a demonstrated cause. Thunderstorms deliver pressure swings, humidity jumps, ozone, pollen rupture, wind, noise, disrupted sleep and light flashes all in the same package, and disentangling an electromagnetic effect from that pile is genuinely difficult.
The honest position is that something about lightning days looks real and nobody has shown what it is.