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Chronic Migraine Treatment in New York

What is chronic migraine?

We define Chronic Migraine as suffering from 15 headache days each month, with headaches with migraine features for at least 8 days for more than 3 months. Chronic migraines are different than episodic migraines and require different management. Similarly, it is easy to mistake new daily persistent headaches or medication over use headaches as chronic migraines. Elucidating specific headache patterns, frequencies, intensities, duration of headache days, association of autonomics symptoms, association of aura, and presence of nausea/vomiting are the key to making the correct diagnoses.

Who gets chronic migraine?

Three to Five percent of the United States Population suffers from Chronic Migraines. Transformation of episodic migraine to chronic migraine each year is found in approximately three percent of people.

What causes chronic migraine?

In chronic migraine, number of episodic headaches steadily increases over time due to a number of factors:

  • Obesity
  • Snoring, sleep apnea
  • Mood disorders, especially anxiety and depression
  • Ongoing disrupted sleep pattern
  • History of severe emotional (stressful life events) or physical trauma

What symptoms separate episodic migraines from chronic migraines?

Episodic Migraine and Chronic Migraine have almost the same symptoms. The major difference is in frequency of the headaches.

Typical migraine symptoms include:

  • Moderate to Severe in intensity pain in head, worsened by physical activity or movement.
  • Pain in one side of the head, can be both sides as well
  • Pressure-like pain or Throbbing pain
  • Sensitivity to sound, light & smells
  • Vomiting or Nausea
  • Dizziness

Signs showing episodic migraine transforming to a chronic migraine:

  • Growth in the number of migraine attacks
  • Increase in the intake of medication due to growth in number of attacks

Chronic Migraine Treatment

Chronic Migraine Treatment includes lifestyle management. It also includes managing headache triggers, migraine attacks and working for preventive treatments to reduce migraine attacks.

Some lifestyle changes include:

  • Weight reduction if you are overweight
  • Initiating doctor approved exercise plans
  • Stress management: Practice techniques to manage stress such as yoga, meditation, mindful breathing & relaxation training
  • Following a routine regimen regarding snacks & meal timings & not to skip any meals
  • Avoid de-hydration & staying well hydrated
  • Treating any existing mood disorder (including depression & anxiety or sleep problems)

The typical Chronic Migraine Treatment includes:

  • Management of an acute migraine attack remains the same with Triptans, Motrin/Tylenol, Hydration, and Reglan
  • The key to treatment is daily preventative medications: there are multiple options to choose from and they are selected based on patient’s comorbid medical history (e.g., other medical problems, kidney function, liver function, history of asthma/lung function, heart function)
  • These preventative agents include: beta-blockers, certain anticonvulsant drugs, calcium channel blockers, among many others
  • Of the many medications available to treat chronic migraines, Onabotulinumtoxin (Botox) is very popular and has been clinically shown to be effective in randomized control trials
  • New agents such as CGRP- antagonists, which can once month injections are also gaining popularity
  • All medications have side-effect profiles which need to be considered before starting any specific treatment, including these two relatively new and very effective options
  • The biggest fear with chronic migraines is overuse of over-the-counter medications or initiation of opioids incorrectly
  • Use of opiates should be avoid for migraines
  • Other treatments such as transcranial magnetic stimulation and transcutaneous supraorbital nerve stimulation are also options to consider in cases of unrelenting migraines
  • In addition to medical interventions, lifestyle medications, such as regular exercise, healthy diet, excellent sleep habits, and stress management, are the key to a headache life.

Chronic Migraine Treatment in NYC

A migraine headache can be stressful, so an effective treatment to prevent future migraine attacks is required. If you have migraine symptoms, you should see a doctor. You should look for expertise to get the best treatment services.

Neurodiagnostics Medical P.C. in New York, is one of the best when it comes to chronic migraine treatment. We offer quality treatment services to our migraine patients. We ensure that we correctly analyze your problem before deciding on the best treatment for you since there are different treatments.

We have expertise in each kind of treatment. Chronic migraines develop from episodic migraine. Here are our episodic and chronic migraine treatment services.

Migraine Doctors in New York


We treat chronic migraine by addressing lifestyle and headache triggers, as well as providing our patients with preventive treatments. They are some of the most effective treatments for chronic migraine. We ensure that our patients’ lifestyles are managed by ensuring that they;

  • Manage stress by doing yoga, meditation and practicing relaxation

  • Reduce weight if they are overweight

  • Eat healthily

  • Drink water to avoid dehydration

We prescribe our patients preventive medication depending on their medical history. It is an effective treatment for chronic migraine. Some of the preventative medications include:

  • Calcium channel blockers

  • Blockers

  • Anticonvulsant drugs

We also provide acute treatment and make sure to consider the medication’s side effects before prescribing it to our migraine patients. We also educate our patients on the dangers of medication overuse headaches.


We have enough knowledge to offer Botox as a therapeutic intervention for migraines. It is an effective method for reducing migraine pain severity. The method is usually effective after four or more weeks of use in conjunction with other treatments.

Telehealth Services

All of our patients have access to telemedicine and video visits. This method allows us to see how the patient is doing with the headache pain and whether the treatments are working. Because patients must travel to the doctor’s office to see the doctor, our telehealth or video services are convenient. Video services are critical for patients who find it difficult to visit their doctor’s office.

Benefits Of Chronic Migraine Treatment

Saves Money

You will save a lot of money by using our treatment services. We ensure that we correctly analyze your problem and decide on the best treatment for your migraine attack. As a result, you will not have to spend money on additional treatment after the first has failed.

You Will Be Less Stressed

We will teach you how to manage stress to reduce migraines. It is part of our treatment, and through it, you will be less stressed, which will help reduce migraine headaches.

You Will Be In Good Shape

We always advise our patients with chronic migraine to exercise to reduce the migraine. Through exercise, they can improve the shape and the health of their bodies, which is an advantage.

Why Choose Us For Treatment Of Chronic Migraine In New York?

Neurodiagnostics Medical P.C. offers the most effective chronic migraine treatment in New York. Our patients have access to emergency services. We are experts in every service we offer.

Aside from chronic migraine diagnosis, we also provide treatment for sleep disorders, sciatic nerve pain, small fiber neuropathy, seizure disorders, car accidents, and work-related injuries. Our providers accept workers’ compensation, no-fault, PIP, and most other insurance plans. Contact us today for quality and effective chronic migraine treatment in New York.