Comprehensive Migraine & Chronic Headache Center in West Plano
Break the cycle of debilitating headaches, nausea, and light sensitivity. In-office FDA-approved Botox protocols (CPT 64615), targeted occipital nerve blocks, and advanced CGRP antagonist therapies.
Chronic migraines—defined as experiencing 15 or more headache days per month—are among the most debilitating neurological conditions in modern medicine. Overuse of over-the-counter NSAIDs or triptans often causes medication-overuse rebound headaches, worsening the cycle. Our specialized headache physicians take a root-cause approach, combining in-office procedural interventions (Botox chemodenervation and ultrasound-guided occipital nerve blocks) with next-generation calcitonin gene-related peptide (CGRP) inhibitors to give patients back their lives.
Who is a good candidate
- Adults experiencing 15 or more headache days per month, with at least 8 meeting migraine criteria
- Patients who experienced intolerable side effects from oral preventatives (topiramate, beta blockers)
- Individuals suffering from sharp occipital nerve shooting pains radiating from the base of the neck
- Patients seeking in-network insurance approval for FDA-approved Botox or CGRP injections
Treatment protocol
- Step 1: Neurological & Cervicogenic Headache Audit — Detailed diagnostic examination to distinguish primary migraines from occipital neuralgia and tension headaches.
- Step 2: Rapid Procedural Intervention (Nerve Block or Botox) — Administration of targeted greater occipital nerve blocks for acute relief, or execution of the standard 31-point PREEMPT Botox protocol.
- Step 3: CGRP Receptor Antagonist Coordination — Assistance with insurance prior authorizations for monthly injectable or oral CGRP therapies (Aimovig, Emgality, Nurtec, Qulipta).
Frequently asked questions
How does Botox work to prevent chronic migraines?
Botox works by blocking the release of neurotransmitters (such as substance P and CGRP) involved in pain signaling around the head, neck, and shoulders. Injected every 12 weeks, it stops pain signals before they reach the brain.
Will my health insurance cover Botox for migraines?
Yes. Most commercial plans and Medicare cover Botox for patients diagnosed with chronic migraine (15+ headache days per month) who have failed trials of two oral preventative medications. Our clinic coordinates all prior authorization paperwork.