Chronic Migraine Care With a More Responsive and Individualized Approach

Chronic migraine often affects far more than headache days alone.
Many patients experience ongoing neurologic symptoms, difficulty functioning between attacks,
and frustration with long delays accessing specialty care.

Our practice provides longer appointments, individualized treatment planning,
and timely access for patients seeking a more comprehensive approach to
chronic migraine management in Virginia Beach and throughout Hampton Roads.‍



✔ 90-minute initial evaluations
✔ 30-minute follow-ups
✔ Same-day or next-day visits when available for severe migraine flares
✔ Insurance billed for medically necessary covered services

Migraine Can Affect Daily Functioning Even Between Attacks

Migraine is not always limited to periods of severe head pain.
Many patients continue experiencing symptoms before and after migraine attacks
that interfere with work, concentration, sleep, and daily activities.

These symptoms may include:

• Brain fog and difficulty concentrating
• Sensitivity to light or sound
• Fatigue and exhaustion
• Dizziness or nausea
• Visual symptoms
• Difficulty recovering fully between attacks

Over time, recurrent migraine can begin affecting quality of life, productivity,
and overall functioning well beyond headache days alone.
 

Many Patients Struggle to Access Timely Migraine Care

Patients with chronic migraine often face:

• Long waits for neurology appointments
• Follow-up visits scheduled many months apart
• Limited time during appointments
• Difficulty obtaining timely care during worsening migraine cycles

Our practice was designed differently.

By maintaining a smaller patient panel, we are able to offer:

• Longer appointments
• More detailed evaluation and treatment planning
• Greater continuity of care
• Improved responsiveness during severe migraine flares when scheduling allows

Early Intervention May Help Reduce Long-Term Migraine Burden

Migraine patterns can become more difficult to manage over time,
particularly as attacks become more frequent and disabling.

Patients may benefit from specialty evaluation when:

• Migraine frequency is increasing
• Current treatment is no longer effective
• Recovery between attacks is incomplete
• Symptoms are affecting work or daily responsibilities
• Urgent care or emergency visits are becoming more common

Consistent follow-up and individualized treatment planning may help improve
long-term migraine management and reduce disruption to daily life.

Responsive Care During Severe Migraine Flares

For some patients, timely intervention during a severe migraine cycle can be an important part of ongoing management.

When clinically appropriate and scheduling allows, our practice may offer same-day or next-day appointments
for worsening migraine symptoms, including evaluation for procedures such as nerve blocks.

Potential treatment options may include:

• Occipital Nerve Blocks
• Trigger point injections
• Medication adjustment
• Multimodal treatment planning

All treatment recommendations are individualized based on clinical history and patient needs.

Our Approach to Chronic Migraine Care

Our practice is designed for patients seeking:

• More time during appointments
• Detailed discussion of symptoms and treatment history
• Ongoing continuity of care
• A more individualized and responsive approach

Initial evaluations are typically 90 minutes and follow-up visits are typically 30 minutes, allowing more time for comprehensive assessment and ongoing treatment planning.

Where We See Patients

We provide migraine care for patients across:

Start migraine treatment without long wait times

If you are looking for a more comprehensive and responsive approach to chronic migraine care,
we invite you to learn more about our practice model.

Schedule a Consultation