The Migraine Reset: How Pharmacology Helps Rebalance the Brain


Key Questions
  • What is the meaning of “brain sensitization” in the context of chronic migraine? Why might it make treatment difficult?
  • How can pharmacology act as a reset button for the nervous system?
  • Why might behavioral and lifestyle changes be ineffective when someone has a highly sensitized system?
  • Does it make a difference if a preventive treatment targets the central or peripheral nervous system? What are examples of such treatments?
  • What could a potent “migraine cocktail” for acute treatment include when using over-the-counter ingredients and complementary therapies?
  • How do you choose which class of medications to start with for migraine prevention?
  • How does radiofrequency ablation work for migraine?
  • How long does it take for a pharmaceutical reset to be effective enough to consider weaning off medications?
  • Which complementary therapies should be considered once a pharmaceutical reset begins to work?
  • How can patients balance different approaches to care?
  • Can migraine be considered a chronic pain condition, and can it be treated similarly?
photo of woman with long dark hair

Risa Ravitz, MD

CEO
Modern Migraine MD

Dr. Risa Ravitz, MD is a board-certified neurologist specializing in migraine, headache disorders, general neurology, and pain management. She is the CEO of Modern Migraine MD, with offices in New York, New Jersey, and Florida and telehealth available in 13 states.

Dr. Ravitz holds dual board certification from the American Board of Psychiatry and Neurology and the American Board of Pain Medicine.

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Miles for Migraine is a registered 501(c)(3) nonprofit organization with the mission of improving the lives of people with migraine and other headache disorders, and their families, by raising public awareness about this disease, and helping to find a cure. Miles for Migraine produces fun walk/run events, typically a 2-mile walk and 5K and 10K races to raise money for migraine research. We also host adult education days, and a youth program for kids and teens impacted by migraine and other headache disorders.

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