Our Flagship Specialty
Atypical Migraine
If specialists keep getting it wrong. You may have atypical migraine.
Atypical migraine is our signature specialty. We understand the neurology, recognize the disguises, and have the tools to treat the cases that stumped other clinics.
What Makes Migraine "Atypical"?
The standard migraine picture — throbbing head pain, light and sound sensitivity, nausea — is just one presentation. In reality, migraine is a neurological disease process driven by central nervous system overactivity, and it can manifest in dozens of unexpected ways.
Atypical migraine includes presentations where the headache itself may be mild or absent, but other neurological symptoms dominate: spinning and dizziness, visual disturbances, facial pain, abdominal upset, cognitive fog, or chronic daily headache that has evolved over years. In the case of an evolution over time resulting in these symptoms, it may also be described as transformed migraine.
These patients often spend years seeing ENTs, neurologists, and gastroenterologists — being told it's sinuses, anxiety, or vertigo — before the true migrainous origin is identified. We identify it on day one.
Signs You May Have Atypical Migraine
- A sense of burden from two or more of the following items
- Low-grade or nonexistent headache
- Vigilance symptoms that include anxiety and sleep disturbance, now thought to be major symptoms of migraine
- An evolution of migraine a couple times per year, to increasing frequency of events of two or more of these symptoms
- Cortical symptoms that include visual field disturbance, facial or arm weakness or tingling, as well as complex word finding or generation problems. Learn more (Coming Soon)
Presentations We Specialize In
Vestibular / Dizziness Migraine
Vertigo, spinning, and balance problems as the primary symptom — often misdiagnosed as Ménière's disease or BPPV.
Ocular & Aura Migraine
Visual aura, temporary vision loss, eye pain, and retinal migraine — migraine at work in the visual system.
Transformed / Chronic Migraine
Episodic migraine that has evolved into daily or near-daily headache — a cycle that can be broken.
Mistaken for Sinus or Neck Pain
Sinus pressure without infection, chronic facial pain, and neck tension that is actually migrainous in origin.
Abdominal & Atypical Symptoms
Nausea, abdominal pain, fatigue, and cognitive fog — the less-recognized face of migraine.
Treatment-Resistant Migraine
Failed preventives, triptans, and other therapies. Atypical cases require a deeper diagnostic lens and broader toolbox.
How We Approach Atypical Migraine
We treat the central nervous system — the root driver — using a multidisciplinary combination tailored to your specific presentation.
Comprehensive Evaluation
A thorough intake exploring your full symptom history, triggers, prior treatments, and CNS sensitization profile.
The Nervous System
Via upper cervical and cranial nerve 11 pathways.
BOTOX® for Chronic Migraine
Proven, FDA-approved preventive therapy. We've been administering it since 2005.
Medication Management
Thoughtful selection and sequencing of preventives, abortives, and adjunct medications.
Peripheral Nerve Blocks
Targeting peripheral nerves in combinations including supraorbital, auricular, the occipital complex, and Sphenopalatine Ganglion (SPG) areas.
Vagus Nerve Neuromodulation
Addressing this critical element of the migraine nervous system helps with migraine as well as symptoms including anxiety, sleep, and nausea.
Ready for a Real Diagnosis?
If other providers have missed the mark, we're ready to look deeper. Schedule an atypical migraine evaluation today.