ACCORDING TO THE CENTERS FOR DISEASE CONTROL, MIGRAINE HEADACHES AFFECT ROUGHLY 1 OUT OF EVERY 7 AMERICANS ANNUALLY AND ARE LEADING CAUSES OF OUTPATIENT AND EMERGENCY ROOM VISITS
Most of the patients we see with migraines have been to several doctors before us. They typically see their internist first. Sometimes they get a prescription for anti-inflammatory medication or a triptan and are told to give it time. When the pain persists, patients are usually referred to a neurologist and get testing like EEG, MRI and MRA – many times these are all normal. The neurologist takes the medication to the next level and prescribes anti-seizure medication like Topamax and pain meds. Even this doesn’t work for many unfortunately.
Our goal is different than average migraine doctors in NYC. We already know that you have these headaches, so our only question is why? There are many possible issues that create a perfect storm which allows the brain to become dysfunctional. The end result is pain.
Following are common signs and conditions associated with migraine headaches:
- Head pain in frontal, temporal or occipital regions
- Brain fog
- Confusion or cognitive changes
- Decreased alertness
- Loss of balance and coordination
- Memory loss
- Muscle weakness
Because migraine headaches are symptoms of underlying brain dysfunction, a functional neurological examination is critical to making an accurate diagnosis and creating an appropriate treatment plan. We carefully evaluate brainstem based functions like eye movements and the vestibular system to ascertain how they are driving brain systems.
We also look very carefully at your metabolism and genetics. Blood, urine and stool testing is essential to uncover biochemical weakness that can be playing a role in your condition. Hormones such as thyroid are carefully evaluated. We are one of the only practices on the East Coast to offer the TRH Stimulation Test to evaluate thyroid function more carefully. We look for autoimmune conditions, gastroinstestinal imbalances and MTHFR gene mutations as well.
We utilize advanced testing like VNG, VAT, SIBO Breath Testing, Computerized Balance Testing and autonomic response testing when necessary.
ART + SCIENCE = DIAGNOSIS
At the Kellman Center, we blend art and science by examining all of the body’s systems and how they interact. We look for clues in patient behavior, as well as in medical tests, for potential imbalances. Sometimes a seemingly small correction in one area can have a huge impact on a person’s overall ability to think, speak, and control his or her body.
We look deeper to diagnose each person as an individual. We explore such critical and diverse factors as diet, genetics, and environmental stresses. Our broader, yet deeper perspective allows us to create a customized treatment plan for each individual. By combining functional neurology and functional medicine, we often achieve extraordinary results for our patients.
Our Migraine Specialist in NYC take a highly individualized approach to treatment, depending on the unique needs of each patient. Some of the therapies we use include the following:
- Oculomotor therapies
- Balance training
- Hyperbaric oxygen treatment
- Low Level Laser Therapy
- Anti-inflammatory approaches
- EWOT (Exercise with Oxygen Therapy)
- Lipid replacement therapy
- Mitochondrial support
- IV Magnesium
- IV Glutathione