Chronic Migraine Treatment

Board-Certified Neurology Expertise at Bixby Medical Group

At Bixby Medical Group, chronic migraine care is led by Dr. Mindy K. Bixby, Board-Certified Neurologist, and supported by Talia Tomasin, PA-C, an experienced and highly trained neurology provider.

Migraine is not “just a headache.” It is a neurological condition that can significantly impact your ability to work, think clearly, sleep well, and enjoy daily life. Our team provides comprehensive, evidence-based treatment designed to reduce migraine frequency, minimize severity, and restore quality of life.

We meet you where you are — and build a plan that moves you forward.

What Is Chronic Migraine?

Chronic migraine is defined as:

  • 15 or more headache days per month

  • At least 8 days with migraine features

  • Lasting for 3 months or longer

Symptoms may include:

  • Throbbing or pulsating head pain

  • Light and sound sensitivity

  • Nausea

  • Brain fog

  • Visual disturbances

  • Neck tightness or pain

Migraine is neurological. It is biological. And with the right strategy, it is treatable.

Our Approach to Migraine Care

At Bixby Medical Group, treatment begins with listening.

Dr. Bixby and Talia Tomasin, PA-C, take the time to evaluate:

  • Headache frequency and severity

  • Migraine patterns and triggers

  • Prior treatment history and response

  • Lifestyle, stress, and sleep factors

  • Risk of medication overuse

We use migraine tracking tools when helpful and design a customized treatment plan tailored to your medical history, goals, and preferences.

There is no one-size-fits-all approach to migraine care. Every plan is individualized.

Preventative Migraine Treatments

Designed to Reduce Frequency and Severity

For patients experiencing frequent or disabling migraines, preventative therapy can significantly decrease attack frequency and improve daily functioning.

We offer advanced preventive options including:

Injectable Neuromodulators:

  • Botox (onabotulinumtoxinA)

  • Dysport (abobotulinumtoxinA)

  • Xeomin (incobotulinumtoxinA)

CGRP-Targeted Therapies:

  • Ajovy (fremanezumab)

  • Emgality (galcanezumab)

  • Qulipta (atogepant)

  • Nurtec ODT (rimegepant)

  • Vyepti (eptinezumab) infusion

Preventative therapy is selected carefully based on migraine frequency, prior medication response, side effect profile, and insurance considerations.

Acute (Rescue) Migraine Treatments

Used at the Onset of an Attack

When a migraine begins, early intervention matters. We guide patients on appropriate rescue strategies to stop attacks safely and effectively.

Acute treatment options may include:

  • Ubrelvy (ubrogepant)

  • Nurtec ODT (rimegepant)

  • Sumatriptan and other triptan therapies

  • Zembrace SymTouch (sumatriptan injection)

  • Nerivio remote electrical neuromodulation device

In-office treatments when needed:

  • Lidocaine trigger point injections

  • Toradol (ketorolac) injections

  • Infusion therapy for severe or refractory attacks

Our team also educates patients on proper medication timing and frequency to prevent rebound headaches.

Comprehensive Migraine Management

Effective migraine care extends beyond prescriptions. We focus on long-term stability through:

  • Trigger identification

  • Headache tracking

  • Sleep optimization

  • Hormonal considerations

  • Stress management strategies

Our goal is measurable improvement — fewer migraine days, less disruption, and greater control.

Why Choose Bixby Medical Group

Chronic migraine treatment requires expertise, experience, and thoughtful care.

At Bixby Medical Group, your care is led by a Board-Certified Neurologist and supported by an expert neurology PA who specialize in complex neurological conditions. We combine advanced therapies with individualized treatment planning to deliver high-level migraine care in a supportive, patient-centered environment.

If you are ready to reduce your migraine burden and regain control of your life, we are here to help.

Schedule an appointment today to begin your personalized migraine treatment plan.