Migraine · Vestibular migraine · Chronic headache
Migraine and chronic headache: a brain-based complement to your medical care.
Migraine is a neurological condition, not "just a headache." We don't replace your physician or your medications. We look at the sensory, visual, vestibular, autonomic and lifestyle factors that can raise your migraine burden, and build a rehabilitation plan around them.
Look closer. Recover forward.
Sounds familiar?
- Frequent headaches or migraine attacks despite treatment
- Dizziness or vertigo, with or without a headache
- Sensitivity to light, sound, smells or motion
- Visual disturbances or aura
- Motion sickness or discomfort in busy visual environments
- Brain fog or fatigue around attacks
- Worry about how often you rely on pain medication
You're not imagining it, and you're not alone. These symptoms are real, and many of the systems behind them can be measured.
Why symptoms can persist
Migraine is classified internationally as a primary headache disorder rooted in how the brain processes sensory information. A helpful way to think about it is a threshold: when the combined load of sensory input, poor sleep, stress, hormonal shifts and other triggers rises above what your nervous system can handle, an attack is more likely.
For some people, dizziness is a main symptom. Vestibular migraine has its own international diagnostic criteria and can occur with little or no headache. Visual and vestibular systems that are working inefficiently, for example after a concussion, can add to that load day after day.
Rehabilitation aims to raise your threshold and lower the load, alongside the medical treatment your physician provides.
What we'll evaluate
Testing is chosen for you based on your history and what you can comfortably tolerate, with rest breaks built in.
Headache history
Pattern, frequency, triggers and a review of your headache diary and current treatment.
Eye movements and visual sensitivity
Tracking, convergence and how you respond to visual motion and patterns.
Vestibular and balance function
Inner-ear and balance testing, especially if dizziness is part of your picture.
Autonomic response
Heart rate and blood pressure on standing, since autonomic issues often travel with migraine.
Sleep and lifestyle factors
Sleep, regularity, activity and nutrition, reviewed as part of a functional medicine adjunct.
Impact on daily life
Validated headache-disability questionnaires so we can track change over time.
Our assessments guide rehabilitation and don't replace medical diagnosis. More about our testing
How care will work
Depending on your findings, your program may include vestibular and visual-motion rehabilitation, eye-movement training, graded aerobic conditioning, sleep and routine strategies, and nutrition and lifestyle support discussed with your physician. We schedule and dose sessions to avoid provoking attacks.
We coordinate with your neurologist or headache specialist and never change medications. If your headache pattern needs medical review, we'll say so.
Intensive program
Several shorter sessions per day, with planned rest, over a block of consecutive days. Designed for people traveling in or who want focused care in less time.
Outpatient program
Regular visits over several weeks with a home program in between. A good fit if you live nearby or prefer a gentler pace.
What to expect
- Before your visitWe review your records and prior testing, then talk on a short fit call so you know whether we're a good match before you book.
- EvaluationAn in-depth neurological exam and objective testing, paced to your tolerance.
- Report of findingsA plain-language explanation of what we found and what we recommend, with a written summary.
- Your programIntensive or outpatient rehabilitation, dosed and progressed as you respond.
- Re-test & home planWe repeat key measures to check progress and send you home with a program you can keep using.
We track attack frequency, intensity and disability scores alongside visual and vestibular measures, so progress is judged on more than one good or bad week.
When to seek urgent care
Seek emergency care for a sudden "worst headache of your life," a thunderclap headache, headache with fever and stiff neck, a new headache after age 50, or headache with weakness, confusion, vision loss or trouble speaking. If you think you are having a medical emergency, call 911.
This page is educational and is not medical advice. Please talk with your physician about your symptoms. We work alongside your medical team and never ask you to stop medications or replace medical care.
Frequently asked questions
Will I need to stop my migraine medications?
No. Medication decisions stay with your prescribing physician. Our work is designed to complement medical treatment.
Can rehabilitation help vestibular migraine?
Vestibular rehabilitation is often used as part of managing vestibular migraine, alongside medical care. Whether it fits you depends on your evaluation.
What does a brain-based approach add?
It looks at the visual, vestibular, autonomic and lifestyle factors that can make your nervous system more sensitive, measures them, and trains the ones that are underperforming.
How do you work with my physician?
With your permission we'll share our findings and plan in writing and coordinate with your neurologist, headache specialist or primary care physician.
Do you recommend supplements?
Nutrition and supplement questions are discussed carefully, based on evidence and your medical history, and coordinated with your physician. We don't sell a one-size-fits-all protocol.
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Look closer. Recover forward.
Related conditions
Many people have more than one of these. We look at how the systems interact.
Dizziness & vertigo
Chronic dizziness, imbalance, motion sensitivity, PPPD, or vertigo that keeps coming back.
Visual & cognitive processing
Eye strain, reading trouble, screen intolerance and slow processing that make busy places exhausting.
Concussion & TBI
Headaches, fog, light sensitivity or dizziness that linger months or years after a concussion or mild TBI.
Selected research
These sources describe the conditions and rehabilitation principles discussed on this page. They are not studies of our clinic, which is not yet open.
- Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211. doi.org/10.1177/0333102417738202 (opens in a new tab)
- Lempert T, et al. Vestibular migraine: diagnostic criteria (update). Bárány Society and International Headache Society. J Vestib Res. 2022;32(1):1-6. doi.org/10.3233/VES-201644 (opens in a new tab)