Chronic Migraine Infusion Centers

With local infusion centers across the country, Chronic Migraine patients requiring ongoing biologic infusions or injections relax in privacy and comfort during treatment.

Intentionally designed for Chronic Migraine patients.

Private Suites

Guaranteed for all patients, with leather recliners and chairs for guests

On Your Schedule

Local centers offer flexible scheduling, including evenings and weekends

Goodbye Waiting

Greeted by name at check-in, patient suites are always ready when you arrive

Sit Back and Relax

In-room streaming options so you can catch up on your favorite shows

Caring for those with Chronic Migraine.

Simply put, patients with Chronic Migraine who need ongoing infusion or injection treatment deserve better options for when, where and how they receive care.

Located in the communities where people live and work, IVX Health serves those with complex chronic conditions like Chronic Migraine by delivering high-quality, personalized care in a private, comfortable setting so patients can continue to live their best lives.

What are Chronic Migraines?

Chronic migraine is defined as having at least 15 headaches a month, with at least eight days having headaches with symptoms of a migraine, for more than three months. Common migraine symptoms can include:

  • Moderate to severe head pain, which is made worse with physical activity or movement
  • Pain on one or both sides of the head
  • Throbbing pain or feelings of strong pressure
  • Light, sound, and smell sensitivities
  • Nausea
  • Dizziness

How are Chronic Migraines Diagnosed and Treated?

Your healthcare provider will ask a series of questions relating to your symptoms and medical history to reach a diagnosis.

There are several causes of chronic migraines so treatment options will depend on several factors. Some common treatments include lifestyle changes, treatment of specific migraine symptoms, and preventative treatment drugs and medications, as well as infusion therapy.

How Does IV Infusion Therapy for Chronic Migraines Work?

IV infusion for chronic migraines involves administering medication through an infusion pump that drips the medication into a catheter to a syringe and through a hollow needle into the patient’s bloodstream. The recommended dosage is 100mg administered every three months.

Many chronic migraine patients choose to get their IV infusion treatment through a freestanding treatment center, such as IVX Health. Chronic migraine patients often choose IVX Health as their preferred site of care because of its unique, patient-centered amenities, including private suites, its industry-leading 1:3 nurse-to-patient ratio, flexible appointment scheduling, and lower cost when compared to the hospital.

Chronic Migraine Therapies Administered at IVX Health

The following infusion and injection therapies are administered at IVX Health.

Chronic Migraine Management at IVX Health

Each IVX Health patient receives excellent care from Advanced Registered Nurse Practitioners (ARNPs) and Registered Nurses (RNs).

The benefits of receiving infusion treatments for Chronic Migraines at IVX Health include:

  • Private suites
  • Comfortable, leather recliners
  • Enough room and plenty of seating for guests
  • A friendly clinical staff
  • Personalized service
  • High-speed internet
  • Complimentary beverages and snacks
  • Flat-screen television sets provide a way for patients to stream their favorite movies and watch the shows they love
  • Flexible scheduling options (including evening and weekend appointments)

What to Expect During IV Infusion Treatment for Chronic Migraines

Step One

Using a thin, very small catheter, one of IVX Health’s nurses creates the patient an intravenous line (aka IV line) into the patient’s arm vein.

Step Two

After placing the IV line, the nurse connects it to tubing that leads up to the medication. The medication is then dispersed into the patient’s bloodstream over a specified period of time.

During treatment, patients are continuously monitored by one of IVX’s nurses. If a patient requires assistance, he or she just needs to press the call button.

There are times when a patient experiences a reaction to the medication he or she is receiving; therefore, patients need to recognize the symptoms associated with an allergic reaction.

Signs of a potential allergic reaction include developing a headache, feeling nauseous, difficulty breathing and developing a rash. Patients experiencing these symptoms need to contact their nurse right away.

How to Get a Referral for Chronic Migraine IV Infusion Treatment

Every referral must be accompanied by an order for treatment.

Patient information should include:

  • Name
  • Current address
  • Home and mobile phone number
  • Insurance information

Information the physician must include on the patient’s order for IV therapy to treat Chronic Migraines include:

  • Patient’s name and DOB
  • Order date
  • Diagnosis
  • Physician’s name and NPI#
  • Office address, phone, and fax numbers
  • Provider’s signature

Supporting clinical documentation from the physician should include:

  • Clinicals to support an indication for the preventive treatment of migraines in adult patients
  • Patient has a history of migraines and has been on two oral preventatives and has experienced four or more migraines within a month period

Due to the complexity of treatment, prior authorization is often required. Prior authorization is the process of getting approval for treatment from the patient’s healthcare provider before beginning treatment. It’s important to check in with your healthcare provider to see if a prior authorization will be needed for your infusion or injection treatment at IVX Health. 

If you have chronic migraines, and you would like to learn more about the IV infusion therapy for chronic migraines available at IVX Health centers, contact us today.

What is Chronic Migraine?

Chronic migraines are a challenging neurological condition characterized by frequent and severe headaches that can significantly disrupt daily life.

Symptoms:

  • Intense throbbing pain, typically on one side of the head but can affect both sides.
  • Pain is often intense and persistent, making concentration and daily tasks difficult.
  • Accompanying symptoms may include:
  • Nausea
  • Vomiting
  • Heightened sensitivity to light (photophobia) and sound (phonophobia) 

Impact on Daily Life:

  • During a migraine, sufferers often seek a dark, quiet place for relief. 
  • Chronic migraines can lead to complications such as depression, anxiety, and sleep disturbances, further affecting quality of life.

Duration and Frequency:

  • Migraines can last from 4 to 72 hours, causing moderate to severe pain and sometimes visual disturbances known as auras.
  • Chronic migraines are defined by headaches occurring on 15 or more days per month for at least three months.

Types of Migraines:

  • Migraine without aura is the most common, characterized by unilateral, pulsating pain often accompanied by nausea and sensitivity to light and sound.

Management:

  • Effective management typically requires a comprehensive approach, including:
  • Lifestyle changes
  • Medication 
  • Alternative therapies 

Our team is dedicated to providing compassionate care to help you manage and overcome the challenges of chronic migraines. 

What causes Chronic Migraine?

Understanding the causes of chronic migraines is key to effective management. Although the exact cause remains elusive, several pivotal factors contribute to their development.

Genetic Predisposition 

  • Migraines often run in families, indicating a strong genetic link. Research has identified specific gene mutations, like those in CACNA1A, ATP1A2, and SCN1A, related to hemiplegic migraine. These genetic insights show how our bodies work and why some of us are more prone to migraines. Having a family member with migraines significantly increases your chances, highlighting a hereditary component.

Brain Chemistry and Hormones 

  • Neurotransmitter imbalances, particularly low serotonin levels, contribute to migraines by weakening the pain inhibition system and increasing pain sensitivity. Fluctuating levels of dopamine and norepinephrine also play a role. Hormonal changes during menstruation, pregnancy, and menopause can trigger migraines, especially in women. Hormone replacement therapies and contraceptives may also affect migraine frequency.

Environmental Triggers 

  • Various environmental factors can trigger migraines, such as stress, anxiety, hormonal changes, certain foods and drinks, sleep disturbances, weather changes, and sensory stimuli like bright lights and strong smells. Foods with nitrates, MSG, or tyramine can trigger migraines in some people. Beverages with caffeine or alcohol are also known triggers. Identifying and avoiding these can help manage migraines. Keeping a migraine diary to track triggers and patterns can be a powerful tool for reducing migraine frequency.

By understanding these factors, you can take proactive steps toward better managing migraines. Empower yourself with knowledge and strategies to reduce their impact on your life!

Symptoms of Chronic Migraine

Identifying chronic migraines is crucial for effective treatment. These debilitating headaches can significantly impact daily life and overall well-being. Recognizing these symptoms can lead to a proper diagnosis and a more targeted treatment plan, improving the quality of life for those suffering from chronic migraines.

  • Throbbing Pain: Unlike regular headaches, migraines often involve intense, pulsating pain that can last for hours or even days. This throbbing sensation is usually felt on one side of the head and can significantly impact daily activities.
  • Nausea and Vomiting: Many migraine sufferers experience stomach discomfort, sometimes leading to vomiting. This gastrointestinal distress can be debilitating and often requires medication to manage.
  • Light and Sound Sensitivity: Bright lights and loud noises can worsen the pain, making it difficult to function normally. This hypersensitivity often forces individuals to seek a dark, quiet environment for relief.
  • One-Sided Pain: Migraines often affect only one side of the head, making the pain feel more localized and intense. This unilateral pain can shift sides but typically remains confined to one area during an attack.
  • Aura: Some individuals experience visual or sensory disturbances known as aura, which can include flashing lights, blind spots, or tingling in the face or hands. These symptoms usually precede the headache phase of a migraine.
  • Fatigue and Irritability: After the pain subsides, many people report feeling extremely tired and irritable. This postdrome phase can last for hours or days, making recovery from a migraine a prolonged process.

How to Diagnose Chronic Migraine

Accurate diagnosis is the cornerstone of effective migraine management, empowering individuals to take control of their health. Medical professionals leverage the power of medical history, physical examination, diagnostic criteria, and sometimes imaging tests, to pinpoint chronic migraines with precision and confidence.

Medical History and Physical Examination 

  • Diagnosing chronic migraines starts with a detailed medical history and physical examination. Healthcare providers assess headache frequency, duration, characteristics, and related symptoms like nausea and light/sound sensitivity. They also consider other conditions that could mimic or worsen migraines. This thorough evaluation helps in ruling out other issues and provides a clear understanding of the patient’s health.

Diagnostic Criteria 

  • The International Classification of Headache Disorders (ICHD-3) offers clear diagnostic criteria for chronic migraines. Individuals must experience headaches on 15+ days per month for at least three months, with at least eight of those days showing migraine traits like throbbing pain, one-sided location, moderate to severe intensity, worsening with routine activities, and symptoms like nausea or vomiting. These criteria ensure a precise diagnosis, ruling out other headache causes and providing patients with clarity.

Imaging Tests

  • In some cases, imaging tests like MRI or CT scans are crucial for ruling out other causes of chronic headaches, such as brain tumors, structural issues, or signs of stroke. These techniques offer detailed views of the brain, ensuring accurate diagnosis and tailored treatment. While not always needed, imaging tests are invaluable if patients show atypical symptoms or red flags in their medical history suggesting a more serious condition. This ensures precise recovery paths.

Additional Considerations

  • Beyond primary diagnostic methods, healthcare providers consider lifestyle factors and triggers contributing to chronic migraines. Stress, diet, sleep patterns, and environmental factors are all examined for their role in migraine frequency and severity. By addressing these factors, providers can develop a more holistic and effective treatment, significantly enhancing the patient’s quality of life.

Embracing a comprehensive and proactive approach to migraine diagnosis paves the way for effective management and a brighter, healthier future.

Standard Treatment Options for Chronic Migraine

Effective treatment of chronic migraines involves a combination of medications, lifestyle changes, and alternative therapies. Our approach prioritizes personalized care, ensuring each treatment plan is tailored to individual needs and adjusted over time for optimal results. 

Preventive Medications

  • Preventive medications aim to reduce the frequency and severity of migraines. Common options include beta-blockers (e.g., propranolol, metoprolol), antidepressants (e.g., amitriptyline, venlafaxine), anticonvulsants (e.g., topiramate, valproate), and CGRP inhibitors (e.g., erenumab, fremanezumab). These are taken regularly to prevent migraines, helping patients regain control of their lives.

Acute Medications

  • Acute medications treat migraines as they occur. Triptans (e.g., sumatriptan, rizatriptan), NSAIDs (e.g., ibuprofen, naproxen), and ergots (e.g., dihydroergotamine) are commonly prescribed for quick relief, helping patients manage migraine episodes with more ease and comfort. 

Lifestyle Modifications

  • Lifestyle changes are crucial in managing chronic migraines. Regular exercise, a healthy diet, and good sleep hygiene can significantly reduce migraine frequency and severity. Stress management techniques, such as yoga, meditation, and relaxation exercises, also contribute to a holistic approach. Our dedication to patient well-being means we support every step of this journey. 

Alternative Therapies

  • Alternative therapies can complement conventional treatments and provide additional relief. Acupuncture, biofeedback, and cognitive-behavioral therapy (CBT) are examples that have shown promise in managing migraines. These therapies address underlying triggers and promote overall well-being. Our compassionate care team is here to explore these options with you, ensuring a comprehensive approach.

Biologic Options for Chronic Migraine at IVX

Biologics, derived from living organisms, target specific immune system parts involved in migraines. They offer hope for chronic migraine sufferers by reducing attack frequency and severity. At IVX, we’re thrilled to provide leading biologics that significantly improve our patients’ lives. 

  • VYEPTI®: a quarterly IV infusion for adults, prevents migraines by targeting the CGRP receptor, offering fast, long-lasting relief. 

Final Thoughts

Chronic migraines can significantly impact lives, but with the right knowledge and strategies, relief is within reach. Understanding causes, symptoms, diagnosis, and treatments allows individuals to take proactive steps towards a better quality of life.

If you’re a migraine sufferer or a medical professional seeking more information, our compassionate team at IVX Health is here for you. We are dedicated to providing comprehensive care and empowering individuals to live well with chronic migraines. Contact us today to schedule a consultation and start your journey towards better migraine management. Let’s work together to make every day a little brighter! 

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