Migraines are rarely caused by a single trigger. For most people, they develop when multiple physiologic systems become stressed at the same time—sleep, hydration, nutrition, stress regulation, and structural alignment. The HeadWay Migraine Consultation is a comprehensive, osteopathic-informed evaluation designed to identify why migraines are occurring and what modifiable factors may be contributing to them.
This consultation goes beyond symptom management. Rather than focusing solely on medications or isolated triggers, we assess migraine vulnerability through a whole-person lens. Many patients experience years of recurring headaches despite imaging, medications, and specialist care. This visit is designed to identify overlooked contributors and create a clear, individualized path forward.
The HeadWay Migraine Consultation is appropriate for patients with episodic or chronic migraine, tension-type headaches, hormonally-triggered migraines, or headaches that persist despite standard treatment.
What can I expect during the consultation?
The HeadWay Migraine Consultation is a 90-minute visit. During this time, we complete a detailed review of your headache history and assess the five HeadWay pillars:
- Sleep and circadian rhythm
- Hydration and electrolyte balance
- Nutrition and metabolic fuel
- Stress physiology and vagal tone
- Structural alignment and posture
We review patterns, triggers, prior treatments, lifestyle factors, and relevant medical history. The goal is to identify where your system may be under strain and how those stressors overlap to lower your migraine threshold. When appropriate, an osteopathic structural assessment may be included.
You will leave the visit with clarity about why migraines may be occurring and which areas deserve focused attention.
What are the next steps after the consultation?
Following the consultation, patients may choose to continue with HeadWay Migraine Health Coaching, which is separate from the medical practice. Coaching is not medical care and does not involve diagnosis or treatment of disease.
HeadWay Migraine Health Coaching provides structured education, accountability, community support, and guidance focused on implementing lifestyle strategies across the five pillars. Coaching options range from self-directed education to guided and personalized support, depending on individual needs and goals.
Participation in coaching is optional. The consultation itself stands alone as a comprehensive assessment and roadmap.
Please visit headwaymigraine.com for more information on the coaching platform.
Are medications prescribed for migraine during this visit?
No. Medications are not prescribed as part of the HeadWay Migraine Consultation.
This service is designed to focus on lifestyle, physiologic, and structural contributors to migraine rather than medication management. If you are already using prescription migraine treatments, those should continue to be managed by your primary care provider or neurologist.
Will you work with my PCP or neurologist?
Yes. The HeadWay Migraine Consultation is intended to complement your existing medical care, not replace it.
Lifestyle-based interventions work best when integrated alongside appropriate medical management. With your permission, we are happy to collaborate with your primary care provider, neurologist, or other members of your healthcare team to support a coordinated approach to migraine care.