Radiant Primary Care • Millburn, NJ
Migraine Treatment in Millburn, NJ
Migraine care with board-certified internists: newer migraine medicines, preventive shots, and Botox and nerve blocks done in our office. Appointments Monday through Saturday.
✓ Botox for Chronic Migraine
✓ Nerve Blocks In-Office
✓ Nurtec, Ubrelvy & Preventive Shots
✓ New Patients Welcome
✓ Appointments Mon–Sat
Why Treat Migraines Here
Fewer Bad Days. A Plan That Works.
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Treatment in One Place
Medicines, Botox and nerve blocks are all handled by your own doctor, in our office.
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Prevention, Not Just Rescue
We look for patterns and triggers and build a plan to cut down how often migraines happen, not just stop each one.
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The Whole Picture
Sleep, stress, hormones and blood pressure can all affect migraines. We look at all of it, including sleep apnea.
More Than a Bad Headache
A migraine is a throbbing, often one-sided headache that can last hours to days, often with nausea and sensitivity to light and sound. Some people see an aura, such as flashing lights or zigzag lines, before it starts. Migraines are common, especially in women, and very treatable. Keeping a headache diary of when attacks happen, how long they last and what you took helps us choose the right treatment.
What Migraine Care Includes
• A full headache history and exam
• A look at triggers such as sleep, stress, food, hormones and caffeine
• Medicines to stop an attack, including triptans and newer options such as Nurtec and Ubrelvy
• Daily preventive medicines when needed
• Monthly preventive shots such as Aimovig, Ajovy or Emgality
• Botox for chronic migraine, in our office
• Occipital nerve blocks, in our office
• Help with medication overuse headache
• Referral to neurology when needed
Treating an Attack and Preventing the Next
For attacks, we choose a treatment that fits how your migraines start and what you can safely take: anti-inflammatories, triptans, or newer medicines such as Nurtec and Ubrelvy. If you have frequent migraines, prevention matters more. Options include daily pills, Nurtec taken every other day, and monthly CGRP shots such as Aimovig, Ajovy or Emgality. We adjust the plan until your migraine days go down.
Botox and Nerve Blocks in Our Office
For chronic migraine, 15 or more headache days a month, Botox is an FDA-approved preventive treatment. Small injections are given around the head and neck about every 12 weeks, right here in our office. For a stubborn migraine, an occipital nerve block, a quick injection of numbing medicine at the back of the head, can bring relief that lasts days to weeks. Botox and newer medicines usually need prior authorization from your insurance.
When a Headache Is an Emergency
Call 911 for a sudden, severe headache (the worst of your life), a headache with weakness, numbness, trouble speaking, vision loss or confusion, a headache with fever and a stiff neck, or a headache after a head injury. If your headaches suddenly change or a new headache pattern starts after age 50, book a same-day sick visit.
Insurance and What to Bring
Migraine visits and treatments are billed to your insurance, and we accept Medicare. Newer medicines and Botox often need prior authorization. Your usual copay, deductible or coinsurance applies. See insurance & billing.
Please bring: your insurance card, a list of every migraine medicine you’ve tried and how it worked, your current medications and supplements, and a headache diary if you keep one.
Migraine Questions
When should I see a doctor for migraines?
If you have headaches 4 or more days a month, if over-the-counter medicine isn’t working, if you’re taking pain relievers more than 2 days a week, or if headaches are causing you to miss work or plans. Prevention can mean fewer and milder attacks.
What are Nurtec and Ubrelvy?
They are newer migraine medicines called gepants that block CGRP, a protein involved in migraine pain. Ubrelvy treats an attack once it starts. Nurtec can treat an attack and can also be taken every other day to prevent migraines. They can be an option if triptans don’t work or aren’t safe for you.
How does Botox for migraine work?
Botox is FDA-approved to prevent chronic migraine (15 or more headache days a month). Small injections are given in the forehead, temples, back of the head, neck and shoulders, about every 12 weeks, in our office. It often takes two treatments to see the full effect.
What is a nerve block for migraine?
An occipital nerve block is a quick injection of numbing medicine near the nerves at the back of your head. It’s done in our office in a few minutes and can calm a stubborn migraine. Relief can last days to weeks.
Will my insurance cover migraine treatment?
Most plans cover common migraine medicines. Newer medicines and Botox often need prior authorization, and Botox is usually covered only with a chronic migraine diagnosis. Coverage depends on your plan.
Can too much pain medicine cause headaches?
Yes. Taking pain relievers or triptans on too many days a month can lead to medication overuse headache, where headaches become more frequent. We can help you break the cycle and switch to prevention.
This page is general information, not medical advice. Your treatment depends on your own health history. If you are having a medical emergency, call 911.