Questions and Answers in English for Chronic Migraine and Facial Pain Treatment
What is the success rate of Dr. Owiesy’s algorithm for treating Migraines and Craniofacial pain?
Craniofacial pain, Craniofacial Autonomous Cephalgia, Craniofacial neuralgia, Migraine headaches and Trigeminal neuralgia are all synonymous terminology used in medical literature. Each may be divided into several distinct categories and require a specific treatment approach. Therefore, hypothesized categorization is difficult and based on the treatment option utilized. The majority of other treatment options currently available are completely or partially ineffective. Our treatment results demonstrate a 95-98% success rate with a one session procedure. However, 2%-5% of patients may require a second session touch up.
What age range will benefit from this treatment?
Migraine Headaches do not discriminate between ages and gender. We accept patients of all ages. Accepting patients for treatment depends on the duration of Migraines and Facial Pain. The treatment is recommended for ages 12-86 years old
What is the difference between Dr. Owiesy’s algorithm for treating Migraines and the sensationalized Botox® treatment for Migraine Headaches?
Botox® treatment addresses the symptoms of Migraines but is unable to cure Migraine headaches. This is due to the fact that Botox® only paralyzes the nerve endings. It works only for a few months with symptoms potentially returning with greater severity. Botox® treatment may even lead to antibody development causing more severe Migraine headaches. On the other hand, Dr. Owiesy’s treatment has a cure rate of 95-98%. This is because his treatment addresses the cause of Migraines. Some studies showed no different between placebo and Botox.®
What is the side effect and adverse reactions of the medication used?
The amount of each medication used is the minimum available dose recommended by the FDA for all components. Therefore, there are virtually no adverse reaction to be expected. Patients allergic to any of the component are out ranged unless desensitized.
What is the first step of treatment?
The first step starts with a consultation, obtaining history, and evaluating available medical records. Based on the history and evaluation, the doctor determines when to begin treatment and whether the patient should discontinue all Migraine related medications. We may need to slowly taper some of the medications, if necessary. Patients on long term use of opioids should receive detoxification prior to treatment. Patients on blood thinners may stop their medications for 72 hours but may continue Aspirin of 81 mg per day. All other medications should be continued safely.
What can be expected the day of treatment?
When the patient is experiencing active Craniofacial pain, we may schedule the patient for an appointment the next day or within the coming days. There are some hygienic procedure of scalp/hair shampooing that the patient has to follow. Then, the patient is placed on the treatment table in supine and then in prone positions to administer treatment.
Is the procedure painful, can every one tolerate the procedure?
Normally the administration of medication, like any injection, may cause mild stinging in the skin and subcutaneous tissue for a duration of 5-10 seconds. If the patient is hypersensitive to injections, they may receive a relaxing skin treatment one hour prior to procedure. The procedure takes between 60-90 minutes.
When I can experience relief?
You may experience relief immediately. This is a physiological process involving several major nerves, ganglia, and surrounding arteries and veins, which are directly involved in the process of craniofacial pain. Pain will be eased quickly and complete relief is experienced within 48-72 hours.
What if I am still getting Migraines and other Atypical Facial Pain?
Most patients (95%-98%) experience relief of their Migraine with the first treatment. 2%-5% may experience atypical pain in other areas or within the same area. This is normal because of anatomical variety of the nerves and involvement in the process of disease. These types of patients will receive the second session only for the resistant nerve branches.
How much does it cost and will my insurance cover it?
Some insurance companies decline coverage because it is a new treatment modality and is not coded. Our treatment costs are placed at the level affordable to almost everyone. Payments plan are accepted. We do not charge for touch ups. We may be able to bill your insurance for follow up visits only.
Health savings accounts and other providers may cover the entire costs or require. We may provide you with a treatment protocol, receipt and other clinical data to submit with your filing process to your insurance. We are not able to bill your insurance directly.
Are the medications FDA approved ?
Yes. Our medications have been used for many years to treat a broad spectrum of conditions.
How long does the relief last?
Our experience shows that the relief is long lasting. Our longest lasting Migraine patient thus far is expecting her seventh year free of any headaches after suffering from thirty years of Migraine with aura.
What if it does not work?
We have not experienced this condition yet. Some individuals with over 30 to 60 years of Migraine may experience a phantom pain after treatment, which responds easily to an Ibuprofen or Acetaminophen.
How long has this treatment been used?
Our treatment experiences started in 2005, based on single facility and single investigator observation. However, Faro T. Owiesy, M.D is multispecialty trained and experienced in studying the Autonomous Nervous System, Craniofacial Pain and other related conditions for the past 15 years.
Does the treatment require continuation of Migraine medications or lifestyle modification?
Normally, we do not recommend standard or alternative medications prior and after the treatment. To date, none of our patients expressed any need for any medication or lifestyle modifications.
I am an out of state or out of country patient. How may I save money and time to avoid several trips?
We would be happy to communicate per phone, fax, and Email to provide a consultation. We will review medical history of Migraines and other conditions. Then, we may arrange your appointment for a short visit and followed treatment. We would recommend 3-4 days of staying close by in case a second touch up treatment is required. Otherwise, you may return for follow up to one month post treatment. If your neuralgia requires additional touch we may do it at this time. However, 95% of patients receive only a one session treatment.