Female doctor smiling performing Botox injection for chronic migraine.

Procedures & Advanced Assessments

Headache & Neurological Procedures

These procedures may be recommended as part of a comprehensive treatment plan for migraine, headache disorders, facial pain, and related neurological conditions.

  • Botox® injections for chronic migraine

  • Occipital nerve blocks

  • Trigeminal nerve blocks

  • Trigger point injections

  • Sphenopalatine ganglion (SPG) blocks

Cognitive, Brain Health & Longevity Assessment

Advanced tools and assessments may be incorporated when clinically appropriate to better understand cognitive performance, brain aging, and factors that influence long-term neurological health.

Cognitive Assessment

  • Validated digital cognitive testing and longitudinal cognitive tracking

  • Memory and cognitive performance evaluation

Neuroimaging

  • Advanced neuroimaging for cognitive health, dementia risk assessment, and brain aging evaluation when clinically indicated

Brain Health Biomarkers

Comprehensive laboratory assessment of metabolic health, vascular risk, inflammation, lipid metabolism, and selected emerging biomarkers associated with cognitive health and neurological resilience.

These evaluations may help identify potentially modifiable contributors to cognitive symptoms, brain aging, migraine vulnerability, fatigue, and overall neurological function.

Sleep & Wearable Data Integration

  • Sleep tracking and sleep-related physiological monitoring

  • Review and interpretation of wearable-device data when clinically appropriate

Precision Metabolic, Hormonal & Lifestyle Assessment

Because sleep, metabolism, hormonal health, physical fitness, and body composition can influence neurological function, selected patients may benefit from more detailed physiological assessment.

Hormonal & Neuroendocrine Evaluation

Comprehensive laboratory assessment of hormonal and metabolic factors that may influence cognition, sleep, migraine patterns, energy levels, and neurological performance.

When appropriate, care is coordinated with gynecologists, endocrinologists, primary care physicians, and other specialists involved in a patient's treatment.

Metabolic Health Assessment

  • Continuous glucose monitoring (CGM), when clinically indicated

  • Evaluation of insulin resistance and glucose regulation

  • Metabolic biomarker assessment

Body Composition & Fitness Assessment

  • SECA medical body composition analysis

  • DEXA body composition scanning (through selected external imaging centers)

  • Heart rate variability (HRV) assessment

  • VO₂ max testing (through selected external facilities)

  • Indirect calorimetry (Breezing Pro® resting metabolic rate analysis)