Chronic Migraine Treatment in Ponte Vedra Beach, FL

At West Eastern Health, we offer a comprehensive range of treatments for chronic migraines including ketamine therapy, neurofeedback therapy, brain mapping (qEEG), trigger point injections, and BEMER Therapy. Our provider will conduct a thorough assessment to determine which treatments—or combination of treatments—are best suited to your individual migraine pattern, triggers, and health history.

Yes, research demonstrates that ketamine can be highly effective for chronic migraines, particularly when traditional treatments have failed. Ketamine works by modulating NMDA receptors in the brain, reducing central sensitization and interrupting pain signaling pathways. Many patients experience rapid relief—often within 24 to 72 hours—and a reduction in migraine frequency and intensity. Ketamine is especially beneficial for patients whose migraines co-occur with depression or anxiety.

Neurofeedback trains your brain to regulate its own activity more effectively, addressing the neurological dysregulation that underlies chronic migraines. Using real-time brain wave monitoring, you learn to shift out of patterns associated with migraine susceptibility—such as excessive beta waves or irregular alpha rhythms—and into more balanced, resilient patterns. Over time, this retraining reduces migraine frequency, severity, and the need for medication. It's particularly effective for stress-related migraines.

Treatment duration varies based on the modality and individual response. Ketamine therapy typically involves an initial series of 6 infusions over 2-3 weeks, with maintenance sessions as needed. Neurofeedback generally requires 10-20 sessions for lasting improvement. BEMER Therapy and trigger point injections may be scheduled weekly or bi-weekly depending on symptom severity. During your consultation, our provider will develop a personalized treatment timeline with clear milestones and expected outcomes.

Coverage varies by insurance provider and treatment type. We recommend contacting your insurance company directly to verify benefits for neurofeedback, ketamine therapy, trigger point injections, and other services. Our team at West Eastern Health can provide the necessary documentation and codes to assist with claims. We also offer flexible payment options for out-of-pocket expenses.

Your initial consultation includes a comprehensive assessment of your migraine history, triggers, current medications, medical conditions, lifestyle factors, and treatment goals. Our provider will review your symptoms in detail and may recommend brain mapping (qEEG) to identify neurological patterns contributing to your migraines. Together, you'll develop a personalized treatment plan that may include one or more therapies tailored to your needs.

In many cases, yes. Our integrative treatments can complement traditional migraine medications, and many patients are able to reduce or eliminate medication use as symptoms improve. However, medication management should always be coordinated carefully. Our provider will review all current medications during your consultation and work collaboratively with your neurologist or primary care provider to ensure safe, effective treatment coordination.

Response time varies by treatment modality. Ketamine therapy often provides relief within 24-72 hours, while neurofeedback and BEMER Therapy produce gradual, cumulative improvements over several weeks. Trigger point injections typically offer relief within hours to days. Every patient is unique, and our provider will monitor your progress closely, adjusting your treatment plan as needed to optimize outcomes.