Only 4.5% of people with chronic migraine make it through the full care cascade — consultation, accurate diagnosis, and minimally adequate treatment [1]. This page is for everyone stuck in the other 95%: the structured, non-pharmacologic layer that almost nobody delivers as an actual program. Adjunct to your neurologist, never instead. Free 15-minute call · (214) 730-6463.
MindForge doesn't bill insurance — by design. Direct-pay is what makes an individualized, intensive program possible rather than care shaped by billing codes. HSA/FSA and financing options exist, and a written Good Faith Estimate precedes any commitment.
Scope, named: chronic and high-frequency migraine whose medication care has plateaued (core), tension-type headache (secondary), cervicogenic headache where the neck contributes (evaluated here; with dizziness → cervicogenic dizziness). Not this page: dizziness-dominant migraine → vestibular migraine (hard fence) · headache after concussion → PCS · cluster and secondary headaches → medical care, full stop — and new "worst-ever" headache is an emergency.
The gap: migraine affects roughly one in six US adults and sits among the world's leading causes of disability in adults under 50 [2]; chronic migraine converts that to a daily tax (~1% of the population [2]). Medication remains first-line for many and stays your physician's domain — what's almost never delivered is the coordinated non-drug layer with published support: structured aerobic exercise reduces migraine days in trials and meta-analyses [3], trigger-system workup (sleep, hormonal, metabolic, dietary — FM lane), cervical treatment where the neck loads the picture, and paced conditioning — run as one dosed program, coordinated with your prescriber.
Evaluation: the MindForge Discovery Day headache-disability instruments, pattern history, cervical and oculomotor assessment, autonomic screen where indicated, FM labs. Same-day findings + GFE — or routing by name (headache neurology first is sometimes the answer). Program: concentrated multi-week adjunct blocks (pricing on your free 15-minute call; exact quote at the wrap). What treatment looks like: Discovery Day → dosed exercise progression + trigger-system work + cervical care as indicated → re-test on your own instruments. No cure — migraine doesn't have one, and we say so.
Frequently asked questions
Can you replace my migraine medication?
No — we're an adjunct, physician-coordinated by design.
Does exercise really help migraine?
Meta-analyses support reduced migraine days with structured aerobic training [3] — dosing and pacing are the craft.
My headaches started after a concussion — is this my page?
See post-concussion syndrome — different mechanism, different page.
What about dizziness with migraine?
See vestibular migraine.
Do you take insurance?
We're direct-pay, with superbills provided — see ways to pay.
Sources: [1] Dodick et al., CaMEO, Headache (2016). [2] US prevalence ~1-in-6–8 adults (Cohen et al., Headache, 2024 SR); WHO headache fact sheet (disability burden); CM ~1% (AMPP/Buse lineage). [3] Lemmens et al., J Headache Pain (2019) SR/MA; Woldeamanuel & Oliveira (2022) + Reina-Varona et al. (2024) network meta-analyses.