Advanced Migraine Procedures & Targeted Therapies
When traditional medications aren't enough, Clear Path Neurology offers precision-based procedural treatments and the latest biological therapies to break the cycle of chronic pain.
Procedural Treatments: Immediate & Targeted Relief
Unlike oral medications that affect the entire body, procedures allow Dr. Patel to target the specific nerves involved in your headache disorder.
Botox® for Chronic Migraine
For those suffering from 15 or more headache days a month, Botox is a game-changer.
How it works: Tiny injections around the head and neck every 12 weeks to block pain fibers and signals. Dr. Patel follows the PREEMPT Protocol
Botox works by entering the nerve endings around the face and neck, inhibiting the release of neurotransmitters like Substance P and CGRP, effectively desensitizing the trigemino-vascular system.
The Direct Care Advantage:In traditional clinics, you might wait months for a "procedure slot." At Clear Path, we prioritize your scheduling.
Navigating Insurance: While Dr. Patel is out-of-network for the professional service of the injections, we understand that Botox is an expensive medication. We will work with you to obtain the necessary Prior Authorizations so your insurance can cover the cost of the medication itself, and we can help you navigate the Botox Savings Program to minimize your out-of-pocket costs.
Nerve Blocks & Trigger Point Injections
Occipital Nerve Blocks: An injection of local anesthetic (and sometimes a steroid) near the base of the skull to "reset" overactive pain signals.
Trigger Point Injections: Targeted relief for the neck and shoulder tension that often triggers or exacerbates a migraine attack.
Immediate Impact: Often used as a "rescue" to break a status migrainosus (a migraine that won't stop), but can also be used as part of a preventive regimen
The New Frontier: CGRP Targeted Therapies
We stay at the forefront of headache medicine by offering the latest FDA-approved CGRP (Calcitonin Gene-Related Peptide) inhibitors. These are the first preventive medications specifically designed for migraine.
Monoclonal Antibodies: Monthly self-injections (like Aimovig, Ajovy, or Emgality) or quarterly IV infusions (Vyepti).
Gepants: The newest class of oral pills (like Nurtec or Qulipta) or nasal sprays (like Zavzpret) that can be used for both daily prevention and acute rescue without the risk of medication overuse headache.
Neuromodulation: High-Tech, Drug-Free
For patients who are pregnant, breastfeeding, or prefer to avoid pharmacological side effects, we offer expertise in medical devices that use electrical or magnetic pulses to calm the nervous system:
Cefaly: A forehead-worn device that stimulates the trigeminal nerve.
Nerivio: A smartphone-controlled armband that uses remote electrical neuromodulation.
gammaCore: A handheld device that stimulates the Vagus nerve to stop cluster headaches and migraines.
Why Get Your Procedure at Clear Path?
In a large hospital system, procedures are often rushed. At the Clear Path Headache and Concussion Clinic, Dr. Patel performs these treatments in a calm, unhurried environment.
Precision: Extended windows ensure the injections are placed exactly where you need them.
No Hidden Facility Fees: In the Direct Care model, you pay for the expertise and the procedure—not the hospital’s overhead.
Comprehensive Follow-up: We don't just "do the shot" and send you away. We track your response via our secure app to fine-tune your long-term plan.
Take the Next Step Toward Relief
Whether you are interested in starting Botox or want to explore the latest CGRP therapies, the journey starts with a comprehensive evaluation.