Understanding the 31-Site PREEMPT Standard
While many clinics offer "migraine shots," clinical relief for chronic migraine requires a specific, standardized protocol known as PREEMPT. This isn't a single injection; it is a comprehensive desensitization of the entire head and neck pain network.
Why 31 Sites?
Migraine is a whole-brain event. By utilizing all 31 sites, we are able to:
Block the "Pain Loop": We target the specific sensory nerves where they emerge from the muscle, stopping the signal before it reaches the brainstem.
Bilateral Balance: Chronic migraine rarely stays on one side. Our protocol covers muscles on both sides of the head/neck to ensure complete coverage.
All muscles treated include: Corrugators, Procerus, Frontalis, Temporalis, Occipitalis, Cervical Paraspinals, and Trapezius
Dose Consistency: We follow the FDA-approved dosing which has been clinically proven to reduce the number of "headache days" for those suffering 15 or more days per month.
The Direct Care Difference at Clear Path
In a traditional, high-volume neurology clinic, Botox procedures are often rushed or delegated to support staff. In our Direct Care model, we prioritize precision and the patient experience.
Physician-Performed: Dr. Patel personally performs every injection. His deep understanding of anatomy ensures that each unit is placed with exact precision for maximum efficacy.
Comfort-First Technique: We use the smallest available needles and specialized injection techniques to minimize discomfort. Most patients find the 31-site process much easier than they anticipated.
Administrative Advocacy: We handle the complex prior-authorization process with your insurance and navigate "Botox Savings Programs" on your behalf, so you can focus on healing, not paperwork.
Is the PREEMPT Protocol Right for You?
This protocol is the gold standard for Chronic Migraine. If you feel like you’ve "tried everything" and are still losing days to pain, a precision-driven approach may be the missing piece.