Neuromodulation Devices for Headache and Migraine
Neuromodulation Therapy for Chronic Headache including Migraine & Cluster Headache
Neuromodulation devices are FDA-cleared, non-invasive tools that use gentle electrical stimulation to calm overactive nerve pathways involved in migraine and headache. Unlike daily medications, these devices are drug-free, safe, and can be used at home.
What are neuromodulation devices used for?
Neuromodulation devices are FDA-cleared for the treatment of migraine (acute and preventive), cluster headaches, and other nerve-related head and facial pain. They help calm overactive pain pathways without medication.
Who can benefit from neuromodulation?
Neuromodulation devices are recommended for patients with:
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Episodic or chronic migraines (with or without aura)
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Cluster headaches (acute attacks and prevention)
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Nerve-related head and facial pain (when medications are not well-tolerated or effective)
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A preference for drug-free, non-invasive treatment
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Medical conditions that make standard migraine medications unsafe (e.g., cardiovascular risk with triptans)
Who should avoid use
These devices should generally not be used by patients with:
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Implanted electronic medical devices (such as pacemakers, defibrillators, or deep brain stimulators)
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Metal implants in the head or neck in the area of stimulation
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Epilepsy or seizure disorders (unless cleared by a physician, depending on the device)
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Open wounds or skin lesions at the site of application
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Children, pregnant, or breastfeeding patients unless specifically approved by a doctor
Are they safe?
Yes. Neuromodulation devices are non-invasive, portable, and generally well-tolerated. Side effects are minimal and may include temporary tingling or mild skin irritation at the application site.
Which devices are available?
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Cefaly® – placed on the forehead to target the trigeminal nerve
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gammaCore® – applied to the neck to stimulate the vagus nerve
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Nerivio® – worn on the arm to provide remote electrical stimulation during a migraine attack
Do I need a prescription?
Yes. Most neuromodulation devices require a prescription. At our clinic, we evaluate whether you are a good candidate and guide you in obtaining and using the right device.
Can these devices replace my migraine medications?
For some patients, neuromodulation is effective enough to reduce or even replace medication use. For others, it works best as part of an adjunctive or comprehensive care plan that may also include medications, injections, or lifestyle therapies.
How soon can I expect results?
Some patients experience relief within the first few uses, while others notice gradual improvement with consistent daily use for prevention.Some patients experience relief within the first few uses, while others notice gradual improvement with consistent daily use for prevention.
