Happy New Year! 2019 has arrived, but it is not too late to make a New Year’s resolution. For those who are dealing with chronic migraines, now is a great time to explore some of the best migraine treatments of 2019.

Chronic migraine research is ongoing, and new treatments are becoming available that could help long-time migraine sufferers permanently address their migraine symptoms. Now, let’s take a look at eight of the best migraine treatments of 2019.


Botox ranks among the top non-surgical cosmetic treatments to reduce the appearance of fine lines and wrinkles in the face. It also helps chronic migraine sufferers minimize or eliminate their migraine symptoms. Research indicates that Botox injections help reduce the frequency, duration and severity of migraines. Plus, Botox injections may provide migraine relief within about five to seven days of treatment, and a single Botox treatment delivers results that generally last about three months or longer.

Migraine Surgery

Migraine surgery is minimally invasive and treats faulty nerve signals in the brain that otherwise cause migraine symptoms. It addresses migraines related to trigger points located inside the nose and around the neck, face and scalp. Each migraine surgery is tailored to a patient’s trigger points, and as such, helps alleviate nerve irritation. Like Botox, migraine surgery has been shown to help patients limit migraine frequency, duration and severity. Additionally, roughly half of all migraine surgery patients have reported no migraines following treatment.


The U.S. Food and Drug Administration (FDA) last year approved Aimovig, an injectable migraine treatment that blocks a molecule that has been linked to migraine attacks. Clinical studies have shown that Aimovig may help patients experience fewer monthly migraine days. However, clinical studies also indicate that some Aimovig patients experience side effects such as pain, redness or swelling at the injection site.


Ajovy is an injectable prescription treatment for adults dealing with migraines. It has been shown to help adults treat chronic and episodic migraines and is available in quarterly or monthly dosing options. Ajovy can be administered at home or in a doctor’s office, too. But like any prescription migraine treatment, it is paramount to consult with a doctor before using Ajovy, as the treatment may cause itching, rashes and other allergic reactions.


The FDA last year approved the Emgality injectable treatment for migraine prevention in adults. It also granted Emgality a “breakthrough therapy designation” for its ability to stop cluster headaches. Emgality studies revealed the treatment helped both chronic and episodic migraine sufferers experience fewer migraine attacks. Furthermore, these studies indicated that Emgality may provide a viable substitute to Botox for migraines.


Cefaly is an FDA-approved external trigeminal nerve stimulation device designed for individuals who experience frequent migraine attacks. It involves the use of micro-impulses to the upper portion of the trigeminal nerve, a cranial nerve that is responsible for biting, chewing and other face and motor functions. Cefaly also offers two settings: “acute” for individuals who require immediate migraine pain relief and “prevent” for individuals who require a preventative migraine treatment.

SPG Nerve Block

Sphenopalatine ganglion (SPG) nerve block is a procedure that numbs nerve cells inside and behind the nose; these nerve cells sometimes cause headaches. During an SPG procedure, a doctor inserts a thin plastic tube into a patient’s nose and applies anesthetic to numb his or her SPG. Following an SPG treatment, a patient may experience numbness. But once the numbness wears off, a patient may continue to experience migraine pain relief.


Chronic migraine sufferers sometimes use acceptance and commitment therapy (ACT) or mindfulness-based therapy as part of a migraine treatment program. ACT is used to help a migraine patient accept his or her migraine pain, develop goals and take steps to achieve these aspirations. Comparatively, mindfulness-based therapy helps a migraine patient manage his or her migraine pain, along with anxiety, depression and other feelings associated with this pain.

The Bottom Line on the Best Migraine Treatments of 2019

There was no shortage of migraine treatments available to address migraine pain in 2018. Meanwhile, 2019 may prove to be a landmark year for those seeking migraine pain relief.

Yet choosing between the best migraine treatments is often difficult, particularly for individuals who are dealing with chronic migraines and find that their current migraine medications are ineffective or cause unwanted side effects. Fortunately, Dr. Jonathan Cabin of The Migraine Institute is happy to help chronic migraine sufferers evaluate the best migraine treatments.

Dr. Cabin possesses board certification in head and neck surgery and dual-subspecialty training in facial plastic and reconstructive surgery. Dr. Cabin’s unique expertise allows him to help each patient identify the root cause of his or her migraine pain. Dr. Cabin also performs a comprehensive patient evaluation and develops a personalized treatment plan designed to deliver long-lasting migraine pain relief.

A consultation with Dr. Cabin offers a great starting point for those who want to permanently treat their migraine symptoms. To set up a consultation with Dr. Cabin, please contact us today at 310.461.0303.

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