Chronic Migraine Pain Relief Procedures
“Migraine headaches can profoundly impact quality of life — affecting work, rest, and personal relationships. Many people seek relief through various approaches, from medication to physiotherapy, yet for a significant number of patients, these methods alone may not be sufficient to reduce the severity and frequency of migraine attacks.”

Today, there are advanced medical treatments available that can effectively reduce both the frequency and intensity of chronic migraines:

  • Botulinum Toxin (Botox) injections 
  • Anti-CGRP medication injections

Types of Migraine

Migraines can be classified into several types, with two primary categories:

  • Migraine without aura — the most common type. Patients experience headache attacks without any prior warning signs. Pain typically presents as a throbbing or pulsating sensation, often on one side of the head, and may be accompanied by nausea, vomiting, or sensitivity to light and sound.
  • Migraine with aura — a type of migraine preceded by neurological warning symptoms (aura) before the headache begins. Aura most commonly involves visual disturbances, such as flashing lights, zigzag lines, or temporary blind spots, and may also include tingling sensations or difficulty speaking.

What Is Chronic Migraine?

Chronic migraine is defined as experiencing headaches on 15 or more days per month for a period exceeding 3 months, with at least 8 of those days displaying characteristics of a migraine attack (such as throbbing pain on one side, nausea, or sensitivity to light or sound). Patients with this condition often find that standard oral medications no longer provide adequate or consistent relief.

Who is this treatment suitable for?

  • Patients with chronic migraine — headache occurring on more than 15 days per month
  • Patients experiencing migraine-type headache on 8 or more days per month
  • Patients who have tried other treatments (such as oral medications or physiotherapy) without sufficient improvement, or who have experienced significant side effects from existing medications
  • Patients looking for a high-efficacy, low side-effect preventive option that fits a predictable treatment schedule

Treatment Protocol

  • Duration: Each session takes only 15–30 minutes and requires no hospitalisation or recovery time.
  • Treatment frequency: Injections are recommended every 3 months, continued for approximately 12–18 months, for sustained and long-term symptom control.

Expected Outcomes

Clinical studies show that the majority of patients experience a significant reduction in the number of headache days, a decrease in pain intensity, and an improved ability to resume normal daily activities. With consistent treatment over time, patients typically enjoy progressively longer periods free from migraines.

Side Effects

Side effects following treatment are minimal compared to oral medications. Patients may experience only mild redness or slight soreness at the injection site, which typically resolves on its own within a short period.

Lifestyle Adjustments to Maximise Treatment Outcomes

In addition to medical treatment, physicians recommend the following lifestyle modifications for the best possible outcomes:

  • Identify and avoid personal triggers — Keep a headache diary to recognise your individual triggers. Common ones include psychological stress, certain foods and beverages (such as alcohol, caffeine, and aged cheeses), hormonal changes, and dehydration. Avoiding known triggers reduces the frequency of attacks independently of medication.
  • Prioritise consistent sleep — Irregular sleep is one of the most potent migraine triggers. Going to sleep and waking at the same time every day — including weekends — creates neurological stability that significantly reduces migraine susceptibility.
  • Stress management — practising mindfulness, meditation, or gentle exercise can help reduce nervous system tension and lower the frequency of migraine episodes.

Treat Pain at Bangkok Interventional Clinic

At Bangkok Interventional Clinic, we focus on personalised, in-depth pain management tailored to each individual.
  • Assessment and treatmentby board-certified pain management specialists
  • Targeted interventional procedures for fast and effective symptom relief
  • Patient education to support sustainable, long-term self-care

Our goal is to improve the quality of life for every person who comes to us for care. If you are experiencing pain that affects your daily life, an accurate diagnosis and the right treatment plan are the first steps toward meaningful change. Bangkok Interventional Clinic — Specialised Pain and Nerve Care by Multidisciplinary Specialist Physicians

Other procedures

If you are living with chronic pain, Bangkok Interventional Clinic

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