Chronic Migraine Treatment in Beverly Hills & Across California
Find migraine relief with personalized care — including Botox for migraines, trigger point injections, and evidence-based prevention.
What are migraines?
Migraines are a complex neurological disorder that often results in intense, throbbing headaches typically felt on one side of the head, or with proceeding sensory changes (aura). They may be accompanied by:
- Nausea or vomiting
- Sensitivity to light and sound
- Visual disturbances or “aura”
- Debilitating pain lasting hours to days
If you experience more than 15 headache days per month, you may have chronic migraines, which benefit from a comprehensive, preventive treatment plan.
Migraine Treatment Options
Botox for Chronic Migraines
Botox is FDA-approved to prevent chronic migraines and can significantly reduce:
- Number of headache days
- Severity and duration
- Frequency of medication use
Treatment is done typically once every 12 weeks and takes less than 30 minutes. We help you enroll in the Botox Savings Program, which may reduce your out-of-pocket costs to as low as $0.
Results over 108 weeks and up to 9 treatments of Botox for chronic migraine resulted in 8.0, 10.0, 10.5, and 11.6 fewer headache days per month from baseline at weeks 24, 60, 84, and 108, respectively.
Trigger Point Injections for Migraine and Headache
If your migraines start in your neck, shoulders, or upper back, or get worse with stress or tension, trigger point injections can help.
These quick, in-office treatments use a small amount of anesthetic to relax tight muscles and reduce nerve irritation — often providing immediate relief and helping to prevent future migraines.
They’re especially helpful for patients who also experience:
- Tension-type headaches
- Neck or jaw tightness
- Stress-induced migraines
Best when combined with lifestyle adjustments, muscle relaxers, or preventive meds.for chronic migraine resulted in 8.0, 10.0, 10.5, and 11.6 fewer headache days per month from baseline at weeks 24, 60, 84, and 108, respectively.
CGRP Inhibitors: Modern Migraine Prevention
I’m a huge fan of the CGRP class — they’ve been life-changing for many of my patients.
We offer the full range of CGRP monoclonal antibodies and receptor antagonists, including:
- Aimovig (erenumab)
- Emgality (galcanezumab)
- Ajovy (fremanezumab)
- Nurtec ODT (rimegepant) — also used for acute treatment and prevention
These medications are designed to block the calcitonin gene-related peptide (CGRP) pathway that plays a major role in triggering migraines. They’re ideal for patients who haven’t had success with oral preventives or prefer fewer side effects.ache days per month from baseline at weeks 24, 60, 84, and 108, respectively.
Migraine Treatment in Beverly Hills, West Hollywood & California Telehealth
While newer treatments like Botox and CGRP inhibitors get most of the attention, many patients still do well with tried-and-true medications that have been used for decades to prevent migraines. These options are especially helpful for people with coexisting conditions like anxiety, depression, insomnia, or high blood pressure.
At Be Well Berlin, we take a personalized approach to migraine prevention — and sometimes, the best option is the one that’s been working reliably for years.
Commonly used preventive medications include:
- Amitriptyline or Nortriptyline – Especially helpful if your migraines are tied to stress, poor sleep, or anxiety.
- Propranolol (or other beta blockers) – A great fit for patients with migraines and high blood pressure or performance anxiety.
- Topiramate (Topamax) – Can reduce migraine frequency, but needs to be used thoughtfully due to side effects like brain fog or tingling.
- Gabapentin – Occasionally used off-label, especially if migraines overlap with nerve pain, fibromyalgia, or anxiety.
We’ll help you weigh the benefits and potential side effects of each option — and adjust based on your specific needs and medical history.
“We don’t believe in a one-size-fits-all approach. You deserve a plan that actually fits your life.”
Preventive & Lifestyle Counseling
Migraine treatment isn’t just about medication — we also help you identify and manage triggers that might be fueling your headache patterns. Together, we’ll explore:
✦ Stress or emotional triggers
✦ Irregular sleep schedules
✦ Hormonal fluctuations
✦ Diet, caffeine, or dehydration
This holistic approach is especially helpful if your migraines are influenced by monthly cycles, work stress, or inconsistent routines.proach. You deserve a plan that actually fits your life.”
Why Choose Be Well Medical Group?
Be Well Medical Group is is a practice focused on warm, personalized, and inclusive care for your whole self.
✦ Botox for migraines in West Hollywood, Beverly Hills, and LA
✦ Insurance accepted + affordable cash-pay options
✦ $100/month membership for unlimited primary & mental health care
✦ Located in Beverly Hills (ZIP 90021) — close to Santa Monica, Venice, Hollywood, and Culver City
✦ Serving all of California via telehealth