New patients
Many patients are used to brief visits that end in a new prescription. This is a different kind of visit — and it helps to know what to expect before you arrive.
Visit 1
A full headache history, a neurologic exam, and a careful review of the prior workup, imaging, and medications you have already tried — reviewed together with you, so we can see what has been done and what questions remain. You leave with a working diagnosis, a tailored acute plan you can use that week, and a decision about whether further imaging or pressure studies are warranted.
60–75 minutes
Visit 2
We go through any imaging, venography, eye exam, or laboratory results, confirm or revise the diagnosis, and set the preventive strategy — medication, procedure, non-medication, or a combination — including the first procedure if one is indicated.
30–40 minutes
Ongoing
Botox on a 12-week cycle, blocks and infusions as needed, and preventive adjustment based on your diary. Most patients settle into visits every 8–12 weeks once the pattern is controlled.
As scheduled
Access
The national average wait to see a headache specialist exceeds six months. We hold new-patient slots specifically for patients in an active daily-headache cycle.
Follow-up and medication management visits are available by video for established patients across New York and the tristate area. Procedures and first consultations are in person.
A dedicated visit type for patients who have already seen a neurologist or headache clinic. Send records ahead and we spend the visit on the diagnosis, not on intake.
In-office infusion slots for status migrainosus so a prolonged attack does not become an ER visit.
Come prepared
For referring physicians
I welcome referrals from primary care, neurology, obstetrics, ENT, dentistry, pain management, and concussion programs. Referrals are best suited for structural or refractory headache patterns that fit an interventional workup: post-dural puncture headache, positional or exertional headache, pulsatile tinnitus with headache, suspected CSF pressure or venous flow disorders, and chronic migraine that has not responded to standard neurology care. Referring clinicians receive a consultation letter with the diagnosis and plan after the first visit.
Referral contact →Between visits
A simple headache diary — date, hours of pain, severity, medication taken, and anything notable that day — is the single most useful thing you can bring. It determines whether you meet criteria for chronic migraine, whether medication overuse is driving the pattern, and whether a treatment is genuinely working.
Common questions →