Migraine is a prevalent primary headache disorder marked by recurrent episodes of moderate to severe pain, often accompanied by nausea, vomiting, photophobia, or phonophobia. Some patients experience an aura due to cortical spreading depression. The pathophysiology involves trigeminovascular activation, neurogenic inflammation, and cortical hyperexcitability. Standard management includes pharmacologic and behavioral therapies, yet a subset of patients develop chronic, drug-refractory migraine. For these individuals, advanced options such as botulinum toxin injections, peripheral nerve neurolysis or neurectomy, and neuromodulation with occipital nerve stimulation may be considered. Selection of appropriate surgical candidates requires careful clinical evaluation, recognition of trigger sites, and assessment of comorbidities to balance benefit with risks such as muscle weakness, neuropathic pain, or device-related complications. This course strengthens clinicians’ knowledge and competence in the evaluation and management of refractory migraine. Learners explore the mechanisms, techniques, and evidence supporting advanced interventions, and they develop strategies for safe patient selection and complication prevention. The curriculum highlights interprofessional collaboration among neurologists, surgeons, psychologists, psychiatrists, pharmacists, and specialty-trained nurses. Each professional brings unique expertise, encompassing medication optimization, behavioral health, surgical planning, and patient education. Collaborative care improves diagnostic accuracy, procedural safety, and adherence, ultimately enhancing patient outcomes and quality of life.
Credit & MOC Details
Credit information is provided by the course provider. We recommend confirming credit eligibility with the provider or your licensing board before starting the activity.
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FDA REMS
Qualifies for MIPS
Target Specialties
Relevant across 7 specialties.
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Specialties served/covered
- Addiction Medicine
- Adolescent Medicine
- Advanced Heart Failure & Transplant Cardiology
- Allergy & Clinical Immunology
- Anatomic & Clinical Pathology
- Blood Banking & Transfusion Medicine
- Brain Injury Rehabilitation
- Breast Imaging
- Cardiac Anesthesia
- Cardiothoracic Surgery
- Cardiovascular Disease
- Chemical Pathology
- Clinical Cardiac Electrophysiology
- Clinical Informatics
- Critical Care Medicine
- Cytopathology
- Dermatopathology
- Diagnostic Radiology
- Endocrinology, Diabetes & Metabolism
- Facial Plastic & Reconstructive Surgery
- Foot & Ankle Surgery
- Forensic Pathology
- Gastroenterology
- General Internal Medicine
- General Operative Anesthesia
- General Otolaryngology
- General Pediatrics
- General Surgery
- Geriatric Medicine
- Head & Neck Surgery
- Hematology
- Hematopathology
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- Hospital Medicine
- Interventional Cardiology
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- Laryngology
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- Medical Oncology
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- Metabolic & Bariatric Surgery
- Molecular Genetic Pathology
- Musculoskeletal Oncology
- Neonatal-Perinatal Medicine
- Nephrology
- Neuro Anesthesia
- Neurocritical Care
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- Obstetric Anesthesia
- Obstetrics & Gynecology
- Ophthalmology
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- Otology & Neurotology
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- Pediatric Anesthesia
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- Pediatric Hematology-Oncology
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- Physical Medicine & Rehabilitation
- Practice Management & Ethics
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- Shoulder & Elbow Surgery
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- Cross-Specialty
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- Article / monograph / reference
- includes Online course / module
- Credit · Up to 1 credit
- MOC · Up to 1 point
- Fee varies · this provider typically $49–98
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ReleasedSep 1, 2026
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Last day to claim creditSep 1, 2029 3 years left
