EPISODE · Jun 1, 2026 · 56 MIN
4 Stages of Migraine: A Modern Understanding of Headache Disorders
from Shoulders Up · host Dr Jimmy Pang DPT
Dr. Amal Starling discusses the differentiation between primary and secondary headache disorders, the diagnosis and characteristics of migraine, comorbidities and central sensitization, and the modern understanding of migraine pathophysiology and treatment. The conversation covers the revolutionary impact of CGRP inhibitors on migraine treatment, the challenges and future of personalized medicine for migraine, and a case study on managing migraine in perimenopausal women. It also delves into treatment options and the importance of patient education.TakeawaysHeadache as a symptom, not a diagnosisPrimary vs. secondary headache disorders CGRP inhibitors revolutionized migraine treatmentPersonalized medicine for migraine is the futureChapters00:00 Understanding Headache Disorders07:11 Migraine: Diagnosis and Characteristics15:30 Comorbidities and Central Sensitization31:38 CGRP Inhibitors: A Paradigm Shift in Migraine Treatment38:16 Identifying Effective Therapies for Migraine44:23 Case Study: Managing Migraine in Perimenopausal Women57:09 Treatment Options and Patient EducationPang PTwww.pangphysicaltherapy.cominstagram.com/pangphysicaltherapyAmerican Migraine Foundation:https://americanmigrainefoundation.org/Alliance for Headache Disorders Advocacy Grouphttps://allianceforheadacheadvocacy.org/
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4 Stages of Migraine: A Modern Understanding of Headache Disorders
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