Targeted Diagnosis: Identifying Your Headache Profile
Dr. Karmazin takes a deep-dive approach to clinical history, moving beyond the symptoms to understand the neurological "why" behind your pain.
Migraine Disease
A complex neurological condition involving specific brain pathways. Dr. Karmazin identifies your specific triggers and phases—from prodrome to postdrome.
Tension-Type Headaches
Often daily and debilitating, these require a nuanced look at musculoskeletal health, stress response, and sleep architecture.
Cluster & TACs
High-intensity 'alarm clock' headaches that require rapid, specialized intervention through advanced acute and preventive protocols.
Secondary Headache Assessment
As a board-certified neurologist, Dr. Karmazin expertly rules out underlying structural or systemic issues masquerading as routine pain.
Precision Treatments: The Three-Pillar Approach
Dr. Karmazin utilizes a sophisticated strategy that balances immediate relief with long-term brain health through the careful integration of Abortive, Preventive, and Lifestyle therapies.
Abortive Treatments
Stopping the Attack
- Gepants (e.g., Nurtec, Ubrelvy): Modern oral medications that block CGRP receptors without cardiovascular risks
- Targeted Triptans: Precision-dosed medications for rapid relief of severe attacks
- Neuromodulation: FDA-cleared devices like Nerivio or gammaCore for drug-free pain relief
Preventive Treatments
Reducing Frequency
- CGRP Monoclonal Antibodies: Once-monthly targeted therapies (e.g., Aimovig, Ajovy)
- Botox® for Chronic Migraine: Proven injections to prevent symptom onset
Lifestyle Interventions
Strengthening the Foundation
- Nutraceutical Protocols: Magnesium, Riboflavin (B2), and CoQ10 for brain health
- SEEDS Protocol: Sleep, Exercise, Eating, Dehydration prevention, and Stress management
- Trigger Mapping: Identifying environmental, dietary, and hormonal factors
The Private Practice Advantage: Virtual Neurology
Dr. Karmazin believes that the best neurology care should be accessible where you are most comfortable. Our virtual care model offers a direct line to a specialist without the stress of a commute.
Personalized Attention
Direct access to Dr. Karmazin, not a rotating staff.
Trigger-Free Environment
Consult from your home, avoiding sensory triggers like bright clinic lights.
Rapid Coordination
Digital prescriptions sent immediately to your preferred pharmacy.
Continuity of Care
Regular video check-ins to monitor progress and adjust your roadmap.