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Podcast Episode

4 Stages of Migraine: A Modern Understanding of Headache Disorders

Shoulders Up··1 June 2026·57 min

About this episode

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. Takeaways Headache as a symptom, not a diagnosis Primary vs. secondary headache disorders CGRP inhibitors revolutionized migraine treatment Personalized medicine for migraine is the future Chapters 00:00 Understanding Headache Disorders 07:11 Migraine: Diagnosis and Characteristics 15:30 Comorbidities and Central Sensitization 31:38 CGRP Inhibitors: A Paradigm Shift in Migraine Treatment 38:16 Identifying Effective Therapies for Migraine 44:23 Case Study: Managing Migraine in Perimenopausal Women 57:09 Treatment Options and Patient Education Pang PT www.pangphysicaltherapy.com instagram.com/pangphysicaltherapy American Migraine Foundation: https://americanmigrainefoundation.org/ Alliance for Headache Disorders Advocacy Group https://allianceforheadacheadvocacy.org/