Chronic Migraine Treament
Chronic Migraine Treatment in Richmond, VA
Neurologist-Led Migraine Care & Botox for Chronic Migraine
Bare Face RVA provides specialized chronic migraine treatment under the direction of Dr. Sherita Chapman, a dual board-certified neurologist and fellowship-trained vascular specialist.
This is not a general neurology clinic. Care is intentionally focused on comprehensive migraine management, including Botox for chronic migraine and individualized preventive strategy optimization.
Who This Is For
This service is designed for patients who:
Experience 15 or more headaches days per month
Have tried oral preventative medications without adequate relief or due to intolerance
Are seeking a migriane specialist in Richmond
Prefer direct physician-led care in a private setting
Wish to reduce headache frequency, severity, or associated disability
Botox for Chronic Migraine
OnabotulinumtoxinA is an evidence-based preventive therapy for chronic migraine. Treatment is administered every 12 weeks using precise anatomical mapping.
Dr. Chapman’s approach emphasizes:
Technical precision
Patient comfort
Low-anxiety injection technique
Functional outcome tracking
Many patients report reductions in migraine frequency, intensity, and disability over time.
A Focused Migraine Strategy
Beyond injections, care includes:
Preventive therapy review
Trigger identification and lifestyle optimization
Structured follow-up
Continuity with the same neurologist at every visit
What to Expect From Botox Treatment
Consultation & Evaluation
Each patient begins with a focused clinical consultation to confirm diagnosis, determine candidacy, and review treatment goals.
Treatment Visits
Botox injections are performed every 12 weeks using FDA‑approved patterns and dosing. The procedure typically takes 10–15 minutes.
Ongoing Follow-up
Migraine Botox requires consistent repeat treatment to maintain benefit. Most patients begin to notice improvement after the second treatment cycle.
Treatment Benefits
Many patients receiving Botox for chronic migraine experience:
Fewer headache days
Reduced migraine severity
Shorter duration of attacks
Decreased reliance on rescue medication
Improved function and quality of life
Clinical studies support meaningful reductions when treatment is continued on schedule.
Insurance & Access
Chronic migraine Botox is typically covered by insurance for qualifying patients. Insurance plans may require:
Diagnosis confirmation
Trial of oral preventive medications
Documentation of headache frequency
Prior authorization
At Bare Face RVA, insurance credentialing for chronic migraine Botox is currently in progress. Patients may join the migraine waitlist to be contacted once insurance‑based appointments are available.
How Prior Authorization Works
For covered patients, prior authorization may involve:
Submission of clinical documentation
Medical history review
Insurance determination
Approval for recurring treatment
Patients will be guided through each step to streamline access.
Common Questions
Is Botox a cure for migraine?
No. Botox is a preventive therapy that can reduce frequency and severity over time.
How long does it take to see improvement?
Many patients notice benefit after the second 12‑week cycle.
How long does treatment take?
Injection visits typically take 10–15 minutes.
Will I still need other medications?
Some patients continue to use rescue or preventive medications; this varies by individual.
Does it hurt?
Patients typically describe brief, mild discomfort that resolves quickly.
Eligibility & Qualification
Patients may qualify if they:
Have chronic migraine as defined above
Have tried at least two preventive medications or cannot tolerate them
Do not have contraindications to Botox therapy.
If you are unsure whether you qualify, a consultation can determine next steps.
Ready to Explore Treatment
The next step is a consultation.
Insurance credentialing for chronic migraine Botox is currently in progress. Patients may join the waitlist to be notified when insurance scheduling opens.