In the last twenty years there has been significant research implicating peripheral mechanisms in the generation of migraine headaches.  Addressing these peripheral mechanisms by altering local anatomy has shown anecdotally, retrospectively, prospectively randomized as well as in placebo controlled trials to greatly reduce or eliminate headaches.  There has been a lot of confusion for a variety of reasons about the efficacy of these interventions as they have come from many different fields.  This conference is designed to finally promote a conversation among specialties to help better determine a treatment algorithm to reduce migraine disease with the least amount of long term dependence on medications, particularly in light of today’s opiate crisis.

Conference Location

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Lecture Program:

Attendees to the lecture should be able to identify current and emerging issues and advances affecting the diagnosis and delivery of treatment for migraine headache management.

Objective:

To educate providers treating headache on new interventional approaches from a variety of fields including Migraine Surgery, Neurology, ENT, Maxofacial Surgery and Pain Specialty.

Designation Statement

The Maine Medical Education Trust designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Policy

The Migraine Surgery Foundation, its planners or faculty for this event have no significant or relevant financial relationships to disclose.

No Charge for Medical Residence and Medical Students

Residents and Medical Students must register through the Register Here button below.


Professional Registration Fee

Providers must register through the Register Here button below

as well as the Pay Now button in order to receive CME credit.

Provider Fee: $40.00

Pay Now

8:15 am - 9:00 am

Title: Perspectives on Headache Intervention

.75 AMA PRA Category 1 Credit(s)TM

David Austin Branch, M.D.

Medical Director, Northeastern Migraine Surgery Center – Bangor, Maine

Medical Director, Northeastern Interventional Pain and Migraine Center – Portland, Maine

At the end of the presentation the learner should be able to:

Inform treating physicians about the history of migraine surgery in the US.
To share the official opinion paper from the American Society of Plastic Surgery.
Demonstrate the need for sharing of information and Collaboration among specialties.

9:00 am - 9:45 am

Title: Introduction to Migraine and Advances in Migraine Pharmacotherapy

.75 AMA PRA Category 1 Credit(s)TM

Egilius L.H. Spierings, M.D., Ph.D.

Clinical Professor of Neurology Tufts University School of Medicine – Boston, MA

At the end of the presentation the learner should be able to:

Understand migraine presentation.
Treat migraines effectively abortively
Appreciate advances in migraine prevention.

9:45 am - 10:30 am

Title: The Story of Surgical Chronic Headache Treatment and the Cervical Pain Treatment of Chronic Headache

.75 AMA PRA Category 1 Credit(s)TM

Ziv Peled, M.D.

Medical Director, Peled Plastic Surgery

At the end of the presentation the learner should be able to:

Understand who is a good candidate for headache surgery.
Understand the scope of the problem nationally and worldwide.
Understand the Surgical Approach

10:30 am - 11:15 am

Title:  Rhinogenic Migraines and Facial Pain

Title: Peripheral and Sphenopalantine Nerve Block for Facial Pain and Migraines

.75 AMA PRA Category 1 Credit(s)TM

Marcelo Hochman, M.D.

Medical Director, Migraine Treatment Center – Charleston, SC

Medical Director, Facial Surgery Center – Charleston, SC

At the end of the presentation the learner should be able to:

Describe the pathophysiology of rhinogenic pain.
Describe the anatomy of interest in rhinogenic pain.
Describe the available medical and surgical treatments for rhinogenic pain.

Describe the pertinent anatomy of the pain pathways of the face/head and neck.
Describe the techniques for peripheral nerve and sphenopalatine ganglion blocks.
Describe the indications/protocol for management of facial pain with nerve blocks.

11:15 am - Noon

Title: Vascular Surgery for Migraine and Cluster Headache

.75 AMA PRA Category 1 Credit(s)TM

Elliot Shevel, D.B.S., Dip.M.F.O.S., M.B.B.Ch

Medical Director, The Headache Clinic – South Africa

Director, South African Headache Society

At the end of the presentation the learner should be able to:

Identify role that extracranial arterial pain plays in migraine.
Identify the diagnosis of extracranial arterial pain.
The surgical treatment of extracranial arterial pain.

Break For Lunch

12:00 pm – 1:00 pm / Break For Lunch

1:00 pm - 1:45 pm

Title: Interventional Assessment of Headache

.75 AMA PRA Category 1 Credit(s)TM

Peter Marshall, M.D.

Director of Pain Management , Northeastern Interventional Pain and Migraine – Portland, Maine

At the end of the presentation the learner should be able to:

Name headache trigger / agitators.
Understand how headache trigger / agitators contribute to migraine frequency.
Understand the work up of non-migraine triggers.

1:45 pm - 2:30 pm

Physicians Q & A Discussion Panel

Public Learning Session

General Public learning Discussion – Question and Answer

This is an opportunity for the general public to ask question and learn more about Migraine Surgery.

2:30 pm - 3:15 pm (Open To Public - No Charge)

Title: Why your Migraine Treatment is Inadequate (Open to Public)

.75 AMA PRA Category 1 Credit(s)TM

Elliot Shevel, D.B.S., Dip.M.F.O.S., M.B.B.Ch

Medical Director, The Headache Clinic – South Africa

Director, South African Headache Society

At the end of the presentation the learner should be able to:

Identify role that extracranial arterial pain plays in migraine.
Identify the diagnosis of extracranial arterial pain.
The surgical treatment of extracranial arterial pain.

3:15 pm - 4:00 pm (Open To Public - No Charge)

Title: Inadequacies of Current Headache Treatment and the New Surgical Procedures and Pharmacologic breakthroughs in Headache Care (Open to Public)

.75 AMA PRA Category 1 Credit(s)TM

Physicians Panel: David Austin Branch, M.D., Egilius L.H. Spierings, M.D., Ph.D., Ziv Peled, M.D., Marcelo Hochman, M.D., Elliot Shevel, D.B.S., Dip.M.F.O.S., M.B.B.Ch

Services for the Disabled.

If special arrangements are required for an individual with a disability to attend this course please contact Dr. Averitt at director@themigrainesurgeryfoundation.org

Joint Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and The Migraine Surgery Foundation. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.