• They work by specifically targeting the migraine’s biochemical pathway. This decreased their adverse effects profile. They have been deemed “minimal risk” which means they have no known or expected side effects.
• They have all been found to be useful in acute migraine as well as preventative migraine treatments.
• Some patients prefer to avoid medication, which will reduce the chance of medication side effects and also medication-overuse headache (MOH).
• There are currently 3 non-invasive (not requiring surgery or implantation) FDA-approved devices.
1. Cost. It is not covered by most insurance companies and cost a few hundred dollars to rent per month.
2. Efficacy. It may not be as effective as other preventative migraine medications.
3. Portability. Some complain they are heavy or big to carry around in a purse. The sTMS weighs 3 lb.
4. Time. It can take 3 months of proper use to notice an effect.