Dr Painkiller

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Dr Painkiller đź©ş Neurologist & Pain Doctor (NY, CT, CA)
đź“Ť Greenwich, CT & Brooklyn, NY
✉️ [email protected]
đź“ž 646-307-1645
🌎 https://www.skool.com/darkroom
(4)

01/09/2026

2 Doctors Play Yes, No, or Depends: Migraine Edition.

This is a short excerpt covering occipital nerve blocks, migraine botox, and SPG blocks — the full conversation with Dr. McAllister on migraine treatments and what to do about them lives inside The Dark Room. Comment ROOM and I’ll send you the link.

28/08/2026

Hormones may be one of the most important — and underappreciated — pieces of the migraine puzzle.

Migraine disproportionately affects women, and hormonal shifts across menstruation, pregnancy, perimenopause and menopause can have a major impact on migraine patterns. That doesn’t mean every migraine is “hormonal,” but it does mean this conversation deserves a lot more attention than it gets.

Fortunately, there are physicians pushing that conversation forward. Dr. Louise Newson, a menopause specialist, has been particularly active in educating women and clinicians about the enormous impact hormones can have on women’s health — a subject she also explores in her latest book, The Power of Hormones.

We still have a lot to learn at the intersection of hormones, menopause and migraine. But treating these as completely separate conversations makes less and less sense.

I sat down with Dr. Peter McAllister, a board-certified neurologist and one of the country’s leading headache specialists with decades of migraine experience, to weigh in on migraine triggers.

Have you noticed your migraine change with hormonal shifts?

27/08/2026

Migraine hacks, rated 0-10 by two neurologists (we didn’t always agree).

If you have migraine, you’ve heard every single one of these. So we scored them, 0 to 10, no mercy.

Which one did we get wrong? Forward this to whoever keeps prescribing you water — and drop the weirdest hack you’ve ever been told below.

26/08/2026

Two neurologists, one hour, one migraine. Topics include CGRP blockers, the new kid on the block PACAP, and one jump scare we refuse to apologize for.

I sat down with Dr. Peter McAllister — board-certified neurologist and one of the country’s leading headache specialists.

This is the trailer — the full podcast with Dr. McAllister lives inside The Dark Room. Comment ROOM and I’ll send you the link.

26/08/2026

Migraine is linked to 60+ other conditions: why anxiety, IBS, EDS and migraine often travel together.

Sat down with Dr. Peter McAllister to talk about why. The short version: these are often bidirectional relationships, and shared genetics may explain part of it. Migraine has a lot of friends. None of them pay rent. If you want the full picture of how migraine actually works, including the conditions that run with it, that’s what we break down inside the Dark Room. Comment ROOM and I’ll send you the link.

25/08/2026

Botox vs. CGRP blockers for migraine?

It's the most common question in my comments, so I put it to Dr. Peter McAllister, a world-class neurologist who’s been treating chronic migraine since before either option existed.

The short version: the decision isn’t a coin flip, and it’s usually not made the way patients assume. There’s a longer version of this conversation, plus the full Q&A with Dr. McAllister, inside my migraine community, The Dark Room. Comment ROOM if you want the link. This is education, not medical advice — talk to your own doctor about what fits your case.

25/08/2026

It’s not that you’re doing migraine wrong. It’s that no one updated your treatment plan.

I sat down with migraine legend Dr. Peter McAllister and we answered the question: what holds migraine patients back the most? Most of the patients we see are doing everything right. They’re tracking triggers, they’re managing sleep, they’ve tried it all. What they haven’t gotten is a healthcare system that kept up. If you’ve had migraine for years and nobody has ever mentioned gepants, CGRP medications, Botox, or nerve blocks, you didn’t fail your treatment. Your treatment plan failed to evolve. You’ve done your part. Make sure your treatment plan is doing its part. This is education, not medical advice — talk to your own doctor before making changes.

24/08/2026

Occipital nerve blocks for migraine: what & where are we actually injecting?

24/08/2026

Two Neurologists Reveal Their Favorite Migraine Preventive Medications.

Ask two neurologists for their favorite migraine preventive and apparently you’re not getting one answer.

His answer: Vyepti. Mine: Nurtec for episodic, Qulipta for chronic.

That doesn’t mean these are automatically the “best” medications for everyone — migraine prevention is highly individualized, and the right choice depends on attack frequency, other medical conditions, prior treatments, side effects, insurance coverage, and a lot more. As always this is for educational purposes only, not medical advice- talk to your doctor.

We went much deeper into the current migraine treatment landscape — including CGRP medications, Botox, older preventives, and what’s changing — in our full conversation inside The Dark Room.

The Dark Room also includes my migraine courses, weekly live Q&As, expert conversations and the community.

Comment ROOM if you want the link.

23/08/2026

Two Neurologists: What We Wish Everyone With Migraine Knew.

Migraine and a migraine attack are two different things, and confusing them is why some people don't take this disease seriously.

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