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Chronic Migraine That Hasn’t Responded to Medication
Preventive medications, triptans, Botox, and CGRP inhibitors have helped many patients reduce migraine frequency. But not everyone responds. Some patients try multiple medications. Doses are adjusted. Side effects become limiting. Imaging is normal. And headaches continue. When this happens, it does not automatically mean nothing works. It often means the migraine process is being maintained by mechanisms that medication alone does not fully address. Why Migraines Can Persist
Kiya Hunter
Feb 112 min read
When Low Back Pain Persists
Low back pain is commonly treated with physical therapy, spinal injections, and medication. For many patients, these approaches are appropriate and effective. But some people plateau. They complete therapy. They try injections. Imaging is reviewed. And pain continues to interfere with sitting, standing, exercise, sleep, or work. When this happens, the issue is often not that treatment was wrong. It is that pain is being maintained by mechanisms that have not yet been addresse
Kiya Hunter
Feb 112 min read
Considering PRP or Stem Cell Treatment? Read This First.
Patients typically explore PRP or stem cell injections when pain or nerve-related symptoms have not responded to standard care. In the right situation — particularly when clear tissue pathology is driving symptoms — regenerative procedures can be appropriate. But not all persistent pain is primarily a tissue problem. Many patients escalate to regenerative treatments without first determining whether the nervous system — not the tissue — is the primary limiting factor. That di
Kiya Hunter
Jan 273 min read
The Kind of Practice We Set Out to Be
There's a kind of medicine that barely exists anymore. The old family doctor who knew your name before you said it. Who remembered that you'd been under stress at work last time you came in. Who asked about your mother because they'd treated her too. Who was there not just for the big diagnoses but for the ordinary moments of a life — the ear infection at two in the morning, the knee that flared up before the big game, the exhaustion that settled in after a loss. That kind of
How Long Does Acupuncture Take to Work?
This is one of the most common questions patients ask — especially when symptoms have already persisted despite other treatments. The honest answer is that acupuncture works on multiple time scales at once. Some effects occur within seconds. Others unfold over days or weeks. Meaningful recovery often reflects a process, not a single session. Understanding these layers helps set realistic expectations and reduces anxiety about whether treatment is “working.” Immediate Effects:
Why Healing Feels Different Since COVID
Many patients notice that recovery from illness, injury, or stress feels slower and less predictable than it did before 2020. Pain lingers longer. Fatigue is harder to shake. Sleep feels fragile. Minor setbacks cause major flare-ups. Even when medical tests are reassuring, progress can feel incomplete. This does not mean recovery is impossible. It often reflects a shift in baseline nervous system and physiological resilience following COVID infection, pandemic stress, or both
The Kind of Practice We Set Out to Be
There's a kind of medicine that barely exists anymore. The old family doctor who knew your name before you said it. Who remembered that you'd been under stress at work last time you came in. Who asked about your mother because they'd treated her too. Who was there not just for the big diagnoses but for the ordinary moments of a life — the ear infection at two in the morning, the knee that flared up before the big game, the exhaustion that settled in after a loss. That kind of
How Long Does Acupuncture Take to Work?
This is one of the most common questions patients ask — especially when symptoms have already persisted despite other treatments. The honest answer is that acupuncture works on multiple time scales at once. Some effects occur within seconds. Others unfold over days or weeks. Meaningful recovery often reflects a process, not a single session. Understanding these layers helps set realistic expectations and reduces anxiety about whether treatment is “working.” Immediate Effects:
Why Healing Feels Different Since COVID
Many patients notice that recovery from illness, injury, or stress feels slower and less predictable than it did before 2020. Pain lingers longer. Fatigue is harder to shake. Sleep feels fragile. Minor setbacks cause major flare-ups. Even when medical tests are reassuring, progress can feel incomplete. This does not mean recovery is impossible. It often reflects a shift in baseline nervous system and physiological resilience following COVID infection, pandemic stress, or both
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