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15 Neurology Hours 

August 1-8, 2024 & November 23-30, 2024

New Year - New Program Updates! Pain Reset 2.0 & Functional Neurology Essentials

Mastering Migraine

Mastering Migraine 2.0

Cape Canaveral, FL & Live-Streaming 

12 DAYS OF NEURO SAVINGS

Day 12 - Mastering Migraine

Save an additional $599 off of the already discounted 5-module Mastering Migraine Bundle tuition. For a total program savings of $1,799 off the individual modules tuition.
✨Use Code: MistletoeMigraine at checkout to save on the Mastering Migraine Bundle! ✨

OR

Save $100 off any Mastering Migraine individual module.
✨Use code: MasterStar to save on individual modules.✨

Upcoming Mastering Migraine Dates
Module 1 – April 12-14, 2024
Module 2 – July 12-14, 2024
Module 3 – September 13-15, 2024
Module 4 – November 15-17, 2024
Grand Rounds – March 1-2, 2025

Mastering Migraine

Presented by: Dr. Adam Harcourt

This program will equip you to be one of top clinicians in the field of migraine. Dr. Harcourt will be teaching you innovative clinical neurological techniques for migraine, of which less than a handful of doctors in the world know at the moment. Migraine is the 6th most debilitating condition in the world and effects over 38 million Americans, with 4 million suffering from chronic migraine. Not only will you understand what modalities and treatments will make you extremely effective at managing migraine, you will also learn how all other practitioners are treating it in order to create a comprehensive management plan. I put this course together because we have patients DAILY from all over the world desperate for help (resorting to extreme measures) that we are unable to serve. Migraineurs are vastly underserved due to the complexity of the condition, which you will master by the end of this course.

This series is designed to make you a highly competent practitioner to treat migraine and migraine-related disorders. All material will be presented from the most current research available. Treatment and management approaches have been developed through experience gathered by the Carrick Institute & Dr. Harcourt through the management of over 900 migraine patient cases.

What Our Mastering Migraine Scholars Are Saying

Scholars Will Learn
  • Learn what actually causes migraine and why there is a disconnect between research and clinical practice.
  • Understand the difference between a migraine trigger and the root cause of a migraine.
  • Learn treatment modalities that address the neurological, musculoskeletal, hormonal, and nutritional components of migraine.
  • Understand which practitioners to network/co-manage with and how to bridge the gap when talking about medication withdrawal, surgical interventions, etc.
  • Learn how to give hope and answers and to the millions of desperate Migraineurs across the world.
Who is this class for?

This program can be attended by Functional Neurologists, Chiropractors, Medical doctors, Osteopaths, Naturopaths, Nutritionists, and Physical therapists, Massage therapists, etc. One must hold a current valid license as a healthcare provider to diagnose and treat a patient. Please contact us if you have any questions about your eligibility for this program.

Mastering Migraine Detailed Course Outline

Module 1 – Neurophysiology & Clinical Manifestations  

Day 1  

  1. Societal Costs 
  2. Obesity & Migraine 
  3. Demographics 
  4. Global Burden of Disease 
  5. Migraine Care in Europe 
  6. Migraineurs using CAM 
  7. Migraine History 
  8. Ion Channels and their relationship to migraine 
  9. Transient Receptor Potential Channels 
  10. TRPA1 
  11. TRPV1 
  12. TRPV4 
  13. TRPM8 
  14. P2X Channels 
  15. Calcium Activated Potassium Channels 
  16. Familial Hemiplegic Migraine 
  17. Imaging in Migraine 
  18. Inter-Attack 
  19. Midbrain PET scan studies 
  20. Brainstem involvement 
  21. Brainstem Changes in Migraine w/ Aura 
  22. EEG findings in migraine 
  23. Default Mode Network inter-attack connectivity 
  24. Functional Connections in migraine 
  25. Premonitory Phase 
  26. Aura Phase 
  27. Headache Phase 
  28. Migraine Phase 
  29. Photophobia 
  30. Blood brain barrier 
  31. Postdromal phase 
  32. Trigeminovascular Pain Pathway 
  33. Peripheral afferent pathway 
  34. Ascending Projections from the TCC 
  35. Superior Salivatory Nucleus 
  36. Parabrachial Nucleus 
  37. Cuneiform Nucleus 
  38. Brainstem/Thalamus to Subcortical/Cortical Structures 
  39. Modulation of Trigeminal Pain Pathways 
  40. Brainstem Modulation 
  41. Locus Coeruleus 
  42. Rostral Ventromedial Medulla 
  43. Nucleus Raphe Magnus 
  44. Periaqueductal Gray 
  45. Neurotransmitters modulating the trigeminovascular system 
  46. 5-HT 
  47. Endocannabinoids 
  48. Review of the Day 1

Day 2  

  1. Long term potentiation priming 
  2. Hypothalamic Modulation 
  3. Thalamic processing of trigeminovascular pain 17. Cortical processing of trigeminovascular pain 1. Cortical Excitability 
  4. TCG & Interictal periods 
  5. Two Point discrimination in migraine patients 20. Neural Basis for Headache Pain 
  6. Premonitory Symptoms 
  7. Headache Characteristics 
  8. Photophobia & Photophobia 
  9. Nausea & Vomiting 
  10. Autonomic Dysfunction 
  11. POTS & Migraine 
  12. Cardiac Autonomic Dysfunction 
  13. Sympathetic Hyperactivity 
  14. Hemispheric Contributions 
  15. Parasympathetic Hyperactivity 
  16. Facial Blood Flow 
  17. Photophobia 
  18. HRV & Skin Conductance 
  19. Parasympathetic Deficiency 
  20. Aura, CSD, & The Trigeminovascular System 1. Aura 
  21. Cortical Spreading Depression 
  22. Genetics of Migraine 
  23. Genetic Risk 
  24. Familial Hemiplegic Migraine 
  25. Migraine Case Study 
  26. Review of Day 2 

Day 3  

  1. Migraine Triggers 
  2. Inflammatory Mechanisms 
  3. Brain Mechanisms 
  4. Skipping Meals 
  5. Anatomy of Feeding & Fasting 
  6. Orexins 
  7. NPY 
  8. Leptin 
  9. Sleep Disruption 
  10. Stress 
  11. Case Study #2 
  12. Pharmacology 
  13. Current Medical Management 
  14. Pharmacology 
  15. Serotonin 
  16. Calcitonin Gene-Related Peptide 
  17. Rizatriptan 
  18. Erenumab
  19. Nitric Oxide Synthase 
  20. Pituitary Adenylate Cyclase-Activating Peptide 9. Onabotulinumtoxin A 
  21. Algopirin 
  22. Prognosis / Progression 
  23. White matter hyper intensities 
  24. Chronic Migraine Treatment Options 
  25. Theories of Migraine 
  26. Vascular Theory 
  27. Neurogenic Inflammation Theory 
  28. Peripheral & Central Sensitization Theory 4. Brain State Theory 

Module 2 – Nutrition & Hormones  

Day 1  

  1. Review of Module 1 
  2. Nutritional Considerations 
  3. Caffeine 
  4. Ketogenic Diet 
  5. Genetics & Nutrition 
  6. Histamine Intolerance 
  7. Pain Safe foods 
  8. Dietary Patterns and migraine 
  9. Gluten Migraine 
  10. Vegan diet & migraine 
  11. DASH Diet 
  12. Low Glycemic index diet for migraine prophylaxis 11. Sodium Intake 
  13. Tobacco 
  14. Metabolic / Immune Considerations 
  15. Physical activity / obesity / & migraine 
  16. Lifestyle factors & risk of migraine 
  17. Metabolic Syndrome & migraine 
  18. Obesity & Migraine 
  19. Systemic Autoimmune diseases 
  20. Salivary glutamte in chronic migraine 
  21. Migraine, dyspepsia, & H. Pylori 

Day 2  

  1. Vitamins / Supplements 
  2. Endocannabinoids 
  3. Supplements for migraine prevention 
  4. Vitamin supplementation & MTHFR genotype 2. B vitamins 
  5. Redox mechanisms 
  6. Omega 3 fatty acids & nano-curcumin 
  7. Vitamin E 
  8. Magnesium 
  9. Petasites 
  10. Co-Q10
  11. Feverfew 
  12. Probiotics 
  13. Vitamin D 
  14. Ginger 
  15. Supplements for pain relief 
  16. Magnesium 
  17. Ginger 
  18. Grape pomace 
  19. Topical Chamomile 
  20. Mastering Migraine Diet 
  21. Stress & Hormones 
  22. Explanation of steroid hormonal pathways 2. HPA Axis 
  23. Resilience 
  24. Lifestyle factors 
  25. Stress 
  26. Allostatic load 
  27. Selye’s general adaptation syndrome 
  28. “Adrenal fatigue” 
  29. Pregnenolone Steal 
  30. Sample Labs 
  31. Case Study 
  32. Genes & Epigenetics relating to stress 
  33. Stress response system 
  34. Case Study 

Day 3  

  1. Stress & Hypothalamic function 
  2. Laboratory assessment of the HPA axis 17. 3 Stage model of stress adaptation 
  3. Possible side effects of supplementation 19. Stress testing 
  4. Perceived stress  
  5. Glycemic load 
  6. Glandulars 
  7. Bioidentical hormones 
  8. Botanicals 
  9. Licorice root 
  10. Case Study 
  11. Sex differences in migraine 
  12. Case study 
  13. Sleep & Migraine 
  14. Circadian rhythm disruption 
  15. Fatigue & Migraine 
  16. Case Study 
  17. Case Study 
  18. Hormones 
  19. Menstrual related migraine 
  20. Vagal nerve stimulation for menstrual migraine 33. Pregnancy & Migraine 
  21. Menopause 
  22. Estrogen & Migraine
  23. Case Study 
  24. Melatonin 
  25. Cortisol 
  26. Hormones & Stroke risk 
  27. Stress reduction 
  28. Mindfullness meditation 
  29. Cognitive behavioral therapy 
  30. Biofeedback 
  31. Transcranial magnetic stimulation 
  32. Case Study 
  33. Case Study 
  34. MIDAS & data collection 

Module 3 – Musculoskeletal & Neurological  Considerations  

Day 1  

  1. Testing for Migraine Practical 
  2. Bilateral Blood Pressure 
  3. Bilateral SpO2 
  4. Pupillary Responses 
  5. Palate 
  6. Posture 
  7. Convergence 
  8. Pursuits 
  9. Saccades 
  10. VOR 
  11. OPK 
  12. Romberg’s 
  13. Fakuda’s 
  14. Gaze Stability Assessment 
  15. Review of migraine pain pathophysiology 
  16. Review of hormonal pathways 
  17. Resting cranial & upper cervical muscle activity in migraine patients 5. Identifying migraine 
  18. Flexion Rotation Test 
  19. Range of cervical motion 
  20. Pressure pain thresholds 
  21. Forward head posture in a standing position 
  22. Manual therapy use for migraine 
  23. Chiropractic 
  24. Physiotherapy 
  25. Massage therapy 
  26. Osteopathy 

Day 2  

  1. Tension headaches & migraine 
  2. Cervical spondylosis & migraine 
  3. Temperomandibular disorders & migraine
  4. Back Pain & migraine 
  5. Interictal widespread pressure hyperalgesia (WPH) 
  6. Manual Tender Point Survey 
  7. Brain based migraine treatment case study 
  8. Cervical joint dysfunction relating to non-improvement with migraine 15. Pursuit pathways 
  9. Acupuncture & Migraine 
  10. Reducing Migraine Days 
  11. Brainstem changes 
  12. Wet Cupping 
  13. Thalamic Changes 
  14. Vamana Dhauti 
  15. Acute Treatment 
  16. Case Study #1 
  17. Chiropractic & Migraine 
  18. Case Study 
  19. Migraine case load 
  20. Manual therapies for migraine (Systematic review) 
  21. Atlas Re-alignment & migraine 
  22. Manipulation & Amitriptyline 
  23. Quality of evidence 
  24. Manipulation and sensorimotor integration in the prefrontal cortex 8. Safety 
  25. Massage Therapy 
  26. Trigger Point therapy 
  27. Pressure Pain Thresholds 
  28. Active vs. latent trigger points 
  29. Trigger point treatment approaches 

Day 3  

  1. Exercise & Migraine 
  2. Trigeminal stimulation and vestibular imbalances 
  3. Postural instability during migraine 
  4. Retinal migraine 
  5. Salience network during interical periods 
  6. Syncope in migraine 
  7. Prospective memory & migraine 
  8. Blood pressure differences in migraine 
  9. Neuromodulation 
  10. Daith piercing 
  11. Vagal nerve stimulation 
  12. Insufflation 
  13. External trigeminal nerve stimulation 
  14. Case Study #2 
  15. Neuromodulation 
  16. Laser therapy 
  17. Magnetic therapy 
  18. Transcranial direct current 
  19. Migraine abortive protocol 
  20. Gaze stability assessment 
  21. Hemiplegic migraines 
  22. Testing for migraine practical
  23. Vestibular migraine 
  24. Concussion & migraine 

Module 4 – Perfecting the Case  

Day 1  

  1. PAG & iron deposition 
  2. VOMS testing 
  3. VOMS practical 
  4. Hydrotherapy 
  5. Hair transplants & migraine 
  6. Kinetic oscillation therapy 
  7. Partial rebreathing device 
  8. Impact of placebo in migraine treatment 
  9. Case Study #1 
  10. Bipolar disorder 
  11. Cognitive impairment 
  12. Depression 
  13. Anxiety 
  14. Attachment type 
  15. Pain perception 

Day 2  

  1. Personality types in migraine 
  2. Behavioral interventions for depression & migraine 18. Cognitive behavioral therapy 
  3. Sleep related migraine 
  4. Case Study #2 
  5. Outcome measures 
  6. MIDAS 
  7. Headache impact test (HIT) 
  8. Migraine specific quality of life questionnaire 
  9. Headache under-response to treatment questionnaire (HURT) 22. Surgical Interventions 
  10. Greater occipital nerve blocks 
  11. Occipital nerve stimulation 
  12. Dual occipital and supraorbital nerve stimulation 26. Sphenopalatine ganglion stimulation 
  13. Patent foramen ovale 

Day 3  

  1. Migraine management 
  2. Migraine stigma 
  3. Narrative Medicine 
  4. Self-Management 
  5. Sound stimuli and migraine 
  6. Fragrances & migraine 
  7. Neurophysiology abnormalities and maladaptive plasticity 7. Clinical tools for managing migraine cases 
  8. Case Study #3
  9. Medications 
  10. Acute Medication 
  11. Medication overuse 
  12. Preventatives 
  13. Onabotulinumtoxin A 2. CGRP Antibodies 
  14. Topiramate 
  15. Levetiracetam 
  16. Beta Blockers 
  17. Neuropeptides 
  18. Case study 4 
  19. Migraine & Vasculature 1. Stroke risk 
  20. Hemicrania continua
VIDEOS

Mastering Migraine - WHAT TO EXPECT & CASE REVIEW

Course Information

Included In Your Tuition
Neurology Hours & Training with Dr. Adam Harcourt Per Module (150 Hours Total For The Entire Program) (Module 1-4 25 Neurology Hours Per Module) (Grand Rounds 15 Neurology Hours) Flipped Classroom - 35 Neurology Hours)

Receive any future updates to the course videos or other materials
All-Access to the digital recording of the class

All-Access to the flipped classroom material and online videos, including updates. The clinical applications will be organized and updated so you can easily find them, review them, and implement them in practice.
Re-attendance – Retake the class on-site, via Livestream, or via online, self-paced learning as many times as you’d like as an audit.*

Re-attendance policy: Scholars who have registered and completed the program  have the ability to re-attend the course with no additional fee. When re-attending a course, the scholar will not receive continuing education credits and will receive an audit. Carrick Institute is not responsible for providing new materials for class audits, including but not limited to manuals, shirts, equipment, etc. If manuals have been updated since the original attendance date, the updated materials will be available via PDF on the scholar’s online portal. If the scholar would like to purchase a new paper manual, they may do so before the course start date.Due to the limited seats for this program. Re-attendance for this in-person module is only available for registration 14 days in advance. If you would like to reserve a seat for this course please email admissions@carrickinstitute.comThe All-access and re-attendance as part of your tuition are specific to the this program. The re-attendance is considered an audit of the course material and does not yield CE or CEU credits. It does transfer to other programs offered by the Carrick Institute. To view full Terms & Conditions, click here.
For more information on CE/CME eligibility, visit https://carrickinstitute.com/ceinfo/
Continuing Education​

Continuing education requirements to maintain certification status through a professional association are usually separate from the state board’s requirements. In order to maintain your certification status in your state please submit a State Continuing Education Application Form. *We cannot guarantee approval for individual state CEUS. Each state has different rules and regulations. State Applications need to be submitted at least 90 days prior to the state date of your course* Recertification / Diplomate Requirements: All Carrick Institute courses are approved by the ACFN & ACNB.

Join Us! Via In-PersoN, Live-STream Or Via Online, SElf-paced learning
Upcoming Course Dates

REGISTER HERE

Register for Mastering Migraine V.2.0 Here

Register for Mastering Migraine V.1.0 Here

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