Migraines Specialist

Gables Neurology

Andrew M. Lerman, MD

Adult Neurology & Epilepsy Specialist located in Coral Gables, Coconut Grove, Miami, FL

Migraines are a common neurological condition affecting 39 million people in the United States. Though the frequency and severity of migraines vary, sufferers can have severe throbbing pain that lasts a few hours or a few days. At Gables Neurology in Miami, Florida, Andrew Lerman, MD has personally suffered from migraines from a very young age. He and the team devote themselves to helping their patients find ways to treat and prevent migraines. For relief from your migraines at a practice that takes a personalized approach to care, call Gables Neurology, or request an appointment online today.

Migraines Q & A

What are migraines?

Migraines are a type of recurring headache. The severity of the head pain varies but may cause severe throbbing pain or a pulsing sensation, usually on one side of the head. 

Dr. Lerman has a personal history of migraines, suffering from these chronic headaches from a young age. He understands what you’re going through and is motivated to help you find a treatment that provides lasting relief. 

Dr. Lerman takes a comprehensive approach to treating migraines and offers in-patient management for chronic migraines, recurrent and severe headaches that impact day-to-day life, and tension-type headaches (TTH). 

His treatments aim to help you live a normal life without pain. 

What are the symptoms of migraines?

Migraine symptoms typically occur in four stages. However, not everyone with migraines goes through all of the stages. 


The prodrome stage begins about 24 hours before the headache. Symptoms may include food cravings, mood changes, or uncontrollable yawning.


The aura stage causes temporary nervous system disturbances such as visual changes, weakness, or pins and needles sensation. You may experience the aura stage before or during your headache. 


Migraine headaches cause a throbbing sensation in one area of your head that may last for hours or days. 


During the postdrome stage, which follows the headache, you may feel drained and exhausted. 

How are migraines treated?

Dr. Lerman and the team take a personalized and comprehensive approach to the treatment of migraines. They offer many innovative therapies to help you get long-lasting relief from your chronic head pain. 

Treatment options at Gables Neurology include:


Dr. Lerman and the team work with you to find the correct medication to prevent and relieve your pain and symptoms. Preventive medications act before the onset of migraines, while acute medications stop migraines after they start. 

In-house Botox®

A powerful prophylactic, Botox chemodenervation prevents headaches and migraines with quick injections every 12 weeks. 

Occipital nerve block (ONB)

ONB is a steroid injection that reduces pain and symptoms. 

Lifestyle counseling

Lifestyle counseling is part of a migraine treatment plan at Gables Neurology and includes identifying and avoiding migraine triggers. 

Sleep evaluation

The team evaluates your sleep habits, which may play a role in the frequency, duration, and severity of your migraine symptoms.

Call Gables Neurology, or click the website booking tool to schedule your migraine consultation today.