Dr. Adam Harcourt Explains Why Migraine Treatments Fail After Head Injury | E41

If “migraine” meds aren’t touching your headaches after a concussion, you might be chasing the wrong problem. Dr. Wolf sits down with Dr. Adam Harcourt, a board-certified functional neurologist and fourth-generation chiropractor, to unpack why post-traumatic headaches so often get mislabeled as migraine—and how objective neuro exams flip the outcome. From eye movement control and gaze stabilization to neck proprioception and autonomic integrity, Dr. Harcourt explains the tests that reveal brainstem dysfunction you can actually measure rather than guess. 
 
You’ll hear a powerful case: a 10-year-old with “intractable migraine” that failed multiple hospital treatments until one overlooked detail surfaced—a basketball to the face the day before symptoms began. With targeted visual-vestibular and cervical work, her pain cleared within days and she returned to school and dance. That theme of foundations-first threads through the hour: build basic stability before intensity, or great rehab stalls. We share simple, surprising tools too—like rhythmic ear insufflation that can abort some migraines in minutes; sublingual ginger oil (Migraine Ginger Relief - MGR) that reduces reliance on triptans; and MQ7, a comprehensive migraine nutrient formula that streamlines evidence-based prevention without a cupboard full of bottles. 
 
We also tackle the big lifestyle levers without fluff. Caffeine: cutting down rarely helps; going to zero often does, because caffeine raises neuronal hyperexcitability. Diet: most people have sensitivities, not instant triggers, and a short, structured reset—including high-histamine foods—clarifies the few that matter. For medication overuse, we map a path out of rebound by lowering allostatic load and widening the “bucket” so weather swings, hormones, and daily stress don’t overflow into attacks. And if your symptoms look like vestibular migraine, hemiplegic migraine, or even “abdominal migraine,” you’ll learn how the same hyperexcitability model guides customized rehab for balance, facial motor, and lower brainstem pathways. 
 
If you’ve felt dismissed, bounced between triptans, Botox, and endless supplements, this conversation gives you a practical framework, specific tests to request, and at-home strategies to try now. Subscribe, share with someone stuck in the migraine maze, and leave a review to help more people find clear, evidence-informed care.

Dr. Adam Harcourt: Clinic Website

Instagram: @migrainedoctors

Biogenic Nutrition: website

For Clinicians: Master Migraine Course with the Carrick Institute