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Treatment planning

Clear, practical information for your next step.

Topics to discuss

  • Recurring headache and migraine care plans
  • Acute and preventive migraine treatment by medication class
  • Medicine-overuse headache review
  • Nerve-pain symptom relief by medication class
  • Care of common nerve contributors such as blood sugar and vitamin levels
  • Common, non-emergency inner-ear dizziness, when appropriate

When we refer

Viva providers manage common headache, nerve, and dizziness problems in primary care. We refer to neurology when there are abnormal exam findings, weakness, symptoms on one side of the body or that spread quickly, an unclear cause, or symptoms that do not improve with standard care. This program does not offer independent treatment for epilepsy, Parkinson's disease, or complex nerve and muscle diseases. If a referral is already needed, you do not have to try primary-care treatment first.

Prepare for your visit

Bring a list of your medicines, vitamins, and supplements, including how often you take each one. Include allergies and any past reactions. If you have recent test results, discharge papers, or notes from another care team, bring them or ask how to share them before the visit. You do not need to order your own tests to prepare.

Write down your main questions and what has changed since your last visit. Note when symptoms began, how they affect your daily activities, and what you have already tried. If you track readings or symptoms at home, bring that record. Tell the team if you need help with language, transportation, or getting records so those needs can be discussed.

Decide on a plan together

Your provider starts with your priorities and reviews the history and information available. An examination may be needed before deciding on the next step. The lists on this page describe the program's general scope; they are not a promise that every test or treatment is needed or available for your situation. Ask what each proposed step is meant to answer.

When an option is discussed, ask about its possible benefits, risks, alternatives, and practical demands. Mention cost or coverage concerns before scheduling a test or referral. Some care is coordinated with an outside center, and availability must be confirmed. Do not stop or change a medicine based only on this page. Your plan should fit your health history and preferences.

Results and follow-up

Before you leave, ask how results will reach you and who will review them. Confirm the next appointment or the reason to return sooner. A referral request does not mean an appointment has been scheduled. Ask whom to contact if you have not heard back, and keep copies of outside results when possible so your care team can review them.

The follow-up schedule depends on what is found, any care started, and whether symptoms change. Ask for the next steps in a form you can use at home. Telehealth may suit some conversations when the program allows it, but an in-person examination may still be needed. For sudden or severe symptoms, use the urgent guidance rather than waiting for a routine follow-up.

Content approved by Viva Centers

Sources

Treatment planning | Viva Neurological Health | Viva Centers