I just had my second appointment at a headache center. I've done a lot of reading about various treatment options, which I discussed with my neurologist. To my surprise, he was willing to let me try any of them!
My top three options to try are the Cefaly, the Spring TMS, and the Sphenocath SPG block. He actually had a Spring TMS in the office that he let me try, but he said the evidence was really for migraine with aura (I have episodic migraine without aura). I'm eligible for a CRGP monoclonal antibody trial, but the lack of information about long-term risks makes me leery. I ended up choosing the Sphenocath, which will likely be available at this clinc within the next month.
If anyone has experience or insight into any of these treatments, I would love to hear from you!