Who We Are
Jamie Brackenrich, FNP-C
Jamie is the founder of Align Neurology in Roanoke, Virginia. She is a board-certified Nurse Practitioner who has been in practice for over 12 years; for the last three years, she has worked in Neurology, specializing in headaches. She holds an additional qualification in Headache Medicine from the National Headache Foundation.
Ms. Brackenrich received her undergraduate nursing degree in nursing and Master of Science in Nursing from Radford University. She also earned a Bachelor of Science in Health and Human Performance from Roanoke College.
Ms. Brackenrich has advanced training and certification in Botox for Chronic Migraines.
She is a leader in the field of Headache Medicine and is recognized by her colleagues for her expertise in Headaches. She is also a frequently invited local speaker on the topic of headaches.
Ms. Brackenrich is a lifestyle medicine expert and someone who has suffered from migraine and headaches.
She lives in the Roanoke Valley with her son and Labradoodle, Rudy. She enjoys running, CrossFit, the mountains, and spending time with her family and friends.
Lindsey Hill, FNP-C
Lindsey is a board-certified Family Nurse Practitioner with a clinical background in neurology and critical care. She began her nursing career in the neurological intensive care unit, caring for patients with complex neurologic conditions such as stroke, traumatic brain injury, and seizure disorders. She earned her Bachelor of Science in Nursing from James Madison University and her Doctor of Nursing Practice from Radford University.
Lindsey has a particular clinical interest in the care of patients with neurologic conditions, including chronic migraine. Having personally experienced migraines, she brings a deep understanding of their impact on daily life and is especially committed to compassionate, evidence-based care for patients navigating this condition.
She also has several years of experience in aesthetic medicine, offering neuromodulator and dermal filler treatments with a focus on anatomical precision and patient-centered care.
Align Neurology-On WDBJ7
Align Neurology-On WDBJ7
BOTOX® Specialist
Botox for Migraine vs Cosmetic Botox: What’s the Difference?
Botox is FDA-approved for patients with chronic migraine. In this setting, the goal is neurological regulation rather than cosmetic change.
Botox works by reducing the release of pain-signaling neurotransmitters and decreasing muscle activation that contributes to migraine patterns. Treatment follows a structured protocol with injections placed across the forehead, temples, scalp, neck, and shoulders based on known migraine pain pathways.
Many patients experience fewer headache days, less severe attacks, and improved day-to-day functioning over time. The purpose of treatment is straightforward: better migraine control and more predictable quality of life.
BOTOX® for Chronic Migraine
In aesthetic medicine, Botox is used to soften expression lines caused by repeated muscle movement. Treatment focuses on selectively relaxing targeted facial muscles while preserving natural expression.
Common areas include the forehead, the lines between the brows, and the outer corners of the eyes. Dosing and placement are tailored to facial anatomy, muscle strength, and the patient’s goals.
Here, success is measured by subtle, natural results that allow patients to look rested rather than noticeably treated.
BOTOX® Cosmetic
Most clinicians focus primarily on either therapeutic Botox or aesthetic injections. Providers experienced in both are less common.
Training in migraine treatment builds an understanding of nerve pathways, functional muscle patterns, and the relationship between head and neck musculature. Training in aesthetics develops expertise in symmetry, balance, and preserving natural facial movement.
Why Dual Training Is Valuable
Patient Reviews
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