Headache centers are often involved in research protocols and for this reason can provide new treatments not available to other physicians and their patients. At least at a headache center one can be reasonably sure of finding a physician with a special interest in headaches. As noted above, migraines typically improve with age. Unfortunately it is labor intensive for the patient and health care provider and is often not covered by insurance plans. It is probably most effective in headaches related to stress.
Stress is actually the single most commonly identified trigger of migraine attacks.
I expect biofeedback to be more important in the future especially if a home program can be made widely available. Diet is of the greatest importance in triggering migraine. Many food items are notorious for inducing migraines in susceptible individuals. The usual suspects would include chocoloate, citrus, aged cheese, red wine, MSG, certain preserved foods etc. However more unusual suspects can also bring on an attack and can only be identified by careful record-keeping by the patient.