Less migraine disability.
More room for everyday life.
We track how headaches affect work, home and social life using the Migraine Disability Assessment (MIDAS). Here is what patients with follow-up assessments are reporting.
Median reduction in MIDAS score
Based on the results of patients with completed follow-up MIDAS scores.
Based on initial and follow-up MIDAS assessments from the same patients. The average MIDAS score decreased from 65.9 to 25.8.
Cut their MIDAS score by at least half
Of patients with completed follow-up MIDAS scores.
Moved below severe disability
Of patients with completed follow-up MIDAS assessments who started at MIDAS 21 or higher.
What does a MIDAS score mean?
MIDAS adds the answers to five questions about days missed or productivity reduced by at least half at work, school or home, plus missed social or family activities, over the previous three months. Lower scores indicate less headache-related disability. It is not a count of unique headache days.
A score of 21 or higher indicates severe disability. Scores of 11–20 indicate moderate disability, 6–10 mild disability, and 0–5 little or no disability. About MIDAS scoring
For patients with completed follow-up MIDAS assessments, the average starting score was 65.9, within the severe-disability range. The before-and-after figures compare initial and follow-up scores from the same patients.
About these results: Descriptive, patient-reported outcomes from Harcourt Brain Center’s internal registry as of November 7, 2026. These results are based on patients who have completed follow-up MIDAS assessments; patients without follow-up are not included in improvement figures. Each patient’s latest recorded follow-up is used, whether scores improve or worsen.
This is not a controlled study, does not establish which treatment caused a change, and does not predict an individual’s result. Results vary.
The Harcourt Brain
Center
A next-step neurorehabilitation center for migraine, dizziness and post-concussion symptoms that haven’t fully improved with standard care, including for people who are sensitive to medication. We work alongside your neurologist, ENT, headache specialist or primary care doctor, and we also help people with dysautonomia and POTS. Call 717-483-8734 to find out whether our approach is right for you.
The Harcourt Brain
Center
A next-step neurorehabilitation center for migraine, dizziness and post-concussion symptoms that haven’t fully improved with standard care, including for people who are sensitive to medication. We work alongside your neurologist, ENT, headache specialist or primary care doctor, and we also help people with dysautonomia and POTS. Call 717-483-8734 to find out whether our approach is right for you.
Location
Telephone Number:
717-483-8734
Location
221 W. Philadelphia St. Ste. 303
York, PA 17401
USA
Opening Hours
By appointment only
Mon & Wed: 9:30 AM – 5:30 PM
Tue & Thu: 10:00 AM – 5:30 PM
Fri: 9:30 AM – 1:00 PM
Sat – Sun: Closed
Upcoming Speaking Engagements
Dr. Adam Harcourt teaches doctors nationwide. Here's where he'll be speaking next.
Neurophysiology of Cardiorespiratory & Gastric Reproductive Systems (CNS-07)
Carrick Institute · Cape Canaveral, FL · In person or live stream
Event details and registration →Comprehensive Migraine Management for the Practicing Chiropractor
Northeast College · Live webinar
Event details and registration →A Look Inside: Harcourt Brain Center
Erchonia · York, PA · In person or virtual
Event details and registration →New speaking dates are coming soon.