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Smart, N., Risebro, C

The repetitive triggering of C-fibers during migraine attacks and the resultant stimulation of CGRP-mediated pain pathways keep the TVS in a state of heightened sensitivity, thus contributing to the progression of migraine into a chronic condition (10, 33)

The uncomfortable truth is that the evidence base was strong in volume and weak in kind, and the strength of the consensus may have outrun the strength of the proof