01/23/2026
Aligned Headache & Migraine Practice
Introduction / Bio
Juan Zha is a Primary Health Care Nurse Practitioner specializing in headache medicine. She earned a Bachelor of Science in Nursing from McMaster University, and completed her Master of Science in Nursing and NP-PHC program at the University of Ottawa. She currently leads the Headache Clinic within the CHEO Neurology Service. Juan provides comprehensive assessment and treatment for patients with complex or chronic headache patterns, including difficult-to-treat migraines and complex/mixed headache types. She manages a wide range of headache disorders, including chronic and episodic migraine with or without aura, status migrainosus, hemiplegic migraine, tension-type headache, medication-overuse headache, new daily persistent headache, chronic post-traumatic headache, cluster headache, and primary stabbing headache.
Her approach combines standard evidence-based therapies with advanced treatment options, including onabotulinumtoxinA (Botox) and CGRP monoclonal antibodies. Juanβs goal is to reduce headache frequency and severity and improve daily functioning.
Services Offered:
Initial Headache Consultation (75 min) β $275
Follow-Up Visit (30 min) β $150
Botox Injection PREEMPT Protocol (Procedure fee only) β $180
Peripheral Nerve Block Session β $150
Trigger Point Injection Session β $100
Note: All services are provided on a private-pay basis and are not insured by OHIP. Some patients may be eligible for reimbursement through extended health insurance plans; coverage varies by insurer and individual plan, and patients are responsible for confirming eligibility and submitting claims.
OnabotulinumtoxinA (Botox) and CGRP monoclonal antibody therapies are covered by many insurance plans and typically require documentation of inadequate response or intolerance to standard preventive treatments. No guarantee of insurance coverage is provided.
Disclaimer:
Services are provided independently by Nurse Practitioner Juan Zha within iBalance Clinic. Hospital affiliation listed for informational purposes only and does not imply endorsement of private services.