Our Story

Align Roanoke was founded by Jamie Brackenrich and began as a dedicated headache clinic focused on helping people find real relief. Over time, that foundation grew into a holistic care space offering head spa, wellness, and aesthetics services. Today, Align Roanoke serves the community with a whole-person approach designed to restore balance, promote healing, and help each client feel truly aligned.

Downtown Roanoke, Align Roanoke offers compassionate healthcare to the roanoke valley.

Our Services

Align Neurology

    • Headache Disorders

    • Migraine

    • Seizures

    • Movement Disorders (Parkinson’s, tremors)

    • Dementia (Alzheimer’s, Vascular Dementia, Lewy-Body)

    • Neuropathy (peripheral and CIDP)

    • Patient visits (no referral necessary unless required by insurance)

    • Follow-up Visits

    • Prescription Management

    • Imaging orders and coordination

    • Phone check-ins/virtual visits

    • Referrals

    • Headache Bestie Membership: unlimited access to your provider day, night, and on weekends for low monthly fee

    • Migraine Cocktails for intractable headaches/migraines

    • IM or IV Medications: Toradol, Dexamethasone, Zofran, Pepcid, Reglan

    • Vitamin infusions (magnesium, B vitamins, alpha-lipoic acid, NAD+ and other options)

    • In-house labs with Labcorp and Quest

    • Prescription & lifestyle management

    • Botox for Chronic Migraine

    • Botox for Cervical Dystonia

    • Botox for Hyperhydrosis (excessive sweating)

    • Botox for TMJ

    • Occipital Nerve Blocks

    • Trigger Point Injections

Align Neurology, Align Wellness, Align Family Medicine are part of Align Roanoke

Align Family Medicine

  • Opening in January, call now to get on the waitlist with Will Pauley (540) 315-4766.

A skincare Bible along with a list of skincare routines and appointment booking instructions, accompanied by two decorative gold and white items on a light wooden surface.

Align Aesthetics

  • Neurotoxin
    - Botox
    - Daxxify

    Dermal Fillers
    - RHA
    - Juvederm

  • Rejuvapen Microneedling is a collagen induction therapy (CIT) that uses precision, sterile needles to create controlled micro-injuries in the skin. This process triggers the body’s natural wound-healing response within the dermal layer, stimulating increased collagen and elastin production. Rejuvapen microneedling helps improve fine lines and wrinkles, acne scarring, pore size, and stretch marks.

    • Skin tags

    • Cherry angiomas

    • Broken capillaries

    • Sebaceous hyperplasia

    • Milia

    • Seborrheic keratoses

    • Age/sun spots

    • Minor acne lesions

Meet the Owner

Jamie Brackenrich of Roanoke, Virginia, headache specialist.

Owner Jamie Brackenrich has been recognized as a 40 Under 40 honoree and is a respected pioneer in women-owned businesses. Her leadership and vision continue to shape Align Roanoke as a space rooted in innovation, care, and community impact.

A circular logo with a silhouette of a woman's head in profile and a tree growing from her head. The text around the logo reads: 'ALIGN NEUROLOGY INTEGRATIVE HEALING THE HEADACHE MEDICINE'.