Our neurologist is dedicated to ensuring that you receive the best possible care and treatment for your headache and migraine. The causes of headaches and migraines can be very complex, and many patients spend years chasing treatments. Our neurologist is trained to focus specifically on nerves to ensure that you receive the best possible care from top experts in the field.
Types of Headaches and Migraines
Migraine headaches feel like a very severe throbbing pain at the front or the side of the head. It can last for days and may be accompanied by other symptoms such as vision problems; sensitivity to light, noise, or smells; dizziness; nausea; loss of appetite; or fatigue.
Cluster headaches, often said to be the most painful of all headaches, cluster headaches occur between one to eight times per day. Cluster cycles could last for weeks or months separated by remission periods or periods of headache freedom.
Post Traumatic Headaches (PTH)
Post-traumatic headaches (PTH) occur within seven days of an injury or after regaining consciousness and resemble migraines. PTH may be accompanied by dizziness, insomnia, problems with concentration, memory issues, sensitivity to noise or bring lights, and fatigue.
Occipital neuralgia symptoms include piercing, throbbing, or electric-shock-like chronic pain in the upper neck, back of the head, and behind the ears, typically on one side of the head. The pain typically begins in the neck and spreads upward. The pain location is related to the areas supplied by the occipital nerves and may be the result of trauma to the back of the head, pinching of the nerves, or compression of the nerve.
Headache and Migraine Treatments
- Pharmacological: Patients often benefit from both a preventive and abortive medication treatment plan. A daily preventive medication will help make headaches less severe when they do occur. These include antidepressant, anti-seizure and antihypertensive medications. An abortive medication is a single medication or a combination of medications that is taken during an attack. These include NSAIDS, triptans, ergotamines, antiemetics and antipsychotics.
- Nerve blocks: In this procedure, anesthetic agents (a mixture of lidocaine and bupivacaine) are injected near the occipital nerve on the back of the head near the base of the skull. Most patients have no side effects; some patients experience pain at the injection site and/or dizziness.
- Botox: These injections are used primarily on patients who experience chronic daily headaches.
- Nerve decompression surgery: This procedure is reserved for patients who experience occipital neuralgia or chronic daily headaches. For patients with chronic migraines who do not find relief with medications or lifestyle changes, peripheral nerve surgery may be the answer.