Migraines & Chronic Headaches
Advanced therapies for debilitating headache disorders
Understanding Migraines & Chronic Headaches
Migraines are a neurological disorder characterized by recurrent, severe headaches often accompanied by nausea, vomiting, and sensitivity to light and sound. They affect approximately 12% of the population and are three times more common in women than men. Migraines result from abnormal brain activity affecting nerve signals, chemicals, and blood vessels in the brain.
Chronic headaches encompass various types including chronic migraine, chronic tension-type headache, and medication overuse headache. These conditions significantly impact quality of life, work productivity, and social functioning. Effective management requires accurate diagnosis, identification of triggers, and a comprehensive treatment plan.
Common Causes
Genetic Predisposition
Strong family history of migraines increasing individual risk
Hormonal Fluctuations
Changes in estrogen levels during menstruation, pregnancy, or menopause
Environmental Triggers
Bright lights, loud sounds, strong smells, or weather changes
Dietary Factors
Certain foods, alcohol, caffeine, or skipping meals
Stress and Emotional Factors
Psychological stress, anxiety, or depression precipitating headaches
Sleep Disturbances
Too much or too little sleep, or irregular sleep patterns
Symptoms
Moderate to severe throbbing pain on one side
Nausea and vomiting
Extreme sensitivity to light and sound
Visual disturbances or aura preceding headache
Dizziness or vertigo
Difficulty concentrating ("brain fog")
Neck stiffness or pain
Fatigue lasting hours to days after headache
Advanced Treatment Options
CGRP Monoclonal Antibodies
Monthly or quarterly injections specifically designed to prevent migraines
Botox Injections
FDA-approved for chronic migraine prevention, administered every 12 weeks
Nerve Blocks
Greater occipital nerve blocks or sphenopalatine ganglion blocks for relief
Neuromodulation Devices
Non-invasive vagus nerve stimulation or transcranial magnetic stimulation
Occipital Nerve Stimulation
Implanted device for refractory chronic migraine
Infusion Therapies
Intravenous DHE, magnesium, or ketamine protocols for refractory cases
Comprehensive Headache Programs
Multidisciplinary programs combining medication, behavioral therapy, and biofeedback
Get Expert Treatment for Migraines & Chronic Headaches
Schedule a consultation with our pain management specialists to discuss personalized treatment options.