Chronic Headache Pain Management Specialists

Cervicogenic headaches originate in the neck but manifest as pain in the head. Often triggered by neck injuries or conditions like arthritis, these headaches can cause pain that radiates from the neck to the front of the head. Treatment typically involves addressing the underlying neck issue to alleviate headache symptoms.

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This type of pain typically occurs after a physical trauma, such as a fall, sports injury or car accident. It often involves both the head and neck and can result from damage to muscles, ligaments, or nerves. Persistent pain in these areas may require specialized treatments to alleviate discomfort and restore function.

Intractable migraines, also known as refractory migraines, are severe headaches that don’t respond to typical migraine treatments. These migraines can be debilitating and require more advanced interventions like nerve blocks or other specialized therapies.

Occipital neuralgia is a chronic pain condition that affects the occipital nerves, which run from the base of the skull to the scalp. It causes sharp, stabbing pain in the back of the head and neck, often described as an electric shock-like sensation. Treatment options typically include medications, nerve blocks or other procedures to relieve pain and reduce nerve sensitivity.

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Post-concussive syndrome occurs after a head injury, such as a concussion. Symptoms can include persistent headaches, dizziness and neck pain. This condition may last for weeks or even months, and treatment aims to manage these symptoms and support recovery.

A classic migraine is a type of headache often accompanied by auras — visual disturbances such as flashing lights or zigzag patterns — before the pain begins. The headache itself is usually intense, throbbing and often on one side of the head. Migraines can last for hours to days and may be associated with nausea, vomiting and sensitivity to light and sound. Migraine headaches affect 20 percent of the population. If the migraine headache is infrequent, treating single episodes with medication and non-medication therapies is preferable. If the migraine headaches occur on a frequent or regular basis, preventive (prophylactic) migraine pain management is needed.

Cluster headaches are severe headaches that occur in groups or “clusters,” often at the same time each day or night. The pain is usually concentrated around one eye and may be accompanied by redness, tearing or nasal congestion. These headaches are incredibly intense but typically brief, lasting from 15 minutes to three hours.

Chronic daily headaches are characterized by headache symptoms that occur 15 or more days per month for at least three months. These headaches can vary in intensity and type, ranging from mild tension-type headaches to severe migraines. Chronic daily headaches require careful management to prevent them from worsening over time.

Medication overuse headache, also known as rebound headache, occurs when pain relief medications are taken too frequently. Instead of relieving headaches, overuse of these medications can actually lead to more frequent and severe headaches. Treatment often involves reducing or stopping the use of the triggering medications under medical supervision.

Post-concussive syndrome without neck pain occurs after a concussion, where headaches persist without accompanying neck pain. These headaches can be similar to tension-type headaches or migraines and may be accompanied by other symptoms like dizziness, difficulty concentrating and fatigue. Treatment focuses on managing headache symptoms and supporting overall recovery.

Stress-related headaches, a subtype of tension headaches, are triggered or exacerbated by emotional or physical stress. The pain is usually mild to moderate and can feel like a tightness or pressure around the forehead or back of the head and neck. These headaches can be managed through stress-reduction techniques and lifestyle change

Tension headaches are the most common type of headache and are often described as a constant, dull, aching pain around the head, often likened to a tight band around the forehead. They are typically caused by stress, muscle tension or poor posture and can last from 30 minutes to several hours.