Headaches and Migraines

Migraine Headaches are typically a headache pattern described by throbbing, pulsing, or aching in one side of the head and associated with nausea, vomiting, and light sensitivity. However, the pain can include both sides of the head and be associated with visual disturbances. These episodes can happen frequently throughout a monthly period and last from 4-72 hours. Typically, there is a strong genetic component to migraine headaches, but they can be associated with neck injury, hormonal dysfunction, or head trauma. The general pattern can develop in childhood or early adulthood. Sometimes prediagnostic MRI or CT scans are needed to rule out other causes of headaches on initial presentation. The diagnosis is based on patient report, physical examination, and symptomology in most cases. 

Therapy involves both preventative and abortive approaches with medication management, but also includes interventional treatment options utilizing:


  • Occipital Nerve Blockade
  • Third Occipital Nerve Blockade
  • Distal Trigeminal Branch Blockade
  • Sphenopalatine Blockade
  • Stellate Ganglion Blockade
  • Peripheral Nerve Stimulation
  • Ketamine Infusion Therapy
  • Lidocaine Infusion Therapy
  • Botox Injections by Migraine Protocol
  • Injectable CGRP receptor Blockade (Aimovig, Ajovy, Emgality)
  • Medication Management