Headache & Migraine Care · Neurologist-led
Precise diagnosis, modern headache treatment.
Neurologist-led care for migraine, chronic headache, neuralgia, and facial pain — matching acute, preventive, procedural, and infusion options to the headache pattern and the person.
Board-certified neurologist
Acute + preventive strategy
Botox & nerve blocks
Infusion therapy
Exploring Botox for chronic migraine? Read the procedure guide →
The clinical sequence
The right treatment follows the right diagnosis.
Headache is not one condition. Pattern, examination, medication use, associated symptoms, and red flags determine whether the problem is migraine, another primary headache disorder, neuralgia, or a secondary cause.
- 01Define
- Frequency, duration, disability, triggers, aura, autonomic symptoms, and medication use reveal the headache phenotype more reliably than pain severity alone.
- 02Exclude
- A focused neurological examination and selective testing identify features that need imaging, laboratory evaluation, ophthalmology, or another specialty pathway.
- 03Match
- Treatment is selected around diagnosis, attack frequency, medical history, prior response, pregnancy considerations, preferences, and functional goals.
What we treat
A broad spectrum of headache and facial pain.
The same symptom — head pain — can arise from very different biology. We evaluate both common and complex presentations.
- Migraine, with or without aura
- Recurrent attacks often involving nausea, sensory sensitivity, or neurological aura. Pain may be one-sided or bilateral, and is not always throbbing.
- Chronic migraine
- Headache on 15 or more days per month for over three months, with migraine features on at least eight — the pattern for which Botox is FDA-approved.
- Vestibular migraine
- Recurrent vertigo, motion sensitivity, or visually triggered dizziness driven by migraine biology — sometimes with little head pain.
- Cluster headache & other TACs
- Severe one-sided attacks with tearing, nasal symptoms, or agitation — disorders whose treatment differs meaningfully from migraine.
- Tension-type headache
- Pressing or tightening pain without the full migraine pattern, from occasional episodes to frequent or chronic headache.
- Medication-overuse headache
- Frequent acute-medication use can reinforce headache frequency; treatment addresses both the underlying disorder and the overuse cycle.
- Occipital & trigeminal neuralgia
- Brief, sharp, electric pain from irritated sensory nerves — a different evaluation and treatment strategy from primary migraine.
- Post-traumatic & persistent daily headache
- New or worsened headache after injury, or headache continuous from a clearly remembered onset, evaluated for phenotype and contributors.
Modern treatment
More options — organized into one plan.
A plan may combine acute relief, prevention, procedures, behavioral and physical strategies, and attention to sleep or medication overuse.
- Acute treatment
- Anti-inflammatory medication, triptans, gepants, and anti-nausea therapy, selected for attack severity, vascular risk, timing, and prior response.
- Preventive treatment
- Traditional oral preventives and CGRP-targeting therapies. The American Headache Society now recognizes CGRP-targeting treatment as a first-line preventive option, rather than requiring older classes to fail first.
- Botox & targeted procedures
- OnabotulinumtoxinA for chronic-migraine prevention, plus occipital and other peripheral nerve blocks or trigger-point injections for specific pain patterns.
- Infusion, devices & rehabilitation
- Infused CGRP therapy, selected noninvasive devices, vestibular or cervical physical therapy, and behavioral strategies, when they complement the plan.
Botox is a specific chronic-migraine treatment. The FDA indication is prevention of headaches in adults with chronic migraine. It is not established for episodic migraine, and any other use is a separate clinical decision we discuss transparently.