Migraines &Headaches 

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Common Causes and Key Symptoms

• Chronic Migraines

  •  Severe, recurring headaches often accompanied by nausea, sensitivity to light, and sound.

• Tension Headaches

  • Persistent pressure or tightness around the forehead or scalp.

• Occipital Neuralgia

  • Irritation or compression of the occipital nerves, causing sharp, radiating pain and pressure at the back of the head or neck.

• Headache and Neck Pain

  • Headaches originating from issues in the neck, such as arthritis or muscle strain.

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Interventional Pain Procedures for Headaches and Migraines

1. Occipital Nerve Blocks:

   • Targets the occipital nerves at the base of the skull to relieve pain.

   • Performed using ultrasound guidance for precision and accuracy.

   • Provides effective relief for occipital neuralgia and chronic migraines.

2. Sphenopalatine Ganglion (SPG) Blocks:

   • A minimally invasive procedure that targets the SPG, a nerve cluster associated with migraines and facial pain.

   • Often provides fast relief with low risk of complications.

3. Botulinum Toxin (Botox) Injections:

   • FDA-approved for chronic migraines.

   • Relaxes muscles and reduces pain signals in targeted areas, including the forehead, temples, and back of the head.

   • Performed with ultrasound guidance for maximal precision and benefit.

4. Trigger Point Injections:

   • Focuses on relaxing tight muscles in the neck, shoulders, and scalp that contribute to headaches.

5. Cervical Medial Branch Blocks

   • Relieves pain by targeting the nerves around the neck joints that can refer pain to the head.

   • Uses fluoroscopy xray guidance to ensure high precision, efficacy, and safety.

6. Radiofrequency Ablation (RFA)

   • Uses heat to disrupt pain signals from the occipital or cervical nerves.

   • Offers long-lasting relief for migraines and headaches caused by nerve irritation.

   • Performed under xray real time imaging to maximize safety.

7. Cervical Epidural Steroid Injections

   • Reduces inflammation and nerve irritation in the neck, which can trigger headaches.

   • Fluoroscopy imaging guidance ensures precise delivery of medication.

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For patients with chronic headache, these procedures are a promising option for reducing headache frequency and severity, especially when medications have not helped to reduce pain. At Spine & Pain Hub, our pain management clinic offers specialized care tailored to the unique causes of migraine and headache to deliver innovative treatments and long lasting pain relief to our patients in Queens, NY and beyond.