Headache | Mid-Atlantic Epilepsy and Sleep Center
301-530-9744
General Neurology Practice
Bethesda, Maryland

Headache

The neurologists of Mid-Atlantic Epilepsy and Sleep Center have extensive experience in treating various types of headache and facial pain, including migraine, tension type headache, cluster headache, post-concussion headache, and Trigeminal Neuralgia. The majority of patients respond to medication, but a full range of surgical options is available for patients who do not respond to medicine. The optimum treatment plan for each patient will be developed on an individual basis.

Botox treatment for migraine headache

The same BOTOX that smooths facial wrinkles also prevents the muscle contractions that can trigger migraines. In 2010, the Food and Drug Administration (FDA) approved the use of onabotulinumtoxinA (Botox) for the treatment of chronic migraine in patients. Since then, more than 100,000 patients have been treated.

Now you can receive BOTOX for migraines at the Mid-Atlantic Epilepsy and Sleep Center.

Please call 301-530-9744 to schedule a consultation with one of our physicians. For more information on Botox treatment of chronic migraines – click here (alternate MS Word Link)


Definition

Headache is our most common form of pain and a major reason cited for days missed at work or school as well as visits to the doctor.  The International Classification of Headache Disorders, published by the International Headache Society, is used to classify more than 150 types of primary and secondary headache disorders. Primary headaches occur independently and are not caused by another medical condition.  Migraine, cluster, and tension-type headache are the more familiar types of primary headache.

Secondary headaches are symptoms of another health disorder that causes pain-sensitive nerve endings to be pressed on or pulled or pushed out of place. They may result from underlying conditions including fever, infection, medication overuse, stress or emotional conflict, high blood pressure, psychiatric disorders, head injury or trauma, stroke, tumors, and nerve disorders (particularly trigeminal neuralgia, a chronic pain condition that typically affects a major nerve on one side of the jaw or cheek).

Headaches can range in frequency and severity of pain. Some individuals may experience headaches once or twice a year, while others may experience headaches more than 15 days a month. Pain can range from mild to disabling and may be accompanied by symptoms such as nausea or increased sensitivity to noise or light, depending on the type of headache.

Treatment

When headaches occur three or more times a month, preventive treatment is usually recommended.  Migraine treatment is aimed at relieving symptoms and preventing additional attacks. Drug therapy, biofeedback training, stress reduction, and elimination of certain foods from the diet are the most common methods of preventing and controlling migraine and other vascular headaches. Drug therapy for migraine is often combined with biofeedback and relaxation training.  One of the most commonly used drugs for the relief of migraine symptoms is sumatriptan. The first step in caring for a tension-type headache involves treating any specific disorder or disease that may be causing it. A physician may suggest using analgesics, nonsteroidal anti-inflammatory drugs, or antidepressants to treat a tension-type headache that is not associated with a disease. Treatment options for cluster headaches include triptan drugs, non-invasive vagus nerve stimulation (which uses a hand-held device to transmit a mild electrical stimulation to the vagus nere throgh the skin), and oxygen therapy (in which pure oxygen is breathed through a mask to reduce blood flow to the brain). Certain antipsychotic drugs, calcium-channel blockers, and anticonvulsants can reduce pain severity and frequency of cluster headache attacks.

Prognosis

Not all headaches require medical attention. But some types of headache are signals of more serious disorders and call for prompt medical care. These include: sudden, severe headache or sudden headache associated with a stiff neck; headaches associated with fever, convulsions, or accompanied by confusion or loss of consciousness; headaches following a blow to the head, or associated with pain in the eye or ear; persistent headache in a person who was previously headache free; and recurring headache in children.  Migraine headaches may last a day or more and can strike as often as several times a week or as rarely as once every few years.


Our specialty trained neurologists are currently accepting new patients; please call 301-530-9744 to schedule a consultation.