An Integrated Approach to Headache and Facial Pain Disorders
Headache and Facial Pain
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Columbia Neurology is an established leader in the diagnosis, treatment, and management of headache and facial pain disorders in adults and children.
The specialists from our Division of General Neurology have subspecialty training for headache and facial pain disorders. We work with an integrated team of pain management and physical medicine specialists to treat both common and intractable headache and facial pain disorders.
Conditions We Treat
- Chronic headache
- Cluster headache
- Facial pain
- Glossopharyngeal neuralgia
- Headache
- Hemicrania continua
- Hypnic headache
- Idiopathic intracranial hypertension ("pseudotumor cerebri")
- Intracranial hypotension
- Migraines
- New daily persistent headache
- Nummular headache
- Occipital neuralgia
- Paroxysmal hemicrania
- Post-traumatic headache
- Primary exertional headache
- Primary stabbing headache
- SUNA (short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms)
- SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing)
- Trigeminal Autonomic Cephalalgia
- Trigeminal neuralgia
Treatments We Offer
At Columbia Neurology, treatment is individualized to each patient, and includes a detailed medical history, neurologic exam, neuropsychological assessment, and other state-of-the-art diagnostic procedures, as needed. We customize treatment based on each patient’s type of headache, headache triggers, and other medical conditions. Treatment may consist of:
- Identification of specific triggers and lifestyle modifications
- Medications to either stop a headache attack (“abortive medications”) or to reduce headache intensity and frequency long-term (“preventive medications”)
- Procedural therapies, such as nerve blocks and Botox injections
- Neuromodulation strategies, such as occipital nerve stimulation, transcutaneous nerve stimulation, or transcranial magnetic stimulation
We also offer biofeedback, acupuncture, and physiotherapy for patients with headache or facial pain who may be candidates for this approach.
In addition, patients with chronic headache disorders who have failed standard outpatient treatments may be eligible to receive various intravenous protocols in our infusion unit.