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Headache

Bellevue Pain and Wellness PLLC

Pain Management Physicians located in Bellevue, WA

More than 38 million people suffer from chronic headaches and are among the most common medical complaints. At Bellevue Pain and Wellness, Dr. Robert Bowers will diagnose and offer you customized treatment to help reduce frequency and intensity of your headaches. Call today to schedule a consultation or book online.

Headaches Q & A

What is a headache?

A headache is a constellation of symptoms, primarily pain, that cause us to feel discomfort or discontent with the sensation coming from our face, head, neck, and jaw. There are different types of headaches, most commonly including tension type headaches and migraine type headaches, however our office also sees, treats and specializes in the more rare type of headache syndromes.

These include the trigeminal autonomic cephalgias, such as cluster headaches, SUNCT, SUNA, etc, trigeminal neuralgia and neuropathy, occipital headaches and neuralgia, cervicogenic headache and cervicogenic dizziness/vertigo, and also temporomandibular pain. We also occasionally see the more exotic type of headache or facial pain syndromes, including burning face syndrome, which is sometimes related to sphenopalatine.

 

What causes my head to hurt?

It could be several things or one thing. We take a thorough history and evaluate risk factors as to what might be contributing to or trigger headaches. Dehydration or electrolyte imbalance is one of the most common triggers for most of us. We all know how to fix this one, but we sometimes need some reminders or encouragement.

Occasionally, our lifestyles also contribute to headache severity or frequency and we work to lessen their potential impact.

 

What treatment options are there?

We have a variety of medical treatment options available for headaches.


The line of medications typically is the easily obtained over-the-counter options: NSAIDs. Optimal use and schedule can make a good dent into symptoms. 

If someone suffering with headaches seeks out a headache specialist, we’re generally past the point that NSAIDs would be helpful. 

There are plenty of options for immediate relief and for prevention, if necessary.

 

Anything new for headache treatments? What if I want to go the natural route?

This is totally an option. Many patients benefit from following routine sleep cycles, correct hydration, and routine exercise. Occasionally, dietary changes or smoking/alcohol reduction can help.


What procedures are available?

Our office specializes in several procedure-based treatments, including Botox for migraine, occipital nerve blocks, trigger point injections, trigeminal nerve blocks, SPG blocks (sphenopalatine ganglion blocks), etc. If headache is originating from the neck, we consider cervical facet blocks/radiofrequency ablation or cervical epidural steroid injections for cervicogenic dizziness.