Our Coral Gables clinic is conveniently located minutes from downtown Miami, the Miami International Airport and the Port of Miami.
Miami In-Office Diagnostics
Navigating your day through the discomfort of a headache is complicated enough. At the National Headache Institute, we strive to simplify your life by offering a full service of diagnostics and treatments in one convenient location. To save you time and energy, we can offer testing and immediate relief through a variety of effective and exclusive processes. Through state-of-the-art technology, we can provide the following non-invasive diagnostic testing options and therapies:
Learn More About Our Diagnostics
Allergies are the hidden cause of many chronic headaches. An allergic reaction causes pressure in the head and sinuses. Allergic reactions can cause inflammation in the nose, lungs and throat as well. The body’s natural histamine reaction can also prompt sensitivities that lead to headaches.
An electroencephalogram (EEG) is a test that detects electrical activity in your brain using small, flat metal discs (electrodes) attached to your scalp. This test focuses in the assessment of brain waves and its functionality. A major role of this medical test in relation to headaches is for the physician to rule out any signs of seizures, epilepsy, or vascular components of the brain leading to headaches.
The Autonomic Nervous System test (ANS) is designed to evaluate the autonomic functions of the body. These body functions encompass monitoring and controlling all internal functions such as blood pressure, blood flow, sweating, bowel and bladder and so on. When a headache patient displays headache symptoms including: nausea, diarrhea, paroxysmal tachycardia, vasoconstriction of extracranial arteries, chest or head pressure; the ANS test allows the physician to measure if the cause of headaches are due to autonomic nervous system factors.
Videonystagmography (VNG), more commonly known as a balance test, determines if a vestibular (inner ear) disease may be causing a balance or dizziness among other problems. VNG is one of the only tests available today that can interpret between a unilateral (one ear) and bilateral (both ears) vestibular loss. VNG testing documents a person’s ability to follow visual objects with their eyes and how well the eyes respond to information from the vestibular system. Furthermore, the VNG addresses the functionality of each ear and if a vestibular deficit may be the cause of dizziness, a balance problem or vestibular headaches. Often times, symptoms ranging from dizziness, vertigo, giddiness, and syncope-like symptoms are identified in the VNG. The test consists of several movements of the eyes, recorded by infrared googles. VNG testing is non-invasive and takes about 20 minutes.
Echocardiogram can be used to diagnose blood flow issues throughout the body, including the heart, which could create the conditions for severe headaches. It is a form of ultrasound and can also be used to determine the root cause of migraines.
This diagnostic treatment measures blood flow in the brain’s blood vessels by measuring ultrasound wave echoes passing through the cranium. It can detect blood flow issues affecting the brain that can cause severe migraines.
Extra-Cranial Carotid Doppler
Many chronic headache and migraine problems originate in the neck. Using the extra-cranial carotid Doppler test – also known as Doppler ultrasound – the health of arteries in the neck can be examined in detail. This allows us to locate narrowing and blockages in the arteries. During this test, an ultrasound probe is placed on the patient’s neck. High-frequency sound waves can be used to create a complete picture of the arteries. From these images, we are able to measure the speed and direction of blood flow. The whole process takes only minutes.
Extracranial Bilateral Study
This form of diagnostic builds upon the information provided by the Transcranial Doppler to provide a complete picture of cranial blood flow. It helps recognize weakened extracranial arteries.
Diagnostics and Relief in One Location
Seven different primary headache disorders and nearly a dozen secondary headache disorders can all be the foundation of chronic headache or migraine. To resolve the issue, it must first be identified. At National Headache Institute, we begin each patient in Miami, Florida with a complete examination and medical history intended to focus on the most effective headache treatment.
Botox is one of the latest alternatives for headache and migraines. It is a prescription medicine that is injected with the goal of preventing headaches for chronic migraines patients who have on average 15 or more days each month with headache lasting four or more hours each day. Botox isn’t just for facial rejuvenation. By reducing the activity of certain facial muscles, it can alleviate the underlying causes of certain tension headaches. Florida patients appreciate the fast, easy procedure and long-lasting pain relief.
NPT – Neuro Proliferation Therapy
Neuro Proliferation Therapy (NPT) is the approach our physicians take in order to attack immediate headache flare-ups and severe pain. By using Dextrose, the physician allocates and isolates the pain, by decreasing the inflammation in the patient; the results are almost immediately. Your pain will ultimately dictate whether neuro-prolotherapy is right for you. If our doctors can find direct, measurable damage to one of your joints or tendons, we’ll recommend treating the damage directly. However, if we can’t find any damage, and if other facts in your history and symptoms indicate that the pain is nerve-based, neuro-prolotherapy may be the effective treatment you’ve been looking for. In some instances, your pain may be the result of many different factors, and you may need a mixture of different treatments carefully choreographed to fit your needs. Our doctors have used neuro-prolotherapy to treat all of the following:
- Knee pain
- Shoulder pain
- Neck pain
- Hip pain
- Muscle injuries
- Tennis eblow
- Bell’s Palsy
- Face Pain
- And others
Proliferation Therapy (PROLO) uses a mild irritant solution (usually consisting of various sugars) that we inject directly into the damaged or painful joint, creating a small, controlled inflammation. This controlled inflammation is a reparative type or proliferative type. The therapy triggers your body to heal the original damage that originated the pain or inflammation. Your body regenerates new and shields, whole tissue, and you experience less pain and better function. This therapy approach is performed every 4-6 weeks. Each patient achieves different results depending on the severity of the pain.
Neuro-muscular therapy, also known as NMT, is a precise and careful treatment of soft tissues throughout your body. Patients who are good candidates for NMT often present with a range of physical symptoms outside of their headaches, including muscle and joint pain. Specialized protocols, developed for each region of the body, can be used one at a time. These build on one another to reduce pain and soreness. NMT can be helpful in situations where headaches or migraines are produced in part by muscle tension or misalignment.
All pain signals throughout the body are transported across the nerves as electrical pulses. Hydro-dissection can be used to treat nerves that have become “entrapped” as a result of direct pressure that causes them to be compressed. This state can give rise to chronic pain. Initially, ultrasound is used to determine which nerves are entrapped. Once this is done, a natural solution is injected into the area of the nerve. This specialized solution naturally releases the nerve and also serves to nourish it, helping restore complete health after prolonged stress. The hydro-dissection process often focuses on nerves in the face, head, neck and shoulders because these are most likely to contribute to headache pain. When performed under the care of experts, the procedure can cause immediate reduction of headache pain. It’s a minimally invasive procedure with virtually no side effects.
Physical medicine is a fast, safe, and non-invasive way to treat many headaches related to stress and tension. Our approach targets neuromuscular components, which have been designed to mitigate and recover the stressed muscles and regions leading to headaches and migraines. A personalized physical medicine plan might include pressure point treatment along the scalp, massage, hot and cold therapy, ultrasound, and electrical muscle stimulation.