Our Innovative techniques for headache & migraine treatment
At the National Headache Institute, we work tirelessly at the forefront of advanced medical treatment for chronic headaches and migraines. We offer a complete assortment of safe, effective, non-invasive treatment options that can alleviate headaches no matter what may be causing them.
Our cutting-edge diagnostic technology allows us to determine and target the true cause of pain. We have years of experience identifying and treating situations where headaches are caused by underlying medical problems that might have gone undiagnosed or unresolved.
Just as importantly, we believe in developing a personalized treatment plan for every patient, maximizing the relief and accelerating results. Let's review the services you can take advantage of when you choose National Headache Institute:
EEG: 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.
ANS: 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 is due to autonomic nervous system factors.
VNG: Videonystagmography (VNG) or commonly known as “Stress Test,” it determines if a vestibular (inner ear) disease may be causing a balance or dizziness among other problems, and is one of the only tests available today that can interpret between a unilateral (one ear) and bilateral (both ears) vestibular loss. VNG testing is a serious of tests designed to document 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 or balance problem. Often, symptoms ranging from dizziness, vertigo, giddiness, and syncope like symptoms are identified in the VNG. The test consists of several movements of the eyes, and infrared goggles are placed around the eyes to record eye movements during testing & VNG testing is non-invasive and lasts about 1 hour.
ECHO: 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.
TRANSCRANIAL DOPPLER: 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.
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.
Allergies are the hidden cause of many chronic headaches. An allergic reaction causes pressure in the head, sinuses, and across the respiratory system. The body’s natural histamine reaction can also prompt sensitivities that lead to headaches.
Headache Diagnosis And Treatment
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 the process for each patient 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. Patients appreciate the fast, easy procedure and long-lasting pain relief.
At National Headache Institute, we are dedicated to an in-depth physical examination of our patients so we can provide the correct diagnosis and most effective headache treatment.
Our medical experts go beyond pre-existing protocols and evidence-based medicine. Dr. Payman Sadeghi and his team are proven leaders in headache treatments, including the use of Botox, which is approved by the U.S. Food and Drug Administration (FDA).
The medically controlled use of Botox can be effective not only for cosmetic purposes but more importantly, for the treatment of migraines.
Botulinum, or Botox, is a substance secreted by a bacterium. In controlled doses, Botox can be used to stop specific neuromuscular signals, resulting in the relaxation of targeted muscles.
While Botox became a popular treatment to reduce the appearance of wrinkles on the face, its use led to reports from patients of decreased instances of migraine headaches when the drug was administered. In most cases the drug is injected directly into the facial muscles on a 12-week cycle.
In 1989, Botox was approved by the FDA for the treatment of strabismus and blepharospasm. Both are eye muscle conditions. In 2002, Botox was approved for cosmetic surgery.
In 2010, the FDA approved Botox for migraine treatment for some patients. Allergan Inc., the maker of Botox, said the FDA approval applies to people with chronic migraine, which is defined as a “distinct and severe neurological disorder characterized by patients who have a history of migraine and suffer from headaches on 15 or more days per month with headaches lasting four hours a day or longer.”
When used for the treatment of chronic migraines, Botox is injected into the muscles of the scalp, forehead, neck and back. The patient usually experiences significant improvement within a week, with the pain-relieving effect lasting as long as three months.
The pain relief is often cumulative when the first treatment’s effect is found to be mild. Its full benefits are experienced after two or three treatments.
Botox is also FDA approved for these other treatments:
- HYPERHYDROSIS, a disorder marked by excessive sweating. The condition usually begins at puberty and affects the palms, soles and armpits. Those with constantly moist hands may feel uncomfortable shaking hands or touching. Others with sweaty armpits and feet may have to contend with the unpleasant odor that results from the bacterial breakdown of sweat and cellular debris.
- WRITER’S CRAMP AND OTHER DYSTONIA, a condition that pertains to a lack of normal muscle tone due to disease or infection.
- LIMB AND FACIAL SPASMS.
In addition, Botox has these off-label uses:
- BACK PAIN
- PARKINSONIAN TREMORS
- FYBROMYSOITIS, a chronic inflammation of a muscle with an overgrowth of the connective tissue.
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:
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.
Platelet Rich Plasma (PRP) is blood plasma containing concentrated platelets. These platelets contain a vast amount reservoir of biologically active proteins and mediators, including platelet growth factors, which are vital for initiation and acceleration of tissue repair and degeneration. These bioactive proteins help initiate and/or accelerate connective tissue healing as well as bone and possibly joint surface regeneration and repair. They can promote the development of new blood vessels and stimulate the wound healing process. Not only, this is the future of regenerative medicine, but it has been successful in the treatment of headaches and joint pain. Many joints pre-surgery patients are expediting PRP as an alternative to surgical procedures.
Moreover, our PRP treatments can stimulate the hair follicles you thought were dormant, leading to increased hair growth and thicker, fuller hair! Whether you’ve recently had hair follicles implanted or you want to try to restart your natural hair follicles, our PRP treatment may be able to help. The growth factors in the platelets may be just what you need to bring those follicles (and your hair) back to life.
Stem cells are the source of some of modern medicinal research’s most enticing promises. Your stem cells are unique in that they can be “programmed” to turn into virtually any other kind of cell in the body. They can, at least in theory, be used to create heart tissue, muscle tissue, joint tissue, and so much more. Because of this, stem cells are the future of medicine, and we believe that many pain, orthopedic, and sports medicine professionals will soon be using stem cells as easily as they use prescription medication and surgery today.
How does it work? Once properly activated and implanted, the cells recognize the injury and work together to heal it. The PRP analyzes the injury and tells the stem cells how to fix it. Consequently, the stem cells become the type of tissue that is needed to replace the injured or damaged tissue.
The result is that you get new, undamaged tissue that will feel and function just as it did before the injury: maximum function with minimum pain. The best part of this treatment is that no surgery is required and no foreign objects are implanted or replaced in your body. This process is autologous (your own DNA), which is organic, safe and the impending vision of regenerative medicine.
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.
Some headaches are triggered by muscle tension. The effective release of muscle tension can be accomplished by the treatment of pressure points on the scalp, neck and spine.
At National Headache Institute, we offer several forms of treatments that could include massage, stretching exercises, hot and cold therapy, electrical muscle stimulation and ultrasound.
We employ a staff of healthcare professionals with extensive training in the treatment of headaches and migraines. They are ready to provide you with the information you need to best manage your pain. Our staff members will perform an initial evaluation and develop a treatment plan to reduce and eliminate your pain, and prevent future occurrences.