Headaches can occur for many different reasons, including chronic stress, anxiety, depression and other emotional issues, or from physical causes like muscle strain, soft tissue injury, circulation problems and nervous system issues, including pinched nerves and overactive nerves. Chronic headaches including migraines can be debilitating, affecting every aspect of a person's life. The first step in treating headaches is to have a physical exam with a complete medical history aimed at identifying possible causes so treatment can be customized and targeted for better results and improved overall health.

What treatments are available for chronic headaches and migraines?

The exact treatment for chronic headaches will depend on the underlying cause, and can include techniques like:

• trigger point injections
• osteopathic manipulation
• sphenopalatine nerve blocks
• Botox® injections to block nerve receptors

Ideally, treatment of migraines and other chronic headaches is focused on preventing headaches from occurring in the first place, but medications can also be prescribed to treat symptoms of headaches that do occur.

How does Botox® work to treat migraine headaches?

Botox® is typically used in people who have many headaches each month, each one lasting several hours. Injections are given at specific points around the neck and head to help block nerve signals that have been implicated in migraine headaches. Studies have shown Botox® can help prevent migraines for up to three months in many patients, and treatment can be repeated every 12 weeks as needed.

How will I know which treatment is best for me?

Your physical exam, medical history and a detailed description of symptoms can be very helpful in understanding your headaches and the factors that contribute to them. Information gathered during your exam along with any lab tests that may be ordered will help determine the best treatment approach to bring relief for your specific symptoms.