The ColumbiaDoctors Neurology Headache and Facial Pain Center is comprised of neurological specialists from our Division of Multispecialty Neurology, each with subspecialty training in the diagnosis, treatment, and management of headache and facial pain disorders in adults and children. Together, our neurological experts work with an integrated team of pain management and physical medicine specialists to treat both common and intractable headache and facial pain disorders.
The process is individualized for each case, and includes a detailed medical history, neurologic exam, neuropsychological assessment, and other state-of-the-art diagnostic procedures as needed. We customize treatment for each patient based on his or her 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
Our center also offers 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.