Department
The Headache Institute
Specialized headache and migraine care — right here in Montgomery County, Maryland.
Headache Conditions We Treat
- Migraine (with and without aura)
- Chronic daily headache
- Cluster headache
- Tension-type headache
- Post-traumatic headache
- Neck-related (cervicogenic) headache
- Medication overuse headache (rebound)
- Vestibular migraine
- Hemiplegic migraine
- Occipital neuralgia
- Trigeminal neuralgia
- New daily persistent headache
A Comprehensive, Personalized Approach
Headache is one of the most complex conditions in medicine — and one of the most undertreated. At The Headache Institute, we take a comprehensive approach that addresses both the frequency and severity of your headaches, as well as the underlying triggers and contributing factors.
Preventive Treatments
- CGRP monoclonal antibodies (Aimovig, Ajovy, Emgality, Vyepti infusion)
- Topiramate, valproate, beta-blockers, amitriptyline, nortriptyline
- Botulinum toxin (Botox) for chronic migraine
- Gepants (Qulipta, Nurtec ODT)
Acute / Abortive Treatments
- Triptans (sumatriptan, rizatriptan, and others)
- Ditans (Reyvow)
- Gepants (Ubrelvy, Nurtec ODT, Zavzpret nasal spray)
- SYMBRAVO and combination therapies
- NSAIDs
Procedures & Neuromodulation
- Occipital nerve blocks
- Sphenopalatine ganglion (SPG) block
- Peripheral head & facial nerve blocks
- Trigger point injections
- CEFALY external trigeminal nerve stimulation, in-office
What to Expect at Your First Visit
Your initial headache consultation typically lasts 60 minutes and includes:
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Detailed history review
We’ll discuss your headache patterns, triggers, past treatments, and how headaches affect your daily life.
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Neurological examination
A focused exam to evaluate your symptoms and rule out secondary causes.
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Personalized treatment plan
Based on your diagnosis, we’ll outline a step-by-step care plan that may include preventive therapy, acute rescue options, and lifestyle modifications.
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Diagnostic imaging if needed
We’ll order MRI or other studies if clinically indicated.
When Your Neck Is Part of the Headache
Many headache practices can manage the migraine component but cannot directly treat a cervical pain generator. Many pain practices can treat the neck but offer no neurologist-led headache program. We do both — in one plan.
For neck-driven (cervicogenic) headaches and occipital neuralgia, our team combines comprehensive headache evaluation, in-house physical therapy for cervical contributors, occipital and related nerve blocks, and — when clinically appropriate — C-arm-guided cervical procedures. We treat the headache and the contributing cervical condition — not just one side of the problem.
Why See a Headache Specialist?
An estimated 45 million Americans live with migraine — while only a few hundred certified headache specialists practice nationwide. Many headache sufferers spend years cycling through primary care, emergency rooms, and urgent care without lasting relief.
A headache specialist brings dedicated training and access to the latest FDA-approved therapies — and here, that specialist works alongside infusion, neuromodulation, physical therapy, and interventional pain care in the same practice.
Relief Starts With the Right Diagnosis
Schedule your headache consultation today — online or by phone.