Headaches

More Than Just a Headache: When Chronic Head Pain Requires a Specialist

Nearly everyone experiences the occasional headache—but for some, head pain becomes a constant, debilitating presence. If you suffer from frequent or severe headaches that interfere with your work, sleep, or daily life, it may be time to look beyond over-the-counter remedies and seek expert care.

At Pain Management Solutions, we specialize in diagnosing and treating a wide range of chronic headache conditions using personalized, non-opioid approaches that target the underlying causes of pain.

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Types of Headaches We Treat

Not all headaches are the same—and effective treatment starts with an accurate diagnosis. Common types of headaches we manage include:

• Chronic migraines – Intense, throbbing pain often accompanied by nausea, light/sound sensitivity, and aura
• Tension-type headaches – A dull, pressure-like pain around the forehead, temples, or back of the head
• Occipital neuralgia – Sharp, shooting pain at the base of the skull caused by irritated occipital nerves
• Cervicogenic headaches – Head pain that originates in the neck and radiates toward the head and face
• Rebound headaches – Caused by frequent use of headache medications
• Cluster headaches – Severe, one-sided head pain that occurs in cyclical patterns or clusters

Whether your headaches are episodic or daily, we’ll help determine the root cause and tailor a treatment plan that works for you.

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When to See a Pain Management Specialist

You should consider specialty care if:

• You experience 15 or more headache days per month
• Over-the-counter medications are no longer effective
• Headaches are getting worse over time
• Pain is accompanied by neck stiffness, nerve sensitivity, or visual disturbances
• You’ve tried multiple treatments without lasting relief

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How Pain Management Solutions Can Help

At Pain Management Solutions, Dr. Francis Pecoraro takes a multidisciplinary approach to headache care, using advanced tools to reduce nerve sensitivity, calm inflammation, and prevent future flare-ups.

Our treatment options may include:

• Botox® injections – FDA-approved for chronic migraines (15+ headache days/month)
• Occipital nerve blocks – Image-guided injections that calm nerve inflammation at the base of the skull
• Trigger point injections – For muscle tension in the neck, shoulders, or scalp contributing to head pain
• Cervical facet joint interventions – For headaches originating from spinal arthritis or whiplash
• Medication management – Coordination of preventive and rescue medications
• Referrals to neurology, physical therapy, or behavioral therapy – When needed for comprehensive care

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Headache Relief Is Possible—Without Relying on Daily Medications

Living with chronic headaches can be physically and emotionally draining—but effective relief is possible. At Pain Management Solutions, we combine experience with evidence-based treatments to help you take control of your pain and your schedule.

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Stop Letting Headaches Call the Shots

If headaches are interfering with your ability to live and work comfortably, we’re here to help. Contact Pain Management Solutions today to schedule an evaluation and start your journey toward long-term relief.