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Injured in an accident? We see new accident and injury patients quickly — call (314) 310-5577 or text (314) 886-5902

Chronic Headache and Migraine

When headaches stop being occasional, the first job is to work out what kind they are — because the treatments do not overlap.

What it is

Migraine, tension-type headache, cervicogenic headache and occipital neuralgia are distinct conditions that are routinely lumped together.

Medication overuse headache is a common and under-recognised cause of daily headache — the treatment is causing the problem.

Post-traumatic headache after a crash frequently has a neck component.

How it usually presents

  • Headache on more days than not.
  • A pattern that has changed over time.
  • Escalating use of over-the-counter painkillers.
  • Neck stiffness accompanying the headache.
  • Disturbed sleep.

How we treat it

  • A careful history, which does more diagnostic work here than any scan.
  • Occipital and sphenopalatine ganglion blocks where indicated.
  • Treating the cervical spine where it is contributing.
  • Withdrawal from overused analgesics where that is the driver.

To be assessed, call (314) 310-5577 or request an appointment. If this began with a crash or a fall, see accident and injury care.

Common questions

Can my neck cause headaches?

Yes, and it is one of the most commonly missed causes of persistent one-sided headache.

Hurt in an accident? Start here.

You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.

Or text (314) 886-5902 · Monday–Friday, 8:00 a.m. – 4:00 p.m.

Hurt in an accident? Start here.

You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.

Or text (314) 886-5902 · Monday–Friday, 8:00 a.m. – 4:00 p.m.