When Medication Isn’t Enough Anymore, There Are Still Options
Chronic migraines and persistent headaches affect how you work, how you sleep, how you parent, and how you function on your best days.
Most patients who find their way to a pain management specialist for headaches have already gone through the standard progression: over-the-counter medications, then prescription preventives, then triptans, then the frustrating cycle of partial relief, rebound headaches, and medication that stops working.
Interventional pain management offers a different approach.
Rather than adding another medication to an already complicated regimen, targeted procedures can interrupt the pain pathways that are generating your headaches at a structural level.
Get Headache ReliefOr Call Brock Pain Medicine: (469) 742-9950
Why Interventional Treatment When Medication Hasn’t Been Enough
Preventive medications for migraine (beta blockers, anticonvulsants, antidepressants, CGRP antagonists) work for many patients.
But a significant number of chronic migraine patients either don’t respond adequately, experience side effects that limit compliance, or develop medication overuse headaches from relying too heavily on acute treatments.
Interventional approaches address the problem differently. Instead of modifying the systemic neurological environment that generates migraines, they target specific structural sources of pain:
Nerve blocks interrupt the pain signal at specific nerve pathways involved in migraine and headache generation
Cervical injections address the cervical spine structures that generate cervicogenic headaches and contribute to migraine sensitization.
Trigger point injections release muscular tension in the head, neck, and upper back that perpetuates chronic headaches.
Pain that is worse after prolonged sitting, standing, or walking
Pain that wakes you at night or prevents restful sleep
A history of spine surgery with pain that has not resolved as expected
These approaches are not a replacement for neurological migraine management. They work alongside it, addressing the structural components that medication may not reach.
Get Headache ReliefWhen a Pain Management Evaluation Is Appropriate for Headaches
You have 15 or more headache days per month, and current treatments are not providing adequate control
Preventive medications have failed, caused intolerable side effects, or stopped working
You have headaches that begin in the neck or base of the skull and spread upward
You have been diagnosed with occipital neuralgia, or suspect you have it
You have headaches following a neck injury or whiplash that have not resolved
You are experiencing medication overuse headache and want to reduce reliance on acute treatments
Chronic Migraines Don’t Have to Define Your Month
Living around migraines (canceling plans, missing work, dreading the next attack) is not a reasonable long-term arrangement. If standard treatment hasn’t given you adequate control, interventional options are worth a conversation.
Brock Pain Medicine will evaluate your specific headache pattern, identify whether a structural or neurological component is driving your symptoms, and discuss the options most appropriate for your situation.
Get Headache ReliefOr Call Brock Pain Medicine: (469) 742-9950