Archive For The “Headaches” Category

Headaches 2013: Cervicogenic Headaches – Differential Diagnosis

By | April 3, 2013

At Schlesinger Pain Centers we know that before embarking on the treatment of any malady it is important to exclude all conditions, which could mimic or masquerade as the disease in question, in medical parlance this would be going through the differential diagnosis. Fortunately for classical cervicogenic headaches, which present without pain or numbness in […]

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Headaches 2013: Cervicogenic Headaches

By | April 1, 2013

One of the most under-diagnosed causes of headache is that which arises from the upper cervical vertebrae and spinal roots. Cervicogenic headaches occur most commonly in the very old and in those with a history of neck trauma. The diagnosis requires a high index of suspicion, since the patients often do not complain of neck […]

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Headaches 2013: Tension Type Headaches

By | March 13, 2013

Although they make up 90% of all headaches, the tension type headaches, from which we all suffer from time to time are a rare reason for an appointment at Schlesinger Pain Centers largely due to their mild to moderate severity and self-limited nature. When these headaches become chronic some patient will present. It is important […]

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Headaches 2013: The Importance of Diagnosis

By | March 11, 2013

As we have said so many times in these blogs the most important step in the medical process is arriving at the correct diagnosis. Tension headaches, chronic daily headaches, true migraines, cluster headaches, occipital neuralgia, cervicogenic headaches and a variety of facial pain syndromes such as trigeminal neuralgia all require different treatments. Without the correct […]

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Headaches 2013: The Importance of Empathy

By | March 8, 2013

It’s been a long time since we talked about chronic headaches and they remain one of the most undertreated conditions I see. The reason for this in my opinion is a lack of understanding and a lack of empathy. Everyone has had a headache, usually a mild tension headache and if you think that the […]

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Chronic Pain in the Young: Cervicogenic Headaches

By | March 31, 2012

Cervicogenic headaches are one of the most common yet under-diagnosed causes of chronic pain in the young that we see at Schlesinger Pain Centers. Patients with absolutely classic signs and symptoms often languish for years in other offices and clinics. Some have even undergone extensive surgical procedures for Arnold-Chiari malformations or other rare conditions, which […]

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Chronic Pain in the Young: Rebound Headaches

By | March 30, 2012

One of the problems in assessing and treating patients with chronic headaches is the fact that by the time they come to see me at Schlesinger Pain Centers many of them will have been started on oral opiates or barbiturates. As I have said before in these blogs, in my opinion these drugs have no […]

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Chronic Pain in the Young: Migraines, A Historical Perspective

By | March 29, 2012

I am old enough to remember treating migraine headaches before the introduction of the triptans. Before the introduction of sumatriptan there was no really effective way to treat a migraine once it had begun. We understood a little bit about the hormonal and dietary triggers of migraine headaches and some work had been done on […]

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Chronic Pain in the Young: Headaches

By | March 28, 2012

If I had to pick a syndrome that best exemplified the problems of chronic pain in the young, it would be chronic headaches. Statistically most chronic headaches will start within a decade of puberty. Furthermore, how these headaches are treated will have a major impact on the rest of the patient’s life. I have seen […]

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In Search of the Best Pain Clinic in LA: Headaches During Pregnancy

By | January 25, 2012

Headaches are probably the second most common chronic pain disorder in pregnancy, right behind back pain, but perhaps the most serious. The way that the best pain clinic in Los Angeles would deal with these difficult patients is instructive of the way that they would approach their other patients. Severe headaches are common in pregnancy […]

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