Opened in 2014, Mission Hospital's Neuroscience & Spine Institute stands as the premier neurosurgical facility in Orange County

Mission Neuroscience Institute

Headaches and Migraines

Did you know that 1 in every 4 American households suffers from headaches? Did you know Mission Hospital has a board-certified headache specialist (1 of only 30 in Orange County) that treats headaches through ganglion blocks? We have acute in-patient headache protocols for management of migraines and headaches.

Headaches are a very common disorder. The most common headaches include tension-type headaches, migraine and cluster. Headache care and management continue to be a significant problem due to disability and time lost from work or other activities. Treatment options remain limited for both acute treatment, when a headache begins, and for maintenance or preventive therapy.

Migraine remains one of the greatest problems due to the severity of the headaches and associated neurological symptoms beyond the pain. Migraines often are throbbing and severe, worsen with activity, and lead into nausea and light or sound sensitivity. Mission Hospital doctors often provide treatment plans that include medicines called triptans, which act upon specific serotonin receptors of the brain to treat all symptoms of the headache: pain, nausea, and light or sound sensitivity. Other acute treatments may involve specific nerve blocks. If severe enough, inpatient infusion therapy may be necessary. Chronic maintenance and preventive treatment often include medicines that treat high blood pressure, or depression, or seizures. Novel therapies include onabotulinum toxin (Botox), antihistamines, and NMDA antagonists. New options that treat CGRP, may soon change the way migraine is treated.

Headaches and the pattern often worsen over time, often due to the medicine used to often treat pain. The concept of medication overuse headache, or rebound, is often due to a vicious cycle of pain followed by a pain reliever, leading to more pain. The most common treatment sot promote rebound include butalbital compounds and opiates. The American Academy of Neurology remains cautious on these treatments unless used as a last resort only, and not in excess. Rebound headache can be considered in any individual with progression of headache chronically taking a pain reliever two to three times per week.

Mission Hospital provides services to address chronic care, with inpatient service needs if necessary, making our the neurology services unique within the community.

Would you like to learn more about our headache and migraine care? Call us today at (877) 459-3627.