Specialized Headache Care

In the United States, 28 million people suffer from migraine headaches, and 48 percent of these people have a disabling migraine once every three months. Migraine headache is the most common neurological disorder treated in the outpatient setting. Migraine is a complex disorder of the nervous system. In addition to the head pain, presenting symptoms typically include nausea, vomiting, one-sided pain, phonophobia (sensitivity to noise), photophobia (sensitivity to light), and osmophobia (increased sensitivity and intolerance to odors). The pain may be pulsatile. About 20% of patients have an aura. An aura is a transient focal neurological disturbance, which is typically a visual disturbance and lasts 15-20 minutes; the migraine pain usually lasts anywhere from 3 hours to several days.

Migraine headaches are managed through a variety of methods, such as identifying and avoiding triggers, behavioral modifications such as sleep, relaxation therapy, explanation and reassurance, prescription medication and neural blockade through medications, nerve blocks, or chemo denervation with the use of botulinum toxin injections.  Botulinum toxin injection is now FDA approved for the treatment of chronic migraine headaches.  In order to qualify for botulinum toxin injection, one must have more than 14 headaches per month lasting more than four hours. Dr. Imam is one of the few neurologists in the DFW metroplex area with extensive experience in the use of botulinum toxin (BOTOX®) injections.  Dr. Imam has been providing botulinum toxin therapy since 1997.
Acute treatment for severe and refractory migraine is also provided in the clinic.  Please contact clinic in advance.  You must be an established patient in our clinic to take advantage of this treatment service.
For more information on chronic migraines and Botox, please click here.

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