Headaches & Migraines

Comprehensive Care for Headache and Migraine Disorders

Headaches can differ significantly in location, frequency, duration and severity. While more than 40 million individuals in the U.S. suffer from migraine attacks, very few of those individuals pursue care and are, instead, left with debilitating attacks that interfere with their quality of life. Other patients may not have migraine attacks and do not realize there are care options for their headache types as well. All individuals with headaches may benefit from specialized care with individualized treatment plans.

At Marshall Neurology, we provide innovative, personalized treatments to help patients manage their headache disorders and reclaim their lives.

When to See a Specialist

If you are experiencing new headache attacks or have 4 or more days/month affected by headache symptoms or pain, you should see a specialist. Many times, patients do not realize that early intervention can decrease the risk of worsening attacks over time. A headache specialist can help provide a proper diagnosis and develop a comprehensive treatment plan for you.

Primary headaches include:

  • Migraines: Many individuals mistakenly believe that frequent headaches are “normal” or dismiss them as sinus or tension headaches when they may actually be migraines. These attacks typically last between 4 and 72 hours and are characterized by moderate to severe pain, sensitivity to light or sound, nausea, vomiting or worsening with physical activity. Most patients experience bothersome symptoms in addition to their headache pain such as brain fog/decreased concentration, change in appetite, mood changes, neck stiffness, fatigue/tiredness, etc.
  • Tension headaches: The most common type of headache, symptoms include bilateral location, pressure or tightening quality, mild or moderate intensity, not typically aggravated with activity. Bothersome symptoms can sometime include nausea, sensitivity to light or sound.
  • Cluster headaches: These attacks usually occur in a series that may last weeks or months. The attacks can last up to 3 hours, multiple times a day or every other day, with strictly unilateral (or one-sided) severe pain. Associated symptoms occur on the same side as the pain, which may include redness or the eye or a watering eye, runny or congested nostril, eyelid swelling or drooping, forehead and facial sweating, a small pupil and is accompanied by a sense of restlessness or agitation.

We also treat other headache and facial pain conditions, including:

  • Chronic daily headaches
  • Trigeminal neuralgia
  • Post-traumatic headaches
  • Secondary headache disorders, such as idiopathic intracranial hypertension (IIH), post-stroke headaches, headaches associated with loss of vision, pregnancy or the post-partum period.

At your initial appointment, you will be asked to describe your headaches in detail. Patients are also encouraged to keep a headache diary and bring it to their first appointment. Items to track in your journal include frequency, duration, severity and medications taken to abort the attack.

Advanced Treatment Options

We provide comprehensive care for a wide range of headache conditions, including:

  • Abortive therapies: target the pain pathway to stop a headache attack, replacing over-the-counter medications.
  • Preventive therapies: Reduce the frequency, duration, and severity of attacks.

Options include:

  • Nutraceuticals
  • Neuromodulation devices
  • Oral medications
  • Subcutaneous injections
  • IV infusions
  • Botox (chemodenervation injections)
  • Nerve blocks and trigger point injections

Collaborative, Patient-Centered Care

At Marshall Neurology, we take a multidisciplinary approach to headache care. Our team collaborates with specialists in neurosurgery, ophthalmology, otolaryngology, psychiatry, pain medicine and radiology to provide comprehensive evaluations and individualized care plans.

We consider each patient’s unique headache history, lifestyle and co-existing medical conditions. When necessary, we coordinate diagnostic imaging and additional testing to ensure an accurate diagnosis and effective treatment plan.

Marshall Neurology - Huntington

A provider-based department of Cabell Huntington Hospital
Robert and Lena Shell Medical Pavilion
1340 Hal Greer Blvd.
Building 2, Fourth Floor (Suite #4000)
Huntington, WV 25701
Phone: 304.691.1787

Map & Directions

Marshall Neuroscience - Teays Valley

An outpatient department of Cabell Huntington Hospital
Marshall Health - Teays Valley
300 Corporate Center Drive
2nd Floor
Scott Depot, WV 25560
Phone: 304.691.6931

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Contact Us

Take the first step toward controlling your headaches. Contact Marshall Neurology to schedule an appointment with our team of specialists.
Marshall Neurology
304.691.1787