Migraine & Headache Treatment in PA & NJ
Migraines affect more than 37 million Americans and are one of the leading causes of disability worldwide. When migraines occur frequently, they can prevent people from working, caring for their families, and enjoying life. At DVPSI, our neurologically trained pain specialists have particular expertise in headache medicine and migraine management.
Dr. Todd Bromberg’s background in Neurology makes him uniquely qualified to evaluate and treat complex headache disorders. We offer Botox injections for chronic migraine, occipital nerve blocks, and comprehensive headache management programs that go beyond simply prescribing medication.
Common Symptoms
- Moderate to severe throbbing pain, usually on one side of the head
- Nausea and vomiting during headache episodes
- Sensitivity to light and sound (photophobia, phonophobia)
- Aura, visual disturbances, numbness, or speech difficulty before headache
- Headaches lasting 4 to 72 hours without treatment
- Pain that worsens with routine physical activity
- Neck pain or stiffness associated with headaches (cervicogenic headache)
Common Causes
- Neurological triggers, changes in brain chemistry and nerve signaling
- Hormonal changes, particularly in women (menstrual migraines)
- Environmental triggers, bright lights, strong smells, weather changes
- Stress, one of the most common migraine triggers
- Sleep disruption, both too little and too much sleep can trigger migraines
- Dietary triggers, alcohol, caffeine, aged cheeses, processed foods
- Occipital neuralgia, inflammation of the occipital nerves causing head pain
Treatment Options at DVPSI
Our board-certified physicians use a stepwise, minimally invasive approach, always starting with the least invasive effective treatment and escalating only when necessary. Most patients find significant relief without major surgery.
Botox Injections for Chronic Migraine
FDA-approved treatment for chronic migraine (15+ headache days per month). Injected every 12 weeks, Botox significantly reduces migraine frequency.
Occipital Nerve Blocks
Injection around the occipital nerves to relieve occipital neuralgia and cervicogenic headaches, often provides immediate relief.
Supraorbital Nerve Blocks
Targeted injections for frontal headaches and trigeminal nerve-related head pain.
Trigger Point Injections
For headaches related to muscle tension and myofascial trigger points in the neck and scalp.
Sphenopalatine Ganglion Block
A minimally invasive procedure for cluster headaches and refractory migraines.
Medication Management
Preventive medications (topiramate, propranolol, amitriptyline) and abortive therapies carefully selected and monitored.
Why Choose DVPSI for Migraines & Headaches Treatment
Dr. Bromberg is board certified in Neurology and Pain Medicine, making him one of the most qualified physicians in the region to treat complex headache disorders. Many patients find relief at DVPSI after years of inadequate migraine management at general practices. We accept most insurance for all headache treatments including Botox.