Headache Specialist

Migraine & Chronic Headache Care

Clinical diagnostics and advanced therapies for severe migraines, chronic cluster headaches, and tension-type headaches.

What is Migraine?

Migraine is a chronic neurological disease characterized by recurrent moderate-to-severe headache attacks. These headaches are typically throbbing, unilateral (affecting one side of the head), and often accompanied by symptoms such as nausea, vomiting, and hypersensitivity to light, sound, or smell. Migraines can last from several hours to days, significantly impacting daily activities.

Headache Subtypes We Manage

Accurate diagnostic classification is essential to determine the best treatment:

Episodic Migraine: Occurring fewer than 15 days per month, managed with targeted preventive and abortive medications.
Chronic Migraine: Occurring 15 or more days per month for at least 3 months, requiring daily preventives or injection therapies.
Cluster Headaches: Severe, sharp pain typically localized around one eye, occurring in cyclical patterns or clusters.
Tension-Type Headaches: Mild-to-moderate dull, band-like pain, often related to stress or muscle tension.

Advanced Treatment Modalities

1. Abortive Medication Strategy

We design custom emergency medication plans using triptans, calcitonin gene-related peptide (CGRP) receptor antagonists (e.g., rimegepant), or standard NSAIDs to abort acute migraine attacks early and prevent medication-overuse headaches.

2. Preventive Biologicals (CGRP Blockers)

For patients with frequent, severe attacks, we utilize targeted preventive treatments, including monoclonal antibody therapies (CGRP inhibitors) such as erenumab or fremanezumab, which selectively block migraine-promoting receptors.

3. Botox Injections for Chronic Migraine

Dr. Rajneesh Kummar administers FDA-approved botulinum toxin (Botox) injections for chronic migraine. Using a standardized protocol, injections are delivered to 31 specific muscle sites across the head and neck every 12 weeks, helping block pain pathways and reduce headache days by up to 50%.