Advanced Headache Interventions

Comprehensive Treatment Options

Enhance Center specializes in providing advanced and effective headache treatments. Led by Dr. Ayman Tarabishy, a member of the American Interventional Headache Society, the center utilizes a multimodal approach to offer lasting relief for headache sufferers.

The treatment protocol begins with identifying and addressing any reversible causes of headaches.

The center offers a variety of interventions, including:

Natural and herbal supplementations

Oral, sublingual, nasal, and injectable medications

Topical ointments and creams

Botox® botulinum toxin

Sphenocath®

ntrathecal ziconotide for severe intractable cases

IV infusions for intractable headache attacks

Radiofrequency nerve ablation

Psychotherapy

CSF drainage for pseudotumor cerebri with failed shunts

Nerve stimulators for certain intractable cases

Interventional Nerve Blocks and Ablations

Dr. Tarabishy employs a range of advanced interventional techniques using Ultrasound, Fluoroscopy, nerve stimulators, and sometimes CT guidance to perform nerve blocks and ablations:

Occipital (greater, lesser, and least)

Third occipital nerve (TON)

Diagnostic occipital nerve ultrasound-guided block, along with inferior obliquus muscle (IOM) and semispinalis capitis muscle (SSC) blocks for muscle tension impingement occipital neuralgia

Supraorbital

Supratrochlear

Infraorbital

Mental

Inferior alveolar

External nasal

Ascending cervical

Temporoauricular

Greater auricular

Sphenopalatine (trans-nasal and lateral infra-zygomatic approaches)

Superficial cervical plexus

Trigeminal or its branches (ophthalmic V1, maxillary V2, mandibular V3)

Gasserian ganglion

Buccal

Zygomaticofacial

Zygomaticotemporal

Additional Specialized Treatments

EMG and Ultrasound-guided botulinum toxin injections for specific facial muscles and glands

Collaboration with leading MRI facilities and neuroradiologists to ensure optimal imaging studies and advanced MRI sequences

Partnerships with top neurosurgeons for surgical interventions when needed, including treatments for Arnold Chiari, microvascular decompression, CSF shunts, nerve harvesting, vagal nerve stimulators, and retrograde C0-C4 spinal cord stimulating paddle

Experienced Headache Specialists

At Enhance Center, the experienced team provides advanced headache care without the use of implantable occipital nerve stimulators due to their high complication rates and low percentage of long-lasting relief.

For comprehensive and expert headache care, call Enhance Center today to schedule an appointment.

Request an Appointment

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