Specialty Headache Care in Rochester

Expert diagnosis and treatment of migraine and other headache disorders, with medication and in-office treatment options.

What I Treat

Headache care focused on getting the diagnosis right.

Migraine and chronic migraine

Cervicogenic headache

Occipital neuralgia

Post-traumatic headache

Persistent or difficult-to-treat headaches

IN-OFFICE TREATMENTS

Migraine Botox

Occipital nerve blocks

Cranial nerve blocks

Trigger-point injections

In-office rescue treatment for prolonged or severe headache attacks

More Than Medication Management

Headache treatment doesn’t always mean another prescription.

Treatment is individualized and may include traditional headache medications, newer CGRP- targeting medications when appropriate, as well as treatments performed directly in the office.

Headache + Neck Pain

Headache and neck pain often overlap.

For patients with a significant cervical or musculoskeletal component, treatment can address both the headache disorder and contributing neck pain. Treatment may include osteopathic manipulative treatment (OMT), headache procedures, and coordination with physical therapy when appropriate.

When Specialty Headache Care Can Help

You don’t have to wait until headaches become severe or chronic to see a headache specialist.

Specialty evaluation can be helpful when the diagnosis isn’t clear, headaches are becoming more frequent or disabling, or medications aren’t working or aren’t well tolerated. It can also help when a prolonged headache isn’t breaking, headache or neck pain is interfering with rehabilitation, or procedural treatment such as Botox or nerve blocks may be appropriate.

Need Help With a Headache?

For healthcare professionals: Referrals from primary care, physical therapy, and other healthcare professionals are welcome.

OMT Targets in Chronic Pain

Muscle Guarding

• Chronic pain often leads to reflexive muscle tightening (guarding), which limits motion and perpetuates pain.
• OMT techniques like muscle energy and counterstrain relieve hypertonicity, restore range of motion, and reduce nociceptive input.

Autonomic Nervous System Dysregulation

• Chronic stress/pain activates the sympathetic nervous system (fight-or-flight), worsening inflammation and reducing healing.
• OMT techniques (for example, craniosacral therapy, rib raising) help balance autonomic tone, decreasing sympathetic overactivity and enhancing parasympathetic function.

Somatic Dysfunction

• Chronic pain often localizes dysfunctions in joints, fascia, and viscera.
• Soft tissue, HVLA, and myofascial release techniques restore normal alignment and improve proprioception.