Magnesium and Headaches

Magnesium is one of the most abundant minerals found in the body that controls many important processes within our cells. It plays a vital role in the proper functioning of our nerves and muscles.

Some studies have shown a connection between low blood magnesium levels and chronic migraines and headaches. Other studies have found a significant decrease in symptoms associated with migraines including sensitivity to light and sound.

For this reason, your provider may recommend magnesium supplementation in pill form or via IV infusion to help control your migraines.

For more information please call our office to schedule an appointment with one of our caring providers. We look forward to meeting you!

By: Brooke Steiger, NP

Procedure spotlight: SPG block

SPG stands for sphenopalatine ganglion. It describes a group of nerve cells connected to the trigeminal nerve that is located behind the bony structures of the nose that is associated with headache and migraine. This in office procedure takes less than 5 minutes and uses a small plastic tube inserted in the nose to deliver local anesthesia to the SPG to help stop the pain signaling that causes the headache or migraine. Risks and side effects are minimal and temporary but may include mild discomfort, bitter taste in mouth, and lightheadedness.

Please call the office to schedule your consultation and discuss this procedure with your provider.

By: Brooke Steiger, NP

Headaches and Massage

Massage therapy has been used successfully to treat chronic pain and tension.
But did you know that it helps relieve and prevent the pain associated with migraines and tension headaches?
Therapeutic massage offers a noninvasive and medication-free approach to help manage your chronic headaches.
Research has shown that massage may reduce the frequency and severity of headaches.
Massage for migraines targets specific muscle groups that may be contributing to your headache.
We have a wonderful massage therapist here at The Manhattan Center For Headache & Neurology who is licensed and trained in technique for chronic headache.

By: Brooke Steiger, FNP

Dehydration Headaches

It’s hot and humid outside! During these summer months, it’s very important to stay hydrated. Not drinking enough fluids and not eating fluid rich foods can result in your body not getting enough of the fluids that it needs. This may cause a dehydration headache, a secondary headache caused by not having enough fluids. This is especially common during the summer months when you are more active than usual and enjoying the beautiful weather outside. Be aware of becoming dehydrated. Common signs of dehydration include extreme thirst, reduced urination, dark colored urine, confusion, dizziness, fatigue, dry, sticky mouth, loss of skin elasticity, low blood pressure and increased heart rate. People at higher risk of dehydration include: people who live in higher altitudes, infants and young children, elderly people, people with chronic illnesses (diabetes and kidney disease), endurance athletes and people who live in hot climates. But remember, anyone can become dehydrated if it’s hot outside and you are active! Severe dehydration may result in seeking medical attention to restore fluids. During this 4th of July holiday increase your fluid intake and replace lost electrolytes with a sports drink! Try to temporarily decrease physical activity in extreme heat. The Manhattan Center for Headache & Neurology wishes you a very happy and festive Independence Day Celebration. Stay cool and hydrated! Have fun and celebrate!

Top 10 Natural Headache/Migraine Remedies

Prevention is the key to managing migraines and headaches. Here are some non pharmacological methods of migraine and headache reduction. In our practice we recommend below preventatives which minimize headache frequency.

Magnesium 200-600 mg
Gluten free Diet
Peppermint and Lavender Essential Oil
Herbs: Feverfew and Butterbur
B complex Units (Vitamin B20
Stay Hydrated
Chiropractic Care

Call us to discuss these options! We look forward to helping you!

Retinal Migraine

A retinal migraine is a rare type of migraine that involves an aura. Unlike most migraines with aura, a retinal migraine affects vision in one eye only. When a headache causes you to temporarily lose vision in one eye, it is a Retinal Migraine. The headache will also occur at the same time or within an hour of the vision problems.
Retinal migraines happen when a blood vessel in the eye spasms, causing a reduction in the blood flow to the eye. As the blood vessel relaxes and blood flow returns to normal, the symptoms usually disappear, and the vision comes back.

Emotional stress, tension, and being overtired, too much caffeine or caffeine withdrawal, bright lights or loud noises, changes in sleep patterns, hormonal changes in women, medications that lead to swelling in blood vessels, excessive or regular use of pain relievers for headaches, not eating or drinking enough, individuals with a personal or family history of migraines, retinal migraines also affect women more often than men.

A retinal migraine involves repeated attacks of certain visual disturbances, which usually happen before the headache phase of the migraine.
Symptoms: flashing, sparkling, or twinkling lights, a blind spot or partial loss of vision, temporary blindness
Migraine headaches may be: pulsing or throbbing, moderate to severe in pain intensity, susceptibility to exacerbation by activities, such as walking or climbing stairs
A migraine headache may also cause: nausea and vomiting, increased sensitivity to light, increased intolerance to sound.

To learn more about retinal migraines contact MCHN and speak to one of our caring providers!

By: Rajni Bala NP

Hemicrania Continua

Hemicrania Continua

This is a chronic persistent headache that varies in severity, and always occurs on the same side of the face and head. A very small percentage of patients will have pain on both sides of the head and face. Hemicrania Continua is more common in women than in men. The cause of this disorder is unknown.
This diagnosis is given if a patient has the following:
a one-sided daily or continuous headache of moderate intensity with occasional short, piercing head pain (3-5 times per day) for more than 3 months without shifting sides.
The headache responds to indomethacin.
The headache is accompanied by one of the following: eye redness and/or tearing, nasal congestion and/or runny nose, ptosis (drooping eyelid) and miosis (contracture of the iris). Occasionally, some patients may experience forehead sweating and migraine symptoms, such as throbbing pain, nausea and/or vomiting, or sensitivity to light and sound.

This disorder can be either chronic (daily headaches), or remitting, in which patients may have up to 6 months of daily pain, then experience pain free periods of weeks to months until the pain returns. Physical exertion and alcohol use may increase the severity of headache pain in some patients. If you are experiencing any of these symptoms, please call us for a consultation today.

Nerivio Migra, 1st smartphone controlled acute migraine-relief wearable device.

The FDA granted a de novo request for approval of a smartphone-controlled electroceutical for the acute treatment of migraine with or without aura in adult patients who do not have chronic migraine. The Nerivio Migra is a wearable device that goes on the upper arm and this device is controlled from your smartphone.
It was invented by Theranica, an Israeli company, with the goal of relieving migraine pain without the side effects of medication.
Nerivio Migra is the 1st FDA approved low cost, low side effect wearable device for the acute treatment of migraine.
The Nerivio Migra has 2 electrodes on the inside of the arm band.
Through a patient’s smartphone, it generates electrical impulses, sending them to the brain to release the body’s own painkillers to the nerves.
Similar to a nicotine patch, you place the Nerivio Migra device on your arm above the elbow. The device communicates wirelessly via Bluetooth with your smartphone, which regulates the electrical pulses and sets a timer. A 45-minute treatment can bring relief for pain within two hours.

In tests, 66.7% of the 252 migraine sufferers in 13 clinics felt relief after 2 hours, compared to 28% of those using a placebo, or dummy device.

Depression and Headaches

Depression can be linked to physical symptoms.  This can include feeling fatigue and a decrease in energy.  You may also have some insomnia and/or early morning awakening.  Conversely you may feel more tired than normal or have excessive sleepiness.  It is also possible to have persistent aches and pains, cramps, headaches, or digestive problems that do not resolve with treatment.  A change in your appetite is possible, and can occur either with an increase or a decrease in appetite.

Without proper treatment depression can have a significant impact on your daily life.  Your career, hobbies, and lifestyle may all be affected. Treatment may consist of prescription management for your headaches, SSRI’s and behavioral therapies.

Call the Manhattan Center for Headache & Neurology to help you treat  your headaches associated with depression. Speak to one of our caring providers to discuss the best treatment option for you!

Adult Attention Deficit Hyperactivity Disorder (ADHD)


Many adult may struggle with ADHD, and do not know that they have it. ADHD is easier to recognize in kids, but the symptoms in adults are more subtle. Indications of adult ADHD may include:

  1. Difficulty with getting organized. Responsibilities such as paying bills, your job, and dealing with children can make organization issues more obvious.
  2. Driving recklessly and frequent accidents. ADHD can affect your attention, so people are more likely to speed and cause accidents.
  3. Marital problems. Adults with undiagnosed ADHD may have poor listening skills and not able to honor commitments leading to arguments with partner.
  4. Being easily distracted, which can lead to underperformance at work.
  5. Being, restless, edgy or tense
  6. Delay in starting tasks that requires a lot of attention.
  7. Not meeting deadlines or being late for events. This is often due to distractions and underestimating the time to finish a task or an assignment
  8. Outbursts of anger. People with ADHD have trouble with controlling their emotions. They may get angry over minor issues, and their anger often fade quicker than before the person involved has gotten over it.
  9. Issues with prioritizing such as spending hours on something minor instead of focusing on bigger obligations.

Adult ADHD can be hard to diagnose, as these symptoms can also be signs of other medical conditions. If you think you have it, call The Manhattan Center For Headache & Neurology to schedule an evaluation.

Tanesha Reynolds, DNP, FNP-BC