Services

NEUROLOGY CONSULTATIONS: Consultations at The Manhattan Center for Headache & Neurology are welcome by our providers. During a Neurology consult, your vitals are taken, your history is reviewed, tests are ordered, medications are prescribed, and possible treatment options are discussed. Nerve injections are often used in treatments of chronic pain issues like migraines or diseases that cause muscle spasms. Nerve injections can be especially helpful in treating many types of back pain, including pain from “slipped” discs and sciatica.

HEADACHE EVALUATIONS: Headache evaluations at The Manhattan Center for Headache & Neurology are welcome by our providers. During a headache evaluation, your vitals are taken, your history is reviewed, tests are ordered, medications are prescribed, and possible treatment options are discussed. Depending on the type of headache you have, treatments like trigger point injections for stubborn tension and muscle-related headaches may be used or Botox® injections may be used to help prevent migraines.

MENTAL HEALTH THERAPY: Headaches, Migraines, and other conditions can be a symptom of an emotional state in which mental health therapy along with prescription management can not only help relieve the frequency of headaches but greatly improve your overall well being. Antidepressants, anti-anxiety medications as well as behavioral therapy are often effective methods of treatment that reduce the frequency and intensity of conditions. The Manhattan Center for Headache & Neurology believes in a holistic approach to treatment and has knowledgeable, caring mental health therapists available to balance your emotional and physical well being.

MASSAGE THERAPY: Massage therapy works by relieving muscle tensions that can result in painful trigger points or adhesions, areas of hard, fibrous tissue that can interfere with normal, pain-free muscle movement and even cause spasms or other nerve-related symptoms.

INJECTIONS: Injections are administered by the caring providers in a calm and relaxing environment at The Manhattan Center of Headache & Neurology (usually covered by insurance, but coverage varies).

  • Botox Injections for chronic migraine are provided for patients who meet certain criteria and are interested in this modality for treating migraines. Nerve blocks and trigger point injections are used to treat a variety of pain conditions including headaches and neck pain, occipital neuralgia and other neuralgias.
  • Trigger Point Injections. During treatment, a very fine needle is injected into the trigger point and a special anesthetic solution is injected to provide pain relief by inactivating pain receptors.
  • Nerve Blocks: There are many types of nerve blocks. Most commonly used blocks at the Manhattan Center for Headache & Neurology are occipital nerve blocks, supraorbital nerve blocks, and sphenopalatine ganglion (SPG) blocks. A nerve block is an injection of a steroid or other medication around the nerves. The steroid injected reduces the inflammation and swelling of tissue around the occipital nerves, and local anesthetics may numb the area. This may in turn reduce pain, and other symptoms caused by inflammation or irritation of the nerves and surrounding structures. These procedures take a few minutes in the office.

IV Therapy for headaches, migraines, dehydration, nausea and vomiting, dizziness

INTRAVENOUS/INTRAMUSCULAR/SUBQ (SUBCUTANEOUS) THERAPY PROCEDURES: The Manhattan Center for Headache & Neurology will assist you in the intravenous and intramuscular therapies. These procedures involve inserting a needle into your vein or muscle, and infusing the formula described by your physician. Benefits of intravenous/intramuscular therapy include: nutrients are not affected by stomach or intestinal disease. Total amount of fluid and nutrients enters the circulation, therefore it is available to the tissues. Higher doses of nutrients can be given by vein than by mouth without nausea, abdominal discomfort, or diarrhea.

IM and SubQ injections are treatments that deliver medications directly into a muscle or into the tissue under the skin respectively. Treatments are well tolerated without any adverse reactions. Sometimes a series of injections are recommended for satisfactory outcome.

Medications often administered during IV/IM/SQ therapy may include vitamins, magnesium, nausea medications, and pain medications, in addition to the administration of IV fluids.