Headache treatment resources in FPA Network

July 2019

FPA - Headache - 350x218More than four million people in the United States have chronic daily migraines, with at least 15 migraine days per month. Forty-four percent of people with severe headaches or migraines are never diagnosed. Too often, patients experiencing severe headaches seek costly emergency care when they are in the midst of a debilitating headache.

There are many approaches to treating headaches, including an exciting new option called CGRP antagonist injections, also known as Monoclonal Antibody Injections. Recently approved in 2018, these self-administered injections are the first migraine treatment designed to not just treat symptoms, but to chemically block migraines from taking root in the first place.

Fairview Physicians Associates Network has several resources for headache sufferers. Here is a look at some of the offerings and care available within our network. None of these entities requires a referral to be seen, though patients should check with their insurance to determine if one is needed.

Minneapolis Clinic of Neurology
Minneapolis Clinic of Neurology offers patients cutting edge information on their headache diagnosis, helping identify their specific type of headaches. The clinic treats all kinds of headaches, including post-traumatic headaches. Rajiv Aggarwal, MD, tries to use medication as a last resort when treating headache patients, after ensuring he and his patients have considered or addressed triggers, stress management, and exercise. For patients experiencing chronic migraines, the clinic offers Botox, CGRP antagonist injections, and other types of medication for headache prevention. Dr. Aggarwal is also a board certified sleep specialist and can evaluate the role of sleep disorders in headache patients as well.

Minneapolis Clinic of Neurology also offers physical therapy onsite. Physical therapy treatments can decrease neck pain and muscle tightness, decrease headache triggers, and minimize the need for medications used to treat migraines and headaches. Headaches can be referred from neck muscle tension and trigger points. Often poor posture and ergonomics at desk/computer jobs and stress can be contributing factors. Physical therapy treatment focuses on correcting posture and alignment, ergonomic instruction, manual therapy to work on muscle spasm, trigger points and joint stiffness, and therapeutic exercises including stretching and strength training for the neck and upper back that patients can continue at home. The goal of physical therapy is to improve symptoms and self-management of migraines, neck pain, and headaches.

Minnesota Head & Neck Pain Clinic
Minnesota Head & Neck Pain Clinic offers a personalized, interdisciplinary approach for patients with headaches, using a combination of medications and integrated care to address contributing factors of headaches. Specialties onsite include neurology, physical therapy and rehabilitation, dentistry, and health psychology. The clinic treats all kinds of headaches, including those associated with TMJ or sleep disorders. CGRP antagonist injections, Botox, and trigger point injections are among the treatments offered. The clinic also offers a unique mind-body approach based on treating the person holistically, explains Al Clavel, MD. This approach includes techniques such as self-hypnosis, relaxation, breathing exercises, or somatic experiencing to help people develop a sense of awareness of triggers that contribute to their headaches, like teeth clenching or muscle tension. With this, the clinic offers a complete treatment package for people who want to avoid medication altogether, such as women who are trying to become pregnant.

Neurological Associates of St. Paul
Neurological Associates of St. Paul offers patients complete evaluations to determine if a headache is a migraine, another type of headache, or a symptom of something else. The clinic offers treatments like CGRP antagonist injections or Botox for chronic migraines, and also treats tension headaches, cluster headaches, and SUNCT syndrome. The clinic offers occipital nerve blocks, oxygen therapy, and provides referrals to physical therapists for biofeedback. Nadeem Iqbal, MD, evaluates the frequency of headaches in his patients to determine the right treatment plan – infrequent headaches can be treated symptomatically, he explains, but most people who resort to a neurology clinic are experiencing a greater frequency and can be candidates for preventive medicine.

University of Minnesota Health Headache Care
University of Minnesota Health Headache Care provides targeted treatments that relieve mild-to-debilitating headache pain, minimize the disruptions headaches cause in patients’ lives, and prevent future headaches. Patients meet with a headache expert such as a neurologist or physiatrist for an initial assessment, and the program’s interdisciplinary care team delivers a precise combination of treatments, guided by the latest research from the University of Minnesota. The program treats all kinds of chronic headaches, including episodic and chronic migraines, tension and cluster headaches, SUNCT syndrome, hemicrania continua, and paroxysmal hemicranias. Sarah Benish, MD, encourages anyone experiencing a new type of headache, worsening headache experiences, or headaches accompanied by a neurologic symptom like numbness or dizziness to consider being seen by a headache expert. Treatments offered include CGRP antagonist injections and Botox, and referrals can be made for physical therapy, chiropractic care, or acupuncture depending on the type of headache.

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