HEADACHES & Migraines

If you’re one of the many people who suffer from frequent headaches or migraines, you understand just how debilitating they can be. The throbbing pain, sensitivity to light and sound, and the inability to focus can significantly impact your daily life. While there are various treatment options available, physical medicine and pain management have been shown to provide effective relief for many individuals. The integrated team at Pain West can help you find relief through comprehensive evaluation. Call our office at 402-505-7989 in Papillion, Nebraska, or schedule an appointment online to begin care.


Headaches and migraines are common conditions that affect millions of people worldwide. While headaches are often considered a minor inconvenience, migraines can be much more severe and debilitating. Both conditions can significantly impact your quality of life and hinder your ability to perform daily tasks.

Headaches can be classified into several types, including tension headaches, cluster headaches, and sinus headaches. Tension headaches are the most common type and are often caused by muscle tension, stress, or poor posture. On the other hand, migraines are a neurological disorder characterized by severe headaches, often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound.


Understanding the underlying causes of headaches and migraines is crucial for effective treatment. While the exact cause may vary from person to person, some common triggers include:

  1. Stress: High levels of stress can contribute to tension headaches and migraines. Finding effective stress management techniques can help reduce the frequency and severity of these headaches.
  2. Hormonal changes: Fluctuations in hormone levels, particularly in women, can trigger migraines. These hormonal changes often occur during menstrual cycles, pregnancy, or menopause.
  3. Environmental factors: Certain environmental factors such as strong smells, bright lights, loud noises, and changes in weather conditions can trigger headaches and migraines in susceptible individuals.
  4. Dietary triggers: Certain foods and beverages, such as caffeine, alcohol, chocolate, processed meats, and aged cheese, have been known to trigger migraines in some individuals. Identifying and avoiding these triggers can help prevent headaches.
Schedule a consultation!

15 + 2 =


Physical medicine encompasses a range of therapies that aim to address the underlying causes of headaches and migraines. These therapies focus on restoring proper function and alignment of the body, reducing muscle tension, and promoting overall well-being. Here are some common physical medicine techniques used for headache and migraine treatment:

  1. Chiropractic adjustments: Chiropractic care involves manual manipulation of the spine to correct misalignments and improve nervous system function. This can help alleviate tension headaches and migraines caused by spinal misalignments.
  2. Physical therapy exercises: Physical therapists can prescribe specific exercises to target muscle imbalances and improve posture. Strengthening weak muscles and stretching tight muscles can help alleviate the tension that contributes to headaches and migraines.
  3. Acupuncture: Acupuncture is an ancient Chinese practice that involves inserting thin needles into specific points on the body. This technique is believed to restore the flow of energy, or qi, and can help relieve pain and reduce the frequency of migraines.
  4. Massage therapy: Massage therapy involves the manipulation of soft tissues to promote relaxation, reduce muscle tension, and improve circulation. Regular massages can help alleviate headaches and migraines caused by muscle tension and stress.

By targeting muscle tension, misalignments, and other factors contributing to your pain, physical medicine can help alleviate symptoms and improve your overall well-being.


In conjunction with physical medicine, pain management techniques can offer additional relief for headaches and migraines. These interventions aim to interrupt the pain signal and provide lasting relief. Here are some common pain management techniques used for headache and migraine treatment:

  1. Medications: Over-the-counter pain relievers such as acetaminophen, ibuprofen, and aspirin can help alleviate mild to moderate headaches. For more severe migraines, prescription medications like triptans or ergotamines may be recommended.
  2. Nerve blocks: Nerve blocks involve injecting a local anesthetic or a combination of anesthetics and steroids into specific nerves to block pain signals. This technique can provide temporary relief from chronic headaches and migraines.
  3. Trigger point injections: Trigger points are specific areas of muscle tightness that can trigger headaches and migraines. Trigger point injections involve injecting a local anesthetic or a combination of anesthetics and steroids directly into these points to relieve pain.
  4. Botox injections: Botox injections have been approved by the FDA for the treatment of chronic migraines. This technique involves injecting small amounts of Botox into specific muscles in the head and neck to reduce muscle tension and prevent migraines.

By combining physical medicine techniques with pain management interventions, healthcare professionals can devise a comprehensive treatment plan tailored to your specific needs. This approach ensures not only immediate relief but also long-term management of your headaches and migraines.