Chronic Headache Treatment

Interventional chronic headache treatment options with Dr. Saleh Atiyah in Amman

Chronic headache treatment requires a comprehensive approach combining preventive medical treatment, advanced interventional procedures, and lifestyle modification. Dr. Saleh Atiyah provides specialized evaluation to accurately determine headache type and choose the most appropriate treatment for each case.

Medical treatment for chronic headache is divided into preventive treatment aimed at reducing episode frequency and acute treatment to stop episodes when they occur. Preventive medications include antidepressants, anticonvulsants, and beta-blockers taken daily on a continuous basis.

Upper cervical facet joint injections are the most effective treatment for cervicogenic headache. The facet joints at C2-C3 and C3-C4 levels are injected under fluoroscopic guidance. If the diagnostic injection achieves temporary relief, radiofrequency ablation is performed providing long-term relief.

Greater and lesser occipital nerve blocks are effective for treating occipital neuralgia and cervicogenic headache. A mixture of local anesthetic and corticosteroid is injected around these nerves at the base of the skull. Results are usually rapid and may last for weeks.

Trigger point injections in the neck, shoulder, and temporalis muscles help relieve headache caused by chronic muscle spasm. Radiofrequency ablation of upper cervical facet nerves provides sustained relief for cervicogenic headache.