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Migraine Headaches

Chronic or episodic migraines can be debilitating. Those who have migraines experience two of the following criteria:

       *Pulsating sensations

       *Unilateral pain

       *Moderate to severe discomfort

       *Pain aggravated with exertion

And one of the following symptoms:

        *Light and sound sensitivity

        *Nausea and/or vomiting

asian businessman having a headache in o
Tired female employee suffering from str

BOTOX is FDA approved for the treatment of migraines. Injection sites are in the muscles of the head and neck.


Please schedule an appointment for a free consultation and treatment plan to address your migraines.

Muscles "knots" or trigger points  are  focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern that can spread to other parts of the head or neck regions and down the spine to our limbs. 

Trigger point injections are an effective treatment modality for inactivating trigger points and providing prompt relief of symptoms from myofascial pain syndrome.  A trigger point injection delivers a mixture of medications (saline, lidocaine and BOTOX) to reduce both inflammation and stimulation of the muscle fibers. The injection relaxes the muscle, which improves blood flow and promotes healing.  

neck shoulder injury painful women suffe

TMD/TMJ Pain and Bruxism

TMD or temporomandibular disorder affects the TMJ or temporomandibular joint. The TMJ and its associated muscles control chewing and movement of the jaw. 

TMD manifests with symptoms including:

  • Pain and tenderness in the face, jaw, neck, temples and shoulders

  • Limited range of motion concerning the jaw opening/ closing

  • Feeling of jaw being stuck or locked in position

  • Clicking, popping sounds in the jaw when opening and closing

  • Tense muscles in the face and neck

TMJ pain is often the result of issues with the joint and/or surrounding muscles including the masseter and temporalis muscles. Nonfunctional movements of these muscles usually manifests as bruxism.

Bruxism is commonly referred to teeth-grinding or clenching. This may occur while sleeping or while awake. Common causes are stress and during sleep, this may be a result or coexist with another sleep disorder such as sleep apnea.

Signs and symptoms of bruxism may include:

  • Teeth grinding or clenching, which may be loud enough to wake up your sleep partner

  • Teeth that are flattened, fractured, chipped or loose

  • Worn tooth enamel, exposing deeper layers of your tooth

  • Increased tooth pain or sensitivity

  • Tired or tight jaw muscles, or a locked jaw that won't open or close completely

  • Jaw, neck or face pain or soreness

  • Pain that feels like an earache, though it's actually not a problem with your ear

  • Dull headache starting in the temples

  • Damage from chewing on the inside of your cheek

  • Sleep disruption  

  • A  custom fitted Night Guard or Occlusal Night Guard,  protects your teeth to prevent damage to the enamel and  your tooth restorations.

  • Botox injections are an FDA approved treatment to prevent bruxism by addressing the muscles involved in grinding/ parafunctional habits.

  • Addressing sleep hygiene and nighttime practices.

Open hand raised, Stop TMD (Temporomandi
Open hand raised, Stop Bruxism sign pain
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