Our interventional pain techniques are minimally invasive procedures traditionally done under the guidance of fluoroscopic x-ray that targets specific areas to diagnose and treat your pain. This precision pain relief method is an alternative to aggressive surgery or drugs that carry the risk of dependence or addiction.

Some of the blocks and injections
we utilize in our onsite procedure room:


What is a migraine?

A migraine is a type of headache that may begin as a dull ache and progress into a constant throbbing pain, usually on one side of the head.  You may be sensitive to light, sound, and smell as well as feeling nauseated or you may vomit.  Patients with chronic migraines, experience them 15 or more days out of a month usually lasting four or more hours

What is Botox?

Botox© (onabotulinumatoxinA) is a type of medicine that is used to treat a variety of conditions.

What is the purpose of the Botox for migraines?

For chronic migraines, it is used a preventative medicine, meaning it is given to patients to prevent migraines.

What are the risks and complications of the procedure?

The most common complication is neck pain.  Others include headache, migraine, slight or partial facial paralysis, eyelid drooping, bronchitis, muscle stiffness, loss of strength and muscle weakness all over the body, pain in one or more muscles, muscle spasms, injection site pain, and high blood pressure.

What to expect during the procedure:

Botox© is injected into the affected muscles.  For chronic migraine patients, Botox© treatment is injected by your doctor into 7 areas of the head and neck muscles, with a total of 31 injections.  The needles used are very fine, but you may experience some pain, swelling and other reactions at the site.

How often will I need to be treated?

The recommended retreatment schedule is every 12 weeks.  However, your doctor may decide not repeat the treatment if you have any serious allergic reactions or other side effects.

Will I have any restrictions on the day of the procedure?

You may continue with your normal activities once your procedure is done, however you will want to avoid any strenuous activities for the next 24 hours.