Headaches

Spine & Pain Institute of Texas

Pritesh Patel, DO

Pain Management Specialist & Board Certified Anesthesiologist located in Dallas, South Dallas, and DeSoto, TX

Recurrent headaches interfere with your job, health, and quality of life. At Spine & Pain Institute of Texas in DeSoto, Texas, Pritesh Patel, DO, offers comprehensive care for all types of headaches, including migraines, sinus headaches, and cluster headaches. They address the underlying cause and offer the latest medications and therapies to relieve your pain and reduce headache frequency. To schedule a diagnostic headache evaluation, call or book an appointment online today.

Headaches Q & A

What causes headaches?

Headaches are a common condition that describes pain and pressure in and around your head. The two classifications of headaches include primary headaches and secondary headaches.

Primary headaches

Primary headaches occur because of overactivity or dysfunction in the pain structures in your head. In this type of headache, you may experience pain and pressure due to tension in your neck muscles, inflammation in the nerves or blood vessels in your skull, or because of chemical activities in your brain.

Lifestyle factors, such as poor diet, stress, and lack of sleep, can also contribute to primary headaches. Common types of primary headaches include migraines, cluster headaches, and tension headaches.

Secondary headaches

Secondary headaches develop as a symptom of an underlying disease. You can develop a secondary headache due to:

  • Stroke
  • Colds and flu
  • Sinus inflammation (sinusitis)
  • Ear infection
  • Brain aneurysm
  • Neck strains and injuries
  • Herniated discs and other spine conditions


The use of certain medications to treat an underlying illness can also lead to a secondary headache.

When should I seek treatment for a headache?

Many people experience an occasional headache from time to time. But if you have painful headaches or recurrent head pain, you should schedule a diagnostic evaluation at Spine & Pain Institute of Texas.

A proper diagnosis is also important if you experience symptoms in addition to headache pain, such as vision disturbances, confusion, or numbness in any area of your body.

Dr. Patel can diagnose the type and cause of your headache during a physical and neurological evaluation. He uses diagnostic tests, such as X-rays, computed tomography (CT) scans, and MRIs, to identify abnormalities that may be the cause.

How are headaches treated?

If over-the-counter medications aren’t enough to treat your headache pain, Dr. Patel may recommend prescription medications. 

Dr. Patel also offers Botox® therapy for chronic migraines. This injectable medication temporarily paralyzes muscles contributing to migraine pain to treat and prevent recurrent migraines.

Occipital nerve blocks are available to treat different types of headaches. This treatment involves an injection of an antiinflammatory anesthetic medication into the occipital nerve that provides sensations to the back and top of your head. Treatment relieves inflammation and pressure that can trigger a headache.

You may also need additional treatment for underlying health conditions that trigger your headaches, such as sinus medications for sinusitis.

Dr. Patel can also work with you on lifestyle changes to reduce your stress and relieve tension in your muscles. They may recommend breathing exercises and physical activities that increase your blood circulation and improve your general health.

If you need a diagnostic evaluation for recurrent, painful headaches, schedule an appointment online or by calling Spine & Pain Institute of Texas today.

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