Understanding Headaches

Headaches are one of the most common neurological complaints. While many are mild and temporary, others can be severe, persistent, or linked to serious medical conditions. When headaches become frequent or resistant to over-the-counter treatments, a neurologist’s evaluation is essential. At 14 Street Medical Arts in New York City, our neurology specialists provide accurate diagnosis and effective headache treatment to help patients find relief and improve their quality of life.

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Common Causes of Headaches

Headaches are categorized as primary or secondary, based on their origin.

Primary Headaches

Primary headaches are not caused by another disease and include:

• Migraines – Throbbing, often one-sided pain with nausea, vomiting, and sensitivity to light or sound. May be preceded by visual or sensory auras.

• Tension-type headaches – Dull, pressure-like pain on both sides of the head, often related to stress or muscle tension.

• Cluster headaches – Severe, stabbing pain around one eye, occurring in cycles or clusters.

Secondary Headaches

Secondary headaches result from other medical issues and may indicate a serious condition. Common causes include:

• Sinus or ear infections

• Cervical spine disorders

• Head trauma or concussion

• Uncontrolled high blood pressure

• Brain tumors or abscesses

• Stroke, cerebral venous thrombosis, or subarachnoid hemorrhage

• Medication overuse (rebound headaches)

Diseases Associated with Headaches

Several systemic and neurological conditions can present with headache as a primary symptom. These include:

• Temporal arteritis (Giant cell arteritis), which can cause vision loss if untreated

• Meningitis or encephalitis, with fever, neck stiffness, and confusion

• Multiple sclerosis, which may cause headaches along with neurological deficits

• Hormonal disorders, including thyroid dysfunction and menstrual-related migraines

• Sleep disorders such as obstructive sleep apnea, often linked to morning headaches

Recognizing these conditions early helps prevent complications and ensures timely treatment.

How Neurologists Diagnose Headaches

Neurologists at 14 Street Medical Arts follow a detailed and structured approach to accurately identify the cause and type of headaches.

Medical History

• Onset, frequency, and duration of pain

• Location and severity of headaches

• Associated symptoms such as visual aura, nausea, or numbness

• Known triggers like stress, hormonal changes, or certain foods

• Family history of migraines or chronic headaches

Neurological Examination

• Evaluation of reflexes, strength, sensation, balance, and coordination

• Assessment of cranial nerves and vision

• Fundoscopic eye examination to check for increased intracranial pressure

Diagnostic Tests

• MRI or CT scans to rule out tumors, bleeding, or structural abnormalities

• Lumbar puncture to evaluate for infections or increased intracranial pressure

• Blood tests to detect inflammation, infection, or metabolic disorders

Effective Headache Treatments

Treatment plans are personalized based on the type and cause of the headache.

Acute Treatments

• Over-the-counter pain relievers (NSAIDs, acetaminophen)

• Triptans or ergotamines for migraine attacks

• Oxygen therapy or injectable sumatriptan for cluster headaches

Preventive Treatments

• Daily preventive medications such as beta-blockers, antiepileptics, or antidepressants

• Calcium channel blockers for cluster headache prevention

• Lifestyle modifications including regular sleep, hydration, stress management, and dietary adjustments

Treating Underlying Causes

• Antibiotics for sinus or brain infections

• Blood pressure management for hypertensive headaches

• Surgery or oncology care for tumors

• Medication withdrawal plans for rebound headaches

Headache Treatment at 14 Street Medical Arts

At 14 Street Medical Arts, we provide comprehensive neurological care for patients experiencing frequent or severe headaches. Our board-certified neurologists use advanced diagnostic tools and collaborate with multiple specialists to ensure complete, patient-centered care.

We offer:

• Thorough neurological evaluations

• Personalized treatment plans for each patient

• On-site access to advanced imaging and lab testing

• Collaboration with ENT, pain management, psychiatry, and physical therapy specialists

• Ongoing follow-up to monitor progress and adjust therapy as needed

Our goal is to relieve your pain, uncover the root cause of your headaches, and help you return to a healthy, active life. We proudly serve patients from Manhattan, Union Square, and the East Village.

Accepted Insurance Plans

At 14 Street Medical Arts, we accept a wide range of insurance plans to make neurological care more accessible and affordable. We currently accept:

• Medicaid

• Medicare

• Aetna

• Blue Cross Blue Shield

• Cigna

• MagnaCare

• UnitedHealthcare

• Oxford

• 1199SEIU

• Healthfirst

• Fidelis Care

• Molina Healthcare

If you do not see your insurance plan listed, please contact our office and our staff will be happy to check your coverage.

Contact 14 Street Medical Arts

14 Street Medical Arts
332 E 14th Street, New York, NY 10003
Phone: (212) 777-3888
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Conclusion

Headaches are common but can be complex and disabling. If you are experiencing chronic, severe, or unexplained headaches, it is important to see a neurologist for proper diagnosis and treatment. At 14 Street Medical Arts, our neurology specialists are dedicated to helping you find lasting relief from headaches and improving your overall well-being.

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