SERVICES | Cascade Headache

Services Offered

These are headaches not caused by another medical condition and tend to be chronic or recurrent.

Migraine (with or without aura) – Throbbing, one-sided pain often with nausea, light/sound sensitivity, or visual changes.
Chronic Migraine – Headache on 15+ days/month for >3 months, with 8+ days having migraine features.
Menstrual Migraine – Migraines triggered by hormonal fluctuations, typically around menstruation.
Vestibular Migraine – Migraine episodes associated with dizziness, vertigo, or balance issues.
Hemiplegic Migraine – A rare subtype of migraine with temporary paralysis or weakness on one side of the body.
Retinal Migraine – Repeated episodes of visual disturbance (vision loss or flashing lights) in one eye.
Tension-Type Headache – Dull, tight, or band-like pressure on both sides of the head, often related to stress.
Cluster Headache – Severe, stabbing pain around one eye with tearing or nasal congestion; often occurs in clusters or cycles.
New Daily Persistent Headache (NDPH) – A daily headache that starts suddenly and doesn't remit, often resistant to treatment. (May actually be a secondary headache disorder)
Trigeminal Autonomic Cephalalgias (TACs) – A group of rare, severe headaches including SUNCT, SUNA, and paroxysmal hemicrania.

These are caused by underlying issues (injury, infection, or another condition)

Post-Traumatic Headache – Headaches that begin or worsen after a head injury.
Cervicogenic Headache – Headache referred from the neck, often due to joint or muscle issues.
Medication Overuse Headache (MOH) – Headache that worsens from frequent use of pain meds or triptans.
High-Pressure or Low-Pressure Headache – Caused by changes in cerebrospinal fluid pressure.
Sinus Headache (true secondary, rare) – Headaches from acute sinus infections (often over-diagnosed when migraine is the real cause).
Headache Attributed to Sleep Apnea – AM headaches linked to untreated or poorly treated sleep apnea.
Cough/Exertional/Orgasm-Induced Headache – Triggered by physical exertion or quick pressure changes.

Headache variants that don't fall neatly into primary or secondary categories, but can be just as disruptive.

Occipital/Trigeminal Neuralgia – Sharp, shock-like pain in the back of the head due to irritated occipital nerves.
Idiopathic Stabbing Headache ("Ice Pick Headache") – Brief, stabbing pains that occur suddenly and without warning.
Headache due to TMJ dysfunction – Jaw tension or misalignment contributing to head and facial pain.
Headache with aura without headache ("Silent Migraine") – Neurologic symptoms like visual aura, dizziness, or numbness without head pain.