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Pain Solutions -  - Pain Management Physician

Pain Solutions


Nearly 50% of adults have a headache at least once a year, and many suffer from chronic and even debilitating headache pain. James Mirazita, MD, and PK Suchdev, MD, the pain management specialists at Pain Solutions, can help you reduce headache frequency and intensity with cutting-edge treatments. There are three convenient locations in Nashua, Gilford, and Concord, New Hampshire. Find out how they can help you by calling the location closest to you or clicking the online scheduling tool now.

Headache Q & A

What causes headaches?

There are 300 kinds of headaches, and even with a lot of overlap in headache types, there are many different reasons they occur. A headache is essentially pain signals within your head nerves, and many different things can trigger those signals. Just a few of the most common triggers include:

  • Infections
  • Fevers
  • Head and neck trauma
  • Alcohol, especially red wine
  • Chocolate, aged cheese, aspartame, and foods containing MSG
  • Dehydration
  • Stress
  • Too little or too much sleep
  • Poor eating habits, like skipping meals
  • Hypertension (high blood pressure)
  • Genetics
  • Weather changes
  • Bright light
  • Certain scents or odors
  • Medication overuse

Some men and women have occasional headaches that resolve without problems, but many others have frequent, difficult headaches. Types of headaches that are particularly common causes of chronic pain include migraine headaches and cluster headaches.

What is a migraine?

A migraine is a severe throbbing headache that usually affects just one side of your head. It may last anywhere from a few hours to several days or more. 

Pain is often just one of the symptoms, as many migraines cause nausea, dizziness, light sensitivity, and sound sensitivity. Some migraine sufferers experience visual auras, which can include sparkling, strobing, or shimmering lights. In some cases, visual auras appear shortly before the migraine, working as a kind of warning sign. 

Migraines are often completely overwhelming. They're not the kind of headaches you can really power through, so regular migraines require a specific treatment approach. 

Another kind of headache that's often mistaken for migraines is a cluster headache. This kind of headache causes similarly intense pain, but generally with a shorter duration. Cluster headaches happen in cluster periods, appearing daily for weeks or months. 

Pain Solutions offers effective treatment for chronic headache pain, including migraines and cluster headaches. 

What is the best treatment approach for headaches?

Pain Solutions creates personalized treatment plans for headaches, and may include: 

  • Beta-blockers
  • Antihistamines
  • Antidepressants
  • Pain relievers
  • Lifestyle changes
  • Trigger avoidance tactics
  • Botox® injections
  • Trigger point injections
  • Cognitive-behavioral therapy

A multidisciplinary approach is often ideal for headache treatment, so you may use a few different kinds of pain management at one time. 

Pain Solutions is here to help with chronic headache pain, so don’t wait to improve your quality of life. Book your appointment online or call the office closest to you today.