Migraine & Headache Treatment Specialist in Brooklyn, NY

Migraine & Headache Treatment in Brooklyn, NY

Migraines and chronic headaches can significantly impact daily life, productivity, and overall quality of life. While headaches are common, recurring or persistent headaches often involve complex interactions between muscles, nerves, and pain pathways. At Motionis Medicine, migraines and headaches are evaluated through a physician-led, diagnosis-first approach focused on identifying contributing factors and guiding appropriate non-surgical care.

Care is led by Dr. Tanuj Palvia, MD, a board-certified interventional pain physician with over 15 years of experience in managing complex musculoskeletal and neuromuscular pain conditions.

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What Are Migraines & Headaches?

Headaches are characterised by pain in the head, scalp, or neck and may vary in intensity, duration, and frequency. Migraines are a specific type of headache often associated with neurological symptoms and heightened sensitivity.

Migraines and chronic headaches may involve:

Muscle tension in the neck and shoulders

Nerve sensitisation

Altered pain processing pathways

Trigger patterns related to posture, stress, or activity

Understanding the type and contributors to headaches is essential for effective treatment planning.

Common Migraine & Headache Symptoms

Symptoms vary depending on headache type and severity and may include:

Because symptoms can overlap with other conditions, further evaluation is often required.

Recurrent or persistent head pain

Pain on one or both sides of the head

Throbbing, pressure-like, or tight sensations

Sensitivity to light, sound, or movement

Neck and shoulder tightness

Nausea or visual disturbances in some cases

Common Causes of Migraines & Headaches We Evaluate

Migraines and headaches can develop due to multiple contributing factors, including:

Chronic muscle tension in the neck and upper shoulders

Cervical spine or joint dysfunction

Nerve irritation or sensitisation

Poor posture or prolonged static positioning

Stress-related muscle overactivity

TMJ dysfunction or jaw clenching

Identifying contributing factors helps guide personalised treatment planning.

How Migraines & Headaches Are Evaluated

Evaluation focuses on determining whether headaches are muscle-driven, nerve-related, spine-related, or mixed. A physician-led assessment may include:

Detailed headache history and trigger assessment

Physical examination of the neck, shoulders, and jaw

Neurological screening when indicated

Review of prior imaging or testing, when available

Diagnostic injections or targeted muscle assessment, when appropriate

This structured approach helps tailor treatment rather than applying a one-size-fits-all approach.

Non-Surgical Treatment Options for Migraines & Headaches

Treatment recommendations depend on headache type, frequency, and contributing factors. Non-surgical options may include:

Trigger point injections for neck and shoulder muscle tension

Botulinum toxin (Botox® or Xeomin®) injections for chronic migraine or refractory muscle-driven headaches, when appropriate

Image-guided cervical spine injections when neck-related contributors are identified

Targeted rehabilitation and recovery planning

Coordination with other conservative care strategies when indicated

All interventions are selected as part of a comprehensive care plan focused on reducing headache frequency, severity, and functional impact.

When a Specialist Evaluation May Help

You may benefit from a specialist evaluation if:

Headaches are frequent or worsening

Pain interferes with work, sleep, or daily activities

Neck or shoulder tightness contributes to headaches

Medications have provided limited relief

Muscle-driven or posture-related triggers are suspected

A comprehensive evaluation can help clarify headache contributors and guide appropriate next steps.

Schedule a Migraine & Headache Evaluation

If migraines or chronic headaches are affecting your quality of life, a comprehensive evaluation can help clarify your options and guide appropriate non-surgical care.