Westchester Neurological Consultants | Stroke, Epilepsy and Seizures and Migraines

Headache & Migraine Center

State-Of-The-Art Integrative Headache Treatments

At the Westchester Neurological Headache Center, our treatment plans are uniquely designed to treat the individual suffering from headaches. We understand headache triggers and work with each patient to formulate a plan that will be unique to their condition.

Our headache doctors provide a comprehensive diagnostic work-up and review of health history prior to setting a treatment plan.

Many patients have seen a doctor in the past for their headache but have simply not found lasting relief. Fortunately, our headache doctors are skilled in a multimodal approach to accurately diagnose and treat your pain.

Successful headache treatment means:

  • Accurately diagnosing each patient
  • `
  • Recognizing other medical conditions and individual triggers for each patient
  • Determining previous treatments attempted; what worked, what did not
  • Creating an individualized, effective treatment plan


When headaches interrupt your daily activities, you need to see a headache doctor trained in the diagnosis and specific treatments just for headaches. Our treatment plans are uniquely designed to treat the individual suffering from headaches.

We understand the various types of head pain and work with each patient to formulate a multimodal approach that will be unique to their condition.


Migraines are excruciating headaches that you get on a regular basis. The level of pain and the constant recurrence are the most important reasons to see our doctors.

Your individualized treatment for varies, depending on the severity of your pain. Some of the treatments include trigger point and Botox injections, IV infusions, nerve blocks.


At the Westchester Neurological Headache Center, our team of headache specialists works together to provide you with a comprehensive diagnostic work up which may include review of complete medical history, family history, laboratory testing done on site, allergy testing and radiology services.

No one headache is the same and therefore should not be treated generically. While primary care physicians are a good source for acute headaches, headaches that are persistent should be analyzed by a doctor with an expertise in the field.


Our team at the Westchester Neurological Headache Center focuses on providing patients with alternative integrative treatments to achieve headache pain relief.

According to the World Health Organization, headache disorders are among the most common disorders of the nervous system.


Migraine pain is a mild to severe throbbing headache that can last for a few hours to a few days and can occur a few times per month. Migraines can also lead to various other symptoms including nausea, vomiting, dizziness and loss of appetite.

Patients who experience migraines are often sensitive to light, noise, smells and movement. Some patients who experience migraines have certain triggers that can start an episode of migraines.

Tension Headaches

Tension headaches are the most common types of headaches and are associated with the muscles surrounding the head, neck and shoulders. Muscle contractions, tightness or inflammation can cause tension headaches.

Tension headaches are the most common type of head pain. They’re usually relieved when you stop doing the activity that caused the discomfort. Tension headaches usually aren’t that serious, and only are considered serious when they occur frequently.

Cluster Headaches

Cluster headaches are the least common form of headaches but can be the most severe. Patients who experience cluster headaches often describe an intense throbbing or sharp pain behind the eyes.

Cluster headaches typically come in the form of an "attack" and can occur more than once a day during this attack. Cluster headaches may go away for a period of time but often come back.

Chronic Headaches

Chronic headaches are headaches that can last for days and get progressively worse, making them at times disabling.

Sometimes there may be headache free days, but if you find that you have a headache more days than not, these are often chronic headaches.

Primary chronic headaches can be attributed to tension, migraines, or other conditions

Secondary Headaches

There are a vast number of illnesses and chronic medical conditions that can cause secondary headaches. The most common types of secondary headaches are:

  • Cervicogenic headaches
  • Trigeminal neuralgia
  • Medication overuse headaches
  • Sinus headaches
  • Post concussion syndromes
  • Spinal headaches
  • Thunderclap headaches
  • Occipital Nerualgia

How Bad Are Headaches?

Headaches are common. The pain from headaches hurts most everyone from time to time. But when headaches interrupt your daily activities, you need to see a headache doctor trained in the diagnosis and specific treatments just for headaches. With so many types of headaches, you need an accurate diagnosis before you can receive treatment.

Dr Emad Soliman— at the WNC Headache Center, with locations in Yonekrds and Mount Vernon NY — is a top headache doctor, the best in his field. With the latest and most advanced diagnostic capabilities and a deep understanding of the various types of head pain, Dr. Soliman not only relieves your headache pain but also teaches you how to avoid future episodes of debilitating pain.

What Causes Headaches?

Headaches typically fall into two categories: primary and secondary headaches. Primary headaches aren’t related to underlying medical conditions. Instead, they’re usually caused by structures in your head that are sensitive to pain or overactivity. The types of headaches that fall under this category include:

  • Migraines
  • Cluster headaches
  • Tension headaches
  • Chronic headaches
  • Headaches following exercise

Lifestyle and diet choices are the usual culprits behind primary headaches. They can be caused by such as factors as:

  • Alcohol, particularly red wine
  • Processed food that contains nitrates
  • Missing meals
  • Stress
  • Improper posture
  • Insufficient sleep or changes in sleeping patterns

Do I Need Treatment from a Headache Specialist?

The very definition of chronic headaches is that they are recurrent and painful. Chronic headaches are serious because they interfere with your ability to perform everyday tasks, such as go to work, exercise, take care of your family, and enjoy life. Fortunately, headache treatment is available.

Dr. Soliman personalizes the treatment for headaches at his headache center in Westchester. Because there are so many chronic headache and migraine triggers, causes and treatments, he performs the most accurate assessment to reach an accurate diagnosis.

He understands all aspects of migraine headaches, including:

  • The migraine stages
  • How to use Botox to treat migraines
  • The best migraine medications
  • Viable home remedies
  • How to deal with chronic migraines
  • How to treat hemiplegic migraines
  • What to do about basilar migraines
  • What status migrainosus
  • Migraines and light sensitivity
  • How to address optical migraines

What Treatments Headache Doctors Near Me Provide?

First, find a headache specialist like Dr. Soliman, who narrows down the possibilities of what causes your pain. You need a firm diagnosis before beginning an effective treatment plan. Once your top headache doctor uncovers the cause of your headaches, treatment can begin. He uses a multimodal approach to offer an array of effective treatments, usually in concert with each other.

The dedicated staff at all the Westchester Neurological Headache Center locations provide compassionate, effective care. Dr. Soliman not only treats your pain, but teaches you how to prevent future headaches.

What is a migraine headache?

A migraine headache is an intense headache that can become so severe that it can disrupt your day-to-day life. Migraine headaches can be very painful but also cause a surplus of other symptoms not associated with a general headache. Migraines can also be a chronic condition and can be due to other factors.

What are the symptoms of migraine headaches?

While the symptoms of migraine headaches vary depending on each individual, the most common signs and symptoms of a migraine headache include: intense pain, throbbing or pulsing in one or multiple sides of the head, nausea, vomiting, and sensitivity to light and sound.

While some people only experience a migraine headache once in a while, for others, migraine headaches can be debilitating and/or chronic.

What are the most common causes of migraine headaches

The exact cause of migraine headaches is not fully understood. Many researchers believe that a migraine can be caused by a change in hormone levels in the brain.

Common triggers for Migraines include: stress, bright lights, smells, medications you are taking, lack of sleep or too much sleep, alcohol, and foods containing aspartame or MSG.

The first step in treating Migraines is to make an appointment to see one of our specialists to learn about your treatment options.

Migraine FAQ's

If you suffer from serious, chronic headaches, find a migraine specialist who understands the underlying issues that cause migraines — and who knows how to effectively treat your pain. Dr. Amr Hosny at the Advanced Headache Center, one of the best migraine doctors in New York and New Jersey, takes the time to listen to your description of the pain you’ve been enduring. He strives to find not only a treatment to stop your migraine pain but also a way to prevent them from happening again. This NYC headache center provides a number of convenient offices to better serve you. Search for migraine doctors near me to locate the closest facility. Then call to get started on the path to relief from migraine headaches.

What Are Migraines?

Migraines are excruciating headaches that you get on a regular basis. The level of pain and the constant recurrence are the most important reasons to see top migraine doctors. Since different types of migraine headaches come with varying symptoms, only a headache specialist like DR Soliman can determine which type of migraine is affecting you and how to treat it. There’s no one-size-fits-all treatment for these recurring headaches.

Migraine specialists receive additional training in diagnosing and treating all kinds of headaches. At the Advanced Headache Center, with locations in Westchester NY, the best migraine specialists take a multimodal approach that takes all your symptoms into consideration, including:

  • Muscle weakness
  • Nausea
  • Light and sound sensitivity
  • Unexplainable mood changes
  • Fluid retention
  • Yawning you can’t control
  • Triggering by flashing lights
  • Seeing auras
  • Pain that worsens when you cough or move

What Else Should I Know About Migraines?

More than 12 percent of Americans suffer from recurring migraines. Keeping a record of your recurring headaches helps your migraine doctor come to a quicker diagnosis, which means faster treatment for you. If you have a family history of migraines, visit the Westchester Neurological Headache Center nearest you at the first sign of unusual or recurring headache pain. Other risk factors involve:

  • While men can suffer from debilitating headaches, women are about three times more likely to develop recurring migraine headaches.
  • Migraines typically begin at younger ages, often when you’re under 30. The attacks usually lessen as you age.

Your family doctor may be able to help you with infrequent headaches, but when you suffer frequent migraine-strength headaches, you need to visit a migraine specialist like Dr. Hosny. At the best headache center in New York and New Jersey, the diagnosis begins with a medical and family history. Then your doctor asks about your individual migraine triggers.

What Can Cause Migraine Headaches?

Certain underlying conditions influence the chances that you may develop migraine headaches. Search for a migraine specialist near me to discover the specific causes of your headaches. Everyone is different, and causes vary widely. They may include:

  • Sleep disorders, such as sleep apnea
  • Female hormonal changes
  • Stress, depression or anxiety
  • Diet
  • Overuse of certain medications
  • Loud noises
  • Environmental factors
  • Strong odors
  • Heavy exertion
  • Epilepsy
  • Bipolar disorder

While you may not have specific allergies, certain foods can still trigger headaches severe enough to require a diagnosis from your experienced migraine specialists. The primary goal of the best migraine doctors is to find your triggers so that you can use the knowledge to prevent headaches. Common food and beverages that may lead to migraines include:

  • Pickled or fermented food
  • Caffeine
  • Chocolate
  • Aged cheese
  • Alcohol
  • Food containing MSG
  • Cured meats
  • Some nuts and fruit

What Kinds of Headaches Do Migraine Specialists Near Me Treat?

At a top NYC headache center like the Westchester Neurological Headache Center, the best migraine doctors rely on state-of-the-art diagnostic techniques, keen observation, and the drive to learn what causes the headaches you’re experiencing. They understand the various stages of migraine and provide appropriate treatment for diagnosed conditions such as:

  • Chronic migraines
  • Hemiplegic migraines
  • Basilar migraines
  • Status migrainosus
  • Migraines from light sensitivity
  • Optical migraines

Additionally, the best migraine doctors have years of experience diagnosing and treating other types of chronic headaches that may or may not fall under the umbrella of migraines. These headaches may be just as debilitating as migraines. They include:

  • Cluster headaches
  • Tension headaches
  • Allergy headaches
  • Sinus headaches
  • Rebound headaches
  • Medication overuse headaches
  • Cervicogenic headaches
  • Trigeminal neuralgia
  • Post-concussion headaches
  • Spinal headaches
  • Thunderclap headaches

What's the Best Treatment for Migraine Headaches?

Treatments, like triggers, require a highly personalized process at your migraine center in Westchester NY. Your individualized treatment for migraines at the Advanced Headache Center varies, depending on the severity of your pain. Treatments offered by your NYC migraine specialists include:

  • Botox treatments
  • Acupuncture
  • Chiropractic care
  • Intravenous (IV) infusions
  • Nerve blocks
  • Physical therapy
  • Trigger point injections
  • Rational polypharmacy

For the best treatment in the New York City and northern New Jersey areas, contact the Westchester Neurological Headache Center . Dr. Soliman expertly diagnoses your migraine and recommends the most appropriate remedy. Put an end to your suffering. Don’t let your chronic migraine headache control your life; reach out today.

At the Advanced Headache Center, our approach to headache treatment is a multi-faceted, integrative approach aimed to provide headache pain relief and headache prevention.

We have multiple headache centers across NYC and NJ with extended office hours to ease your scheduling needs.

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What can you expect from your first appointment?

Primary headaches are severe forms of headaches that can affect the quality of a patient's life if left untreated, or treated improperly.

Primary headaches are typically not dangerous but can severely impact a person's ability to live a normal daily life depending on the severity of their condition.

Secondary Headaches

Headaches often occur and they do not always require medical attention. Some headaches can be attributed to fatigue, menstruation or can just be a random occurrence. If you experience headaches that are frequent or debilitating, that is the time to seek a headache doctor.

Symptoms that require immediate medical attention include:

  • sudden headaches and a stiff neck
  • sudden headaches with fever and/or nausea
  • headaches followed by bouts of confusion, double vision or loss of consciousness
  • headaches after an injury to the head
  • headaches followed by weakness in part of the body, convulsions or loss of breath

Multimodal Approach

The multimodal headache treatment is often confused with rational polypharmacy. While similar, the multimodal approach offers multiple modalities of treatment including pharmacological & non pharmacological.

Rational Polypharmacy, Migraine Medications

Rational polypharmacy refers to the use of more than one medication to treat headache pain, especially when the pain is chronic. A headache specialist works with each individual patient to determine a course of treatment that makes sense for the particular pain at hand without adding adverse effects or creating dependency.

Trigger Points Injections

Trigger points are irritated and tight areas of muscle in the body that can be responsible for headaches when located in the head, neck or shoulders. This trigger point pain is often called myofascial pain. Trigger points can also be responsible for migraines and chronic headaches.

Botox For Migraines

Botox is FDA approved for it's efficacy in treating and preventing migraines. Botox injections may be administered in multiple injection sites surrounding the head and neck to decrease chronic migraine symptoms which can be debilitating.

Occipital Nerve Blocks

Occipital nerve blocks are injections directed into the tissue around the occipital nerves to decrease inflammation and swelling and pain. This type of treatment often provides headache pain relief for headaches localized in the back of the head as well as tension and migraine headaches.

Intravenous Infusions

Intravenous Infusions offer patients an alternative treatment for headaches. Many patients prefer to not rely on pain-killers or narcotic medication to ease headaches and gravitate towards safe and painless infusion therapy. Infusions for headaches reduce headache pain & often consist of magnesium, which is known to produce safe effective headache relief

Sphenopalatine Ganglion Block

Sphenopalatine Ganglion is a collection of nerves just behind the nose that is often responsible for chronic headaches and head pain. This Ganglion is linked to the trigeminal nerve, the main nerve involved in a headache, migraine or facial pain. The Sphenopalatine Ganglion block is frequently used for the treatment for migraines, cluster headaches, and facial pain. This minimally invasive procedure is performed in our outpatient center.

Physical Therapy

Physical Therapy programs can be an effective treatment option for most pain, it can be extremely effective and work quickly for the treatment of headaches. Treatments will be customized to fit your individual needs. Physical therapy can treat headaches that are caused by musculoskeletal issues including muscle tension and tightness, disc pathology, lack of neck motion, poor posture, and even tightness in the back between the shoulder blades.


Acupuncture is a traditional form of Chinese medicine used to help alleviate many pain conditions. It can be very effective in the treatment of migraines and headaches. Acupuncture works by stimulating the nervous system and promoting a feeling of relaxation. In a typical Acupuncture session sterile, hair-thin needles are inserted into the body by a Certified Acupuncturist for anywhere from 10 to 30 minutes. Due to the thinness of Acupuncture needles, pain is not often experienced during an Acupuncture session.

Home Remedies for Headaches

If you’re just starting to get a headache, you may reach for the bottle of over-the-counter painkillers. That’s normal. But if the headache continues, you can try a number of home remedies for headaches that may work in lieu of pain-relieving drugs.

Treatments FAQ's

When you’re suffering an especially painful headache, you want migraine relief right away. Yet there is no one-size-fits-all miracle migraine cure because the source of your pain may be different from that of other sufferers’. Your best alternative is to consult with a specially trained and well-respected physician who gets to the bottom of your pain. After an accurate diagnosis, Dr. Amr Hosny — of the Advanced Headache Center in Midtown Manhattan, Paramus, NJ, and six other locations — provides a variety of acute migraine treatments that not only stop your pain but may help you avoid future episodes as well. Call the center today for the best migraine relief.

When Should I See a Doctor for Migraine Treatment?

If you’ve consistently suffered excruciating headaches, it’s past time to seek the best migraine relief treatment. Even though untreated migraine headaches lead to devastating medical and social consequences, the condition is often undiagnosed or misdiagnosed. Millions of people suffer in silence despite the debilitating toll this disorder takes, degrading your quality of life.

Visit an NJ or NYC headache center if:

  • You suffer the worst headaches you’ve ever had.
  • Headaches upend your usual routines and incapacitate you.
  • Your headache causes you to lose vision or consciousness.
  • Your headache lasts longer than 72 hours.
  • You feel nauseous or suffer uncontrollable vomiting, along with headache pain.
  • The frequency of your headaches increases.
  • You experience a sudden loss of balance or fall from your headache.
  • You develop a nagging headache that won’t go away.
  • You have a history of headaches, but the intensity and pattern of attacks have recently changed.

An early diagnosis gets you fast and effective treatment. Dr. Amr Hosny, the leading pain management specialist at the Advanced Headache Center, uses advanced medical techniques and the latest research to deliver the best migraine relief. His multimodal approach to acute migraine treatment relieves your pain so you can resume your normal life.

Without a quick diagnosis, you may continue taking over-the-counter medications or trying your own style of home remedies for headaches, which may not be effective. In fact, they actually may be detrimental to your overall health.

How Are Migraine Headaches Treated Most Effectively?

Dr. Hosny believes in using a combination of migraine treatments to suit each individual case. There’s no miracle migraine cure that works for everyone. Some people need a combination of pain medications, while others need concurrent medical treatments from different modalities.

The goals of a migraine relief specialist are to:

  • Stop your pain.
  • Locate the main source of the headache.
  • Create a migraine treatment plan specifically for you.
  • Prevent a recurrence of the headaches.

At the Advanced Headache Center in Manhattan or several Bergen County, NJ locations, your doctor carries out multiple diagnostic tests, as needed, to pinpoint the reasons for your headaches. Tests such as a CT scan, ultrasound, or an MRI can illuminate abnormalities, providing Dr. Soliman with a treatment direction. Once he evaluates your case, he recommends the best migraine relief plan for you.

What Are Treatment Options for My Migraine?

Migraine treatments available at the Advanced Headache Center include:

  • Physical therapy. PT focuses on helping you maintain proper posture, teaching you the correct way to move, and ensuring that the exercise you do is appropriate for your needs. All of this work reduces the chances that you’ll develop a migraine from skeletal or musculature issues.
  • Acupuncture. An ancient Chinese medicine practice, acupuncture uses tiny needles placed precisely to regulate the energy through the meridians in your body. Energy blockages can cause pain, including migraines. Acupuncture is considered an alternative modality, but it’s been shown to have remarkable results.
  • Botox injections. While normally used for non-surgical cosmetic purposes, Botox for migraines is now an accepted and FDA-approved use. These migraine injections freeze muscles, preventing the constant contractions that may be causing your migraine headache.
  • Intravenous infusions. By placing medicine, vitamins, and other nutrients directly into your bloodstream through an IV, your doctor delivers what your body needs quickly, which sometimes can produce instant migraine relief.
  • Rational polypharmacy. This treatment involves the careful combination of multiple pain medicines to maximize effectiveness while minimizing the addictiveness of the cocktail. Rational polypharmacy requires working closely with your migraine relief specialist.
  • Trigger point injections. A migraine shot of painkilling medicine directly in a trigger point in your shoulder, neck, or head can ease your headache pain. Trigger points are focused on areas of muscle and myofascial tissue that can cause migraines.
  • Occipital nerve block. Many migraines may be connected to inflamed occipital nerves. This migraine injection provides relief by treating the occipital nerves directly with pain medicine and anti-inflammatories.
  • Sphenopalatine ganglion block. Like the occipital nerve block, this migraine shot delivers medicine and anesthetics directly where they’re needed: to the trigeminal nerve and the sphenopalatine ganglion. Calming these nerve structures behind your nose deadens most migraines and cluster headaches.
  • Stellate ganglion block. This is another type of nerve block injection that’s effective for migraine headaches that don’t give you an aura. It targets the stellate ganglion, which is located at the base of your posterior neck.

Dr. Soliman and his team use a multimodal approach to treating your migraine headache at the Westchester Neurological Headache Center. To get the most effective migraine cure, your treatment depends on an accurate diagnosis derived from an exam, a medical history, and results from tests. Treatment needs to be focused on the most likely cause of your headache pain.

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