Migraine Information

If you experience migraines and want to discuss treatment options, please fill out the form below!

Migraines are one of the most common reasons that people visit their doctor, yet many are unable to find relief. Carolinas Pain Center is proud to offer a variety of innovative procedures for the treatment and management of migraines.

Carolinas Pain Center is proud to offer a variety of migraine treatments, including: 

Botox: The injection of Botox into many points around the scalp, is repeated every 6 months 

Occipital or Supraorbital Nerve Blocks: The injection of numbing medication to target nerves that may be causing your migraine 

Pericranial Bupivacaine: The injection of bupivacaine (a longer-lasting numbing agent) into points around the head 

Intranasal Sphenopalatine Ganglion Block: The delivery of lidocaine to the back of the nose to target the sphenopalatine ganglion 

Comprehensive Evaluation by our team of physicians and PA-Cs 

Medication Management, including CGRP inhibitors 

And more! 

Speak with a provider today about which treatment options are available to you! 

Trigeminal Nerve


  • Temporomandibular Joint Pain (TMJ)
  • Lifestyle factors: food, stress, poor posture, menstrual cycle 
  • Pseudotumor cerebri 
  • Trigeminal Neuralgia 
  • Referred pain (i.e., neck pain)
  • Inflammation of sinuses
  • Low pressure in spinal column 
  • Hypertension


About 28 million Americans experience migraines, typically beginning in their 20s. Prevalence is higher in women, with 70% of those with migraines are women. The causes for migraines and headaches is not well known. Research suggests that the pain is due to inflammation, the trigeminal nerve, blood vessels surrounding the brain, and Serotonin levels. It is important to record your migraine experience. For example, what did you eat before the migraine started, what was the weather that day, etc. This will help you learn the warning signals that trigger your migraine.



  • Sinus: Pain is usually behind the forehead and/or cheekbones 
  • Cluster: Pain is in and around one eye 
  • Tension: Pain is like a hand squeezing the head. Usually in the forehead region. 
  • Migraine: Pain, nausea, and visual changes are typical, and pain is usually restricted to one side of the head, but can affect both sides.
types headaches



  • High blood pressure medications
  • Anti-depressants
  • Anti-seizures


  • Triptans
  • Anti-inflammatories 
  • Over-the-counter pain medications.
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