Headache Treatment Protocols

Headache Treatment Protocols

Anyone who's experienced the splitting pain of a bad headache or migraine attack knows how difficult it can be to work, drive, or even carry on a conversation. Instead of crawling into bed when a headache strikes, you need a treatment plan that will alleviate your symptoms for good. At Today’s Headache Institute, we are committed to helping patients relieve their suffering and get their lives back through holistic and permanent headache treatment protocols.

How are you going to treat my pain and get rid of my migraines?

The answer to this question can be complex because we utilize multiple treatment options and customized strategies. By combining various evidence-based headache therapies, we are able to provide comprehensive and often complete pain relief.

Each case is treated individually. Over decades of clinical experience, we have refined our protocols to understand what works—and what does not. Our treatment plans may include behavioral modifications, dietary changes, physical therapy, and neuromuscular dental orthotic therapy when clinically indicated.

Because every patient’s condition is unique, it is impossible to list all relevant details on this website. However, it is important to recognize that these therapies require proper diagnosis, precise implementation, and clinical experience. While some practitioners attempt similar treatments, outcomes can vary significantly without specialized training and expertise.

With over 30 years of experience treating chronic head pain, our focus remains on identifying root causes, applying individualized care, and achieving long-term, predictable results.

Theories of Headache & TMJ Treatment

There are many theories and treatment protocols used internationally for TMJ and Headache Therapy. There is no right or wrong answer to this question, however, there are right and wrong TMJ treatment approaches. For example, we see a large number of patients who have been treated by “weekend warrior” specialists by utilizing Upper Bite Plates (bite splints that fit on the upper teeth). This is the most common of all dental appliances. It is also the one that has the highest failure rate. Most dentists fabricate this type of appliance because that’s what they were taught in school. Other treatment modalities known include Expansion Appliances. Some experts believe that expanding the upper jaw can provide pain relief. This can be an incorrect treatment especially if the lower jaw is not placed in the proper position. Expanders can cause more pain because they can displace the lower jaw into a more painful position.

NTI Technology for Migraine Pain

A very effective device if used for moderate pain cases. It can also help about 50% (by our clinical observation) of migraine sufferers. This device can cause more pain if it is not adjusted properly in the mouth. Many of these devices that we see fitted by other dentists are incorrectly adjusted. If you have this device and it is not providing pain relief then you must consider that either the device is ill-fitted or your condition warrants more advanced care. This device is normally used for the beginning stages of migraine treatment and not as long term care.

Lower Splints for Headache Treatment

Lower orthotics can be among the most effective appliances for correcting jaw imbalances and relieving even severe headaches and migraines—particularly in patients diagnosed with advanced TMJ degeneration and cartilage loss.

However, these appliances are typically not the first line of treatment. They are generally reserved for patients with chronic joint damage and significant structural compromise of the TMJ.

In our experience, over 90% of the orthotics we evaluate are improperly designed and/or poorly fitted. Many place the jaws in an incorrect position, which can actually increase pain and worsen symptoms rather than improve them.

The primary purpose of most lower orthotics is to create an optimal jaw position that allows the damaged TMJ cartilage an opportunity to heal. These appliances require very specific design characteristics to function properly. In addition, strict wear instructions must be followed for the splint to be effective.

It is also important to note that patients who clench or grind heavily may not be good candidates for lower orthotics as an initial treatment approach. In such cases, other therapies may be necessary before considering this type of appliance.

Appliance Failure

If you have been fitted with a dental appliance and your pain has not subsided within 3 months, we have the following recommendations for you:

Have your specialist re-adjust the splint and explain to you what he/she is trying to accomplish with its use. If a clear explanation is not forthcoming, find another specialist… it should be an exact science, not guesswork.
If you are “fighting” your appliance, then consider that you may need a break-in period of treatment. This may consist of wearing different appliances until you get used to the correct one. Normally, a small device such as the NTI is used to “break you in”, followed by a lower neuromuscular splint and possibly nighttime orthopedic correctors. It may take more than 4 months before you can even start wearing the correct appliance.
In most cases, physical therapy and postural education is also required before the appliance can have a high success rate. If your specialist has not evaluated your posture or has not considered physical medicine requirements, you may want to seek a second opinion. Our clinical experience has shown that over 75% of our patients require physical medicine intervention.

Trust Today's Headache Institute to relieve you of your headache pain. If you have any questions surrounding migraine or headache treatments, contact us today! Solve your pain in 6-8 months or we’ll give you your money back.

Patient
I had constant ringing in my ears and jaw tension for years. After treatment, the improvement was noticeable and life-changing. I finally feel like I have control again.
David
Dr. John Halmaghi and his entire staff were extremely helpful and knowledgeable with diagnosing my migraine issues and providing a solution for treatment. I have gone from constant headaches to finally having relief. It was a very professional and comfortable atmosphere. I would highly recommend Dr. John Halmaghi and his entire practice to anyone.
Mark Anderson
“I suffered from severe headaches for years with no answers. After treatment here, I am finally pain-free. I would recommend Dr. John to anyone at any age.”
Mark Elise
“I suffered from severe headaches for years with no answers. After treatment here, I am finally pain-free. I would recommend Dr. John to anyone at any age.”
Karmen Elis
“I drive from Kentucky to see Dr. John. I was desperate to find the cause of my headaches after seeing countless specialists. This treatment finally gave me my life back.”

Stop Letting Pain Hold You Back

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    Your Health Is Our Priority

    Relieve TMJ symptoms with custom orthotics designed for lasting comfort. If you don’t see meaningful improvement in 6–8 months, we stand behind your care.