IMPORTANT: Updates before your next visit. Learn More
Skip to main content
Same-day appointments available · 281 Broadway, Lower Manhattan · Most insurance accepted
Home › Conditions › Head Pain
Head Pain & Migraines · New York City

Head pain treatment in New York City

Chronic migraines, cluster headaches, or head pain that medication isn't controlling? If you're searching for a headache specialist near you in NYC, Hudson Medical's pain specialists treat the source — not just the symptom.

  • Same-day appointments at 281 Broadway
  • Most major insurance accepted
  • Botox approved for chronic migraine
  • Board-certified pain specialists
Book appointment →

Our head pain care is right for you
if you have:

Pain that won't quit
Headaches 15 or more days per month that aren't responding to medication
Medication isn't working
Tried preventive medications that caused side effects or didn't work
It's affecting daily life
Head pain that wakes you at night or prevents you from functioning normally
Want off daily medication
A desire to reduce or eliminate daily medications and find a longer-term solution
Sound familiar? Same-day appointments, no referral required.
Book appointment →
Why head pain is often undertreated

Most headache care focuses on the pain — not what's causing it

Over 45 million Americans live with chronic headaches, yet most are simply prescribed triptans or preventive medications and sent home. When the underlying trigger — nerve sensitivity, muscle tension, cervical involvement — is never addressed, the headaches keep coming.

  • Acute medications treat the headache but don't prevent the next one
  • Daily preventive drugs come with significant side effects and aren't effective for everyone
  • Cervicogenic headaches — originating in the neck — are frequently misdiagnosed as migraines
  • Interventional treatments can target the exact nerve pathways driving your pain

Our approach: image-guided nerve blocks and targeted injections reach the specific nerves driving your headaches, with an accuracy oral medication can’t match.

Symptoms & causes

What's really driving your head pain?

The same headache can have completely different drivers. Finding the specific source is the difference between treatment that works and treatment that doesn’t.

How we treat head pain

Interventional treatments at Hudson Medical

Minimally invasive procedures targeting the nerves and structures driving your headaches, at our Lower Manhattan clinic.

FDA-approved

Botox for chronic migraine

FDA-approved for chronic migraine (15+ headache days/month). 31 injections across the head and neck, repeated every 12 weeks. Most patients see a significant reduction in headache frequency within the first treatment cycle.

Performed under image guidance at 281 Broadway
Fast-acting

Occipital nerve blocks

Targeted injections to the greater and lesser occipital nerves at the base of the skull. Highly effective for occipital neuralgia, cervicogenic headache, and migraine.

Relief often within 24–48 hours
Minimally invasive

Sphenopalatine ganglion (SPG) block

A minimally invasive procedure targeting the SPG nerve cluster — a key pain relay for migraines and cluster headaches. Rapid relief with a very low risk profile. Can be repeated as needed.

Performed under image guidance at 281 Broadway
Immediate relief

Trigger point injections

Injections targeting myofascial trigger points in the neck, scalp, and shoulder muscles that contribute to tension-type and cervicogenic headaches.

Often provides immediate relief
Image-guided

Cervical nerve blocks & facet injections

For cervicogenic headaches originating in the neck. Precise injections to the cervical facet joints or nerve roots that are driving referred head pain — diagnostic and therapeutic in a single procedure.

Performed under image guidance at 281 Broadway

Not sure which is right for you?

Your first visit pinpoints the source, then your specialist recommends a plan. No referral required.

Book appointment →
Trusted in New York
4.7 out of 5
Based on 993+ Google reviews
Castle Connolly Top Doctors 2022 Castle Connolly Top Doctors 2021 Castle Connolly
Top Doctors®
“
I’ve had debilitating headaches for years… Finally, I have gotten relief from [Hudson Medical]… I am writing this headache free.
N Nicholas P. Google review
What to expect at Hudson Medical

Our head pain protocol

We take a thorough, classification-first approach. Identifying the specific headache type is the difference between treatment that works and treatment that doesn't.

Book your consultation

Same-day appointments at 281 Broadway in Lower Manhattan. No referral required.

45–60 minute first visit

Full headache history, physical exam, and review of any prior neurology records or imaging.

Headache classification

We classify your specific headache type — migraine, cervicogenic, cluster, occipital neuralgia — before recommending anything.

Your personalized treatment plan

Nerve blocks, Botox, or trigger point injections — tailored to your headache type, frequency, and goals.
Book appointment →
Common questions

Frequently asked questions

Questions we hear most from patients searching for head pain and migraine treatment in New York City — Manhattan, Brooklyn, Queens, and the Bronx.

Ready to talk to someone?

Call or book online. Same-day appointments available.

What type of doctor treats chronic migraines in NYC?
Pain management specialists in NYC treat chronic migraines using interventional techniques — Botox, nerve blocks, and occipital nerve injections — that most neurologists and primary care physicians don't perform in-office. Hudson Medical at 281 Broadway coordinates closely with referring neurologists throughout Manhattan, Brooklyn, Queens, and the Bronx. No referral is required.
Can chronic migraines be treated without daily medication?
Yes — many patients significantly reduce or eliminate daily preventive medications through interventional treatments. Botox for chronic migraine is FDA-approved and highly effective. Occipital nerve blocks and SPG blocks can provide lasting relief without daily medication side effects. Hudson Medical evaluates each patient individually to determine the most appropriate approach.
Is Botox for migraine covered by insurance?
Botox for chronic migraine is FDA-approved and covered by most major insurance plans when criteria are met — typically 15 or more headache days per month and failure of at least two preventive medications. Hudson Medical verifies your specific coverage before your appointment at our 281 Broadway, New York City location.
How is cervicogenic headache different from migraine?
Cervicogenic headache originates from dysfunction in the cervical spine — joints, discs, or muscles in the neck — that refers pain into the head. Migraine is a neurological condition. The symptoms can overlap significantly, which is why many cervicogenic headache patients are misdiagnosed as having migraine and don't respond to migraine treatments. A thorough evaluation is critical before any treatment begins.
How long does head pain treatment take to work?
Nerve blocks and occipital nerve blocks provide relief within 24 to 48 hours. Trigger point injections often provide immediate relief. Botox for chronic migraine takes 2 to 4 weeks to reach full effect and is repeated every 12 weeks. We set clear, realistic timelines at your first appointment.
Where is Hudson Medical located in NYC?
Hudson Medical is at 281 Broadway, New York, NY 10007 in Lower Manhattan — accessible by subway from Manhattan, Brooklyn, Queens, the Bronx, and surrounding areas. Same-day appointments are frequently available. No referral required.

Ready to see a specialist?

Same-day appointments at 281 Broadway, Lower Manhattan. Board-certified pain specialists. Most major insurance accepted.

Book appointment →