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Opening December 1, 2027 in Bethesda, MD · Now scheduling new patients

Propel Sports and Orthobiologics
Request an Appointmentfrontdesk@propelsportsortho.com

Headache and facial pain · Bethesda, MD

Headache and facial pain treatment in Bethesda, MD

We treat chronic migraine, occipital neuralgia, and trigeminal neuralgia, with ultrasound-guided nerve blocks and Botox for migraine.
Request an AppointmentCommon causesHeadache and Facial Pain services

Email frontdesk@propelsportsortho.com or call (301) 200-9025

What causes headache and facial pain?

Pain that starts at the base of the skull and shoots over the scalp suggests occipital neuralgia. Brief electric jolts in the face point to trigeminal neuralgia. Headaches on fifteen or more days a month fit chronic migraine.

Targeted nerve blocks can calm these pain pathways, and for chronic migraine, Botox injections can reduce how often attacks occur.

When to see an orthopedic doctor for headache and facial pain

  • Headaches on many days each month
  • Pain that starts at the back of the head and shoots forward
  • Sharp, electric facial pain
  • Headaches not controlled by your current treatment

Get urgent care instead if you have

  • The worst headache of your life, or one that comes on suddenly (call 911)
  • Headache with fever and stiff neck, confusion, or weakness
  • Headache after a head injury

Common causes of headache and facial pain

Each page covers symptoms, how we diagnose it, and your treatment options.

MigraineRecurrent migraine headaches, including chronic migraine.Occipital NeuralgiaSharp, shooting pain at the back of the head and upper neck.Trigeminal NeuralgiaSudden, severe, electric-shock-like facial pain.

Headache and facial pain treatment options

Nerve AblationUltrasound-Guided Nerve AblationUses controlled heat or pulsed energy to quiet the small sensory nerves carrying chronic joint or tendon pain.Headache BlocksHeadache and Facial Pain Nerve BlocksOccipital, sphenopalatine ganglion, and ultrasound-guided trigeminal branch blocks for headache and facial pain.Botox for MigraineBotox for Chronic MigraineBotulinum toxin injections that reduce how often chronic migraines occur.

Questions about headache and facial pain

What is an occipital nerve block?
Numbing medicine, sometimes with a steroid, is placed next to the occipital nerves at the back of the head, often under ultrasound. It can calm occipital neuralgia and some headaches.
Does Botox help chronic migraine?
Botox is an approved treatment for chronic migraine and can reduce how often migraines occur. Injections are repeated on a regular schedule.
Do you treat trigeminal neuralgia?
Yes. Dr. Chen offers ultrasound-guided trigeminal nerve branch blocks alongside medication management.

What to expect at your visit

  1. 1.

    We listen first

    Your visit opens with a real conversation: how the problem started, what you have already tried, and the activity you want back.

  2. 2.

    Exam and in-office ultrasound

    A hands-on exam, then ultrasound at the exam table, often while you move, so your physician can see the tendon, joint, or nerve involved.

  3. 3.

    A clear diagnosis and plan

    You leave knowing what is wrong and what your options are, from strength-based rehab to procedures, and why we recommend each one.

  4. 4.

    Treatment and follow-through

    Most procedures happen here in the office. We coordinate with your physical therapist and check progress against the goals you set.

Opening December 1, 2027

Ready to get back in motion?

We are scheduling new patients now. Book an evaluation to find out what is causing your pain and how to treat it.

Request an AppointmentCall (301) 200-9025

Call the front desk

(301) 200-9025

frontdesk@propelsportsortho.com
Fax (301) 664-1148

Email frontdesk@propelsportsortho.com

Call (301) 200-9025Request