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Q
"I've been getting by on painkillers,
but why does my head feel exhausted and achy every day?"
ANSWER
"When you broaden how you look at headaches,
hidden causes start to reveal themselves."
At OSANG, we look beyond the surface pain
to examine the cause from multiple angles.
Treatment to calm overexcited nerves
Procedures to correct abnormal neural pathways
To break the cycle of recurring headaches,
we design a personalized 'recovery pathway' for each patient.

Headache Clinic - Migraine, Tension & Cluster Headache Treatment | OSANG Neurosurgery

!

Quiet warnings your body is sending

Light and sound have become so overwhelming that I only seek quiet places.
Even slight movement makes my head pound, so I have to be careful in daily life.
Whenever a headache hits, I feel nauseated as if I have indigestion.
I sometimes see visual aura or flashing afterimages before the headache starts.
Know Your Pain

The real name of the headache tormenting you

01

Migraine

MIGRAINE

Recurring pulsating pain caused by vascular changes. Often accompanied by sensitivity to light, sound, and nausea.

02

Cluster Headache

CLUSTER

Extremely sensitized periorbital nerves causing intense pain concentrated around one eye.

03

Tension Headache

TENSION

A band-like tightness around both sides of the head caused by muscle stiffness and nerve compression.

04

Complex Headache

COMPLEX

Headache compounded by autonomic nervous system imbalance, often accompanied by digestive issues and dizziness.

05

Cervicogenic Headache

CERVICOGENIC

Cervical spine misalignment directly stimulates nerves. Pain changes when turning the neck.

Why OSANG

Why patients choose OSANG

0+

Years

Focused headache & autonomic clinical practice

0+

Cases

Total neurological treatments

0

Specialists

Neurosurgery & Neurology dual-specialist care

0

Types

Customized headache solutions by cause

Neurosurgery × Neurology

Why headaches require
two specialists working together

Headaches are not simple pain. Structural problems like cervical spine, occipital nerve, and stellate ganglion issues are intertwined with functional problems like CGRP, autonomic imbalance, and cranial nerve overexcitation.
At OSANG, a neurosurgeon and a neurologist work together to correct both structure and function simultaneously.

STRUCTURE

Neurosurgery

  • Cervical spine structural correction
  • Occipital nerve pathway block
  • Stellate ganglion sympathetic suppression
  • Sphenopalatine ganglion modulation
  • C-arm guided precision procedures
Precise cause differentiation
Simultaneous structure + function correction
Recurrence prevention design

FUNCTION

Neurology

  • CGRP mechanism analysis & blocking
  • Autonomic nerve rebalancing
  • Cranial nerve overexcitation stabilization
  • TMS cortical modulation
  • Customized medication design & monitoring

Treating only one side leads to recurrence.
Fundamental recovery is only possible when structure and function are addressed together.

Meet our medical team
Total Care Solution

9 solutions for comprehensive headache treatment

Chemical Signal Modulation

Anti-CGRP Therapy

Selectively blocks the CGRP protein that triggers headaches. Monthly or quarterly injections reduce migraine attack frequency.
01 +

Transmission Pathway Stabilization

Botox Treatment

Small doses are injected at muscle-nerve junctions where pain signals are transmitted, reducing sensitivity. Precise targeting ensures long-lasting effects.
02 +

Cranial Nerve Stabilization

TMS (Transcranial Magnetic Stimulation)

Uses magnetic fields to calm overexcited cranial nerves and activate pain suppression circuits. Non-invasive with no injections, allowing immediate return to daily activities.
03 +

Mechanism-based Precision Prescription

Optimized Medication Design

Prescribes both symptom suppression and prevention based on headache mechanism. Medication combinations are designed to work effectively in daily life outside the clinic.
04 +

Autonomic Nerve Care

Nervous System Environment Reset

When autonomic imbalance worsens headaches, we reset the nervous system environment itself. This enhances the body's ability to cope with pain and reduces recurrence.
05 +

Neural Environment Modulation

Autologous Growth Factor
Combined Care

Under C-arm imaging guidance, autologous growth factors are injected around nerves to improve tissue environment. Used when conventional treatments show slow improvement.
06 +

Occipital Nerve Pathway Block

Occipital Nerve Block

Blocks the occipital nerve pathway from the back of the head to the crown. Used for tension headaches, cervicogenic headaches, and occipital neuralgia, with pain relief felt immediately after the procedure.
07 +

Autonomic Nerve Cluster Modulation

Sphenopalatine Ganglion
Block (SPG)

Modulates the sphenopalatine ganglion (autonomic nerve cluster) behind the nose. Used for cluster headaches, migraines, and facial pain when medication alone cannot control autonomic-mediated headaches.
08 +

Sympathetic Overactivity Suppression

Stellate Ganglion Block

Blocks the stellate ganglion (sympathetic nerve cluster) at the front of the neck to suppress sympathetic overactivity in the head, neck, and face. Controls autonomic nerve components of migraines, cluster headaches, and complex headaches.
09 +
Treatment Process

Step-by-step headache treatment roadmap

1
st

Precision Diagnosis + Initial Treatment

GOAL: Headache type differentiation & acute relief

We analyze headache patterns and neurological status to classify the type and address acute pain first.

Medication TMS Occipital Block SPG

EXPECTED

Acute pain relief, headache type confirmed, baseline treatment response data

2
nd

Intensive Treatment + Response Evaluation

GOAL: Reduce attack frequency & stabilize nerves

Based on Phase 1 response, we advance to intensive treatment. We calm sensitized nerves and dissolve entrenched pain circuits.

Anti-CGRP Botox Stellate Neural Reset

EXPECTED

50%+ reduction in headache frequency, lower medication dependence, neural stabilization

3
rd

Maintenance & Prevention

GOAL: Prevent recurrence & long-term stability

We transition to long-term management to maintain improvements and prevent recurrence.

Anti-CGRP Maint. TMS Cycle Lifestyle Autonomic Care

EXPECTED

Headache-free daily life, freedom from painkiller dependence, restored autonomic balance

Self Check

Could this be you? Headache self-checklist

If 3 or more apply, get a specialist consultation
Before Treatment

Please prepare these before your first visit

Headache Diary

Record when, where, and how severe your pain was. This is the most helpful information for identifying headache patterns.

Current Medications

Please list all medications you are currently taking, including painkillers. We will check for drug interactions.

Test Results

If you have previous imaging results such as MRI or CT scans, please bring them. This speeds up diagnosis.

Meal Status

Blood tests or procedures may be needed, so please visit on an empty stomach or after a light meal.

FAQ

Frequently Asked Questions

Q. My headaches keep recurring. Is it okay to keep taking painkillers?
Taking painkillers more than 3 times a week can lead to medication overuse headache, actually making headaches worse. For recurring headaches, it is important to find and treat the root cause, and a treatment plan that reduces medication dependence is needed.
Q. How do you tell the difference between a migraine and a regular headache?
Migraines typically involve pulsating pain starting on one side, increased sensitivity to light, sound, and smell, and often nausea. At OSANG Neurosurgery, we precisely differentiate between migraines, tension headaches, cervicogenic headaches, and others through headache pattern analysis and dual-specialist collaboration.
Q. What is anti-CGRP therapy? Is it effective?
Anti-CGRP therapy selectively blocks the CGRP protein involved in triggering headaches, suppressing neurogenic inflammation and vascular over-dilation. It is an effective preventive treatment for chronic migraines, administered as a monthly or quarterly injection.
Q. How does TMS (Transcranial Magnetic Stimulation) work?
TMS is a non-invasive treatment that uses magnetic field pulses to stabilize overactivated neural circuits in the brain and strengthen pain control circuits. It can be safely applied to those who find injections or medications burdensome, including students.
Q. I've had headaches for years. Can they be treated?
The more chronic the headache, the more entrenched neural sensitivity and pain circuits become, requiring multidimensional treatment combining anti-CGRP, Botox, TMS, and autonomic nerve care rather than a single therapy. The longer the duration, the more effective a multi-angle approach becomes.
Q. My concentration is really poor due to headaches. Can I be treated without disrupting daily life?
Most headache treatments are conducted on an outpatient basis and can be done alongside daily activities. TMS allows immediate return to your schedule after treatment, and medication therapy is designed to minimize concentration impairment.
Q. I have headaches along with neck/shoulder pain and dizziness. Are they related?
Neck and shoulder muscle tension, headaches, and dizziness are closely connected through cervical nerves and the autonomic nervous system. At OSANG Neurosurgery, we don't treat headaches in isolation but analyze these complex symptoms comprehensively.
Q. Why should headaches be treated at a neurosurgery clinic?
Headache causes can involve various neural structures including cerebral blood vessels, the trigeminal nerve system, autonomic nerves, and the cervical spine, requiring neurosurgical expertise. OSANG Neurosurgery targets recovery of the headache system itself through both structural and functional approaches via dual-specialist collaboration.
Q. Can autologous growth factor therapy be applied to headaches?
Yes, neural environment modulation (autologous growth factor combined care) is used as an adjunct therapy for headache patients who respond slowly to existing treatments, improving the tissue environment around nerves to facilitate medication delivery.
Q. What types of headaches respond well to occipital nerve block?
Occipital nerve block is a procedure that blocks pain along the occipital nerve pathway from the back of the head to the crown. It is particularly effective for tension headaches, cervicogenic headaches, and occipital neuralgia, with pain relief felt immediately after the procedure.
Q. When is sphenopalatine ganglion block used?
Sphenopalatine ganglion block modulates the autonomic nerve cluster located behind the nose and is effective for cluster headaches, migraines, and facial pain. It is applied when autonomic-mediated headaches cannot be adequately controlled with medication alone.
Q. How is stellate ganglion block used in headache treatment?
The stellate ganglion is a sympathetic nerve cluster located at the front of the neck. Blocking it suppresses sympathetic overactivity in the head, neck, and face regions, effectively controlling the autonomic nerve component of migraines, cluster headaches, and complex headaches.
Q. What is the difference when neurosurgery and neurology work together?
Neurosurgery specializes in structural causes such as cervical spine, occipital nerves, and stellate ganglion, while neurology specializes in functional causes such as CGRP, autonomic nerves, and cranial nerve dysfunction. When both specialists collaborate, they simultaneously correct structure and function, increasing treatment accuracy and speed.
Q. How long does treatment usually take?
This depends on the type and degree of chronicity of the headache. Phase 1 treatment (medication + TMS + nerve blocks) assesses initial response within 2-4 weeks, followed by Phase 2 intensive treatment for 4-8 weeks, then maintenance and prevention management. Treatment is flexibly adjusted based on each patient's response.
Q. Is there anything I should prepare before my first visit?
Bringing a headache diary (when, where, and how severe the pain was), a list of current medications, and any previous test results (MRI/CT, etc.) will improve diagnostic accuracy. If possible, please visit on an empty stomach or after a light meal.

Consultation

Consultation Request

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