# Headache Clinic | Migraine & Cluster | OSANG Neurosurgery > Dual neurology & neurosurgery care for migraine, cluster, tension, and cervicogenic headaches. Anti-CGRP, Botox, TMS, and nerve blocks. Gangnam. - Official page: https://osns.co.kr/en/headache/ - Organization: OSANG Neurosurgery ## Page content ## Brain & Neurology Clinic ## I survived with painkillers, but why do I feel tired and hurt every day? - Hyperexcitable nerves and pain circuits are evaluated together - Cervical and occipital nerves and autonomic nerve factors are examined simultaneously. ### When you broaden your perspective on headaches, previously invisible causes are revealed. Recurring headaches have different causes, including migraine, tension type, cervical type, and autonomic nerve disorder. Osang Neurosurgery works in collaboration with neurosurgery and neurology to determine the cause and take a step-by-step approach. ## Quiet warnings your body is sending They are so sensitive to light and sound that they only look for quiet places. Even the slightest movement makes my head pound, making me cautious about my daily life. A headache is accompanied by stomach discomfort or nausea. Flashing afterimages or changes in vision appear before your eyes. ## I find the real name of the headache that bothers me The location of the pain is not enough to determine it. The type of headache is distinguished by looking at the duration, accompanying symptoms, posture, and lifestyle patterns. It mainly appears along with pulsating pain, sensitivity to light and sound, and nausea. It is important to check your medical history because there may be signs or symptoms may vary. - Anti-CGRP - preventive treatment - Life triggers NEUROSURGERY × NEUROLOGY ## Headaches, why should two specialists see them together? Headaches may overlap with structures such as the cervical and occipital nerves and functions such as CGRP, cranial nerve hyperexcitability, and autonomic nerves. ### Neurosurgery Cervical structures, occipital nerve pathways, ganglia, and cerebrovascular structures are evaluated for structural danger signs. - cervical spine structure - occipital nerve - Image identification - precision surgery ### Neurology We analyze migraine mechanisms, nervous hyperexcitability, autonomic nerves, and drug reactions to develop prevention and maintenance plans. - CGRP - TMS - Autonomic nervous system - drug design ## 9 solutions for comprehensive headache treatment Do not apply all treatments at once. We combine the necessary methods based on the type of headache, degree of chronicity, and response to previous treatment. ### Anti-CGRP Therapy It is a preventive treatment that modulates the CGRP pathway involved in migraine attacks. Indications and administration intervals are determined after treatment. - migraine prevention - reaction tracking ### Botulinum toxin treatment In chronic migraine, it is performed according to the defined muscle and nerve distribution and treatment response and interval are tracked. - chronic migraine - precision scanning ### TMS (Transcranial Magnetic Stimulation) Non-invasively stimulates cerebral cortical circuits with magnetic fields. It is selected as an adjunct depending on symptoms and indications. - Non-invasive - cranial nerve control ### Drug design for each symptom Distinguish between acute and preventive medications and adjust dosing regimen to reduce risk of overuse headache. - acute stage - preventive medicine - Overdose Prevention ### Autonomic Nerve Care Check whether autonomic symptoms such as sleepiness, dizziness, and palpitations are worsening the headache and manage them together. - sleep - recovery rhythm ### Self-growth factor combination care It is viewed as a complement to existing standard treatments in patients who need it and does not promise exaggerated regenerative effects. - adjuvant treatment - Check indications ### Occipital Nerve Block It is performed after examination and confirmation of indications for pain in the occipital nerve, which runs from the back of the head to the crown of the head. - Occipital neuralgia - Cervicogenic Headache ### Sphenopalatine ganglion block It is selectively considered for autonomic nerve-mediated pain such as cluster headaches and facial pain. - cluster headache - facial pain ### Stellate Ganglion Block It is selectively applied to some patients after evaluating whether sympathetic hyperactivity is involved in pain. - sympathetic nerve - Select application ## If the same symptoms repeat Record the pattern The items below are not a diagnostic tool, but rather a guide to organizing symptom patterns before treatment. / 08selected item The checked items are not diagnostic results. Please record when the headache started and any changes that occurred and let us know at the time of treatment. FAQ ## in the doctor's office Frequently Asked Questions This is general guidance and individual diagnosis and treatment will depend on medical history and test results. ### Q01Is it okay to continue taking painkillers? Taking painkillers frequently can cause medication overuse headaches. The number of doses should be recorded and the type and cause of recurrent headaches should be evaluated first. ### Q02How do you tell the difference between a migraine and a regular headache? Pulsatile pain, sensitivity to light and sound, and nausea are common, but symptoms alone are not conclusive. Duration and neurological examination are examined together. ### Q03Who is anti-CGRP treatment applicable to? In patients who require migraine preventive treatment, it is selected by checking previous treatment and comorbidities. This injection is not applied equally to all headaches. ### Q04Are headaches and neck and shoulder pain related? Cervical and occipital nerve and muscle tension can make headaches worse. Conversely, migraines may also be accompanied by neck discomfort, so differentiation is necessary. ### Q05Can I get treatment for headaches that have persisted for several years? Even if the period is long, a step-by-step management plan can be developed by re-evaluating the current type, overdose of drugs, and sleep and autonomic factors. ### Q06What should I prepare before my first visit? Please bring a headache diary recording the time of headache onset, duration, accompanying symptoms, and medications taken, as well as previous MRI/CT data, if available. ## A recovery plan begins with accurately identifying the pattern of your headache rather than the period of time you endure the pain. Neurosurgeons and neurologists examine the structural and functional causes of symptoms together. ## Important notice This Markdown alternative helps search and AI tools understand the public page accurately. It provides general health information and does not replace an individual diagnosis or treatment.