We approach headache disorders with time, pattern recognition, and a genuine investment in understanding what’s driving them. Most headaches don’t have a single cause, and most don’t have a single solution. We look at the full picture: sleep, stress, hormonal patterns, diet, and the specific triggers that are uniquely yours. Our goal isn’t just to treat your next headache. It’s to help you have fewer of them.
An Introduction to Headaches and Migraines
Headache is the most common neurological symptom. Migraines alone affect roughly 39 million Americans, making it one of the most disabling conditions in the world.
Yet for many patients, headache care means a rushed appointment, a prescription, and little time to investigate what’s actually driving the pattern. Specialist evaluation changes that.
Meet Our Movement Disorder Neurologists
Dr. Elizabeth Chambers
Board-Certified Neurologist with sub-specialty fellowship training in movement disorders. Full Bio
Dr. Aashoo Mentreddi
Board-Certified Neurologist with sub-specialty fellowship training in movement disorders. Full Bio
Dr. Deepa Panjeti-Moore
Board-Certified Neurologist with sub-specialty fellowship training in epilepsy. Full Bio
Our Approach
Most patients with headache disorders have had a version of the same experience: a short appointment, a prescription, and little investigation into why the headaches keep coming.
At TNC, we start with accurate diagnosis, because treating a cluster headache like a migraine, or missing medication overuse as the root cause, keeps patients stuck in the same cycle. From there, the focus shifts to long-term pattern reduction, not just managing the next attack.
- Pattern-first evaluation. Every headache has triggers, and those triggers are personal. We assess sleep, stress, diet, exercise habits, and hormonal factors — not as a checklist, but because addressing these often reduces headache frequency more meaningfully than medication alone.
- Dedicated attention to women’s headache patterns. Hormonal changes across the lifespan — menstrual cycles, pregnancy, breastfeeding, perimenopause, and menopause — frequently shift migraine patterns in significant ways. We give close attention to hormonal triggers, medication safety during pregnancy and breastfeeding, and preventive strategies at each hormonal transition.
- Rescue treatment at the clinic, not the ER. When a severe headache needs same-day intervention, you shouldn’t have to sit in an emergency room. We offer same-day rescue treatments at the clinic to get you back on your feet faster.
- The full procedural toolkit. We administer Botox for chronic migraine, trigger point injections, and nerve blocks in-office — treatments that can meaningfully reduce headache frequency for the right patients.
- Botox for Chronic Migraine. For patients with 15 or more headache days per month, Botox is an FDA-approved preventive treatment that can significantly reduce headache frequency. All three of our neurologists are trained injectors and administer it in-office.
- A written action plan, not a generic protocol. Different headache disorders require different approaches. You leave with a specific, individualized plan — for prevention, for acute attacks, and for knowing when to reach us.
Headache disorders are manageable. The difference is often having a neurologist who has the time to actually understand yours.
Below are the conditions we most commonly evaluate and treat.
Headache Disorders We Treat
Migraines
Migraines are a neurological condition that go well beyond head pain. Attacks typically involve moderate to severe, often one-sided throbbing pain accompanied by nausea, vomiting, and sensitivity to light and sound. Some people experience aura — visual disturbances, numbness, or speech changes — before or during an attack. Episodes can last four to 72 hours and meaningfully disrupt work and daily life.
Migraines are driven by a complex interplay of factors: hormonal shifts, sleep disruption, stress, certain foods, and sensory overload. It affects about three times as many women as men and is under-diagnosed across all populations.
Cluster Headaches
Cluster headaches are among the most painful conditions known — attacks of severe, one-sided pain around or behind the eye occurring in predictable “clusters” that can run daily for weeks or months at a time. Attacks typically last 15 minutes to three hours and are often accompanied by tearing, nasal congestion, or drooping eyelid on the affected side.
Between cluster periods, patients may be entirely pain-free for months or years. Despite their severity, cluster headaches are frequently misdiagnosed or delayed in diagnosis. Acute treatment includes high-flow oxygen and fast-acting injectable medications; preventive therapy aims to shorten or eliminate cluster cycles.
Tension-Type Headaches
Tension-type headaches are the most common headache disorder — a dull, steady pressure or tightness across the forehead or the back of the head and neck, typically bilateral and not worsened by routine activity. Episodes can be infrequent or occur more than 15 days per month, at which point they’re classified as chronic.
Stress, poor sleep, anxiety, and postural strain are common contributors. While often manageable with over-the-counter medications, frequent or chronic tension-type headache warrants neurological evaluation — both to confirm the diagnosis and to identify the underlying patterns keeping it in place.
Medication Overuse Headache
Medication overuse headache develops when acute headache treatments are used too frequently — typically 10 or more days per month — creating a paradoxical cycle in which the medication meant to relieve headache begins to cause it. It can occur with triptans, NSAIDs, opioids, and combination analgesics. The result is frequent or daily headache that responds less and less to treatment over time.
It’s one of the most common causes of chronic daily headache and is often unrecognized by patients and providers alike. Breaking the cycle requires supervised withdrawal from the overused medication alongside a structured, supervised prevention plan.
Facial & Nerve Pain
Some headache presentations originate not in the brain itself, but in the nerves of the face and scalp. Two of the most common nerve-related pain conditions we treat:
Occipital Neuralgia — Sharp, shooting pain originating at the base of the skull and radiating up through the scalp, sometimes into the back of the eye. Results from irritation of the occipital nerves and can closely mimic migraine. Occipital nerve blocks are both diagnostic and therapeutic — they confirm the source and provide relief.
Trigeminal Neuralgia — Sudden, severe, electric shock-like pain along one side of the face, typically lasting only seconds but recurring in rapid bursts. Often triggered by light touch: eating, speaking, or even a mild breeze. Caused by irritation or compression of the trigeminal nerve and frequently mistaken for dental pain. Treatment ranges from anticonvulsant medications to procedural interventions.
Post-Concussive Headache
Headaches are among the most common and persistent symptoms following a concussion or mild traumatic brain injury. They typically begin within days of the injury and can persist for weeks or months, sometimes longer.
Post-concussive headache often resembles migraine or tension-type headache in character and may accompany cognitive fog, dizziness, sleep disruption, and light sensitivity. Treatment is individualized based on headache type and symptom severity, and benefits from a coordinated approach that addresses not just the headache but the full recovery picture.
Idiopathic Intracranial Hypertension (IIH)
Idiopathic intracranial hypertension is a condition of elevated pressure within the skull with no identifiable underlying cause. It most commonly affects younger women and typically presents with daily headache, a pulsing or whooshing sound in the ears, and intermittent visual changes or obscurations.
Left unmanaged, IIH carries a real risk of permanent vision loss — making accurate diagnosis and consistent monitoring essential. Diagnosis requires lumbar puncture to measure cerebrospinal fluid pressure. Treatment includes weight reduction strategies, medication to reduce CSF production, and close visual monitoring over time.
If you’re ready to stop treating headaches one at a time and start understanding what’s driving them, we’re here to help.
Meet Our Headache & Migraine Neurologists
Dr. Elizabeth Chambers
Board-Certified Neurologist with sub-specialty fellowship training in movement disorders. Full Bio
Dr. Aashoo Mentreddi
Board-Certified Neurologist with sub-specialty fellowship training in movement disorders. Full Bio
Dr. Deepa Panjeti-Moore
Board-Certified Neurologist with sub-specialty fellowship training in epilepsy. Full Bio
Serving Patients Across Dallas, Tx
Address
12720 Hillcrest Rd, #702
Dallas, TX 75230
Phone Number
(945) 303-9015
Hear from our Patients
“Dr. Mendreddi was kind, caring, and a great communicator. She spent a great deal of time with us, listening to my husband’s symptoms and reviewing all the previous testing he had done with a general neurologist. She never made us feel rushed and answered each question with straightforward and easy to understand answers”
Jo Lynn Hughes
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