Headache & Migraine Injections

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Overview How It Works Conditions It Treats What to Expect FAQs
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A range of targeted injections that prevent and relieve chronic headaches and migraines when medications aren’t enough.

Overview:

This category covers several injection-based treatments used to prevent or interrupt chronic headaches and migraines, including Botox for chronic migraine, occipital nerve blocks, and other targeted nerve injections. These options are generally considered for patients whose headaches occur frequently or have not responded adequately to oral preventive medications. The specific injection or combination used depends on headache type, frequency, and pain pattern.

How It Works:

After a detailed review of headache history and pattern, an appropriate injection approach is selected. Botox, FDA-approved for chronic migraine (headaches on 15 or more days per month), is injected into specific scalp, neck, and forehead muscles; occipital and other nerve blocks deliver local anesthetic, sometimes with a corticosteroid, around specific nerves associated with head pain. Most sessions are completed in about 30 minutes in the office.

Conditions It Treats:

Headaches & Migraines • Neck Pain

What to Expect:

Downtime is minimal; mild soreness, swelling, or bruising at injection sites usually resolves within a few days. Botox effects typically begin within 1-2 weeks and reach full effect by about 4 weeks, with benefits generally lasting around 3 months before repeat treatment; nerve block relief can be felt within hours to days and commonly lasts weeks, with maintenance treatments used as needed.

Ready to get away from the pain?

Contact Republic Pain Specialists and get relief today.

Frequently Asked Questions

Republic Pain & Longevity is a patient-centered practice that combines interventional pain management with health optimization programs. We diagnose and treat the source of pain through advanced diagnostics and targeted, minimally invasive therapies, while also helping patients build long-term metabolic health, hormone balance, and vitality through personalized, ongoing care.

Traditional pain management focuses on diagnosing and treating a specific pain condition through procedures like nerve blocks, injections, and radiofrequency ablation. Health Optimization takes a broader, proactive approach — using interventional procedures, diagnostic labs, imaging, diet, exercise, coaching, and lifestyle strategies to decrease inflammation, improve energy, metabolic health, and resilience, whether or not you currently have a chronic pain condition.

We treat a wide range of conditions, including knee osteoarthritis, headaches and migraines, back and neck pain, joint pain, SI joint pain and sciatica, muscle spasms and myofascial pain, nerve entrapments, post-surgical pain, TMJ/jaw pain, long COVID and more. See our Conditions page for the full list and details on each.

No. Our treatments are minimally invasive, image-guided procedures — such as nerve blocks, radiofrequency ablation, and targeted joint or soft-tissue injections — designed to reduce pain and restore function without surgery.

The Peak Wellness Plan is our structured Health Optimization program built around advanced lab testing, a detailed clinical assessment, and a personalized care plan followed over nine months — targeting metabolic health, hormone balance, inflammation, weight, sleep, nutrition, and physical function, with ongoing follow-up to track progress. This integrated approach treats chronic pain as a whole-body issue, not just a symptom to numb – combining precise medical intervention with the lifestyle foundations that support lasting relief.

Vibility is our guided lifestyle curriculum — a structured, self-paced resource that supports patients through nutrition, movement, recovery, and everyday habit changes alongside their clinical care. Real-time reporting on weight, sleep, energy, digestion, focus, and mood keeps you accountable.

Yes. Peptide therapy and IV hydration are available individually or as part of our health optimization offerings, and can be incorporated into your personalized care plan where appropriate.

For patients who prefer to pay out of pocket or whose plan doesn’t cover a given service, we offer financing through Cherry Financial.

 

  • Aetna
  • Amerigroup
  • BCBS
  • Cigna
  • First Care
  • Healthsmart
  • Humana
  • Medicare
  • Medicaid
  • Molina Health
  • Superior
  • TriCare
  • United Healthcare

Your first visit is a consultation with our team to review your history, any prior imaging or labs, and your goals — whether that’s pain relief, health optimization, or both. From there, we build a personalized plan, which may include additional diagnostics, a procedure, or enrollment in a health optimization program.

Contact our office at 979-703-1426 to schedule a consultation.