{"id":62548,"date":"2025-09-01T09:47:36","date_gmt":"2025-09-01T07:47:36","guid":{"rendered":"https:\/\/mivisalud.com\/blog\/how-to-treat-chronic-headaches-a-comprehensive-approach-from-the-pain-unit\/"},"modified":"2026-10-21T11:25:17","modified_gmt":"2026-10-21T09:25:17","slug":"how-to-treat-chronic-headaches-a-comprehensive-approach-from-the-pain-unit","status":"publish","type":"post","link":"https:\/\/mivisalud.com\/en\/blog\/how-to-treat-chronic-headaches-a-comprehensive-approach-from-the-pain-unit\/","title":{"rendered":"How to treat chronic headaches: a comprehensive approach from the Pain Unit"},"content":{"rendered":"<p style=\"font-weight: 400;\"><strong>Headache<\/strong> or headache is one of the most common painful disorders. Although in many cases it is a mild and temporary pain, when it <strong>becomes chronic<\/strong> it can significantly affect the quality of life, making it difficult to rest, work and daily activities. <\/p>\n<p style=\"font-weight: 400;\">In the <strong>Pain Unit of MIVI Canarias<\/strong>, Dr. Jes\u00fas de Santiago, Coordinator of the unit, explains that the approach to headache should always begin with a <strong>differential diagnosis<\/strong>, in order to effectively treat the causes of the headache.<\/p>\n<h2><img decoding=\"async\" class=\"alignnone size-full wp-image-62130\" src=\"https:\/\/mivisalud.com\/wp-content\/uploads\/2025\/08\/Cefalea-en-MIVI-Salud-y-Jesus-de-Santiago.jpg\" alt=\"MIVI Talks video: how headache is treated at MIVI, with Dr. Jes\u00fas de Santiago\" width=\"1916\" height=\"1080\" srcset=\"https:\/\/mivisalud.com\/wp-content\/uploads\/2025\/08\/Cefalea-en-MIVI-Salud-y-Jesus-de-Santiago.jpg 1916w, https:\/\/mivisalud.com\/wp-content\/uploads\/2025\/08\/Cefalea-en-MIVI-Salud-y-Jesus-de-Santiago-1440x812.jpg 1440w, https:\/\/mivisalud.com\/wp-content\/uploads\/2025\/08\/Cefalea-en-MIVI-Salud-y-Jesus-de-Santiago-1200x676.jpg 1200w, https:\/\/mivisalud.com\/wp-content\/uploads\/2025\/08\/Cefalea-en-MIVI-Salud-y-Jesus-de-Santiago-900x507.jpg 900w, https:\/\/mivisalud.com\/wp-content\/uploads\/2025\/08\/Cefalea-en-MIVI-Salud-y-Jesus-de-Santiago-450x254.jpg 450w, https:\/\/mivisalud.com\/wp-content\/uploads\/2025\/08\/Cefalea-en-MIVI-Salud-y-Jesus-de-Santiago-300x169.jpg 300w\" sizes=\"(max-width: 1916px) 100vw, 1916px\" \/><\/h2>\n<p><span class=\"s2\">\ud83c\udfa5 <\/span><b>You can watch the full video <a href=\"https:\/\/youtu.be\/j7TkMz500qI\">here<\/a>.<\/b><\/p>\n<h2 style=\"font-weight: 400;\"><strong>Diagnosis of chronic headache<\/strong><\/h2>\n<p style=\"font-weight: 400;\">The first step is to <strong>identify the origin of the headache<\/strong>. To do this, the specialist performs: <\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Complete medical history<\/strong>, evaluating symptoms and patient&#8217;s history.<\/li>\n<li><strong>Detailed physical examination<\/strong>, looking for signs that point to a specific origin.<\/li>\n<li><strong>Diagnostic tests<\/strong>, when necessary, to confirm or rule out neurological, musculoskeletal, vascular or inflammatory causes.<\/li>\n<\/ul>\n<hr>\n<blockquote>\n<h3 style=\"text-align: center;\"><span style=\"color: #33cccc;\">&#8220;<\/span><span style=\"color: #33cccc;\"><i>Every headache patient is unique. Identifying the causes and triggers is key to regaining your quality of life.&#8221; <\/i><\/span><\/h3>\n<\/blockquote>\n<hr>\n<p style=\"font-weight: 400;\">Some common causes of chronic headache are:<\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Cervical problems<\/strong> (cervicogenic headache).<\/li>\n<li><strong>Occipital<\/strong> or trigeminal <strong>neuralgia<\/strong>.<\/li>\n<li><strong>Inflammatory or infectious processes<\/strong>, such as sinusitis.<\/li>\n<li><strong>Migraine headaches<\/strong>, which may have hormonal, dietary or emotional triggers.<\/li>\n<\/ul>\n<h2 style=\"font-weight: 400;\"><strong>Comprehensive approach to treatment<\/strong><\/h2>\n<p style=\"font-weight: 400;\">At MIVI Salud we apply a <strong>multidisciplinary treatment<\/strong>, which combines habit correction, psychological therapies, medication and interventional procedures.<\/p>\n<ol>\n<li style=\"font-weight: 400;\"><strong>  Elimination of causes and triggers<\/strong><\/li>\n<\/ol>\n<ul style=\"font-weight: 400;\">\n<li>Identification of bad postural habits.<\/li>\n<li>Treatment of cervical lesions, sinusitis or other associated processes.<\/li>\n<li>Withdrawal of food or hormonal triggers in case of migraine.<\/li>\n<\/ul>\n<ol start=\"2\">\n<li style=\"font-weight: 400;\"><strong>  Improvement of living habits<\/strong><\/li>\n<\/ol>\n<ul style=\"font-weight: 400;\">\n<li>Maintain <strong>a balanced diet<\/strong>.<\/li>\n<li><strong>Regular physical exercise<\/strong>.<\/li>\n<li>Taking care of <strong>rest and sleep hygiene<\/strong>.<\/li>\n<li>Incorporate <strong>stress management techniques<\/strong>, such as cognitive-behavioral therapy.<\/li>\n<\/ul>\n<ol start=\"3\">\n<li style=\"font-weight: 400;\"><strong>  Pharmacological and preventive treatment<\/strong><\/li>\n<\/ol>\n<ul style=\"font-weight: 400;\">\n<li>Medication for <strong>acute crises<\/strong> and <strong>prevention of migraines<\/strong>.<\/li>\n<li>Individual adjustment according to the patient&#8217;s evolution and tolerance.<\/li>\n<\/ul>\n<ol start=\"4\">\n<li style=\"font-weight: 400;\"> <strong> Interventional procedures: <\/strong>for patients with chronic headaches or those resistant to conventional treatments, we have advanced techniques such as:<\/li>\n<\/ol>\n<ul style=\"font-weight: 400;\">\n<li><strong>Nerve blocks<\/strong> with local anesthetics or corticosteroids.<\/li>\n<li><strong>Radiofrequency and neuromodulation<\/strong> to reduce the sensitivity of the affected nerve.<\/li>\n<li><strong>Botulinum toxin injections<\/strong>, useful in certain types of migraine.<\/li>\n<li><strong>Peripheral neurostimulation<\/strong>, such as occipital nerve stimulation.<\/li>\n<li><strong>Infusion therapies<\/strong> with local anesthetics to raise the pain threshold.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">All these techniques are performed under <strong>ultrasound or radioscopic control<\/strong>, which allows for greater precision and safety.<\/p>\n<h2 style=\"font-weight: 400;\"><strong>Objective: to recover the quality of life<\/strong><\/h2>\n<p style=\"font-weight: 400;\">Chronic pain management is <strong>a progressive process<\/strong>. As headache management progresses, the patient experiences: <\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Reduction of pain intensity and frequency<\/strong>.<\/li>\n<li><strong>Less dependence on medication<\/strong>.<\/li>\n<li><strong>Improved quality of life and functional capacity<\/strong>.<\/li>\n<\/ul>\n<hr>\n<blockquote>\n<h3 style=\"text-align: center;\"><span style=\"color: #33cccc;\">&#8220;<i>Although many chronic headaches cannot be cured, we can get the patient to live pain-free and return to a normal life<\/i><i style=\"font-size: 16px;\">.&#8221;<\/i><\/span><\/h3>\n<\/blockquote>\n<hr>\n<p style=\"font-weight: 400;\">\ud83d\udc99 <strong>At MIVI Salud we are committed to accompanying you every step of the way to a pain-free life.<\/strong><\/p>\n<p style=\"font-weight: 400;\">\ud83c\udfa5 <strong>Find out more about how we approach chronic headaches in our Pain Unit<\/strong> with the recommendations of Dr. Jes\u00fas de Santiago in this video:<\/p>\n<p style=\"font-weight: 400;\">\ud83d\udc49 <a href=\"https:\/\/youtu.be\/j7TkMz500qI\">Watch the video on YouTube<\/a><\/p>\n<p style=\"font-weight: 400;\">\n","protected":false},"excerpt":{"rendered":"<p>Headache or headache is one of the most common painful disorders. Although in many cases it is a&hellip;<\/p>\n","protected":false},"author":3,"featured_media":62129,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_ppma_block_editor_authors":""},"categories":[976,1022],"tags":[],"ppma_author":[1384],"class_list":["post-62548","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pain","category-headache","author-irene"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How to treat chronic headaches: a comprehensive approach from the Pain Unit | Mivi<\/title>\n<meta name=\"description\" content=\"Chronic headaches: comprehensive approach from the Pain Unit of MIVI Salud. 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