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Best Non-Surgical Treatments for Chronic Headaches Near Me

July 11, 2025

A young man is at home suffering from a headache.

Chronic headaches disrupt daily life, whether you feel an aching throb behind your eyes or a tight band across your forehead. The pain can linger for hours or even days. When headaches return again and again, you may wonder what options exist beyond medication. Fortunately, many people find relief through non-surgical treatments.

 

This article will help you understand which treatment options work best for chronic headaches. You will also learn when to seek treatment and discover how local specialists can help you.

Non-Surgical Treatments for Chronic Headaches

Headaches come in many forms, including tension headaches, migraines, cluster headaches, and more.

 

No single treatment works for everyone. Pain management doctors often personalize treatment plans and may combine multiple approaches. Here are the best non-surgical treatments you should know about:

1. Physical Therapy

Physical therapy helps many headache sufferers reduce pain and improve their quality of life. Therapists can teach you stretches and exercises that relax tight muscles in your neck, shoulders, and upper back. Manual therapy, like massage and joint mobilization, also helps ease tension. Many clinics offer in-house physical therapy designed specifically for chronic headache sufferers.

 

A therapist may also help improve your posture to decrease the pressure on your head. Correct posture can reduce the frequency of tension headaches.

2. Trigger Point Injections

Some people develop knots, or trigger points, in muscles around the neck and shoulders. These tender areas can refer pain into the head and cause headaches.

 

Trigger point injections involve a small needle with anesthetic medication. The doctor injects this medication directly into the trigger point to relieve pain and break the headache cycle. This is a fast procedure done at your doctor’s office, and it usually gives quick relief.

3. Medication Management

Over-the-counter medicines, such as acetaminophen or ibuprofen, relieve mild headaches. For chronic cases, your doctor may prescribe preventive medications. These may include anticonvulsants, beta-blockers, or antidepressants.

 

The goal is not just to treat pain as it occurs, but to reduce how often headaches occur. Careful medication management helps avoid overuse and other side effects.

4. Nerve Blocks

Nerve blocks involve injecting local anesthetic near certain nerves in your head or neck. This can temporarily relieve pain and reduce inflammation. Nerve blocks are most helpful when other treatments prove less effective. The relief may last for days or weeks, offering a window for healing and therapy. Your doctor can discuss which nerves play a role in your headaches and how nerve blocks may help.

5. Botox® Injections

Botox® is best known for cosmetic wrinkle reduction, but it also helps people with chronic migraines.

 

The doctor injects Botox® in small amounts across the head and neck muscles. This procedure blocks pain signals and relaxes tight muscles. It reduces the frequency of headaches for many patients. Botox® treatment is FDA-approved for chronic migraine sufferers and performed by specially trained doctors.

6. Lifestyle and Behavioral Therapy

Stress, lack of sleep, dehydration, and certain foods often trigger headaches. Behavioral therapy helps you identify these triggers and avoid them.

 

Stress management techniques include mindfulness, meditation, or cognitive-behavioral therapy (CBT). They can reduce how often you experience headaches. Your pain management team may also work with you on sleep habits, relaxation techniques, and healthy routines. Keeping a headache diary can help find patterns and make lifestyle changes more effective.

7. Acupuncture and Alternative Therapies

Acupuncture involves placing thin needles in precise points. Many people say it helps reduce headache frequency and intensity.

 

Other alternative therapies, like biofeedback and chiropractic care, also show promise. These help your body relax and prevent headaches without relying on medication.

8. Dietary Counseling

Foods and drinks can trigger headaches in many people. Common culprits include caffeine, chocolate, aged cheeses, and artificial sweeteners. A pain management specialist or dietician can help you identify problem foods and create a plan to avoid them. Changing your diet, even in small ways, can make a big difference.

9. Comprehensive Pain Management Programs

Many centers near you offer multidisciplinary pain management programs. This means a team of doctors, physical therapists, psychologists, and nutritionists work together. They design a treatment plan tailored just for you. These programs combine several options from above, ensuring you receive complete care for chronic headaches.

When Should You Seek Treatment for Chronic Headaches?

Occasional headaches are common. You should seek treatment if:

  • You have headaches more than 15 days per month.
  • The pain does not go away with over-the-counter remedies.
  • Your headaches interfere with school, work, or family life.
  • You find that painkillers stop working, or you need them often.
  • You experience new symptoms like vision changes, confusion, or weakness.
  • The pain is sudden and severe.

 

Early treatment works best. A doctor can help uncover the cause of your headaches and recommend the right therapies. Waiting too long may allow the pain to become worse and harder to treat.

Headache Treatment Near Me in Wilmington, Newark, Smyrna, Dover, & Milford, DE

Chronic headaches can take a toll on your mind and body, but non-surgical treatments offer safe and effective relief. From physical therapy to nerve blocks, pain management doctors use many tools to help you reclaim your life. Lifestyle changes and stress management can also make a difference when it comes to headache treatment.

 

If headaches have become part of your routine or if you struggle to find relief, do not wait. Trust the professionals at Delaware Back Pain & Sports Rehabilitation Centers. Our experienced pain management doctors are ready to help you find relief and restore your quality of life. Call us today at (302) 529-8783 or use our online appointment request form.

 

The top pain management doctors near you are looking forward to serving you!

 

 

 

Sources:

https://my.clevelandclinic.org/health/diseases/9638-chronic-migraine

https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891

https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/diagnosis-treatment/drc-20370897

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Foulk Road
2006 Foulk Road, Suite B
Wilmington, DE 19810
Phone: (302) 529-8783
Fax: (302) 529-7470

Smyrna
29 N. East Street
Smyrna, DE 19977
Phone: (302) 389-2225
Fax: (302) 389-1003

Riverside
700 Lea Blvd., Suite 102
Wilmington, DE 19802
Phone: (302) 764-2615
Fax: (302) 762-4076

Dover
1006 College Road, Suite 201
Dover, DE 19904
Phone: (302) 730-8848
Fax: (302) 730-8846

Omega
87 Omega Drive, Building B
Newark, DE 19713
Phone: (302) 733-0980
Fax: (302) 733-7495

Milford Office (Air Park Plaza)
915 North DuPont Blvd, Suite 104
Milford, DE 19963
Phone: (302) 491-4487
Fax: (302) 491-4635

Glasgow
2600 Glasgow Avenue, Suite 210
Newark, DE 19702
Phone: (302) 832-8894
Fax: (302) 832-8897

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Staffed by certified physiatrists, chiropractors, psychologists, and therapeutic rehabilitation specialists, we provide pain relief for many types of bone, joint, nerve conditions. Our interventional pain management specialists (PM&R) treat closed head injuries, stroke, concussion, whiplash, dizziness, headaches, sciatica, disc problems, back & neck pain, joint stiffness, sleep apnea, muscle spasm, fibromyalgia, arthritis, neuritis, bursitis, and more.  We also treat job related injuries and injury from auto accident, sports or a fall at home.  As experts in Pain Medicine, our doctors provide surgical and non-surgical solutions including trigger point injections, epidural injections, nerve block, spinal cord stimulation, intrathecal spinal pump implant, PRP therapy, Graston® technique, Prolotherapy and more.  Serving Wilmington, Newark, Middletown, Smyrna, and Dover, Delaware.