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Headache, Facial Pain and Botox Clinic

Chronic headache disorders, such as migraine, cluster headaches and tension headaches, can be debilitating. Managing migraine, tension headaches and cluster headaches requires specialized care that’s customized for each patient’s unique needs to help them prevent the headaches and effectively treat them when they occur.

The MetroHealth Department of Neurology physicians and advanced practice providers treat patients with headache and facial pain disorders. Our specialists use the latest treatments, such as Botox, new FDA-approved medications, and nutrition and lifestyle changes, to help decrease the number of headaches patients have and improve quality of life.

It is important to see a doctor or a nurse practitioner who specializes in the diagnosis and treatment of chronic headaches when you experience new headaches or headaches with new features.

You can call 216-778-3958 to schedule a visit with a MetroHealth neurologist or nurse practitioner who specializes in headache diagnosis and management.

Top Migraine Triggers

Every person with migraine has different triggers. Patients with migraine should understand their triggers so they can help to manage their migraine attacks.

These are the most common migraine triggers:

  • Stress
  • Changes in or an irregular sleep schedule
  • Hormones
  • Caffeine and Alcohol
  • Changes in weather
  • Diet
  • Dehydration
  • Bright light/flickering lights
  • Smell
  • Overuse of pain medications

MetroHealth’s headache specialists will work with you to come up with strategies to help you manage your triggers.

When to Be Concerned

If you experience a sudden severe headache, the worst headache of your life, it is important to be evaluated immediately in the Emergency Department as such a headache may be a sign of a stroke. Call 911.

The MetroHealth Department of Neurology physicians and advanced practice providers treat patients with headache and facial pain disorders including migraine and trigeminal neuralgia.

Botox Treatment

OnabotulinumtoxinA, referred to as “botox,” has many uses including management of chronic migraine. MetroHealth is pleased to provide Botox treatment to our patients with chronic migraine. 

Please call 216-778-3958 to schedule an appointment with one of our specialists if you are interested in Botox for chronic migraine. 

 

Botox Specialists in Neurology

Sarah A. Demko, APRN-CNP

Sarah Demko, APRN-CNP has been with MetroHealth since 2018. She received her BSN and MSN from Kent State University, and holds her national certification with the American Academy of Nurse Practitioners. She is a member of both the American Academy of Neurology (AAN) and also the American Epilepsy Society (AES). A major focus of her clinic practice is managing the care of patients with epilepsy.

She has been trained in the management and programming of the vagus nerve neurostimulation device for patients with refractory epilepsy. Sarah also has clinical interest in the treatment of migraines with botox and holds specific clinics to help migraine sufferers. 

 

Rikki Johnson, APRN-CNP

Rikki Johnson is a board-certified Adult and Gerontology Primary Care Nurse Practitioner who has a strong foundation in general neurology but also specializes in stroke, vascular neurology, and botox therapy for migraines. She has been with MetroHealth since 2015. Her extensive nursing background includes general neurology, neurosurgery, and emergency medicine. 

She completed her Bachelor of Science in Nursing and her Master of Science in Nursing at Kent State University in Kent, Ohio. She holds her national board certification with the American Academy of Nurse Practitioners (AANP) and is an active member of the American Academy of Neurology (AAN).

 

Other Botox Specialists at MetroHealth

Our colleagues in Physical Medicine & Rehabilitation utilize Botox in the management of a variety of additional conditions like spasticity and dystonia. 

Please call 216-778-4414 to schedule an appointment if you are interested in Botox for conditions other than chronic migraine. 

 

Our Doctors/Medical Providers

Agnieszka A. Ardelt, MD, Ph.D

Agnieszka A. Ardelt, MD, Ph.D

Department Chair of Neurology

Neurology

No patient rating available.   Why?
Danielle A. Becker, MD

Danielle A. Becker, MD

Neurology

No patient rating available.   Why?
Daniel T. Benson, MD

Daniel T. Benson, MD

Neurology

No patient rating available.   Why?
Sarah A. Demko, APRN-CNP

Sarah A. Demko, APRN-CNP

Neurology

112 ratings / 13 reviews