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Chronic Headaches

Chronic headaches consist of continuous headaches, pain arising from the head or upper neck, or miscellaneous head pain, that typically occur at least 15 days out of the month for at least three months.

Chronic headaches vary in intensity from mild to excruciating. The type of pain felt can range from sharp to throbbing and tightening sensations.

The condition can also be brought on by various factors including physical exercise and sensitivity to light or sound.

Information comes courtesy of the Mayo Clinic.


  • Chronic Pain Management
    Chronic pain refers to any pain lasting in excess of six months. There is no clear cause, as the term applies to any long-term discomfort arising from an initial injury. Chronic pain can occur in virtually any part of the human body and often contributes to other residual health problems including fatigue, decreased appetite, mood swings, and a lack of mobility. These difficulties negatively affect a person’s ability to lead a comfortable lifestyle. Many advances in modern medicine are helping people to manage their chronic pain more effectively to reduce suffering and enhance a patient’s quality of life and functionality. We will fully evaluate your condition and design a holistic, individually tailored plan to help you return to your life.
  • Botox
    Botox is a a highly purified preparation of botulinum toxin A. Very small amounts of botox are injected into specific muscles, and it acts by blocking the transmission of nerve impulses to muscles, and therefore relaxing them. Information courtesy of MedicineNet. For more information, visit
  • Occipital Nerve Block
    An occipital nerve block entails the injection of a steroid or alternative medication, using a needle, to the occipital nerve region located in the base of the skull and upper neck area. Occipital nerve blocks help to treat many patients with chronic headache, vision, and migraine conditions. A minute solution of local anesthetic and anti-inflammatory steroids is injected near these nerves to block them and resolve symptoms. Pain relief from occipital nerve block treatment typically occurs within 15 minutes of the procedure and can be accompanied by temporary numbness in the affected area. The steroid component will take effect within the next five days. The duration of this therapeutic pain relief and anti-inflammatory effect varies between days and months depending on the patient. If only short term relief occurs, occipital nerve destruction with radiofrequency ablation (rhizotomy) or occipital nerve stimulation are potential treatment options.


Marc A. Swanson, M.D.

Dr. Marc Swanson has been a pillar of the Roanoke Valley for the past 23 years.  He is board certified in both Anesthesiology and Pain Management.  He practices holistic pain medicine with a focus on … Read More

George Montgomery Baylor, M.D.

Dr. George Montgomery “Monty” Baylor is a board certified anesthesiologist and pain management physician with a wealth of experience with advanced interventional therapies. Dr. Baylor completed his medical school training at Marshall University School of Medicine.  … Read More

Anthony L. Dragovich, M.D.

Dr. Anthony Dragovich is a board certified anesthesiologist and pain medicine physician with expert proficiency in the placement of implantable devices and ultrasound guided procedures. Dr. Dragovich performed his anesthesiology residency at Walter Reed Army Medical Center … Read More

Laura Davis, PA-C

Mrs. Laura Davis is a caring, compassionate Physician Assistant who has practiced pain medicine for the past six years. She was born in Ohio and completed her undergraduate work at Wright State University.  Her acceptance to … Read More

Dana Hurt, PA-C

Ms. Dana Hurt is an area native who feels fortunate to be able to give back to her beloved community. She was born in Bedford and has completed her education in the local region.  She attended … Read More