A long day at the office, lack of sleep, or a loud noise can all be headache triggers. But if you suffer from regular headaches or migraines, treatment can help.

At the Sandra and Malcolm Berman Brain & Spine Institute, our experts can diagnose the cause of the headaches and prescribe a course of treatment that can diminish or alleviate the pain and frequency.

Whatever the cause of your headaches, you are not alone. It is estimated that migraine sufferers in the United States number 28 million, with women more likely than men to have experienced migraine or severe headache. The prevalence of migraines causes approximately $13 billion a year in lost productivity.


There are two classifications of headaches.

Primary headaches occur when no other cause of pain exists elsewhere in the body. Examples of primary headaches include a tension headache or a migraine.

Secondary headaches occur when a person has trauma or a problem in another part of the body. Examples include sinus headaches or headaches that are a result of bleeding in the brain, a brain injury or a brain tumor.

When you arrive at the Berman Brain & Spine Institute, you will be asked to give the specifics of your headaches, and our physicians will complete a medical history and physical exam. Additional testing such as a CT scan, an MRI or an EEG may be ordered.


Those with chronic or episodic headaches may benefit from a change in medication or a weaning of certain medications. Other treatments may include lifestyle modifications, including:

  • Stress reduction
  • Regular sleep
  • Exercise
  • Dietary counseling
  • Caffeine adjustment

Your Care Team

As a patient of the Berman Brain & Spine Institute, you will benefit from a top-notch team who adopts a multidisciplinary approach to patient care. If your headaches are related to another problem, you know that there is constant communication between your neurologist and other members of the institute.

Our faculty consists of highly skilled experts in neurologic health. Adrian J. Goldszmidt, M.D., the chief of neurology, completed his medical degree at Harvard University Medical School, his internship at Massachusetts General Hospital, his residency at Brigham and Women's Hospital, and his fellowship at New England Medical Center. His specialties include stroke, headaches and dementia.

The Sandra and Malcolm Berman Brain & Spine Institute is the only regional option for a comprehensive, integrated inpatient and outpatient program dedicated to improving outcomes in patients with diseases of the nervous system and spine. The institute's specialists, who work in multidisciplinary teams, include those with expertise in neurology, neurosurgery, physical medicine and rehabilitation, orthopedics, otolaryngology (ear, nose and throat), emergency medicine, pain management sleep disorders, neuropsychiatry, neuro-oncology, radiation oncology and neuro-opthalmology.

The neurologic disorders treated at the institute include Alzheimer's disease, headaches, brain injuries and tumors, epilepsy, back and spine pain, normal pressure hydrocephalus, spasticity and disorders of muscle tone, scoliosis, spinal cord injuries and tumors, and stroke.

Contact Us

For more information about the headache program at the Berman Brain & Spine Institute, please call 410-601-9515.