Headaches Specialist

William  D. Stratford, MD -  - Headache Specialist

Your Migraine Care

William D. Stratford, MD

Headache Specialist & Board-Certified Psychiatrist located in Missoula, MT

It’s estimated that 70-88% of adults suffer from tension headaches, while 17% have severe headaches and migraines. No matter what type of headache you experience, comprehensive treatment is available from the experienced team at Your Migraine Care in Missoula, Montana. They specialize in innovative treatments, including the most up-to-date medications and medical devices, such as the SphenoCath® that delivers long-lasting relief from severe headaches like migraines and cluster headaches. To find relief from your headache pain, call one of the offices to schedule an appointment.


What causes headaches?

Though there are over 150 types of headaches, they all belong in one of two categories: primary and secondary headaches. Primary headaches are caused by problems in your head or neck, while secondary headaches arise due to an underlying health problem.

The most common primary headaches include migraines, cluster headaches, and tension headaches. Secondary headaches are often caused by sinus infections, temporomandibular jaw disorders, and concussions. However, concussion headaches are easily mistaken for a migraine or tension headache.

What symptoms develop because of headaches?

Every headache causes pain, but the quality and severity of your pain varies depending on the type of headache. Here are a few examples:

Tension headaches

Tension headaches cause mild-to-moderate pain or pressure that feels like your head is being squeezed.

Cluster headaches

Cluster headaches typically begin at night, waking you with sudden, severe pain behind one eye or temple. You’ll continue to have excruciating headaches daily for several weeks to months before they go into remission.


Migraines cause intense, throbbing pain that’s often around one temple, but may spread to both sides of your face. These headaches last 4-72 hours and in addition to your headache pain, you’ll have symptoms such as nausea, vomiting, and sensitivity to sounds, lights, and odors.

How are headaches treated?

The team at Your Migraine Care provide comprehensive care for all types of headaches, including today’s most advanced treatments for severe headaches. If your headache is associated with triggers, your provider helps you identify your personal triggers and develop a plan to avoid them.

Depending on the type of headache, you may need one of the many medications available to decrease pain, shorten headaches, or prevent future headaches.

Patients who suffer from intense headaches such as cluster headaches and migraines typically need treatments that are more potent than standard medications, such as:

Calcitonin gene-related peptide (CGRP) inhibitors

Medications that block CGRP, such as Emgality®, stop severe headache pain and help reduce the frequency of migraines and cluster headaches. CGRP is released from nerves in your head, where it transmits pain messages and induces severe headaches.

SphenoCath procedure

The SphenoCath procedure delivers a CGRP inhibitor directly to the sphenopalatine ganglion (SPG), a group of nerves behind your upper nasal passageway. Your provider at Your Migraine Care guides a narrow catheter through your nose to the targeted area, then deposits the CGRP inhibitor at the SPG, stopping headache pain and reducing your headache frequency.

Effective treatments are available for all types of headaches at Your Migraine Care. Call the office to schedule an appointment today.