Chronic headaches - defined as 15 or more headache days per month- can significantly impact quality of life. Our neurologists specialize in identifying the underlying causes of chronic daily headache and developing comprehensive, individualized treatment plans. Whether your headaches stem from tension, hormonal changes, medication overuse, or a structural condition, we approach each case with thorough diagnostic evaluation and evidence-based care.

Botox (onabotulinumtoxinA) is a Health Canada-approved treatment for adults with chronic migraine - defined as 15 or more headache days per month, at least 8 of which are migraines. It works by blocking the release of pain signals from nerve endings around the head and neck, reducing both the frequency and severity of migraines over time.

Treatment involves a series of small injections around the head, scalp, neck, and shoulders, administered every 12 weeks by a neurologist. Most patients begin to notice improvement after their second or third treatment cycle.

Botox for chronic migraine is covered by many extended health insurance plans in BC.

CGRP (calcitonin gene-related peptide) therapies represent a major breakthrough in migraine prevention. These targeted medications - available as monthly or quarterly injections or daily oral tablets - an dramatically reduce migraine frequency with fewer side effects than traditional preventives. Current available CGRP medications include Ajovy, Emgality, Nurtec, Ubrelvy, and Qulipta. Our Abbotsford neurologists are experienced in prescribing and managing CGRP therapies and can help determine if this treatment is right for you.

Cluster headaches are one of the most painful conditions known, causing severe one-sided head pain that occurs in clusters over weeks or months. Our neurologists are experienced in diagnosing and managing cluster headaches using evidence-based treatments including verapamil, oxygen therapy, triptans, and occipital nerve blocks.

Headaches following a concussion or head injury can persist for months or years. Our team provides specialized evaluation and management of post-traumatic headache, working collaboratively with other healthcare providers to support your recovery and reduce pain.

Headaches originating from the neck (cervicogenic headache) can mimic migraine and are often misdiagnosed. Our neurologists perform thorough assessments to identify neck-related contributions to headache and offer targeted treatments including nerve blocks, trigger point injections, and referral for physiotherapy.

Dr. Po Wu offers Medical Acupuncture as an integrative, non-pharmacological treatment option for headache disorders, neuropathic pain, and other neurological conditions. Grounded in both Western neuroscience and Traditional Chinese Medicine, medical acupuncture can complement conventional therapies to improve pain control and quality of life.