Headache Center

The Headache Center is part of the Neuroscience & Spine Center at Houston Methodist Sugar Land Hospital. The doctors at the Headache Center are committed to providing advanced, personalized care to help chronic headache patients get back to a life without pain. Our world-class team of headache specialists provides coordinated and comprehensive care that begins with an accurate diagnosis and then follows with a unique treatment plan to alleviate and prevent chronic headaches.
 
Receive expedited access to our world-class team of headache specialists. They will provide coordinated and comprehensive care starting with an accurate diagnosis and a unique treatment plan to help alleviate and prevent chronic headaches.

Through years of specialty education and training, our headache experts have the experience required to accurately diagnose and treat headaches. All doctors affiliated with the Headache Center are board certified by the American Board of Psychiatry and Neurology.

We specialize in treating all types of headaches , including the following:


  • Chronic headache
    • If you experience headaches more than 14 days of a month, you might have chronic headaches. They can feel moderate to severe, and they may be a sign of an underlying condition.
  • Cluster headache
    • A cluster headache is a rare condition that affects less than 1% of adults. It is characterized by a sharp, severe pain that is often only on one side of the head. It is very painful, but lasts a short time — about 45 to 90 minutes.
  • Migraine
    • A migraine is characterized by throbbing, severe pain that lasts from four to 72 hours. The pain can also be accompanied by nausea, vomiting and sensitivity to light and sound. If you feel the symptoms of a migraine coming on, rest in a quiet, dark room. A hot or cold compress on the forehead can help, as can trying to sleep. If home remedies don’t work, talk to your physician about other non-drug therapies or prescription medications.
  • Rebound headache
    • Unfortunately, sometimes what helps headaches can make them worse. If you take pain medication for headaches often, and the headache returns, you might be experiencing a rebound headache. The only way to stop the cycle of rebound headaches is to discontinue the use of that particular medication.
  • Tension headache
    • Your headache might be due to tension if the pain is dull and achy. Tension headaches are also usually accompanied by a sore neck and can often be treated with over-the-counter pain medications.

Our center offers a complete range of treatment options customized to each patient, including the following:

  • Botox treatment (see below)
  • Infusion therapy
  • Lifestyle and dietary counseling
  • Medication management
  • Stress management

Our Doctors

Irfan Lalani, MD
Specialty: Neurology and Pain Medicine

Medical School: The Aga Kahn University Medical College, Karachi, Pakistan MB, BS 1999

Residency: Baylor College of Medicine, Houston, Texas, Neurology Residency and Chief Resident 2006

Fellowship: University of Texas MD Anderson Cancer Center, Pain Medicine Fellowship, Department of Anesthesiology, Section of Pain Medicine 2007

Board Certified: American Board of Medical Specialties (ABMS), Board Certified in Neurology and Pain Medicine

Carisa Liew, DO
Specialty: Neurology

College: University of Texas, Austin, Texas

Medical School: University of North Texas Health Science Center, Fort Worth, Texas

Internship: Preliminary Medicine, Louis A. Weiss Memorial Hospital, Chicago, Illinois

Residency: Neurology, University of Illinois at Chicago Hospital, Chicago, Illinois

Fellowship: Neurophysiology, University of Texas Health Science Center, San Antonio, Texas

Board Certified: American Academy of Psychiatry and Neurology

Professional Activity: American Academy of Neurology, American Epilepsy Society, American Medical Association

Languages: English, Cantonese

Eddie L. Patton Jr., MD

Specialty: Neurology

College: Xavier University 1999, Bachelor of Science in Biology; Alabama State University 2001, Master of Science in Biology

Medical School: Wayne State University School of Medicine 2005

Internship: Internal Medicine, St. John Hospital and Medical Center 2006

Residency: Residency, Neurology, Baylor College of Medicine 2009

Fellowship: Neuromuscular Diseases, Baylor College of Medicine 2011

Special Interests/Expertise: Dementia/Alzheimer's disease, Headaches/migraines, movement disorders/Parkinson's disease, muscle and nerve biopsies, muscle
disorders, neuromuscular junction disorders including myasthenia gravis, neuropathy/carpal tunnel syndrome/peripheral nerve disorders, stroke, motor neuron diseases including ALS

Professional Activity: American Academy of Neurology, Houston Medical Forum, Texas Medical Association, Texas Neurological Society

Amitabh Shukla, MD
Specialty: Neurology

Medical School: B.J. Medical College, MD

Internship: B.J. Medical College, Internal Medicine Internship

Residency: University of Vermont, Neurology Residency

Fellowship: University of Vermont, Neuromuscular and EMG Fellowship

Board Certified: American Board of Psychiatry and Neurology, EMG, Vascular Neurology, Sleep Medicine

Special Interests/Expertise: back and neck pain, carpal tunnel syndrome, multiple sclerosis, stroke/TIA, myasthenia gravis, Parkinson's disease, seizure disorders, sleep disorders

Professional Activity: Stroke Director, Houston Methodist Sugar Land Hospital; Chief, Neurology Service Line, Houston Methodist Sugar Land Hospital; President Elect,
Fort Bend Medical Society; Director, Neurology, McGregor Medical Association 1992-2000; Consultant Neurologist, Houston Methodist Sugar Land Hospital

Larry Tran, MD
Specialty: Neurology

College: Baylor University 2003, Bachelor of Science in Neuroscience and Biology

Medical School: University of Texas Health Science Center at San Antonio 2007

Internship: Internal Medicine, University of Texas Health Science Center at San Antonio 2008

Residency: Residency, Neurology, Baylor College of Medicine 2011

Fellowship: Clinical Neurophysiology, University of Texas Health Science Center at San Antonio 2012

Board Certified: American Board of Psychiatry and Neurology

Special Interests/Expertise: neuropathy/carpal tunnel syndrome, peripheral nerve disorders, motor neuron diseases Including ALS, neuromuscular junction disorders including myasthenia gravis, epilepsy/seizures, stroke, headaches/migraines

Professional Activity: American Academy of Neurology, Texas Neurological Society

Toby Yaltho, MD 
Specialty: Neurology, Movement Disorders

College: University of Alberta, Canada

Medical School: Ross University School of Medicine, Dominica

Internship: Internal Medicine, University of Texas Health Science Center, San Antonio, Texas

Residency: Neurology, University of Texas Health Science Center, San Antonio, Texas

Fellowship: Neurophysiology, University of Texas Health Science Center, San Antonio, Texas; Movement Disorders, University of Texas Medical School at Houston,
Houston, Texas; Movement Disorders, Baylor College of Medicine, Houston, Texas

Board Certified: American Board of Psychiatry and Neurology in Neurology and Sleep Medicine

Special Interests/Expertise: movement disorders, deep brain stimulation management, botulinum toxin therapy; sleep medicine; neuropathy, carpal tunnel syndrome; epilepsy, seizures; stroke; headache, migraine

Professional Activity: American Academy of Neurology, Movement Disorders Society, American Medical Association, American Academy of Sleep Medicine

Botox® for Chronic Migraines
Dr. Eddie Patton, Jr. is a board-certified neurologist experienced in providing Botox therapy as a treatment option for patients 18 and older who suffer from chronic migraine. Chronic migraine is defined as 15 or more headaches each month, with headaches lasting 4 or more hours each day.

If you suspect that you or a loved one meet these criteria, please call 281.274.7979 today to schedule an appointment with Dr. Patton. Together, you can decide whether Botox therapy and/or alternative treatment options would be best for you.

What is Botox?
Botox is a prescription medicine that is one of the many trade names for onabotulinum toxinA, the neurotoxic protein that is produced by the bacterium Clostridium botulinum.

Botox and Headache
In the mid to late 1990s, botulinum toxin was used in extensive clinical trials to treat various types of headaches. The results revealed a subgroup of patients with chronic migraine who benefitted from Botox.

Botox and Chronic Migraine
Botox is the only botulinum toxin approved by the U.S. Food and Drug Administration (FDA) for the prevention of chronic migraine in adults 18 years and older. Clinical studies have shown that chronic migraine patients treated with Botox average eight to nine fewer headache days per month compared with their original baselines.

How Is Botox Administered?
Botox is injected into the muscle using a fine needle in order to minimize discomfort and maximize accuracy. Botox procedures can be performed in a doctor's office, do not require anesthesia and typically take only a few minutes to perform.

How Does Botox Work?
Botox works to relax the contraction of muscles by blocking nerve impulses.

Is Botox Right for Me?
If you suffer from chronic migraine, Botox is an approved treatment therapy. However, it is very important to have an informed discussion with a practitioner experienced in the diagnosis and management of headaches before a decision to use Botox is made. A board-certified neurologist or pain management specialist is the best physician to help you decide whether Botox is right for you.


Our doctors specialize in managing headaches at the following convenient Houston Methodist locations.


Headache Center at Houston Methodist Sugar Land Hospital
16655 Southwest Frwy.
Sugar Land, TX 77479
281.274.7979
neuroscience@houstonmethodist.org