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Marshall James Nev, PLC | A Walk Through the Headache Diagnosis Maze in Richmond

Lexington-Richmond Headache Clinic
Marshall James Ney, DMD, FAAOP
Fellow American Academy of Oral Facial Pain

527 W. Main St.
Richmond, 40475
(859) 623-3761

A Walk Through the Headache Diagnosis Maze


Hever Castle Boxwood Maze

Our treatment plan follows the diagnosis and treatment of headache "maze" or flow chart below. It allows for pain management and diagnosis of the etiology and type of pain, whether it is muscular, vascular, or neurogenic pain.

Headaches and neck pain can be the most confusing enigma. One doctor says this, another says that. More tests, more CAT Scans, MRI’s, and "let’s try this drug ... oh that didn’t work, so let’s try this." Then the worst thing you can think of: There is nothing more we can do, so I am going to refer you to a "pain management" clinic and you will be on narcotics the rest of your life!


Hold your horses Nellie! There has got to be a better answer then test after test and drug after drug, only to end up with narcotics. There is a better answer. At the Lexington-Richmond Headache Clinic we rarely prescribe narcotics or drugs like valium, and if we do, it is for a very short term. If you have been on narcotics for longer than 6 months, this may actually make the pain worse.

Richmond Dentist | A Walk Through the Headache Diagnosis Maze. Marshall James Ney is a Richmond Dentist.