Migraines & Headaches Specialist

Bonnie S. Friehling, MD

Integrative Medicine & Esthetics located in Columbia, MO

No doubt, everyone at some point in their life has experienced a headache. While most people can manage their headaches at home, if your headaches are frequent or cause severe pain, it may be time to get help. Bonnie S. Friehling, MD, is the leading holistic health care provider in Columbia, develops personalized treatment plans for the management of headaches, including the use of Botox®. For an appointment, call, or book online today.


What are headaches?

Headaches refer to any pain you experience in your head, face, or neck. Headaches are very common and affect almost everyone at some point in their life. For most people, managing headaches with at-home treatments is possible. But if your headaches are interfering with your quality of life, Bonnie S. Friehling, MD, may have a solution.

What are the common types of headaches?

While your head pain may always feel the same to you, there are different types of headaches that cause different symptoms. Common types of headaches include:

Tension headaches

Tension headaches are the most common cause of head pain and develop from a tightening of the muscles in your head or neck. With a tension headache, you may experience dull aching head pain.


Migraines cause throbbing head pain usually localized to one side of your head. The pain can last from three to 72 hours. In addition to the head pain, you may also experience nausea, vomiting, or sensitivity to light.

Cluster headaches

Cluster headaches cause intense stabbing or burning pain behind your eye. These types of headaches occur in groups over a set period of time.

You can also develop headaches from a change in hormones or seasons.

What are the treatments for headaches?

Treatment for headaches depends on the type of headache you suffer from. Dr. Friehling takes a holistic approach to the management of headaches and develops personalized treatment plans to help reduce your pain. Your treatment may include:

  • Individualized diet plan
  • Nutrition supplements
  • Intravenous nutrition
  • Stress management

Dr. Friehling also uses Botox injections for the treatment of migraines. Botox works by stopping nerve transmissions to decrease the muscle contractions that lead to migraine pain.

Am I a good candidate for Botox for migraine headaches?

Dr. Friehling determines if you’re a good candidate for Botox for your migraines during a consultation. To be considered for the treatment, you must have 15 or more headache days per month that last more than four hours per day. Dr. Friehling places the injections into precise spots in your head, face, neck, and upper back, and every three months, she recommends repeating injections.

To learn more about the holistic approaches to headaches, contact Bonnie S. Friehling, MD’s office by phone or online today.