School of Medicine

Wayne State University School of Medicine



A typical visit to the Headache and Pain clinic involves initial evaluation by a neurologist to establish the proper diagnosis and to provide the latest advanced management for headache and pain conditions.  Complicated cases may require a multidisciplinary approach with affiliated psychologists, physical therapists, and anesthesiologists to provide the best effective treatment for headache and pain.  The treatment options after establishing the diagnosis are medication adjustments, nerve block, botox injection, and occasionally surgical intervention.
Treatment of chronic pain remains a major weakness of modern medicine.  While great advances have been made in providing relief from acute traumatic and post-operative pain, treatment of chronic, unremitting pain, whether from injury or inflammation, has largely been a dismal failure.  In spite of expanding knowledge about neurotransmitters and neuro-modulators that convey nociceptive (painful) information and the existence of several animal models which mimic the characteristics of human chronic pain syndromes, the pathophysiology underlying development of chronic pain has yet to be elucidated.  M. Maher Fakhouri, MD is a clinical specialist in headache and pain management.
Maher Fakhouri, M.D.
Assistant Professor of Neurology,
Clerkship Director