Headache Institute of Texas
Symptoms & Problems | 5. What do I do now?
Symptoms & Problems
1. Do you have any of these symptoms?
2. Does this describe your life?
3. Quick headache test—do it now!
4. Where is my problem coming from?
5. What do I do now?
6. FAQ
(New Patient Intake Forms)
(Resources for Our Current Patients)
5. What do I do now?
Schedule an evaluation to see if you are
a candidate for our program!
Call (210) 490-3500 to schedule your evaluation.


First Appointment

Your initial evaluation is with Nasha Holt, MD. Dr. Holt is a Family Physician who has exclusively focused her practice on headache-related issues since 2006. In addition to her medical background, Dr. Holt has received extensive training in the Strategic Orthopedics Spine System, which provides a specialized therapeutic neck exercise approach to neck-generated head and face pain. Dr. Holt is in the unique position of being able to offer a comprehensive approach to headaches that heals the source of head, face and neck pain. In the care of headache patients, she:

Nasha Holt, MD1. Rules out threatening causes of headaches (like tumors, infection, brain bleeds and hypertension) with a thorough medical evaluation.

2. Provides pain medication management until healing allows the tapering of pain meds. This includes safely transitioning patients from meds that cause rebound headaches.

3. Provides a detailed mechanical evaluation of the cervical spine. This forms the basis for instructing patients in progressive neck exercises that heal common sources of head and face pain.

» Evaluation Time: 1 1/2 hours
» Read more about Dr. Nasha Holt and our staff



Follow-Up Appointments

Shunte Hubbard, PA, will provide most of your ongoing care as you are coached to perform the therapeutic neck exercises that form the foundation of your headache healing program. Shunte has worked closely with Dr. Holt since June 2017, and she has a passion for seeing that patients get what they need in order to heal. In the care of headache patients, she:

1. Coaches patients thru a program of progressive, therapeutic neck exercises that heal the root cause of head and face pain.

2. Continues to provide pain medication management until healing allows the tapering of pain meds.

3. Carefully educates patients and encourages consistent lifestyle choices which promote healing of the neck structures that cause headaches. Topics covered include how to optimize sleep, adopt a health-promoting diet, choose neck-friendly exercise, practice effective stress management techniques, and nutritional supplementation.

4. Refers patients for consultation to specialty colleagues in Neurology and Pain Management, as patient needs require (e.g. cervical ESI's, EMG studies, second opinions for refractory pain problems).

5. Consults regularly with Dr. Holt regarding patient care.

» Follow-up Time: 45 minutes

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14800 San Pedro  /  Suite 222  /  San Antonio, Texas 78232  /  Phone: (210) 490-3500  /  Fax: (210) 490-3510
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