Category Archives: Dr Scopelliti

Everything you needed to know about Headaches by Dr Scopelliti


Woman suffering with headaches


So, You Suffer With Headaches…

Our office has very high success in treating headache patients.  Our success in headache treatment is accomplished drug free and without invasive surgery.  We have had a myriad of success treating patients with migraine headaches as well as tension headaches, and chronic daily headaches.  In fact, the vast majority of our patients have failed with multiple drug therapies prior to contacting us, typically as a last resort.  If this sounds like you or someone you love, you should consider calling our office for a no obligation FREE consultation.  You can find out about our migraine treatment and treatment for tension headaches before making any commitment to treatment.

For those of you wishing to know more regarding various causes of headaches, read on…

Tension headaches

Tension headaches represent one of the top three reasons patients consult their doctor, (with vertigo and back pain making up the other two).  It is one of the most costly diseases because of its very high prevalence. Tension headaches are the most common type of headaches. It has also attached the synonymous name of stress headaches.

The International Headache Society defines tension headaches more precisely and differentiates between episodic and chronic types. The following is a modified outline of the IHS diagnostic criteria:

Episodic Tension Headaches

  • At least 10 previous headaches fulfilling the following criteria; number of days with such headaches fewer than 15 per month
  • Headaches lasting from 30 minutes to 7 days
  • At least 2 of the following pain characteristics:  Pressing/tightening (nonpulsating) quality of headaches
  • Mild or moderate intensity (may inhibit but does not prohibit activities)
  • Bilateral location, (headache on both sides of head)
  • No aggravation of headache from climbing stairs or similar routine physical activity
  • Both of the following:  No nausea or vomiting associated with headaches
  • Sensitivity of light and sound is absent or only one is present with headaches
  • Secondary headache types not suggested or confirmed

Chronic tension-type headaches

  • Average headache frequency of more than 15 days per month for more than 6 months fulfilling the following criteria
  • At least 2 of the following pain characteristics:  Pressing/tightening (nonpulsating) quality of headaches
  • Mild or moderate intensity headaches, (may inhibit but does not prohibit activities)
  • Bilateral location, (headache on both sides of head)
  • No aggravation from climbing stairs or similar routine physical activity
  • Both of the following:  No vomiting associated with headaches
  • No more than one of the following: nausea with headaches, avoidance of light and sound with headaches
  • Secondary headache types not suggested or confirmed

Although formerly conceived as muscular contraction headaches, the more likely cause of these headaches is believed now to be abnormal neuronal sensitivity and pain facilitation, not abnormal muscle contraction.  Headaches are not related directly to muscle contraction, and possible hypersensitivity of neurons in the trigeminal nucleus caudalis has been suggested.


In the US: Tension headaches are the most common type of headaches, and women are more likely to be affected with headaches than men.

History: Tension headaches are characterized by pain that is usually mild or moderate in severity and bilateral in distribution. Unilateral head pain may be occasionally experienced as well, however. Headaches are commonly reported as a constant, tight, pressing, or band-like sensation in the head.

Common to Tension Headaches

  • The majority of these headaches last less than 24 hours.
  • Headache pain differs from the typical pulsating/throbbing quality of migraine headaches.
  • Prodrome and aura prior to headaches are absent.
  • The deep steady headaches differ from the typical throbbing quality of migraine headaches.
  • Occasionally, the headaches may be throbbing or unilateral, but most patients do not report sensitivity to light and sound, or nausea, which commonly are associated with migraine headaches.
  • Some patients may have neck, jaw, or temporomandibular joint, (TMJ), discomfort or dysfunction.

Migraine Headaches

  • Migraine pain may be localized to one side of the head, behind the eye, the back of the neck, or about the face. The pain is associated with nausea and sometimes vomiting. Patients become sensitive to light (photophobia), sounds, (phonophobia), and certain smells (osmophobia). Intermittent dizziness may occur. Some patients, called migraineurs, may develop an “aura,” that is, a feeling that comes on before the headaches begin. These auras may be associated with visual changes, such as spots, (scintillating scotomas),  tunnel vision, or wavy lines, (fortification spectra). The headaches may last up to three days and may occur several times per week or as infrequently as once or twice a year. Women are more prone to migraine headaches than men.

Cluster Headaches

Cluster headaches are given their name based on the fact that the attacks of headache pain occur in clusters that may last several weeks to months. The head pain is agonizing and usually affects one side of the face, involving severe pain behind one of the eyes with associated nasal congestion and runny nose. Oddly, men tend to get these types of headaches more frequently than women.

Where Do I Begin?

Before you seek any treatment approach to your headache pain, it would be wise to make sure that the underlying cause of your headaches is correctly diagnosed. Evaluations for your headaches typically involve your PCP, (Primary Care Provider), however, examination by an appropriately trained neurologist is wise. Our office specializes in extensive neurologic evaluation of each patient prior to undertaking any headache treatment regimen.  It is important that you have your condition(s) properly diagnosed so that you do not waste valuable time should the underlying cause of your headaches be serious and/or progressive, or, should such headache treatment be contraindicated for any reason.  Additionally, any headache treatment that you receive, be it from an allopathic, chiropractic, or other integrative approach, will likely not be as beneficial if it is not diagnosis directed.  The fundamental healing axiom of “first do no harm” must be a guiding principle whenever a medical provider encounters a patient. Patients seeking any form of manipulation should do their homework on the proposed providers and techniques used in order to find competent practitioners capable of performing such procedures as safely as possible. The risks and benefits must be clearly discussed. Just as one chooses their surgeon carefully, so too must a patient evaluate any practitioner who would attempt manipulation. So too should a patient scrutinize any proposed drug therapy headache treatment, or other drug treatment for that matter, without a logical accompanying diagnosis.

During the course of any headache treatment, it would be extremely wise to maintain a log of temporal course and severity of your headaches.  Rate your headaches from 1-10 on severity, and mark a calendar when you have a headache with the severity rating and also how long it lasted.  This will later prove invaluable when determining the benefits, if any, of your headache treatment, as you will have something to reflect back on to demonstrate reduction of severity or frequency of the headaches.

Free E-Consultation Right Now!

Because of the duration of examination and complexity of treatment that we offer, we are naturally limited to the number of prospective patients which we can take into our programs.  We therefore only accept patients whom we truly believe we can help.  If you would like to be considered for treatment, please start by filling out the Headache consult form, (the password is help), and submitting it by email to our office.  The doctor will review it, make a determination as to candidacy for headache care, and we will call or email and notify you as quickly as possible.  If we do not have immediate openings, you may be placed on a waiting list and we will call you when an opening occurs.  We appreciate your patience in this regard, but we give each patient individual and uncompromised attention which allows us to continue to maintain optimal outcomes.

If you would like to schedule a free in office consultation with the doctor to discuss your headaches, or just have questions, please contact us using the form on our Contact Page. Lastly, we recommend reading our Guest Book page to see what other patients have had to see regarding their treatment with Dr. Scopelliti.

References available upon request

Dr. Scopelliti is a Functional Neurologist in Monmouth County NJ.

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Happy Friday !!!!!

After reading the past articles, I feel like I have everything the New Jersey Functional Neurology Center helps patients with.    I had no idea nor has any Dr in Reno, CA, Salt Lake City mentioned this center is available.  It’s amazing to me how ego’s set in and If they can’t cure you no one can.  I have not been to the Center but after reading the web page, and having a few short e mails with the DR, I feel like there is hope for all of us out there.  Dr Scopelliti  offers hope for all different area’s and I feel lucky to have found him.  Now he is stuck with me!   You can sign up for e mails at the bottom of the article, but I also will be sharing his information he has offered to help others out there  living the world of Invisible Illness’s.

Have a wonderful Friday !!!!


The intent of this site is to help others through sharing information.  Kelly Helsel does not endorse or intend to mislead any readers as to the content of any articles or books on this site.




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New Jersey Functional Neurology Center with Dr Scopelliti

Brain Based Neurology

Brain Based Neurology

Treatment For Patients Suffering With Vertigo, Dizziness, Imbalance, Dystonia, Traumatic Brain Injury/Concussion, (TBI), ADD ADHD and other Neurologic and Neurobehavioral Disorders

Vertigo, although most commonly associated with inner ear disorders, has several causes including both vestibular, (inner ear), as well as central, (brain based).  Dizziness and dysequilibrium, (imbalance), are often seen as secondary effects of vertigo as well, associated with subtle changes in the brain, which we see in those afflicted with vertigo and dizziness.  Relief of vertigo symptoms depends on determining and eliminating the cause. Vertigo, dizziness and imbalance may be caused by a more serious condition that many health care providers can miss since they don’t treat neurologic and/or vestibular conditions on a day-to-day basis.  In the past, the standard medical treatment for symptoms of dizziness was the prescription of certain vestibular suppressant medications, such as Meclizine.  In the last ten years, the understanding of brain function has exploded.  The nineties have been referred to as “The Decade of the Brain.”  Brain based understanding as well as understanding of vestibular dysfunction, (vertigo and dizziness, presyncope, etc), has yielded extensive new therapies and treatments for resultant conditions, such as vertigo and dizziness, dystonia, as well as a multitude of behavioral disorders, such as attention deficit disorder, (ADD ADHD), dyslexia, etc.  It is now known that brain/vestibular dysfunction is is also intimately related to many conditions, including learning disabilities such as ADD ADHD, phobias, panic attacks and anxiety, scoliosis, movement disorders, including dystonia, Parkinson’s, Mild Cognitive Impairment, essential tremors, etc., and brain injury, (TBI, MTBI), as well as vertigo symptoms and symptoms of dizziness, disequilibrium and other disorders of imbalance, which predispose increased and premature fall risk associated with imbalance.

The resultant development of new protocols in diagnosis and treatment primarily of brain based disorders, such as vertigo and dizziness, dystonia, etc., continue to be developed today, and many focus on accepted understanding of central control mechanisms of the brain involved in movement, balance, and postural stability.  Our unique approach to treatment incorporates functional integrative neurological and neurodevelopmental rehabilitation. Dr. Scopelliti credits his success with these more exotic neurologic and neuro-otologic conditions to his in-depth diagnosis and conservative treatment protocols which diagnose the true cause of the patient’s symptoms, (like vertigo and dizziness), then treat properly to provide as much long term relief as possible.  Our brain based treatments provide brain fitness peak performance by exploiting concepts of neuroplasticity which were concluded to be possible in the 90’s.  Neuroplasticity is a concept of neuronal regrowth and replication, which for centuries has been thought to be impossible.  We now know that it is not only possible, but that it is in fact how the brain works.

Monmouth Functional Neurology Center Video

Functional Neurology on ABC News

This recent ABC News piece examines the myriad of successes which patients have found through FunctionalNeurology.

Hope Restored –  What is Functional Neurology

Out of State Patients

Because of the high level of specialization and success of our practice, we routinely see patients from out of town and from out of state suffering with untreated complex brain based disorders such as vertigo, dizziness, dysequilibrium, dystonia and traumatic brain injury, (TBI).  If you are coming to see us from out of state, you can find a local hotel to make arrangements at by keying in the phrase “hotels in Long Branch NJ” into Google map search box, or, your favorite mapping application.  You can find the local map of our office on our Directions page.  This will bring up several local hotels and their contact information.  We typically advocate spending the week as you will be seeing the doctor daily.  Please call our office for any assistance which you may need regarding a hotel stay or transportation.

The following are representative of the types of conditions for which we routinely see patients in our office:

“Learn To Live With it” or, “Your Problem Is In Your Head” Patients

This is the vast majority of our practice, comprised of patients who have been to specialist after specialist, had lots of tests, are not getting better, and are told simply to “Learn To Live With it”  or, “Your Problem Is In Your Head”.

Imbalance And Balance Disorders

Vertigo and Dizziness, Pre-syncope, Balance Loss or Dysequilibrium, Fall Risk.

Dystonia And Movement Disorders

Dystonia, Torticollis, Ballismus, Tremors, Parkinson’s.

Traumatic Brain Injury

Mild Traumatic Brain Injury, (MTBI), Post Concussive Syndrome, Seizure Disorder, any Closed Head Injury, Motor Vehicle Accident Injuries and other Accident Injuries.


Migraine & Sick Headaches, Tension Headache, Post Traumatic Cephalgia, Cluster Headaches, Head & Face Pain, Vestibular Migraines.

Behavior Disorders Of Development, ADD ADHD

Child Neurobehavioral Disorders, Neurological Developmental Delay,  Tourette’s & Motor Tics, Learning, and Behavioral Disorders: ADD  ADHD, Autism, Asperger’s, Tourette’s, Obsessive Compulsive Disorder; OCD,  Child Coordination Disorders, Child Postural Disorders including Scoliosis, Ocular Palsies such as Lazy Eye, etc.

Most Brain Based Disorders

Stroke, (CVA), Tinnitus, Panic disorder, Vasovagal Presyncope, Seizure Disorder, Pain, Pain Syndromes, Nerve Entrapment Syndromes of Arm & Legs, Sensory Processing Disorders, Communicative Disorders, Cerebral Palsy, Seizures, Enuresis, etc.


Neck pain, mid and lower back pain, complicated with arm and/or leg pain, or, uncomplicated.

Patients Not Responding To A Care Plan

Patients who have been treating for one to two weeks and are not improving or are worsening.

Independent Evaluations Regarding Appropriateness Of Care

Patients who have been inadvertently cut off from care either by peer review or IME, which appears to be biased and not representative of the patients actual status.

Other Scenarios Such As Athletic Enhancement In Timing And Coordination

Our office is a fully established balance center focusing largely in the primary treatment of patients with vertigo, dizziness, dysequilibrium, (imbalance & fall risk), dystonia and ADD ADHD.

Use the navigation links on the right to seek out relevant content for vertigo and dizziness, dysequilibrium, imbalance and fall risk, dystonia, MTBI, headaches, and ADD ADHD.

Dr. Scopelliti is a Functional Neurologist in Monmouth County NJ.



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