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Headache Services

Services Through Dean Providers

Please click the location links below to find practice-specific information and appointment phone numbers.

Ft. Atkinson, Janesville

Thomas Berentsen, MD
Kathryn Utzig, RN

Janesville, Stoughton

Mark Lanser, MD, PhD
Sarah Mauermann, RN

Madison

Philip Bain, MD
Jen Nale, PA-C

Headache Calendar

Dean providers often have patients track the severity and frequency of their headaches, in order to identify trends.

Please use this headache calendar to track your headaches.

The pain of chronic headache is real, and living with it can be devastating. In fact, more than 45 million people in the United States alone suffer from debilitating headaches.

Whether you suffer from one regular attack a month or wake up every morning in pain, Dean's providers that care for headaches will take your headaches seriously. 

From your initial consultation and throughout the course of your personalized treatment program, we will work with you to alleviate your pain and teach you methods to manage your symptoms.  

Our team uses a variety of medicinal and non-medicinal approaches to treat and manage:

Our Philosophy

Headaches are very real and they can be extremely disabling. They can prevent people from working or going to school, prevent parents and children from participating in sports, family and social activities, and cause people to frequent Emergency Services for treatment.

There is a better way. As headache-interested providers, we strive to get to know our patients and to understand the impact that their headaches have on their daily lives. We use a multidisciplinary approach, which may involve these options:

  • Physical therapy
  • Behavioral health specialists
  • Psychologists
  • Relaxation techniques
  • Medications to manage pain

By maximizing non-drug approaches, we are often able to limit the amount of medication required to help people become more functional.

We strongly emphasize education and patient empowerment. We want patients to take an active role in their treatment and want people to understand their headaches as well as the treatments recommended. In short, we want our patients to regain control over their lives.

While we cannot often completely remove the pain, we always strive to improve function.

We work closely with our patients and expect them to be active participants in their care. We want patients to be responsible for improving their general health as we work together to develop an effective treatment plan. That means tobacco cessation, regularly exercising, and limiting substances like alcohol and caffeine.

We do not routinely use narcotic- or butalbital-based medications as these have been shown to dramatically alter pain receptors and often result in the development of rebound headaches.

We look forward to helping you regain control of your headaches.

Headache Treatment Goals

1. Minimize the impact that your headaches have on your work and family activities. No days missed from work/school due to headache is one of our primary goals.
2. Develop a home program that is effective and well tolerated.
3. Limit the use of butalbital and narcotic medications to treat headaches.
4. Eliminate the need for Emergency Services and Urgent Care treatment for acute headaches.
5. When you get a severe headache, our main goals include no pain, no nausea/vomiting, no disability (i.e. return to normal functioning) within two hours without headache recurrence or adverse reaction to the medications.
6. Promotion of healthy lifestyle habits including complete abstinence from smoking, moderation of alcohol and caffeine use, regular aerobic exercise, effective stress management, and healthy eating.

What to Expect

If you seek treatment through Dean Headache Services, you can expect the following course of care:

1. Your primary care provider determines that you need more intensive evaluation and treatment for your headaches. Or, you refer yourself for our services. The initial consultation usually takes 45-60 minutes.
2. You make an appointment and complete the headache consult form above.
3. You arrive 15 minutes before your visit and check in. You are brought to the exam room where the roomer reviews the medications that you currently take, your allergies and your main reason for the visit. The roomer reviews your consult form with you.
4. The headache provider reviews the form with you and clarifies any other points. You are then examined.
5. The headache provider reviews the treatment plan, any tests that need to be done (note that CT/MRI scan are not routinely necessary unless certain aspects of the history or physical require them), medications and educational resources that would be helpful.
6. You are asked to make a follow-up appointment to assess the benefit of the treatment recommendations. You will be asked to keep a headache diary. Note that a copy of the headache diary is available above if you need more copies.
7. When the follow-up appointment occurs, be prepared to review and discuss your diary and any questions you might have. The headache providers review this information during the visit.

Stress Management Resource

Need a moment of calm? Visit our Stress Management Resource.

This collection of exercises and audio recordings created by Dean providers can help you reduce your stress and find a healthier, happier balance.