At ENTACC, our patients are our priority.


Headaches are one of the most common complaints that bring patients to seek medical attention. About 45 million Americans suffer from chronic headaches, among which children and teens account for 20 percent. Your primary care provider will help you determine the nature and treatment for your headaches. At times special diagnostic studies may be required or you may be referred to a specialist, including an otolaryngologist (ENT physician), neurologist, etc.

The important thing to remember is that there are numerous reasons for headaches. Sometimes they reflect our bodies telling us we are under too much stress or are not well rested or we may not eating enough healthy foods for our bodies to maintain proper function. Alcohol, heavy fats and salt, and even temperature and humidity changes can result in headaches as well.

Headaches can be a challenging diagnostic problem. As a result it is helpful for a patient to record a headache diary in which you document the location of the headache (that is, one-sided, behind the eyes, radiating to the neck, etc.), the duration, the frequency, triggers such as food, temperature, and alcohol, and the severity of the headaches. Also record any symptoms associated with the headache such as dizziness, fainting, numbness of arms/legs, vision changes, balance problems or difficulty walking during the headache, hearing changes, nausea, vomiting, sensitivity to light and/or sound, nasal congestion or drainage, uncontrollable limb movements, jaw pain, headaches while eating, and facial pain or numbness or tingling. Additional important elements of the history include prior head injury, sleeping and dietary habits, stress levels, family history of headaches, a list of prescription and non-prescription medications, and the use of caffeine, tobacco, alcohol and recreational drugs.

As mentioned previously there are a vast number of reasons for headaches. They may be a function of neurological or rheumatological disorders, infectious, vascular, cardiac and ocular problems. ENTACC health care providers, specialists in the fields of Otolaryngology and Head and Neck Surgery, are frequently consulted to evaluate patients for chronic or recurrent headaches.

Among the ENT causes of headaches are acute and chronic sinusitis, allergic rhinitis, migraines, cluster headaches, tension headaches, temporomandibular joint disorder (TMJ), temporal arteritis, trigeminal neuralgia, etc.

As previously noted, a thorough history and a headache diary are extremely useful tools in trying to establish the cause of headaches. Communication between the patient and health care provider is essential. If you are experiencing problems with headaches, please discuss them with your primary health care provider or one of our ENTACC health care providers.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”