Welcome!

The privately-run Integrative Headache Clinic (IHC) opened in the Spring of 2019.
Located in Bellevue, WA, Factoria area, IHC serves large geographic area due to its proximity to I-90 and I-405 freeways.
Prior to establishing his own clinic, Dr. Mark Piker spend more than 10 years providing the highest quality care of most complex headache disorders as an employee of the large hospital system.
Dr. Piker’s outstanding reputation and proven success as a headache specialist lies in his ability to find the meaningful connections between seemingly unrelated pieces of the complicated history, and his willingness to look outside the box to find the best practical solutions to the challenging and frequently disabling conditions.
Dr. Piker stays on top of the latest advances in the headache medicine and offers a wide variety of established headache treatments and therapies.
In addition, in his uncompromising quest for better treatment outcomes, Dr. Piker works in close collaboration with various traditional and alternative/complementary medicine practitioners.

Thinking outside-the-box
It’s not ALL in your head. Dr. Piker believes that headaches are part of the human experience and evolution. In a way, headaches can be viewed as a defense mechanism of the body to an undue or prolonged stress.

Thorough evaluation
By approaching each client’s problem in an unorthodox way, Dr. Piker is able to connect seemingly unrelated pieces of history to find the true contributors to headaches.

Detailed plan
To find practical solutions to prevent and treat the most intractable headaches, Dr. Piker engages each client in the comrehensive discussion of findings and proposed treatments.

Treatments offered
In his uncompromising quest for better treatment outcomes, Dr. Piker works in close collaboration with various traditional and alternative/complementary medicine practitioners.
Conditions treated

Occipital neuralgia
Hemicrania continua
Paroxysmal hemicrania
SUNCT syndrome
Exertional headache
Hypnic headache
New daily persistent h/a
Post-traumatic headache
Post-concussion headache
Pseudotumor cerebri
Low CSF pressure h/a
Procedures performed

Botulinum toxin injections (ie, Botox)
Acute migraine treatment
Trigger point injections
Occipital nerve block
Trigeminal nerve blocks
Sphenopalatine ganglion (SPG) blocks