4140 Factoria Blvd SE Ste A 

Bellevue, WA 98006

Compassionate and caring environment. 

Thorough evaluation. Detailed plan. 

Outside-the-box thinking.

Relief Long Awaited

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, and 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

Migraine

Migraine with aura

Migraine equivalents (Migraine aura / Migraine without pain)

Hemiplegic migraine

Basilar migraine

Cluster headache

Trigeminal neuralgia

Tension headache

Cervicogenic headache

Stress headache

Sinus headache

Occipital neuralgia

Supraorbital neuralgia

Post-traumatic headache

Post-concussion headache

Hemicrania continua

Paroxysmal hemicrania

Exertional headache

Hypnic headache

Pseudotumor cerebri / Idiopathic intracranial hypertension

Spontaneous intracranial hypotension / Low CSF pressure

New daily persistent headache / NDPH

SUNCT syndrome

Other

Procedures Performed

Botulinum toxin injections:

  • Botox injections
  • Xeomin, Myobloc, Dysport injections

Occipital nerve block

Trigger point injections

Acute migraine treatment

Trigeminal nerve block:

  • supraorbital nerve block
  • supratrochlear nerve block
  • auriculotemporal nerve block

Sphenopalatine ganglion / SPG block:

  • SphenoCath
  • TX-360

Hours

Mon    12:00pm - 4:00pm

Tue     9:00am - 4:00pm

Wed    10:00am - 4:00pm

Thu     9:00am - 4:00pm

Fri       9:00am - 1:00pm

Sat      Closed

Sun     Closed

4140 Factoria Blvd SE Ste A 

Bellevue, WA 98006