Clinical Research Directory

Inclusion Criteria: * United States Military Veterans within VA Connecticut Healthcare System * Chronic post-traumatic headache per ICHD-3 criteria (i.e., headaches are continuing to occur three months after the head injury) * At least two headache days per week * MRI brain scan completed within the past 3 months if chronic PTH for less than one year, within the past year if chronic PTH for less than 5 years, and within 5 years if chronic PTH for more than 10 years * Review of MRI and the medical record does not reveal another source for headache Exclusion Criteria: * Skull defect * Other contraindication to bupivacaine 1. Allergy or adverse reaction (e.g., rash, cardiac effects) to amide anesthetics, such as lidocaine 2. Instruction from clinician to avoid amide anesthetics, such as lidocaine * Pregnant or lack of adequate birth control