Headache & Migraine
Dr. Mit Ankur Raval
Focused headache medicine including migraine, chronic migraine, cluster headache, medication-overuse headache and complex headache presentations.
Not every headache is migraine—and not every migraine looks the same.
The clinical pattern matters: frequency, duration, associated symptoms, triggers, medication use, disability and neurological examination.
Migraine
Recurrent neurological attacks that may include headache, nausea, vomiting, light/sound sensitivity and aura in some patients.
Chronic migraine
Frequent headache requiring structured diagnosis and preventive treatment planning.
Cluster headache
Severe recurrent attacks with characteristic cranial autonomic symptoms.
Medication-overuse headache
Frequent acute medication use can contribute to persistent headache in susceptible patients.
Secondary headache
Some headaches are caused by another underlying condition and require appropriate investigation.
Headache diary
Frequency, duration, associated symptoms, medication use and treatment response help make consultations more productive.
Four questions guide most headache treatment plans.
What is the diagnosis?
Migraine, cluster headache, medication-overuse headache and secondary headache have different pathways.
How frequent is the headache?
Headache-day frequency helps determine whether preventive treatment should be considered.
What has been tried?
Previous acute and preventive therapies, response and side effects guide the next step.
Are there warning features?
Sudden severe onset, new neurological deficits or a major change in pattern may require urgent evaluation.
A specialist treatment for selected neurological conditions.
Chronic migraine
OnabotulinumtoxinA is an established preventive option for appropriately diagnosed chronic migraine.
Dystonia
Targeted botulinum toxin is commonly used for selected focal and segmental dystonias.
Focal spasticity
Selected post-stroke or other focal spasticity may benefit from targeted treatment.
Individualised decision
Suitability depends on diagnosis, phenotype, functional goals and previous treatment response.
Common questions about headache
When is a headache an emergency?
Do all headaches need an MRI?
Can chronic migraine be treated with botulinum toxin?
What should I bring?
Explore related topics.
Book a neurological consultation.
Clinic and appointment details will be updated here.