Chronic headache diagnosis and treatment in Noida. Dr. Kapil Singhal (DM AIIMS) and Team Sushrut at Medanta Hospital evaluate migraine, tension, cluster, and secondary headache. Sector 50.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Headache on 15 or more days per month for over 3 months
Title
Migraine-type features
pulsating, one-sided, nausea, light and sound sensitivity
Title
Tension-type features
band-like pressure, bilateral, without nausea
Title
Warning features requiring urgent evaluation
thunderclap onset, fever, neck stiffness, visual loss, focal neurological signs
Treatments
Title
Accurate diagnosis
headache diary, MRI, CSF if indicated
Title
Preventive therapy
topiramate, amitriptyline, beta-blockers, CGRP antagonists (for migraine)
Title
Acute analgesic review and management of medication overuse headache
Title
Botulinum toxin injections for chronic migraine (fortnightly BOTOX cycle)
Title
Greater occipital nerve blocks
Title
Lifestyle and trigger management
