Headaches are one of the most common neurological complaints—yet every headache is not the same. At Dr. HK’s Neuro and Parkinson’s Clinic, we focus on accurate diagnosis, personalized treatment, and long-term prevention for all types of headaches, migraines, and complex neurological pain disorders.

Our approach combines clinical expertise, advanced diagnostic tools, and evidence-based therapies to help patients achieve lasting relief.

Types of Headaches We Treat

Primary Headaches

Primary headaches occur without any underlying medical condition. They are the most frequently seen types and include:

Migraine

A migraine is a recurrent, throbbing headache that often affects one side of the head. It may be accompanied by:

• Nausea or vomiting

• Sensitivity to light, sound, or smell

• Visual disturbances (aura) in some people

Tension-Type Headache

Typically described as a dull, tight band-like pressure around the head. It is commonly linked to:

• Stress

• Poor posture

• Neck and shoulder muscle tension

Cluster Headache

One of the most severe headache types, presenting with:

• Intense stabbing pain around one eye

• Eye redness, watering

• Blocked or runny nose

• Occurs in “clusters” for weeks or months

Trigeminal Autonomic Cephalalgias (TACs)

A group of rare but extremely painful short-lasting headaches associated with facial and eye symptoms.

Sinus Headache

Pain and pressure over the forehead, cheeks, and nose, often due to sinus inflammation or infection.

Other Special Primary Headaches

• Thunderclap Headache: Sudden, severe headache peaking within seconds; requires urgent evaluation.

• Hormonal Headaches: Triggered by menstrual cycles and hormonal shifts.

• Caffeine-Related Headaches: Caused by excess use or sudden withdrawal.

• Exertional Headaches: Triggered by exercise, coughing, or sexual activity.

Secondary Headaches

These headaches occur due to an underlying disorder and need prompt diagnosis and treatment.

Common causes include:

• Infections (meningitis, sinus infections)

• Brain hemorrhage or stroke

• Brain tumors

• Head injuries

• Severe hypertension

• Eye disorders or dental problems

Headache Red Flags – When to Seek Immediate Medical Care

Some symptoms indicate a serious underlying condition. Seek urgent evaluation if you experience:

• Sudden, severe “worst-ever” headache

• New headache after age 50

• Fever, neck stiffness, or rash with headache

• Headache after a fall or accident

• Gradually worsening headache over days or weeks

• Headache with seizures, confusion, or weakness

• Vision changes or double vision

• Headache that wakes you from sleep

Diagnosis: How We Identify the Cause

At Dr. HK’s clinic, every patient undergoes a detailed neurological assessment. Based on your symptoms, the neurologist may recommend:

• MRI or CT scan: To rule out stroke, bleeding, or structural abnormalities.

• Blood tests: To detect infections, hormonal issues, vitamin deficiencies, or metabolic causes.

• Lumbar puncture: If meningitis or raised intracranial pressure is suspected.

• Sinus imaging: When sinus disease is likely.

• Complete eye examination: To assess visual or pressure-related causes.

Treatment Options

Headache management is individualized based on the type, severity, and underlying cause. Our treatment plans include lifestyle care, medications, advanced therapies, and interventional techniques when required.

Lifestyle & Preventive Care

Adopting healthy habits significantly reduces the frequency and intensity of headaches.

Key recommendations include:

• Adequate hydration and sleep

• Regular exercise and stretching

• Stress management techniques (yoga, meditation, relaxation)

• Avoiding personal triggers such as:

  • Certain foods

  • Alcohol

  • Excess caffeine

  • Strong smells

  • Skipped meals

Medications

Medication choices depend on the type of headache and patient profile.

For acute attacks

• Paracetamol and NSAIDs

• Triptans for migraine attacks

• Anti-nausea medication if required

Preventive medications (for frequent or chronic headaches)

• Beta-blockers

• Anticonvulsants

• Antidepressants

• Calcium-channel blockers

Infection or inflammation-related headaches

• Steroids

• Antibiotics

Note: Medication Overuse Headache (MOH)
Frequent use of painkillers (more than 10–15 days per month) can worsen headaches. Expert guidance is essential to avoid this cycle.

Advanced & Modern Migraine Treatments

For patients who do not respond to routine medication, we offer specialized evidence-based therapies:

Botulinum Toxin (Botox) Injections

A highly effective treatment for chronic migraine, especially in patients with frequent headaches.

CGRP Monoclonal Antibody Therapy

A breakthrough class of migraine preventive medications that provides long-term relief.
Administered monthly or once every three months.

Other Neuromodulation Techniques

Non-invasive devices that stimulate nerves to reduce migraine frequency in selected patients.

Interventional & Surgical Options

While surgery is rarely needed for primary headaches, it may be required for secondary headaches caused by:

• Brain tumors

• Aneurysms

• Sinus disease

• Elevated intracranial pressure (requiring procedures like shunt placement)

Our clinic works closely with neurosurgeons and ENT specialists when interventional care is needed.