Migraine & cluster headache
Structured evaluation for recurring migraine and cluster headache, so the plan is matched to your actual pattern rather than a generic headache diagnosis.
What it is
Migraine and cluster headache are both recurring headache disorders, but they behave differently and are not treated the same way. Migraine typically involves throbbing pain, sensitivity to light or sound, and can last hours to days. Cluster headache is rarer, tends to strike in short, severe episodes around one eye, and often clusters into daily attacks over weeks. A headache diary alone often can't tell the two apart; a structured neurological evaluation can. Our migraine and cluster headache clinic in Safdarjung Enclave, South Delhi serves both local patients and those travelling to India specifically for headache assessment.
Common symptoms & concerns
- Recurring headaches that disrupt work, sleep, or daily routine
- Throbbing or pulsing pain, often on one side
- Sensitivity to light, sound, or movement during attacks
- Short, severe attacks focused around one eye (possible cluster pattern)
- Headaches that have changed in frequency, intensity, or pattern recently
- Headaches not responding to over-the-counter treatment
Assessment & care
Assessment approach
Assessment starts with a detailed history of attack pattern, triggers, and prior treatment, followed by a neurological examination. Diagnostics are recommended only where they will genuinely change the plan, not as routine practice. This is what separates a proper evaluation from a headache diary you fill in alone.
In-scope care
In-scope care includes structured migraine and cluster headache management and, where clinically indicated following assessment, neuromodulation-based approaches used only within their approved indications. Every plan is discussed with you before it starts.
How we treat it
Modern preventive medicine, Botox and CGRP therapy, nerve blocks and neuromodulation, with trigger work and Ayurvedic support such as Nasya and Shirodhara.
See how we treat Migraine- OnabotulinumtoxinA (Botox) for Migraine
- CGRP-Targeted Preventive Therapy
- Nerve Blocks (Occipital, Peripheral)
- Preventive & Acute Medication Management
- taVNS (transcutaneous auricular Vagus Nerve Stimulation)
- rTMS (Repetitive Transcranial Magnetic Stimulation)
- Biofeedback
- Vestibular Rehabilitation
- Acupuncture
- Elimination-Diet Protocols
- Herbal Formulations
- Shirodhara
- Nasya
Related questions
Migraine usually involves throbbing pain lasting hours to days, often with light or sound sensitivity. Cluster headache is shorter and more severe, typically centred around one eye, and tends to recur in clusters over weeks. The two require different evaluation and management, which is why a structured assessment matters more than self-diagnosis.
Not always. Diagnostics are recommended only where they will genuinely change your plan, based on your history and examination, not as a routine step for every patient.
It can be, for some patients, but only where a structured assessment finds it's genuinely indicated. It is one option among several, not a default first step.