Head Pain

Head pain, including tension headaches, migraines, and cluster headaches, can range from mild discomfort to debilitating episodes that disrupt daily life. Chronic headaches may result from stress, poor posture, dehydration, eye strain, hormonal changes, or underlying conditions such as cervical spine problems, sinus issues, or nerve irritation. At Eshna Pain & Palliative Centre, we conduct a detailed evaluation to identify the type and root cause of your headache, distinguishing between primary headache disorders and pain referred from the neck or jaw. Our treatment approach combines medication management, trigger point injections, nerve blocks for occipital neuralgia and migraines, and physiotherapy to address postural or muscular contributors. We also provide guidance on lifestyle modifications, stress management, sleep hygiene, and dietary triggers to reduce the frequency and severity of headaches. For patients with chronic or treatment-resistant headaches, we offer advanced interventional options that target specific pain pathways. Our goal is to help you achieve lasting relief, reduce dependence on painkillers, and improve your overall quality of life through a personalised, multidisciplinary approach to head pain management.

Frequently Asked Questions

What causes frequent headaches?

Frequent headaches can be caused by tension, migraines, poor posture, dehydration, stress, sinus problems, or underlying issues such as cervical spine disorders or nerve irritation. A proper evaluation helps identify the exact cause.

When should I see a pain specialist for headaches?

If headaches occur frequently, interfere with daily activities, or do not respond to over-the-counter medication, it is advisable to consult a pain specialist for a thorough evaluation and targeted treatment.

What treatments are available for chronic headaches?

Treatment options include medication management, nerve blocks, trigger point injections, physiotherapy, and lifestyle modifications. At Eshna Pain & Palliative Centre, we tailor the approach to the type and cause of your headache.

FREQUENTLY ASKED QUESTIONS — HEAD PAIN & HEADACHE TREATMENT DELHI NCR

Q1. What types of head pain does Eshna treat?

We treat chronic migraine, tension-type headache, cluster headache, cervicogenic headache (neck-related), occipital neuralgia, post-traumatic headache, trigeminal neuralgia, and medication overuse headache.

Q2. What is occipital neuralgia?

Occipital neuralgia is severe, shooting pain originating from the occipital nerves at the back of the skull. It causes stabbing, electric-shock-like pain from the neck to the scalp. Occipital nerve block is highly effective treatment.

Q3. What is an occipital nerve block?

An occipital nerve block injects local anaesthetic and steroid around the greater and lesser occipital nerves. It rapidly relieves occipital neuralgia and cervicogenic headache, often within minutes.

Q4. What interventional treatments are available for chronic migraine?

We offer Botox (botulinum toxin) injections for chronic migraine, nerve blocks (occipital, sphenopalatine, supraorbital), and radiofrequency ablation — all proven to significantly reduce migraine frequency and severity.

Q5. What is a sphenopalatine ganglion (SPG) block?

An SPG block targets a nerve cluster behind the nose associated with migraine and cluster headaches. It is a minimally invasive procedure performed via the nasal passage, providing rapid relief for acute attacks.

Q6. What are cluster headaches and how are they treated?

Cluster headaches are extremely painful, one-sided headaches occurring in cyclical patterns. Interventional treatments include sphenopalatine ganglion blocks, occipital nerve blocks, and greater occipital nerve radiofrequency ablation.

Q7. Can Botox really treat migraine?

Yes. Botulinum toxin (Botox) injections given every 12 weeks are an established, NICE-recommended treatment for chronic migraine (15+ headache days per month). They significantly reduce headache frequency in most patients.

Q8. What is cervicogenic headache?

Cervicogenic headache originates from the cervical spine (neck) — typically from upper cervical facet joints or muscles. It causes one-sided head pain radiating from the neck to the front of the head. Cervical injections and RFA treat it effectively.

Q9. What is trigeminal neuralgia and how is it treated?

Trigeminal neuralgia causes brief, severe, electric-shock-like facial pain triggered by talking, chewing, or light touch. Radiofrequency thermocoagulation, glycerol rhizolysis, and balloon compression are effective interventional treatments.

Q10. How many Botox injections are needed for migraine?

Botox for chronic migraine involves approximately 31–39 injections across the head and neck muscles, given every 12 weeks. Most patients see improvement after 2–3 treatment cycles.

Q11. Can headaches be caused by neck problems?

Yes. The upper cervical spine (C1–C3 facet joints, muscles, and nerves) frequently refers pain to the head. Cervicogenic headache is common and often misdiagnosed. Cervical nerve blocks confirm and treat this cause.

Q12. What is medication overuse headache and how is it managed?

Medication overuse headache (MOH) occurs when pain relief medications are taken too frequently, causing rebound headaches. Management involves supervised medication withdrawal alongside interventional treatment to break the cycle.

Q13. Is head pain treatment available without surgery?

Yes. All our headache interventions are minimally invasive — injections, nerve blocks, Botox, and radiofrequency — no surgery required. They are performed as day procedures and are well tolerated.

Q14. How quickly do headache injections work?

Nerve blocks provide relief within minutes to hours and may last weeks to months. Botox takes 2–4 weeks to achieve full effect and lasts 3 months per treatment cycle.

Q15. How do I get head pain treatment in Delhi NCR?

Contact Eshna Pain & Palliative Centre at +91 9811088148. Our pain specialists diagnose the exact type of headache and provide targeted, evidence-based interventional treatment across Delhi NCR.