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End Recurrent Headaches With a Clear Plan

SNOOP10 red-flag screen, selective imaging, and evidence-based therapies

Book Headache Consultation
50%
Fewer Headache Days
Typical reduction with well-chosen preventive therapy
24 hrs
Turnaround
Headache diary + plan shared within a day of first visit
<10%
Imaging Needed
Most primary headaches managed without CT/MRI

When to Consult

  • Severe sudden headache (‘worst ever’), neck stiffness, or new neurological symptoms
  • Headache >72 hours, recurrent vomiting, or night-time awakening
  • Headache with high BP readings, chest pain, or visual blurring
  • Frequent headaches (≥4 days/month) impacting work or school
  • Post-head injury headache or new headache after age 50
  • Headache in pregnancy or postpartum period

Understanding Headaches in the Indian Context

Heat, dehydration, skipped meals, long commutes, and screen-heavy workdays make headaches common in Hyderabad. At Ajuda Hospitals, we prioritise red-flag screening, minimal but precise testing, and personalised acute and preventive plans—so you get relief quickly and safely.

When to Consult Our Headache Specialists

⚠️ Seek urgent care for:

  • ✓ “Worst headache ever,” new weakness/speech trouble, or seizures
  • ✓ Fever with neck stiffness or persistent vomiting
  • ✓ Headache with very high BP, chest pain, or visual loss

Book a routine visit for frequent migraines/tension-type headaches, post-viral headaches, or when painkillers no longer work.

Our Diagnostic Approach

Red-Flag Screen (SNOOP10)

Sorts primary vs secondary causes; guides imaging decisions.

Focused Exam & BP/Visual Checks

Neuro exam, fundoscopy, and BP; look for sinus/neck/eye strain.

Selective Tests & Imaging

CBC, ESR/CRP, TSH as needed; CT/MRI for red flags or refractory cases.

Trigger Mapping & Diary

Diet/sleep/stress inventory; digital diary to tailor therapy.

Treatment Pathways

From trigger control and acute migraine protocols to preventive therapy, medication-overuse rescue, and secondary-cause management, your plan is bespoke. Tele follow-ups keep you on track.

What to Expect: Your Care Journey

Week 0: baseline + diary setup → Week 2–4: acute plan optimisation → Week 6–8: preventive response check → Months 3–6: stabilise and step-down → Annual: relapse-prevention review.

Technology & Innovation

Digital diaries and EMR dashboards track frequency, triggers, and medication use so clinicians can adjust doses promptly and avoid overuse.

Preventing Complications

Early, guided therapy reduces ER visits, work loss, and medication overuse. BP checks catch hypertensive crises; vision/sinus reviews fix secondary causes.

Why Ajuda for Headache Care?

🧠 Precise Diagnosis

Red-flag screening with selective imaging only when needed.

💊 Personalised Therapy

Acute + preventive plans matched to your triggers and lifestyle.

📱 Follow-ups That Stick

WhatsApp diary reviews to prevent relapse and overuse.

Take the First Step

Call 9010550550 or book online for a same-day headache evaluation and relief plan.

Diagnosis Approach

1

Red-Flag Screen (SNOOP10)

Identify secondary causes: systemic symptoms, neurological deficits, onset sudden, older age, pattern change; decide OPD vs ER and need for imaging.

2

Focused Exam & BP/Visual Checks

Neurological exam, BP measurement, fundoscopy when indicated; screen for sinusitis, jaw/neck strain, and medication overuse.

3

Selective Tests & Imaging

CBC, ESR/CRP, TSH if indicated; CT/MRI only for red flags, new deficits, atypical patterns, or refractory cases.

4

Trigger Mapping & Headache Diary

Diet/sleep/caffeine/stress inventory; digital diary to track frequency, severity, and response to therapy.

Treatment Options

Lifestyle & Trigger Control

Hydration, regular meals, sleep hygiene, screen-time breaks, posture/neck physiotherapy; caffeine rationalisation.

Cuts monthly headache days by 20–30% in many
4–8 weeks with coach check-ins

Acute Migraine Protocol

Early triptan ± NSAID + antiemetic; avoid opioids. Tailor dose to body weight and renal/gastric tolerance.

Pain freedom at 2 hours in 30–60% of attacks
As-needed; educate on maximum monthly use

Preventive Therapy

Beta-blocker, topiramate, amitriptyline; CGRP pathway where available/appropriate. Choice guided by comorbid BP, sleep, weight.

≥50% monthly-day reduction for most adherent patients
Review every 6–8 weeks; reassess at 6–12 months

Medication-Overuse Headache Pathway

Structured withdrawal from daily analgesics; bridge therapy and education to prevent relapse.

Headache frequency normalises in 4–8 weeks
Taper over 2–4 weeks + follow-ups

Secondary Headache Management

Hypertensive crisis, sinusitis, vision change, or infection → targeted treatment and appropriate referrals (ENT/Neuro/Ophthalmology).

Rapid symptom control and complication avoidance
Condition-specific

Telemedicine & Remote Diary Review

WhatsApp check-ins, diary screenshots, and quick tweaks to acute/preventive plans.

Reduces ER visits and improves adherence by ~25%
First 8 weeks intensive; quarterly thereafter

Expected Outcomes

Treatment Timeline

2–4 Weeks

Intensity and rescue-medicine use start to fall

6–8 Weeks

≥50% reduction in monthly headache days for many

3–6 Months

Stable control; consider dose optimisation or step-down

1 Year+

Relapse-prevention with seasonal action plans

Success Metrics

  • ≥50% reduction in monthly headache days
  • Lower MIDAS disability score
  • Fewer ER/urgent visits for headache