Do I Have Migraine

Do I have migarine?

Migraine is the most common cause of headache that comes and goes, lasts at least for a few hours and is strong enough to disrupt daily activities. Migraine is usually associated with some of the following features – sickness, sensitivity to light and sound (making patients to prefer a dark and quiet place) and worsening of pain on movement like during walking, climbing stairs or bending.

So, of you have a headache that comes and goes and is associated with some of the features mentioned above , it is likely that you have migraine. You may have noticed that your headaches are brought on when there is a change in your routine. For example, if you don’t sleep well or miss your meals. Changes in weather and temperature and commonly stress can trigger or worsen migraine headache.

The pain may be felt on one side of the head or both sides. It can be on the sides or the front or back of head. Neck pain and stiffness is a common symptom in migraine and is often wrongly thought to arise from the spine or local muscles

Many patients describe the pain as throbbing or pulsating or thumping (as if my heart is beating in my head). However, the pain may not be felt like this and patients may describe a sensation of pressure or dull ache.

During migraine, a nerve that supplies the blood vessels in the facial area and the mucous glands can be activated. This can cause symptoms like congestion in the nose or around the sinuses above or below the eyes. This can be wrongly taken as sinusitis.

About 25 % i.e. a quarter of patients with migraine will experience aura symptoms from time to time. Please refer to the section on migraine aura for further details

Many migraine patients experience symptoms that warn them of a coming attack1. These symptoms can include a change in mood (often noticed by the spouse!), stiffness in neck region, problems with concentration and yawning for no reason. Some patients experience an increase in the frequency of passing urine. These are very important symptoms if you get them consistently. Make a note of these and mention them to your headache specialist. There are treatment options that have been shown to be effective when taken during this warning phase called premonitory phase of migraine. Wont it be nice to just stop the attack even before the headache starts?

A migraine attack can leave you feeling drained and exhausted. So, even if the pain can subside in several hours with or without treatment, many patients feel tired and exhausted which prevents return to their routine life, this part of migraine is called postdrome. Very little research has been done in this part of the migraine attack.

1. The premonitory phase of migraine–what can we learn from it? Maniyar FH, Sprenger T, Monteith T, Schankin CJ, Goadsby PJ. Headache. 2015 May;55(5):609-20


I have Multiple Sclerosis and was having headaches on regular basis. I am intolerant to many medications. Dr Maniyar therefore issued me the portable VNS device which has been very helpful without any side-effects.-Patient with Migraine and Multilple Sclerosis

Botox has changed my life-Patient with Chronic Migraine who had failed several preventive medications

I was sceptical at first. My first Botox injections were not so useful but I was informed that botox can take time. After the second and third botox set of injections, I have hardly had any headaches.-Patient with Chronic Migraine who responded after the second session of botox

I have a rare condition called occipital neuralgia. This was not diagnosed despite several visits to doctors until I saw Dr Maniyar. He promptly made the correct diagnosis and gave me greater occipital nerve blocks (injections at the back of the head) which have been completely effective. I have these on 3-4 monthly basis and these treat the pain very effectively. Thank you.-SW, Patient with bilateral occipital neuralgia

Dr Maniyar issued the TMS device for me that has been a life-changer. I use this regularly without any side-effects. My headaches still continue but they are so much more manageable.-SM, patient with chronic migraine


To make an appointment for a private consultation with Dr Maniyar, Please call at the following numbers depending on your desired hospital –

1. City of London Medical Center, Tower Hill (London Bridge Hospital branch) – +44(0)20 7234 2009

2. The London Independent Hospital (BMI), Stepney Green, London – 020 7780 2400

3. The Nuffield Brentwood Hospital, Essex – 01277 695695

Alternatively, you can call Dr Maniyar’s secretary on 07594 994675 to discuss the consultation, rates, conditions etc. Please leave a message if the phone is not answered straightaway and somebody will contact you on the same day. You can also email at or contact Dr Maniyar directly at