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.


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


Dr. Maniyar runs private clinics at the following hospitals –

1. The City of London Medical Center ( part of London Bridge Hospital)
11-13 Crosswall , Tower Hill, London EC3N 2JY (closest tube station – Tower Hill)
Telephone: +44(0)20 7234 2009 (to book an appointment)
Telephone: +44 020 7488 5060 (to contact the centre)
Fax: 0207 702 2712
Email: Web: ;
Consulting times – Every Monday 4-8 pm

2. London Independent Hospital (BMI Group)
1 Beaumont Square LONDON E1 4NL (Closest tube station Stepney Green)
For making an appointment please call -020 7780 2400

Consulting times – Every Thursday 5-9 pm

3. The Essex Nuffield Hospital
Shenfield Road, Shenfield BRENTWOOD CM15 8EH
For making an appointment please call – 01277 695695
website –

Consulting times – Wednesday 5-9 pm

4. The Spire Hartswood Clinic
Warley Road Great Warley BRENTWOOD CM13 3LE
For making an appointment please call – 01277 2325
website –

Consulting times – Friday 5-9 pm

You can also contact Dr Maniyar’s private secretary – Miss Jaymie Lawrence on 07594 994675 or email at If your call is not answered straightaway please leave a message and you will get a call back on the same day

If have a specific question for Dr Maniyar or would like to discuss something before making an appointment, you can email him directly on Please provide a phone number and best times to get a call back

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