Headache & Migraine Care — Anoki

Headache & Migraine

Understand your headaches — not just treat the pain

From occasional tension headaches to chronic migraines, Dr. Rajesh Pathi evaluates the pattern behind your headaches to find a plan that actually addresses the cause.

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Patient holding their head, or doctor consultation for headache

Seek urgent medical attention if your headache comes with any of these

These "red-flag" symptoms need prompt evaluation, not a scheduled appointment. [Insert accurate local emergency guidance here.]

The "worst headache of your life," sudden onset Headache with repeated vomiting Headache with vision changes or blurring Headache with weakness, numbness or confusion Headache after a head injury New headache with fever and neck stiffness

Find your starting point

Which best describes your headache?

Not every headache needs the same evaluation — here's where to start.

General Headache Consultation

Not sure what kind of headache you have, or just want a first opinion.

Headache Evaluation

A structured evaluation to identify the type and likely cause.

Migraine Consultation

Throbbing, one-sided pain, often with nausea or light sensitivity.

Migraine Treatment

Already diagnosed and looking for a better management plan.

Chronic Headache Evaluation

Headaches on 15 or more days a month, for 3+ months.

Recurrent Headache Evaluation

A pattern of headaches returning regularly over weeks or months.

Severe Headache Evaluation

Intense pain that's disrupting daily life or hard to manage.

New-Onset Headache Evaluation

A headache pattern you haven't experienced before, especially after age 50.

Headache With Vomiting

Headaches accompanied by nausea or repeated vomiting.

Headache With Vision Problems

Blurring, double vision, or visual disturbances alongside the pain.

Headache With Neurological Symptoms

Numbness, weakness, confusion or speech changes alongside the headache.

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Understanding the cause

Common types of headache

Tension-type headache

The most common type — a dull, band-like pressure, often linked to stress or posture.

Migraine

Throbbing, often one-sided pain, sometimes with nausea, light or sound sensitivity.

Cluster headache

Severe, one-sided pain occurring in repeated episodes, often around the eye.

Secondary headache

Headache caused by an underlying condition — this is what evaluation aims to rule in or out.

Our process

How we get to the right diagnosis

Headache history

Frequency, duration, triggers and what the pain actually feels like.

Neurological exam

A physical check for any signs pointing to an underlying cause.

Imaging, only if needed

An MRI or CT is recommended only when red-flag signs or exam findings call for it.

A tailored plan

Lifestyle changes, medication, or further evaluation — matched to your specific pattern.

Treatment approach

Options, from simplest to most involved

Start here

Lifestyle & trigger management

Sleep, hydration, stress and trigger tracking — often enough for tension-type and mild migraine.

Next step

Medication management

Acute and preventive medication options tailored to headache frequency and severity.

If needed

Further evaluation

Imaging or specialist referral when symptoms suggest a cause beyond primary headache.

Dr. Rajesh Pathi portrait≈ 340 × 420px

Your Specialist

Dr. Rajesh Pathi

MBBS, MS, MCh, FMISS — Senior Consultant Neuro & Spine Surgeon

Most headaches don't need a scan or a procedure — they need a doctor who takes the time to understand the pattern. Dr. Pathi evaluates headaches thoroughly before recommending any treatment path.

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Common questions

Before you book

Do I need an MRI or CT scan for my headache?

Not usually. Most headaches are diagnosed through history and examination alone. Imaging is recommended only when specific red-flag signs are present.

How is a migraine different from a regular headache?

Migraines typically involve throbbing, often one-sided pain, and are commonly accompanied by nausea, light sensitivity, or sound sensitivity — unlike the duller, band-like pain of tension headaches.

My headaches have been the same for years — is it still worth getting checked?

Yes — even long-standing headaches can often be managed better than they currently are. If your pattern has changed recently, that's especially worth an evaluation.

Can chronic headaches actually be treated, or just managed?

Many chronic headache patterns improve significantly with the right combination of lifestyle changes and preventive treatment — full evaluation helps set realistic expectations for your specific case.

Tired of guessing what's causing your headaches?

Book a headache or migraine evaluation with Dr. Rajesh Pathi at our Pragathi Nagar clinic.

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