A subspecialty of neurology, Headache Medicine at NUH focuses on diagnosing and treating primary and secondary headache disorders. We manage a wide range of headache types, including migraines, tension-type headaches and trigeminal autonomic cephalalgias, such as cluster headaches.
Effective headache management involves more than just medication. It requires proper diagnosis and a comprehensive treatment plan, tailored to each patient. Our approach combines acute and prevention strategies with lifestyle modifications.
Our goal is to provide comprehensive care for migraines and various headache disorders. We work closely with patients to develop treatment strategies that integrate seamlessly with their lifestyles.
Recognising that headaches are influenced by neurological, psychological, social, and environmental factors, we acknowledge the significant impact chronic migraines can have on personal and professional life, as well as emotional well-being. Our treatment plan aims to combine pharmacological interventions with lifestyle modifications for optimal outcomes.
Outpatient service :
Most of our services are delivered in an outpatient setting, including:
Comprehensive neurological evaluations and tailored treatment approaches.
Individualised treatment plans based on patient needs and preferences, encompassing pharmacological, procedural and non-pharmacological options.
Collaboration with referring and/or primary care physicians.
Inpatient service:
For patients with more intractable headaches, we offer a specialised inpatient headache programme.
Diagnosis:
We diagnose and treat various primary and secondary headache disorders, such as:
Migraine with or without aura
New daily persistent headache (NDPH)
Medication overuse headache
Short-lasting unilateral neuralgiform headache associated with conjunctival injection and tearing (SUNCT)/Short-lasting unilateral neuralgiform headache associated with autonomic symptoms (SUNA)
Other primary and secondary headache disorders
During your visit to our Headache Service, you will be cared for by a dedicated team, comprising Neurologists and Senior Residents.
Clinical program members :
Consultant, Headache service Programme lead
What to expect and preparing for your appointment
Preparation for your first visit is an important step towards a successful consultation. We recommend that you review your headache history in advance.
A list of prescription medications and dosages, both current and previous
A list of any medication allergies
Any questions you may have
Results from previous tests related to your condition
Your first appointment:
You will undergo a comprehensive assessment to diagnose your headache disorder. We will thoroughly review your headache history, including onset, pattern, symptoms and impact on your life. It is important for you to bring a list of your medications, both past and present, as this information is crucial. A clinical examination will also be conducted.
Some patients may require additional tests or scans based on their assessment. At the end of your visit, your doctor will discuss the treatment strategy with you and address any questions you might have.
Successful headache management depends on accurate diagnosis, acknowledgement of lifestyle factors, selecting appropriate treatment and perseverance. We aim to work closely with you and your primary care doctor to develop an effective, long-term treatment plan. Depending on your condition, assessments by doctors from other relevant medical specialties may also be necessary.
