Specialist migraine care from first diagnosis to the most advanced personalised interventions — a
structured stepwise approach covering lifestyle optimisation, medications, targeted injections, CGRP
pathway therapy, and neuroplasticity enhancement.
Recurrent moderate-to-severe unilateral headache with nausea, photophobia — no preceding aura.
Preceded by transient neurological symptoms — visual, sensory, or speech — lasting 20–60 minutes.
Headache ≥15 days/month for 3+ months — requiring advanced personalised management.
Rare subtype with transient motor weakness during aura — requiring careful diagnostic evaluation.
Episodic vertigo and balance disturbance associated with migrainous features.
Headache Paradoxical worsening from frequent analgesic use — requiring structured withdrawal.
Chief complaints, headache
characteristics, frequency,
severity, and daily life
impact — documented
systematically.
Family history, dietary triggers, sleep, stress, menstrual cycle, and caffeine use.
Full neurological examination identifying any features suggesting secondary headache aetiology.
MRI, MRA/MRV brain, blood investigations – to exclude secondary causes before confirming Migraine.
Personalised stepwise escalation — lifestyle through to the most advanced interventions
No two migraine patients receive the same plan. Trigger profile, attack frequency, severity, comorbidities, and prior
treatment history all shape the personalised protocol.
Trigger identification, sleep hygiene, dietary changes, hydration, stress management, and regular aerobic exercise —
explained in detail and personalised to each patient’s identified trigger pattern.
Acute treatments and personalised preventive agents — selected based on comorbidities, contraindications, and individual response.
STEP 3 — IF SYMPTOMS PERSIST
Targeted Botulinum Toxin Injections
23+
Years of experience in botulinum toxin injections for
migraine — personalised site selection and dosing
refined across thousands of cases
Monthly CGRP monoclonal antibody injections target the key neuropeptide in migraine pathophysiology —
offering 50%+ reduction in monthly migraine days. Personalised to disease chronicity and prior treatment response.
Targeted energy is delivered to the occipital cortex — modulating cortical excitability and interrupting cortical
spreading depression, the neurological substrate of migraine. Personalised to the patient’s attack pattern, aura
features, and treatment history. The only non-invasive neurological therapy with FDA approval specifically for
migraine.
Our personalised stepwise approach — thorough history, lifestyle counselling, medications, targeted injections, CGRP therapy, and neuroplasticity enhancement — ensures every patient receives the right intervention at the right stage. With 23+ years of injection experience and the full spectrum of advanced migraine therapies, we manage even the most challenging cases.
| What Makes Our Practice Different | |||||
|---|---|---|---|---|---|
|
Personalised Protocols
Every plan tailored to the individual
|
Advanced Technology
Cutting-edge non-invasive therapeutic science
|
Mechanism-Based Care
We treat biology, not just symptoms
|
23+ Years Experience
Decades of specialist clinical wisdom
|
Whole Person Approach
Mind, body & lifestyle integrated
|
Objective Outcomes
Measurable results — not just relief
|
Migraines are severe headaches that can make you feel nauseous and sensitive to light or sound. They can last for hours or even days, affecting your daily life.
If migraines are interfering with your daily activities or if you experience frequent headaches, it’s important to consult Dr. Sreekanth Vemula in Madhapur for effective migraine treatment.