Headache is the most common reason patients come to us — far more common than surgery. Dr P K Jha (M.Ch, AIIMS · 30+ years) treats migraine, tension-type headache, cluster headache and daily headache at Gaur City 1, Greater Noida. सिरदर्द वह सबसे आम कारण है जिससे मरीज़ हमारे पास आते हैं। डॉ पी के झा (M.Ch, AIIMS · 30+ वर्ष) गौर सिटी 1, ग्रेटर नोएडा में माइग्रेन, तनाव-सिरदर्द और रोज़ाना के सिरदर्द का इलाज करते हैं।
Most headaches are not dangerous. These are the exceptions. If any of these apply, do not wait for an appointment — go to an emergency department. ज़्यादातर सिरदर्द ख़तरनाक नहीं होते। ये अपवाद हैं। इनमें से कुछ भी हो तो अपॉइंटमेंट का इंतज़ार न करें — तुरंत इमरजेंसी जाएँ।
Treatment differs completely depending on type. Getting the diagnosis right is most of the work. प्रकार के अनुसार इलाज पूरी तरह बदल जाता है। सही पहचान ही आधा इलाज है।
Usually one-sided, throbbing, moderate to severe, lasting 4 to 72 hours. Worse with movement. Often with nausea, and sensitivity to light and sound. Some patients get an aura first — flickering lights, zigzag lines, or tingling spreading over minutes. Patients typically want to lie down in a dark, quiet room.
A pressing or tightening band around the head, usually both sides, mild to moderate. Not worsened by routine activity, and usually without nausea. The most common headache overall, and frequently linked to posture, screen work, and poor sleep.
Severe pain strictly around one eye or temple, lasting 15 minutes to 3 hours, often with a watering red eye, blocked nostril or drooping eyelid on the same side. Attacks recur at similar times, often at night. Patients are restless rather than still. Uncommon, intensely painful, and very treatable once recognised.
A daily or near-daily headache caused by frequent pain relief. If you take painkillers on more than 10 to 15 days a month, the treatment may now be sustaining the problem. Widely under-recognised, and one of the most rewarding to correct.
Pain starting in the neck and referred to the back of the head, often one-sided, provoked by neck posture or movement. Common in desk and driving work. Overlaps with cervical spondylosis — see our cervical spondylitis page.
Headache caused by something else — raised pressure inside the head, bleeding, infection, a tumour, uncontrolled blood pressure, or sinus disease. Uncommon, but this is what the warning features above are designed to catch. Ruling it out is part of every consultation.
Usually not. Migraine and tension-type headache are diagnosed from a careful history and examination — a scan does not diagnose them and a normal scan does not rule them out. Scanning every headache leads to incidental findings that cause worry without changing treatment. आमतौर पर नहीं। माइग्रेन और तनाव-सिरदर्द की पहचान इतिहास और जाँच से होती है — स्कैन से नहीं। हर सिरदर्द में स्कैन कराने से अक्सर ऐसी चीज़ें दिखती हैं जो चिंता तो बढ़ाती हैं, इलाज नहीं बदलतीं।
Imaging is advised when the history suggests it — any of the warning features above, an unusual pattern, a headache that has changed, or an abnormal neurological examination. You will be told plainly which applies to you, and why. स्कैन तब कराया जाता है जब लक्षण उसकी माँग करें — ऊपर बताए चेतावनी संकेत, असामान्य पैटर्न, बदला हुआ सिरदर्द, या जाँच में कोई कमी। आपको साफ़ बताया जाएगा कि आप पर क्या लागू होता है और क्यों।
Acute treatment works best taken early, at full dose, not after hours of waiting. Anti-nausea medication is often part of it. The critical rule is frequency: acute medication should stay under 10 days a month, or it starts to cause the problem it treats.
Considered when attacks are frequent, disabling, or acute medication is being used too often. Taken daily, judged over 8 to 12 weeks, not days. Success means fewer and milder attacks, not none. Several drug classes exist and the choice depends on your other conditions.
Irregular sleep, skipped meals, dehydration and long unbroken screen time are the triggers we see most often in NCR patients. These are unglamorous and they matter more than most tablets. Fixing sleep timing alone helps a substantial number of patients.
Biofeedback, relaxation training, posture and neck work, and structured stress management have real evidence in headache, particularly tension-type and mixed patterns. Useful where medication is limited by pregnancy, other illness, or preference.
Most headaches do not need a scan. Migraine and tension-type headache are diagnosed from your history and examination, not from imaging. A scan is advised when there are warning features — a sudden severe headache, a new headache after age 50, headache with fever and neck stiffness, weakness or vision loss, seizures, or a headache that has clearly changed in pattern. At your consultation we will tell you honestly whether a scan will change anything.
Yes, and it is one of the most common reasons headaches become daily. Taking pain relief on more than 10 to 15 days a month can itself cause medication-overuse headache. The headache then continues because of the treatment. This is reversible, but it needs a planned withdrawal with medical supervision rather than stopping abruptly.
Migraine is not cured in the sense of being permanently removed, but it is very controllable. Most patients can reduce attack frequency substantially with the right preventive treatment, trigger management, and sleep correction. The goal is fewer attacks, shorter attacks, and less disability — not zero headaches forever.
Almost never. Headache is a medical problem, not a surgical one. Surgery is relevant only when a headache turns out to be caused by an underlying structural problem such as a tumour, hydrocephalus, or bleeding — which is uncommon. We investigate to rule those out, then treat medically.
Same-day OPD appointments are usually available at Gaur City 1, Greater Noida. Call +91-9311696923 to confirm a slot. Video consultation is also available.
Related conditions we treat at Neuro Care India. न्यूरो केयर इंडिया में इलाज की जाने वाली संबंधित समस्याएँ।
BPPV, vestibular migraine and balance problems — and the vertigo that needs emergency care.BPPV, वेस्टिबुलर माइग्रेन और संतुलन की समस्या — और वह चक्कर जिसमें तुरंत जाँच ज़रूरी है।
Read more →पढ़ें →What to do during a seizure, first-seizure evaluation, and guidance on driving and pregnancy.दौरे के दौरान क्या करें, पहली बार दौरे की जाँच, और ड्राइविंग व गर्भावस्था संबंधी सलाह।
Read more →पढ़ें →Carpal tunnel, pinched nerves and neuropathy — plus the correctable causes found on blood tests.कार्पल टनल, दबी नसें और न्यूरोपैथी — और ख़ून की जाँच में मिलने वाले ठीक होने योग्य कारण।
Read more →पढ़ें →Disc problems, leg pain and when surgery is genuinely needed — which is less often than you think.डिस्क की समस्या, पैर का दर्द, और सर्जरी वाक़ई कब ज़रूरी है।
Read more →पढ़ें →OPD at Shop No 101, Aarza Square 2, Gaur City 1, Greater Noida — near Gaur City Mall. Same-day slots usually available. Video consultation also offered. OPD: शॉप नं 101, आरज़ा स्क्वायर 2, गौर सिटी 1, ग्रेटर नोएडा — गौर सिटी मॉल के पास। आमतौर पर उसी दिन स्लॉट उपलब्ध। वीडियो परामर्श भी उपलब्ध।
This page is educational and is not a substitute for a clinical consultation. If you have any of the warning features listed above, seek emergency care rather than booking an appointment. यह पृष्ठ केवल शैक्षिक जानकारी है, डॉक्टरी परामर्श का विकल्प नहीं। ऊपर बताए चेतावनी संकेत हों तो अपॉइंटमेंट के बजाय तुरंत इमरजेंसी में जाएँ।
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