Headache & Migraine Treatment
Our neurologists confirm your headache type, exclude secondary causes, and build a personalised plan combining acute medicines to stop attacks with preventive treatment to reduce them. For chronic migraine we offer Botox injections, CGRP-targeted therapies, and nerve blocks. Most patients improve substantially with the right approach, supported by trigger and lifestyle management.
Medically reviewed by the Florence Healthcare medical team · Last reviewed June 2026
Overview
Migraine is a common neurological condition that causes recurrent, often disabling headaches, frequently with sensitivity to light and sound, nausea, and sometimes aura. Our clinic also treats tension-type and cluster headache and chronic daily headache. The first and most important step is a careful clinical assessment to confirm the headache type and exclude secondary causes; imaging is used when warning signs are present. From there we build a treatment ladder that pairs acute medicines to stop individual attacks with preventive treatment to reduce how often they occur. Preventive options range from oral medicines to, for chronic migraine, botulinum toxin (Botox) injections and newer CGRP-targeted treatments given by injection or infusion, while occipital and other nerve blocks can help selected patients. Patients with more than 10 migraine attacks per month that significantly affect social life may be evaluated for Botox and other advanced preventive options; those with roughly 3 to 10 monthly attacks are usually managed first with medical preventive treatment and lifestyle planning. Identifying and managing triggers, sleep, and lifestyle factors is built into every plan.
An international patient coordinator guides you from the first enquiry, and our neurologists can review your records and prior scans remotely before you travel so your visit is focused and efficient. You receive a transparent, itemised estimate covering consultation, any imaging, and treatment before you commit, with no hidden costs. Because most headache care is delivered as an ongoing programme rather than a single procedure, we design a plan you can continue with your own doctor at home and stay reachable for follow-up questions.
Who is a candidate?
- You have frequent or disabling migraine attacks that disrupt work, study, social life or daily activities
- You have more than 10 migraine attacks per month and may need assessment for Botox or other advanced prevention
- You have around 3 to 10 monthly attacks and need a structured medical preventive plan
- Acute or over-the-counter painkillers are no longer working well, or you are using them too often
- You have cluster or tension-type headache that has not responded to first-line care
- You want a clear diagnosis, reassurance that serious causes have been excluded, and a structured prevention plan
What happens
- 1
Assessment & diagnosis
A neurologist takes a detailed history of your headache pattern, triggers, and previous treatments, and performs a focused examination to confirm the headache type and rule out secondary causes. Brain imaging such as MRI is arranged only when warning signs or specific features make it necessary, rather than as a routine test.
- 2
Treatment plan
We agree a personalised plan that combines acute medicines to stop attacks quickly with preventive treatment to reduce their frequency and severity. This usually starts with the most appropriate oral options alongside a practical strategy for triggers, sleep, hydration, and medication-overuse risk.
- 3
Advanced options
For chronic migraine or headaches that do not respond to standard preventives, we offer botulinum toxin (Botox) injections, CGRP-targeted treatments by injection or infusion, and occipital or other nerve blocks. The right option is matched to your headache type, history, and preferences.
- 4
Follow-up
We review your response using a headache diary and adjust medicines or doses as needed, since prevention often takes several weeks to show its full effect. Your plan and instructions are documented clearly so you can continue treatment with your own doctor at home, and we remain reachable for questions.
Benefits
- Specialist neurologist diagnosis that confirms your headache type and excludes serious causes
- A single individualised plan that balances stopping attacks with preventing them
- Access to advanced options including Botox, CGRP-targeted treatments, and nerve blocks
- Practical trigger, sleep, and lifestyle guidance to reduce attacks over time
- Remote review of your records before travel and a transparent, itemised estimate
- A documented plan you can continue with your own doctor at home
Risks & considerations
- Preventive treatments often take several weeks to work, and the first option may need adjusting or changing
- Oral preventive medicines can cause side effects such as drowsiness, tingling, or weight change depending on the drug chosen
- Botox injections may cause temporary injection-site discomfort, and occasionally mild neck or brow weakness
- CGRP-targeted treatments can cause injection-site reactions or constipation in some patients
- Nerve blocks carry a small risk of local soreness, bruising, or temporary numbness
- Overuse of acute painkillers can paradoxically worsen headaches, which is why medication use is monitored
Conditions this treats
Where it is performed
This treatment is delivered by our Neurological Sciences Center.
Learn more before you decide
Provider-reviewed guides on the related conditions, symptoms and tests in our Health Library.
Headache & Migraine Treatment — frequently asked questions
Acute treatments are taken during an attack to stop the pain and associated symptoms, while preventive treatments are taken regularly to make attacks less frequent and less severe. Prevention is usually considered when attacks are frequent, disabling, long-lasting, or poorly controlled by acute medicines alone, or when you are at risk of overusing painkillers.
Both are used mainly for chronic migraine. Botulinum toxin (Botox) is given as a series of small injections around the head and neck every few months to reduce attack frequency. CGRP-targeted treatments are newer medicines, given by injection or infusion, that block a pathway involved in migraine. Your neurologist will advise whether either is suitable for you.
Not always. For typical migraine with a clear pattern and a normal examination, a scan is often unnecessary. We arrange MRI or other imaging when there are warning signs or unusual features that need to be investigated, so that serious secondary causes can be confidently excluded.
A first consultation is usually a single outpatient appointment, with any imaging or injections scheduled around it. Costs depend on the consultation, any imaging, and the specific treatment chosen, so we provide a transparent, itemised, personalised estimate in advance. We never quote a fixed price before understanding your individual case.
Yes. Our team can review your medical history and any previous scans remotely before you arrive, so we can plan the most useful tests and treatments ahead of time and make your visit as focused and efficient as possible.
Related treatments
Considering headache & migraine treatment?
Share your reports for a medical second opinion and a transparent, itemized cost estimate — usually within 48 hours.