Dr. Nitish Mandal
Migraine and headaches
The headache is back again. Light, screens, or a long day set it off. Tablets take the edge off, then the next one arrives.
What this page covers
Migraine and tension headaches are treated here. The visit is for people whose tablets are no longer enough, or who want a plan that is not only another painkiller.
Approaches listed are Botox protocols and nerve blocks. Those pairings should be confirmed in clinic.
How it feels
- Throbbing or pressing pain that takes you off work or out of a room.
- Sensitivity to light, sound, or screens.
- A tight band around the head or neck that never fully switches off.
How headaches are approached
The visit maps the pattern: migraine, tension-type, or pain referred from the neck. Examination comes before a procedure is chosen.
Botox protocols and nerve blocks are listed for selected people after that assessment.
What you may already have tried
- Rescue tablets that you now take too often.
- Avoiding travel, gym, or late work because a headache may follow.
- Normal scans, with no explanation that matches how bad the days feel.
Care listed
Alongside clinic care
- Notice and avoid the days that reliably trigger a headache, without putting life on hold.
- Neck and shoulder knots can feed headache. Those are examined when they are part of the story.
When tablets are not enough
- Nerve blocks aimed at the pain source.
- Botox protocols for selected migraine and tension headache patterns.
Frequently asked questions
- Do I need a brain scan first?
- Bring any scans and prescriptions you already have. The visit still starts with conversation and examination. A normal scan does not mean the headaches are minor.
- What treatments are listed?
- Botox protocols and nerve blocks for migraine and tension headaches, at Koramangala and J.P. Nagar.
- Is this the same as seeing a neurologist?
- A pain physician focuses on interventional options when tablets have not been enough. You can still keep your neurologist in the loop.
Not every headache needs Botox or a nerve block. The first visit is to understand the pattern, then choose care that fits. Procedure details are confirmed in clinic.
Page chat
Ask about migraine
The questions on this page, with answers taken from the same details shown above.
Chat
Pain clinic
Typically replies on WhatsApp
Tablets are not enough for my headaches. What else is listed?
Nerve blocks and Botox protocols for migraine and tension headaches, after the pattern is mapped in clinic.
My brain scan was normal. Does that mean it is nothing?
No. A normal scan does not mean the headaches are minor. Bring the reports anyway.