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Condition guide · Pain management

Headaches

Frequent, persistent or one-sided headaches that disrupt your days — what lies behind them, how they're told apart, and how a pain consultant can help you bring them under control.

Headaches assessment at Bridge House Clinic
What is headaches?

A headache is pain felt in the head or upper neck — but "headache" covers several quite different conditions, each with its own pattern and its own treatment.

Most headaches are not dangerous, and many ease with simple measures. But when they are frequent, severe, or stubbornly resistant to over-the-counter remedies, the type of headache really matters — telling a tension-type headache from a migraine or a headache coming from the neck is what points to the treatment that will actually work for you.

01Symptoms

Symptoms of headaches.

The pattern is the clue: where the pain sits, how long it lasts, what brings it on and what comes with it all help identify the type of headache — which is why describing your attacks in detail is so useful at an assessment.

01A tight band or pressureA dull, squeezing ache across the forehead or around the head, often with tenderness in the scalp, neck or shoulders — typical of tension-type headache.
02Throbbing pain on one sideA pulsating headache, often one-sided, that can come with nausea, and sensitivity to light or sound — the hallmark of migraine, sometimes preceded by visual 'aura'.
03Pain rising from the neck or base of the skullHeadache that starts at the back of the head or neck and spreads forward, often worse with certain neck postures — suggesting a cervicogenic (neck-related) headache.
04Severe, short bursts around one eyeExcruciating pain centred on or behind one eye, in clusters, sometimes with a watering eye or blocked nostril on the same side — the pattern of cluster headache.
05Headaches that won't shift with painkillersA daily or near-daily background headache that no longer responds well to medication — which can itself become part of the problem.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

Headaches have many triggers, and more than one can be at play. Identifying what's driving yours — and which type you have — is the starting point for calming them down.

Muscle tension in the neck, jaw and shoulders, often from posture or stress
Migraine, with triggers such as sleep changes, hormones, certain foods, dehydration or skipped meals
Wear, strain or irritated nerves in the upper neck (cervicogenic headache and occipital neuralgia)
Overuse of painkillers, which can lead to rebound (medication-overuse) headaches
Eye strain, teeth grinding or jaw (TMJ) problems
Lack of sleep, alcohol, caffeine withdrawal or prolonged screen time
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.A sudden, severe 'thunderclap' headacheA headache that explodes to maximum intensity within seconds or minutes — unlike any you've had before — needs emergency assessment straight away, not a routine appointment.
II.Headache with neurological signsWeakness, numbness, slurred speech, confusion, a fit, double vision or a stiff neck with fever alongside a headache should be treated as urgent.
III.A new headache after 50, or that keeps worseningA headache that first appears later in life, steadily intensifies over days or weeks, or wakes you from sleep is worth prompt medical assessment.
IV.Headache with scalp tenderness or jaw pain when chewingIn older adults especially, this combination needs urgent review to exclude inflammation of the blood vessels (giant cell arteritis).
V.Frequent headaches disrupting daily lifeWhen headaches are coming several times a week, or no longer respond to your usual painkillers, that's the point to have them properly assessed rather than living around them.
Book an assessment
Headaches examination by a consultant
Diagnosing headaches at Bridge House Clinic
04How it's diagnosed

Diagnosed by listening to your headache story.

Most headaches are diagnosed clinically — there is no single scan or blood test that names the type. Dr Mohamed Khafaga, Consultant in Anaesthesia & Pain Management, takes a detailed history of your attacks, examines you, and works out which kind of headache you have and what's feeding it. A simple headache diary often helps. Imaging is arranged only where warning signs or an unusual pattern make it genuinely useful, rather than as routine.

05Treatment

How headaches are treated.

Treatment depends entirely on the type of headache, so it starts with pinning that down. We begin with the least invasive option likely to help you, and every published price is shown upfront.

01Consultant assessment

A full one-to-one assessment with Dr Khafaga to identify your headache type, uncover triggers and agree a plan — the essential first step before any treatment.

02Medication & trigger review

A considered look at what may prevent and relieve your attacks — including untangling rebound headaches from painkiller overuse — reviewed and adjusted through consultation rather than trial and error.

03Nerve block injection

For headaches arising from irritated nerves at the back of the head or neck — such as occipital neuralgia or cervicogenic headache — a targeted injection can calm the nerve and break the pain cycle. Dr Khafaga can often assess and treat in the same visit.

04Radiofrequency nerve ablation

For suitable patients with persistent neck-related headache, a precise treatment using radiofrequency energy to quieten the small nerves carrying the pain signal, offering longer-lasting relief. Whether it fits your case is decided together at consultation.

Take back control of your headaches.Book an assessment with Dr Khafaga — usually within a week or so — and leave with a clear idea of which headache you have and a plan to ease it. The consultation is £200; where a nerve block is the right step, it can sometimes follow in the same visit (you pay for the consultation plus the procedure), with every price shown openly.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Can a consultant work out what type of headache I have? +

Yes — that's the heart of the assessment. Dr Khafaga takes a detailed history of your attacks and examines you to distinguish tension-type, migraine, cluster and neck-related headaches, because the right treatment hinges entirely on getting the type right. A headache diary before your visit often helps.

Do I need a referral from my GP to be seen here? +

No — you're welcome to arrange a private assessment with Dr Khafaga directly, without going through your GP first. If you'd like your GP kept informed afterwards, that can be arranged with your consent.

What does a headache assessment and treatment cost? +

The initial consultation with Dr Khafaga is £200, with a follow-up at £134. Where a procedure is appropriate, a nerve block injection is £450 and radiofrequency nerve ablation is £1,100. Many headaches are managed without any procedure at all — every price is published upfront so there are no surprises.

Will I be sent for a scan? +

Usually not. The great majority of headaches are diagnosed from your history and examination alone. Dr Khafaga arranges imaging only when a warning sign or an unusual pattern means it would genuinely change the plan — so you're not put through tests you don't need.

Can injections really help headaches? +

For certain types, yes. When a headache comes from irritated nerves at the back of the head or from the upper neck, a targeted nerve block can settle the pain and interrupt the cycle. It isn't right for every headache, though — which is exactly why the assessment comes first.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.