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The headache service runs six specialist outpatient clinics each week providing assessment, investigations, advice and treatment to patients suffering with all forms of disabling headache and facial pain.
Conditions treated include:
- Migraine (episodic and particularly chronic migraine)
- Cluster headache
- Medication-overuse headache
- New daily persistent headache
- Hemicrania continua
- Paroxysmal hemicrania
- SUNCT / SUNA
- Post-traumatic headache
- Secondary headache disorders
We use a wide range of treatments, including:
- Lifestyle advice to manage and prevent specific types of headache
- Medications to treat and prevent headaches
- Botulinum toxin therapy for chronic migraine
- Greater occipital nerve blocks
- Multiple cranial nerve blocks
- CGRP monoclonal antibody therapy for migraine
The St George’s Headache Service comprises a multidisciplinary team of specialist professionals who work together in complementary roles to care for patients with disabling headache:
The team comprises:
- Dr Usman Khan, Consultant Neurologist
- Dr Niranjanan Nirmalananthan, Consultant Neurologist
- Dr Bhavini Patel, Consultant Neurologist
- Dr Rohit Raj, Consultant in Acute Medicine
- Dr Katherine Pink, GP with Specialist Interest in Headache
- Ms Anne-Marie Logan, Consultant Physiotherapist in Headache
- Ms Rebecca Dolling, Senior Physician Associate in Headache
- Ms Anna Jones, Secretary to the Headache Service
Please visit our Neurosciences Booking and Referral Centre for instructions on how to refer to Neurology.
Information for GPs
A new headache pathway document and referral form have been implemented across South West London from October 2020. These documents aim to improve care for patients who suffer from headache and ensure that they are treated in the right setting at the right time. The referral form has been designed for patients with presumed benign headache disorders and replaces all previous forms in circulation in South West London. Please attach a completed form with e-RS referral.
When you first come to the headache service we will need to spend time mapping your medical history so we can get a better understanding of what could be causing your headaches, and how best to treat them.
Mapping your medical history can be a long and complex task. To make the process easier, it is helpful if you can:
- keep a headache diary with details of how long your headaches last, how painful they are and what medication you take and whether the medication helped or not
- bring as much information about past medical conditions and treatments with you as you can.