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Checkup for headache and migraine

migraine visit · headache specialist · neurologist for headaches · head checkup · headache diary

The doctor asks you in detail about your headaches and examines you. Most often the cause is understood from what you tell them and from the exam, without complex tests.

For frequent or severe headaches, migraine, or when the pain has changed or pills have stopped helping.

⏱ Duration: the visit usually takes 30 to 45 minutes

Be sure to tell your doctor

How often your head hurts and how long an attack lasts
Where it hurts and what the pain is like: pressing, throbbing, stabbing
What happens before and during an attack: nausea, light bothers you
Which pills you take for pain and how often
What triggers an attack: sleep, food, stress, periods

How to prepare

Diary. For 2 to 4 weeks before the visit, write down each attack: the date, how strong it was, what you took and whether it helped.
Medicines. Do not change your treatment on your own. Write down all the medicines you take.
Tests. Bring earlier scans and reports, if you have them.

What to bring

Headache diary
A list of your medicines
Earlier scans and reports
Blood pressure readings, if you have them

How it goes

The doctor asks in detail about your attacks
Measures your blood pressure
Checks your reflexes, movements, pupils and balance
Explains what type of headache it is
If needed, orders tests or an MRI
Gives you a plan for treatment and prevention

What you'll feel

The exam is painless
There are many questions - they help find the cause

Afterwards

Keep writing your headache diary
Do not take painkillers too often - this can make headaches worse
Come back for a follow-up to see how the treatment is working

Contact a doctor straight away if

A sudden, very severe headache, the worst of your life - call your local emergency number
A headache with weakness in an arm or leg or trouble speaking - call your local emergency number
A headache with high fever and a stiff neck - call your local emergency number
A headache after a blow to the head

Common questions

Do I need an MRI for a headache?

Not always. The doctor orders an MRI if there are warning signs.

Can I take a painkiller every day?

No. Taking it often can itself cause headaches. Talk about this with your doctor.