Headache is a very common symptom

Headache can be a symptom of un underlying condition, such as eye, dental or neck problem. Very rarely, it can be the first symptom of a serious condition such as brain tumours, inflammation, stroke or an aneurism. A full neurological assessment is needed to rule out these conditions. In the most common types of headache, namely tension-type headache and migraine, no underlying structural causes are identifiable. However migraine can cause severe disability if unrecognised and mistreated.


Headache conditions Dr Lambru treats

  • A frequent and disabling genetic brain disorder which presents with severe headaches & neurological symptoms.
    Learn More
Tension type headache
  • The most common type of headache which is often defined as a "normal" headache.
  • Learn More
Medication overuse headache
  • Headaches, especially migraine, can occur or be made worse by frequent intake of any painkillers.
  • Learn More
Cluster headache
  • Cluster headache is considered amongst the most extreme forms of pain a person can experience.
  • Learn More
Hemicrania continua
  • Similar to but less common than cluster headache but highly responsive to indometacin.
  • Learn More
Paroxysmal hemicrania
  • Similar to yet less common than cluster headache but highly responsive to indometacin.
  • Learn More

A rare disorder presenting with electric shock, stabbing pains on one side of the head/face.
Learn More

Primary stabbing headache

A frequent type of headache characterised by severe, multi, short-lived stabbing attacks.
More info coming

New daily persistent headache
  • Headache that starts suddenly and remains chronic and continuous unless properly treated.
    More info coming
Post traumatic headache
  • A headache and other neurological symptoms caused by head or neck injuries.
  • More info coming
High and low pressure headache
  • A sinister headache brought on by an increased or decreased level of pressure in the brain.
  • More info coming
Cervicogenic headache
  • A headache caused by issues in the neck structures including muscle, joints or nerves.
  • More info coming
Sinus headache
  • Only occasionally chronic pain in the face is associated with a problem in the sinuses.
  • Learn More
Medically intractable headache
  • A significant proportion of people with chronic headaches unfortunately do not respond to treatments.
    More info coming
Trigemino-Autonomic Cephalalgias
  • TACs is characterised by often severe head pain episodes which are shorter than the ones of migraine.
  • Learn More

Headache treatments

Medical treatment
  • Headache conditions often require one or more medicines to obtain meaningful pain control. Learn More
Occipital nerve block
One of the most common procedures used to treat episodic and chronic headache disorders. Learn More
Trigeminal nerve blocks
injections of anaesthetic into areas surrounding the trigeminal nerves aiming to reduce pain. Learn More
Botulinum Toxin Injection (Botox)
Botox injected around the head & neck muscles is one of the gold standard treatments for migraine. Learn More
Anti-CGRP monoclonal antibodies
A new class of migraine-specific preventive treatment, injected under the skin once per month. More info coming
Vagus nerve stimulation
This non-invasive device has showed some efficacy in cluster headache treatment. More info coming
Transcranial magnetic stimulation
This non-invasive brain stimulation device has promising evidence in migraine treatments. More info coming
Trigeminal nerve stimulation
This non-invasive device has some good evidence in abortive and preventive migraine treatment. More info coming
Surgery for chronic headache
Neuromodulation is the only evidence based surgery for difficult-to-treat headache disorders. Learn More
Occipital nerve stimulation
Invasive surgical procedure to treat resistant forms of chronic headache. Learn More
Spinal cord stimulation
Stimulation of the cervical spine offers pain relief for treatment-resistant headache & facial pain. More info coming
Sphenopalatine ganglion blocks
Minimally invasive injection of this nerve provides medium term pain relief in headache & facial pain. Learn More
Intravenous lidocaine
Short lasting infusion of lidocaine can be effective for excruciating facial pain & trigeminal neuralgia. More info coming
Intravenous phenytoin
Short lasting infusion of phenytoin can be effective for excruciating facial pain & trigeminal neuralgia. More info coming
Medication overuse withdrawal
A package including education, infusion & injectable therapy to successfully withdraw painkillers. More info coming


If you have any questions or would like to make an appointment please contact Dr Lambru's secretary.

E: LambruPA@hcaconsultant.co.uk
P: + 44 7946 757860

Contact us


Keep up to date with Dr Giorgio Lambru and all things neurology

Follow Dr Lambru on Twitter for news, updates and research