Quick Answer
Structured evaluation beats symptom suppression every time.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Seeing a headache specialist matters because most general approaches prescribe pain relief without addressing the underlying headache type. At Kathmandu Neurology Clinic & Cognitive Center, Dr. Jitendra Prasad Yadav (NMC 8029) applies ICHD-3 classification followed by structured diary review (4——8 weeks): frequency, duration, severity, migrainous features, medication days, triggers, sleep, and comorbid anxiety or neck pain.
Only after pattern clarity does preventive discussion begin —— choice of option tailored to history, contraindications and comorbidity. No scan is routine without red flags; no outcome is guaranteed. The emphasis is on diary-based measurement, same-consultant follow-up, and patient education.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for migraine.
See /conditions/migraine, /conditions/chronic-headache, /conditions/cluster-headache and /neurology-topics/chronic-migraine-ichd3.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Migraine is a neurological condition; headache is one feature. Associated symptoms and functional impact are important for diagnosis.
Aura refers to visual, sensory, or speech symptoms that precede the headache in some people. Both types are migraine; the presence of aura may influence management discussion.
Frequency may improve with systematic evaluation of types, contributors, and individualized planning, but outcomes vary.
Using pain medication on 10+ days per month can trigger daily headache. Reduction or cessation under medical supervision may help break this cycle.
Migraine typically presents as moderate-severe throbbing headache with nausea and/or sensitivity to light or sound, worsened by routine activity. Duration 4–72 hours. Dr. Jitendra Prasad Yadav (NMC 8029) uses ICHD-3 criteria plus your headache diary (frequency, aura, medication days) and red-flag screen to distinguish …
Stress does not cause migraine alone but lowers threshold and increases frequency, especially with irregular sleep and frequent analgesic use. Dr. Jitendra's approach: diary for frequency/medication days, sleep regularity, hydration, caffeine review, and comorbidity screening (anxiety, insomnia, neck pain). The clinic …
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References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.