When to See a Neurologist for Headaches — Expert Guide
Headaches are extremely common, and nearly everyone experiences them at some point. While most headaches are temporary and mild, some can become frequent, severe, or linked to underlying neurological issues. There are more than 100 different types of headaches, each varying in symptoms, duration, and intensity.
Some headaches can be managed with simple home care or over-the-counter medication, while others may require medical evaluation—especially when they interfere with daily life or signal something more serious.
Understanding when a headache needs a neurologist’s attention is crucial for timely diagnosis and effective treatment.
When Should You Consult a Neurologist?
1. You have two or more headaches every week
Frequent headaches may indicate a chronic condition like migraine, tension-type headache, or cluster headache. If headaches occur twice a week or more, a neurologist can recommend preventive treatment to reduce frequency and severity.
2. Your headaches are worsening over time
If your headaches are becoming more intense, more frequent, or longer lasting—even with treatment—this may require further neurological investigation such as scans or additional tests.
3. Headaches do not respond to medication
Using painkillers regularly (more than 10 days a month) can cause medication-overuse headaches. If OTC or prescribed medicines stop helping, you should be evaluated for alternative treatments and proper diagnosis.
4. You are over 50 and experiencing new or chronic headaches
New headaches after age 50 may signal secondary causes such as temporal arteritis, stroke-related issues, or other underlying medical conditions. Early evaluation is important.
5. You experience neurological symptoms along with the headache
Seek immediate care if your headache is accompanied by:
- Weakness in the limbs
- Vision changes
- Seizures
- Speech difficulty
- Confusion
These may indicate serious conditions like stroke, brain infection, or a brain tumor.
6. Headache starts after a head injury
Post-traumatic headaches (PTH) can occur days or weeks after a fall or accident. They often require a different treatment approach compared to migraines or tension headaches.
7. A new headache that lasts 24/7
A constant, unrelenting headache that continues for days or weeks may be a sign of a secondary neurological condition and needs evaluation.
8. Headaches disrupt your daily routine
If the pain causes you to miss work, struggle with concentration, or avoid activities, it’s time to see a neurologist for long-term management.
Other Symptoms That Need Neurology Evaluation
You should also consult a neurologist if headaches occur along with:
- Chronic or severe pain
- Frequent dizziness
- Numbness or tingling
- Walking or movement problems
- Memory issues or confusion
These symptoms may indicate a neurological disorder that requires medical attention.
Consult Dr. Kalakoti Chandra Sekhar Reddy — Best Neurologist in Eluru
If you are experiencing persistent, severe, or unusual headaches, early evaluation can make all the difference.
Dr. Kalakoti Chandra Sekhar Reddy, one of the most trusted neurologists in Eluru, offers expert diagnosis and personalized treatment for all types of headaches and neurological conditions.
