Migraines

Body and medical concerns · London

Chronic Migraine

A medical appointment for chronic migraine on Wimpole Street. Suitability is assessed at consultation by a prescriber, and your clinician explains what to expect before anything is booked.

At a glance

  • For Chronic migraine, 15 or more headache days a month
  • Given as Injections across head, neck and shoulders
  • Interval Every 12 weeks
  • Assessment Prescribing clinician, with a headache diary
  • Available at Wimpole Street, London
Price from From £350

What it is and why it happens

Chronic migraine has a specific definition, and your clinician talks it through with you at consultation.

Chronic migraine means fifteen or more headache days a month, of which at least eight have migraine features, sustained for three months or more. That is a substantially different condition from frequent bad headaches, and anyone who lives with it knows how much of life it takes up.

For that specific group, a treatment given by injection is assessed at consultation by a prescriber, and your clinician explains the protocol and what to expect.

Regents Park Aesthetics is there for anyone who would like to be seen privately and promptly.

Regents Park Aesthetics treats chronic migraine at the Wimpole Street clinic, in the Harley Street medical district, as a medical appointment rather than a cosmetic one.

Serum canisters lit in blue on a clinic device
Know your type

Which type is yours?

15+ headache days a month for 3 months
Chronic migraine

The condition this treatment is designed for, with the strongest evidence behind it. Eight or more of those days have migraine features. This is where a preventative injection protocol genuinely reduces headache frequency.

Fewer than 15 headache days a month
Episodic migraine

Draining, and best looked after through a review of your preventative options with a neurologist, since this protocol was trialled for chronic migraine.

Band-like pressure, both sides, no aura
Tension-type headache

A different mechanism from migraine and often driven by jaw clenching or neck and shoulder tension. Treating the masseter frequently brings lovely relief.

Daily headache, frequent painkiller use
Medication overuse headache

Extremely common and routinely missed. Regular use of acute headache medication can itself sustain daily headache, and the thresholds differ by drug. Broadly, around ten days a month for migraine-specific medication, stronger painkillers and combination painkillers. Around fifteen for simple painkillers. It usually improves once the overuse is addressed with medical support, and that comes first in the plan.

How we assess and treat

Assessment at Regents Park Aesthetics starts with a headache diary, and we will ask you to keep one for a month if you have not. Frequency, duration, features and triggers all help shape the plan.

Your clinician looks at the whole picture and explains what to expect before anything is booked.

We confirm the pattern meets the chronic migraine definition before anything is planned.

We ask what you have already tried. That history shapes the plan your clinician builds with you. Your clinician runs through your medical history at the consultation.

A medical peel kit and vial laid out on the treatment room counter
Your options

Which treatment for your type of headache?

As a guide, this is how we typically match each type to a treatment. Your own plan is always confirmed at consultation, and where a specialist would serve you better, your clinician refers you.

Type
Recommended treatment
Why
Chronic migraine
Fifteen headache days a month or more is where the evidence sits
Episodic migraine
Less well evidenced, so we set expectations before starting
Tension-type headache
Assessment and referral
A different mechanism, with its own treatment
Medication overuse headache
Assessment and referral
Assessed at consultation, where your clinician explains the options

Treatments that address it

Chronic Migraine Injections A series of small injections given by a prescribing clinician, assessed at consultation, with your clinician explaining what to expect. Masseter Treatment Where jaw clenching is part of the picture, masseter treatment is assessed at consultation by a prescriber, who explains what to expect.
A treatment room set up for injectables, with prepared syringes on the desk
£350 £450
Decision aid

Compared side by side

Injection protocol
Oral preventatives
CGRP medications
Acute treatment
Purpose
Prevention
Prevention
Prevention
Stops an attack
Best for
Chronic migraine
First-line prevention
Where others have failed
Any migraine
Frequency
Every 12 weeks
Daily
Monthly or quarterly
As needed
Route
Injection, in clinic
Tablet
Injection or tablet
Tablet or nasal
Available on NHS
Yes, via neurology
Yes, via GP
Yes, via neurology
Yes

Can you treat it at home?

A headache diary is the single most useful thing you can do. Patterns that are invisible day to day become obvious over a month, and it is also what any neurologist will ask for.

The evidence-based basics are simple and they work. Regular sleep, including at weekends, since both too little and too much trigger attacks. Regular meals, since skipped meals and dehydration are among the most consistent triggers. Reducing caffeine gradually rather than abruptly, because withdrawal itself causes headache.

Your clinician can talk through everyday habits and triggers at your consultation.

Identify your own triggers rather than adopting a list. Red wine, aged cheese, chocolate and bright light are common and individual, so keep enjoying the foods that agree with you.

Your diary is also the place to note anything you take during an attack, so your clinician has the full picture.

A woman examining her skin closely in the bathroom mirror
Questions, answered

Frequently Asked Questions

Fifteen or more headache days a month, of which at least eight have migraine features, sustained for three months or more. Fewer than fifteen days is episodic migraine, which has its own preventative options.

Your clinician talks through the routes available to you at the consultation.

From £350, repeated every twelve weeks. We quote at consultation once the diagnosis is confirmed.

As a series of small injections at fixed points across the forehead, temples, back of the head, neck and shoulders, by a prescribing clinician. The appointment takes around thirty minutes.

Every twelve weeks. That is the interval the protocol was studied at and the one used in clinical practice.

Response is assessed over cycles rather than after a single round. National guidance is to review after two cycles, and we follow it, so you always know exactly where you stand.

It is a preventative approach rather than a treatment for an attack in progress, and your clinician explains what to expect at consultation.

A series of small injections with a very fine needle. Most patients describe brief stings, and the appointment is over quickly.

Masseter treatment, assessed at consultation by a prescriber, is a different appointment from the migraine protocol.

Bring the details to your consultation, and your clinician talks you through what it means for your plan.

Regents Park Aesthetics

Feel like yourself, on a good day.

A medically led clinic where every plan starts with an assessment and every injectable is placed by a medical professional, so the result looks like you on your best day.

Address19 Wimpole Street, London W1G 8GE
Telephone020 7580 4813