Chronic Migraine
A calm, medical conversation about chronic migraine on Berkhamsted High Street. Your options are assessed at consultation by a prescribing clinician, who explains what to expect, with a headache diary doing the quiet work of showing your pattern.
At a glance
- For Chronic migraine, assessed at consultation
- Given as Injections across head, neck and shoulders
- Interval Every 12 weeks
- Assessment Prescribing clinician, with a headache diary
- Clinic Regents Park Aesthetics Berkhamsted
What it is and why it happens
Chronic migraine has a precise definition, and it matters, because it is what this treatment was designed for. It 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 very different condition from frequent bad headaches, and it is disabling in a way that people who have not lived with it rarely appreciate.
For that specific group, a prescriber can assess whether an injection-based treatment is suitable, and the clinician explains what to expect and how progress is reviewed over time.
At our Berkhamsted clinic it is a medical appointment rather than a cosmetic one, carried out by Kay Greveson, our founder and advanced nurse prescriber, or Dr Grace Adamson, and it begins with a proper conversation about your headaches before anything is planned.
Treatments that address it
| Chronic Migraine Injections A recognised preventative protocol: small injections at fixed points across the forehead, temples, back of the head, neck and shoulders, every twelve weeks. From £350. | Masseter Treatment Where jaw clenching or bruxism may be contributing, a prescriber assesses the masseter at consultation and explains what to expect. £450. | Trapezius Treatment Where neck and shoulder tension may be part of the picture, a prescriber assesses the trapezius and explains what to expect. From £350. | |
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| £350 | £450 | £350 | |
| Explore Chronic Migraine Injections | Explore Masseter Treatment | Explore Trapezius Treatment |
- £350
- £450
- £350
Compared side by side
How we assess and treat
Assessment at our Berkhamsted clinic starts with a headache diary, and if you have not been keeping one we will ask you to for a month. Frequency, duration, features and triggers all go in, and your clinician talks the pattern through with you before anything is planned.
We confirm that the pattern meets the chronic migraine definition, we ask what you have already tried, and we look at whether the jaw or the neck and shoulders are part of the picture, so the plan reflects your own pattern.
Then the plan is set, with regular reviews and the diary showing how things are going. Prescription-only medicines are only considered after a face-to-face consultation with a prescriber. Your clinician covers suitability, timing and aftercare at your consultation, and the team is a phone call away afterwards.
Can you treat it at home?
A headache diary is the single most useful thing you can do, and almost nobody keeps one consistently. Patterns that are invisible day to day become obvious over a month, and it is the first thing your clinician will want to see.
The basics are unglamorous and worth noting in the diary too: sleep, meals, water and caffeine, since everyday routine is often part of the picture your clinician looks at.
Identify your own triggers rather than adopting a list. Red wine, aged cheese, chocolate and bright light are common and highly individual, and cutting out foods you do not react to achieves nothing except a smaller diet. Note anything else you spot, too, because the diary is what brings the pattern into view for your clinician.
Related concerns
Meet our team of experts
Chronic migraine at our Berkhamsted clinic is assessed and treated by Kay Greveson, our founder and advanced nurse prescriber, or Dr Grace Adamson, who is in Berkhamsted every Thursday.
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 is treated differently, and your clinician talks through what is realistic for you.
From £350 at our Berkhamsted clinic, repeated every twelve weeks. Masseter treatment is £450 and trapezius treatment from £350. We quote at your consultation once the pattern has been 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, and your clinician keeps to it.
Response is judged over cycles rather than after a single round, which is why your diary matters so much. If two full cycles bring no meaningful benefit, your clinician will say so and talk through the alternatives with you.
No. It is a preventative approach rather than a treatment for an attack, and your clinician explains what to expect at your consultation.
A series of small injections with a very fine needle. Most people describe brief stings, and no anaesthetic is needed.
Most people carry on with their day. Your clinician covers suitability, timing and aftercare at your consultation, and the team is a phone call away afterwards.
Tension-type headache and headache driven by jaw clenching are a different picture, and your clinician assesses whether masseter or trapezius treatment is worth discussing.
The masseter is the jaw muscle, involved in clenching. The trapezius runs across the neck and shoulders, where sustained tension can build. Your clinician works out which, if either, is part of your picture.
Everything you currently use for headaches, because it shapes the plan. The diary brings your pattern into view so it can be talked through before anything is booked.
Bring whatever you have, including any diary. Your clinician confirms the pattern against the chronic migraine definition at your consultation, and if you have not kept a diary we will ask you to keep one for a month first.
No. It is a medical appointment with a prescribing clinician, and it is planned like one. Prescription-only medicines are only considered after a face-to-face consultation with a prescriber.
Kay Greveson, our founder and advanced nurse prescriber, or Dr Grace Adamson, who is in Berkhamsted every Thursday.
113 High Street, Berkhamsted HP4 2DJ, a short walk from the station and a short drive from Tring, Hemel Hempstead, Chesham and Amersham.