What Treatments Does Our Headache Clinic in Stourbridge and Nottingham Offer?
Our headache clinic provides specialist-led neurology care for patients living with complex, chronic, or treatment-resistant head pain. Led by Dr Kyprianou — an experienced GP with special interest in neurology, and migraine specialist — every treatment pathway begins with a thorough clinical assessment and ends with a clear, personalised plan.
Headache/Migraine Consultation
Comprehensive clinical assessment and neurologically tailored plans for chronic migraine patients.
Clinical assessment and specialist-led treatments for complex, chronic, and treatment-resistant headache conditions.
GON Blocks
Minimally invasive clinical procedures providing bridge relief and short-term prevention of migraine.
Vyepti Infusion
Specialist intravenous antibody therapy targeting CGRP for adults with episodic or chronic migraine.
Chronic Migraine Botox
NICE-approved preventive injections for chronic headache disorder treatment every 12 weeks.
Specialist Neurology & Headache Services
Request a Specialist Appointment
Consultation with Dr Kyprianou — GP with Special Interest and Migraine Specialist
Your first step toward effective migraine treatment starts here. Dr Kyprianou is a dedicated headache specialist based in Birmingham who specialises in diagnosing and managing complex headache and migraine disorders.
A Comprehensive Clinical Assessment
To ensure a precise diagnosis and effective care pathway, every consultation includes:
- A full clinical and headache history review
- A thorough neurological assessment
- A detailed written report of findings
- A structured, personalised treatment plan tailored to your condition
Is This Consultation Right for You?
Specialist neurology input is recommended for patients who want clear answers and a defined route forward. This is particularly relevant for those who:
- Have not responded to standard GP-led treatments
- Experience frequent, severe, or debilitating migraines
- Suffer from chronic migraine, cluster headaches, or undiagnosed complex head pain
- Require specialist guidance to ensure seamless communication with their wider medical team
A formal diagnosis and documented plan provide the clinical foundation for your long-term migraine management.
What Is a GON Block and Can It Relieve Migraine Pain Quickly?
A Greater Occipital Nerve (GON) block is a minimally invasive procedure used for rapid relief and short-term prevention of pain arising from headache disorders, migraine disorders, and cephalgia. The injection delivers local anaesthetic — and in some cases a corticosteroid — directly around the greater occipital nerve, interrupting the pain signals associated with many headache conditions.
This treatment is particularly effective for patients who need bridging relief while longer-term migraine treatment strategies take effect. It is performed in clinic and typically takes only a few minutes, with many patients noticing improvement within 24–72 hours.
Suitable for: Migraine disorder, chronic daily headache, occipital neuralgia, and related cephalgia conditions.
Vyepti (Eptinezumab) Monoclonal Antibody Infusion for Migraine Prevention
Vyepti is an FDA- and MHRA-recognised CGRP monoclonal antibody infusion administered intravenously for the preventive treatment of migraine in adults. Unlike daily oral preventatives, Vyepti is given as a single infusion every three months, making it a practical option for patients who struggle with tablet adherence or have not responded to conventional migraine treatment.
As a migraine specialist clinic, we offer this infusion therapy as part of a comprehensive neurology-led prevention strategy. Vyepti works by targeting calcitonin gene-related peptide (CGRP), a key molecule involved in migraine attacks, reducing both the frequency and severity of episodes.
Suitable for: Adults with episodic or chronic migraine who have not achieved adequate control with other preventive treatments.
Trigeminal Neuralgia — Specialist Diagnosis and Neuropathy Treatment in Birmingham
Trigeminal neuralgia is a severe neuropathic facial pain condition involving the trigeminal nerve. It is often described as one of the most intense pain syndromes known and requires careful neurological assessment to distinguish it from other facial pain disorders.
At our neurology clinic in Birmingham, Dr Kyprianou evaluates and manages trigeminal neuralgia as part of a broader neuropathy treatment service. Accurate diagnosis — confirmed through clinical history and, where indicated, neuroimaging — is essential before any treatment is initiated.
Why see a neurologist? Trigeminal neuralgia can mimic dental pain or other conditions. A specialist neurologist is best placed to confirm the diagnosis, rule out secondary causes, and coordinate the most appropriate treatment pathway.
Onabotulinumtoxin A Injections for Chronic Migraine Prevention
OnabotulinumtoxinA (commonly known by the brand name Botox) is a NICE-approved preventive treatment for chronic migraine — defined as 15 or more headache days per month, of which at least eight are migrainous. The treatment involves a series of precise injections administered around the scalp, neck, and shoulder muscles, following a standardised protocol developed specifically for chronic headache disorder.
This treatment is delivered by Dr Kyprianou as part of a structured migraine prevention plan and is typically repeated every 12 weeks. It is one of the most evidence-backed options available for patients whose headache disorder has not responded to oral preventatives.
Suitable for: Adults with chronic migraine who meet clinical criteria and have not benefited sufficiently from at least two other preventive medications.