Cluster headache treatment in Hyderabad | Dr. Vikram Sharma Neurologist

These are rare types of headaches when compare to other types (affect 1 in 1000 people), but occur with severe pain. Each time they occur in the same way. The pain is so severe in or around one side of the head or eye that it can wake you up suddenly in the middle of the night.

Headache frequency is quite variable – an episode can occur every day, every other day, or multiple times in a day in a series. Cluster periods or bouts of frequent attacks can last from weeks to months. In some cases, headaches remain for a relatively shorter period of time, but with severe pain.

Cluster headaches occur in clusters or groups. On average, each attack may last for around 1 to 3 hours. During the remission period headaches stop. It may range from a few weeks, months, or sometimes even years. This type of headache is more common in males compared to females and they start at the age of 30 years.

What causes cluster headaches?

The exact cause of cluster headaches is unknown, but according to some experts, there is an involvement of the facial nerve in triggering intense pain around one of the eyes. The pain is so severe that many people cannot sleep, or sit still during an attack. The severity and intensity with which they occur are more when compared to migraine, but they don’t last long.

What are the characteristic features of cluster headaches?

 The following features or characters of cluster headaches make them stand apart from other types of headaches:

Predictability: They are also known as alarm clock headaches. They are linked to your body’s biological clock (24-hour) or circadian rhythm. For this very reason, they occur so regularly at the same time. Sudden night attacks or episodes are severe compared to daytime ones.

Short duration: They may usually last for around 30 to 45 minutes and maybe for up to 90 minutes. Sometimes, they are short-lived (last long for up to 15 to 20 minutes). Some people experience as few as one every day, while others may get up to six to seven times a day.

Frequency of headaches: People get this type of headache daily or every alternate day for up to two to three weeks or 3 months or more. In between they will remain pain-free – the duration of remission varies from a few weeks to months to a year.

Speed: Their speed is fast as they are capable of reaching their full strength quickly within 5 to 10 minutes.


You feel pain on one side of your head. Sometimes, pain may switch to the opposite side, when a new headache starts, but that is rare. When a headache begins it remains on the same side during the episode. The pain may be throbbing, piercing or burning, or constant. You can feel the pulsing sensation as well. You can feel pain around or behind one eye prominently. The pain may also radiate to the nose, cheek, upper gum, temple, and forehead on that side.

Symptoms associated with Cluster headaches

The pain begins behind or around the eye suddenly. You may also have the following symptoms:

  • Watering or red eye
  • A drooping or swollen eye
  • A mild burning sensation or discomfort in the head
  • Pacing, agitation, or restlessness
  • Sensitivity to light
  • Sweating
  • Red, warm face
  • Runny or congested nose
  • A small pupil in the eye

Cluster Headache Treatment in Hyderabad

A comprehensive treatment is available to make cluster headaches episodes less severe and shorter. Furthermore, neurologists may also prescribe medications – such as pain relievers in the form of nasal spray (lidocaine); triptans, and other prescription medicines; medicines that relax blood vessels; oxygen therapy; steroidal and hormonal medicines.

When it comes to cluster headaches treatment doctors in Hyderabad, Dr. Vikram Sharma is the most accomplished migraine and headache specialist in Hyderabad for more than two decades now.