HEADACHES -Migraine: It is usually associated with neurological disturbances lasting around 15-60 minutes which normally occur before the headache begins. These symptoms are most commonly in the form of visual disturbances including blind spots, flashing lights or zig-zag patterns. Confusion, inability to concentrate, problems with articulation or co-ordination,  tingling, pins and needles or numbness on the affected side have also been noted. These symptoms, known as aura are most often identified with migraine, but in fact only about 10-15% of sufferers experience them. Migraine with aura was formerly known as classic migraine. Treatment is mainly pharmacological, however many classes of medications have been tried successfully in management of migraine headaches. -Tension type Headaches Overactivity of muscles of the scalp, forehead and neck causes tension headache. A dull ache or tightness in these areas, like a tight band around the head or a heavy weight on top, results from this overactivity. Treatment includes physical therapy in combination with pharmacological management, with judicious use of trigger point injections. Occipital neuralgia Occipital neuralgia is a chronic pain disorder caused by irritation or injury to the occipital nerve located in the back of the scalp. Individuals with the disorder experience pain originating at the nape of the neck. The pain, often described as throbbing and migraine-like, spreads up and around the forehead and scalp. Treatment consists of pharmacological treatment, nerve blocks and nerve ablation techniques (like, Radiofrequency and cryoneurolysis). In selected patients peripheral nerve stimulation can provide significant relief.