Headache service

Service detail

The headache service provides clinics to support four consultants specialising in headaches. 

The clinics consist of:

  • Follow up review clinics for all headache disorders
  • Botulinum toxin injection clinics
  • Nerve block injection clinics
  • Anti–calcitonin gene related peptide review clinics

Headache chatbot service

The Walton Centre is currently in the process of developing a chatbot to provide specialist advice to patient suffering for headache symptoms.

Patients being referred to a neurology headache specialist will be invited to engage with the chatbot to collect details of their condition and the symptoms through a structured set of questions in addition to that provided in their GP referral letter. This will be used to compile a detailed medical history which clinicians can review before the first appointment with the patient and recommend a course of action if appropriate.

Depending on the clinician’s assessment, patients may be put on a fast-track to be examined by a consultant or offered guidance on alleviating symptoms while they await their referral appointment.

There is limited access to the system whilst it is being trialled with selected patients. If you have received an invitation you can access the chatbot service here.

Please note that by completing the chatbot questionnaire, you are consenting for your information and data to be processed under GDPR Article 4(11).

Getting here

Sid Watkins Building

Sid Watkins Building

This building hosts our Complex Rehabilitation Unit, some outpatients services, pain management services, corporate services and more.

Address

Lower Lane,Liverpool, L9 7BB

Directions and map

The Walton Centre NHS Foundation Trust is not responsible for third-party sites or content.

The Walton Centre - Main Hospital Building

The Walton Centre Main Building

This building hosts many of our in-patient services, including wards and theatres, and some outpatients services.

Address

Lower Lane, Liverpool, L9 7LJ

Directions and map

The Walton Centre NHS Foundation Trust is not responsible for third-party sites or content.

Referral information

Referrals can be made through your GP

Patient leaflets

Botulinum Toxin for Chronic Migraines

The toxin is a protein and is produced by a bacterium called Clostridium Botulinum.

Erenumab (Aimovig®)

Erenumab (Aimovig®) is a monoclonal antibody treatment which is now available on the NHS as a treatment option for preventing migraine in people who have four or more migraine days a month and have tried at least three other preventative medications that have not worked.

Fremanezumab (Ajovy®)

Fremanezumab (Ajovy®) is a monoclonal antibody therapy that has been approved for treatment of chronic migraine.

Galcanezumab (Emgality®)

Galcanezumab (Emgality®) is a monoclonal antibody treatment which is now available on the NHS as a possible treatment for preventing migraine in people who:

  • have four or more migraine days a month
  • have tried at least three other preventative medications which have not worked
  • have completed three months of headache diaries (including HIT-6)
  • lifestyle modifications (medication and caffeine use) have been addressed

Migraine - a comprehensive guide

There are many different types of headache, migraine, cluster headaches, sinus headache, and more. However, more than 90% of headaches will be caused by migraine – this booklet will help you to identify if your headaches are due to migraine and if so, how best to stop them happening.

View all related Patient leaflets

Headache service Consultants

Dr Nicholas Silver

Dr Silver established the headache service at The Walton Centre in 2004 and since that time has expanded this service to include four headache subspecialist consultants and two clinical nurse specialists.

Dr Mona Ghadiri-Sani

Dr Ghadiri-Sani moved to the The Walton Centre for neurology training and has been a consultant since 2017. She has a specialist interest in headache disorders, particularly migraine and Idiopathic Intracranial Hypertension (IIH).

Dr Anita Krishnan

Dr Anita Krishnan is the Divisional Clinical Director for Neurology and a Consultant Neurologist at The Walton Centre, specialising in headaches and CSF pressure disorders.

Dr Lauren A Fratalia

Dr Lauren Fratalia qualified as a neurology consultant in 2007 and joined The Walton Centre in 2011. She provides general neurology services at The Walton Centre and Whiston Hospital, and has a weekly specialised clinic in the Regional Refractory Headache Service.

Related Services

Neurology

The Neurology service provides specialist care to patients across Cheshire, Merseyside, North Wales and the Isle of Man. 

Page last updated: 22 June 2021

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