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Headache clinic

Treating patients with a variety of headache conditions

Coronavirus: neurology update

In response to the coronavirus (COVID-19) outbreak, please read our advice and information before attending the service.

Our clinic

At our specialist headache clinic we see patients with a variety of conditions including:

  • migraine
  • hemiplegic migraine
  • cluster headaches 
  • hemicrania continua
  • paroxysmal hemicrania
  • trigeminal neuralgia.

Your appointment

When coming for your appointment please bring a list of any medications you are on and have tried in the past for your headache. It is also helpful to bring in a headache diary to record how often you are having headaches.


We are only accepting new GP referrals from the area of Lambeth, Southwark, Lewisham, Bromley, Bexley and Greenwich (including practices in Battersea and south Westminster). Tertiary referrals will also be accepted from all areas. If you require more information you can contact our neurology department on 020 7188 3965.

Referrals can be made via the neurology department or through NHS e-Referral Service.

Please see the Guy's and St Thomas' headache pathway (PDF 64Kb) before making a referral.


  • Greater occipital nerve injections (PDF 170kb) is an injection with local anaesthetic and steroid is injected into the greater occipital nerve using a small needle.
  • Botulinum toxin injections is injected around the head and neck to treat chronic migraine in appropriate patients.
  • Transcranial magnetic stimulation is an magnetic device for migraine.
  • Erenumab (restricted to patients meeting criteria).

Key staff

  • Dr Shazia Afridi – consultant neurologist
  • Dr Alexander Nesbitt – consultant neurologist

  • GP with specialist interest in headache
  • Headache nurse specialist



Clinic locations

Department of neurology                                                      Guy's Hospital
Great Maze Pond
London SE1 9RT

Gassiot House
St Thomas' Hospital
Westminster Bridge Road
London SE1 7EH 

Clinics are held on Mondays at Guy’s Hospital and Tuesdays at St Thomas’ Hospital.