This is the internal medicine side of the practice. Dr. Mundluru is board certified in Internal Medicine and practiced for fifteen years before opening Aahana, and headache care belongs to that training rather than to the aesthetics work. The injection techniques overlap. The assessment does not: it is a history, an examination, and a plan followed over months.
Three treatments are offered. They work differently, over different timescales, and they suit different headache patterns. Which one fits is decided at the consultation.
What we treat
Chronic migraine, and headache types that arise from a specific nerve at the back of the head or above the eyebrow.
Which treatment is for which headache
The distinction that matters most is between preventing headaches and treating one. Preventive treatment is for people who have headaches often enough that the month is shaped around them. It does nothing for the headache you have today, and it is not meant to. It works on a twelve-week cycle, builds over two to four weeks, and is judged on how many headache days a month you have afterwards.
A nerve block does the opposite. It targets one nerve, and relief can start within minutes. Where the pain sits points to which nerve. Pain that begins at the base of the skull and travels up over the back of the head points to the occipital nerve. Pain concentrated in the forehead above one eyebrow points to the supraorbital nerve. How long the relief lasts is useful in itself: it tells us whether that nerve was the source, and it sets the interval if the block is repeated.
The two are not alternatives to each other. A nerve block can sit alongside preventive treatment, because one answers now and the other answers over weeks.
The consultation is where this is decided
Nothing on this page settles which treatment you should have. That is decided in person, from three things.
Your headache history. How long this has been going on, where the pain sits, what it feels like, what sets it off, and what else happens alongside it.
Frequency. Headache days per month over the last three months, and how many of those were severe. A diary is ideal. A rough count is enough to start.
What you have already tried. Including what worked partially, what did nothing, and what you stopped and why. This is often the most useful part of the conversation, and it is the part most often skipped.
Common questions
Which of the three will I be offered?
It follows from your headache history rather than from a preference. How many headache days you have in a month, where the pain sits, what sets it off and what you have already tried all point in different directions. Frequent headaches across the month point to preventive treatment. Pain that starts at the base of the skull and travels up points to the occipital nerve. Pain concentrated above one eyebrow points to the supraorbital nerve. Part of the consultation is establishing which pattern you actually have.
Why is a headache clinic inside an aesthetics practice?
Because the physician is an internist. Dr. Mundluru is board certified in Internal Medicine and practiced for fifteen years before opening Aahana. Headache care sits on that side of the practice. The techniques overlap with the injectable work, but the assessment is a medical one: history, examination, and a plan that is followed over months.
What should I bring to the first visit?
A headache diary if you keep one, or a rough count: headache days per month over the last three months, and how many of those were severe. A list of your current medications, including what you take when a headache starts and anything you take to prevent them. And an account of what you have already tried, with how well each thing worked. These three things shape the plan more than anything else in the visit.
Can these be combined with each other?
Often yes. A nerve block can be used alongside preventive treatment, since they work in different ways and over different timescales: one gives relief now, the other builds over weeks. Whether that makes sense for you is a question of pattern, not of stacking as many treatments as possible.
How long before I know whether it is working?
A nerve block answers quickly. Relief can begin within minutes and how long it lasts is itself the useful information. Preventive treatment answers slowly: it builds over two to four weeks, and some people need two treatment cycles before the full benefit is clear. This is why the headache diary matters. It is what the judgment is made from.
Is this covered by insurance?
Coverage depends on your plan and on the diagnosis recorded. Bring your insurance details to the consultation and we will tell you what we can about how the visit and the treatment are likely to be handled, including what we can and cannot bill.
This page is for general education and is not medical advice. It does not establish a physician-patient relationship, and it cannot account for your individual history, medications or skin. Suitability for treatment is decided at consultation following examination.