Neurodiagnostics: MRI, NCV & Advanced Tests Amritsar

Neurodiagnostics: MRI, NCV & Advanced Tests Amritsar

Dr. Amanjot Singh

17 Nov 2025

Call +91 80788 80788 to request an appointment.

Top neurologists for migraine, headache & vertigo Amritsar

If you or a loved one in Amritsar is searching for expert care for migraine, chronic headache or vertigo, this comprehensive guide will help you understand the conditions, available diagnostic tests and treatment options, and how to find the best neurologist for migraine Amritsar. This article is prepared with a patient-first approach and highlights services available at Livasa Hospitals — Livasa Amritsar, including appointment and teleconsultation options. To book an appointment call +91 80788 80788 or visit Livasa Hospitals appointment.

Introduction

Headache, migraine and vertigo are among the most common neurological complaints worldwide and in India. While many people experience occasional headaches, a subset develops recurrent, disabling conditions such as chronic migraine or recurrent vertigo that require specialist care. The aim of this guide is to explain the differences between these disorders, describe why early and specialist assessment matters, outline diagnostic and treatment options available in Amritsar, and provide practical guidance for selecting a top neurologist for migraine, headache & vertigo Amritsar.

Globally, migraine affects around 1 billion people (roughly 14% of the world population). In India, conservative estimates suggest that tens of millions of people live with migraine or recurrent headache disorders; applying global prevalence rates to India’s population suggests over 150 million could be affected. Vertigo and balance disorders are also common — population studies estimate that between 5% and 10% of adults experience vertigo at some point, with higher rates among older adults. These figures highlight the need for dedicated services — such as a headache clinic Amritsar or vertigo specialist Amritsar — where patients receive accurate diagnosis and evidence-based care.

At Livasa Amritsar, the neurology team focuses on personalized care for patients with headache, migraine and vertigo using modern diagnostics, vestibular rehabilitation and both medical and interventional therapies. Whether you need a migraine consultation Amritsar, a VNG test Amritsar or a second opinion for chronic headache, understanding the basics helps you make informed choices.


What is migraine, headache and vertigo?

Headache is a symptom describing pain in the head or upper neck. It can be primary (a disorder in itself) or secondary (a symptom of another underlying condition). Primary headaches include migraine, tension-type headache and cluster headache. Vertigo is the false sensation of movement — often described as spinning — and typically arises from vestibular (inner ear) or central nervous system causes.

Migraine is a primary neurological disorder characterized by recurrent attacks of moderate to severe head pain, usually pulsatile and often associated with nausea, photophobia (light sensitivity) and phonophobia (sound sensitivity). Attacks can last 4–72 hours. Patients may experience aura (visual or sensory disturbances) before the headache. When migraine occurs on 15 or more days per month for three months or more, it is classified as chronic migraine.

Tension-type headache typically causes band-like pressure or tightness and is less likely to be accompanied by nausea or severe photo/phonophobia. Cluster headache presents with intensely severe unilateral pain and autonomic symptoms (e.g., tearing, nasal congestion) and tends to occur in bouts.

Vertigo differs from dizziness — dizziness can be lightheadedness or imbalance, while vertigo is a rotational sensation. Causes of vertigo include benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere’s disease, migraine-associated vertigo, and central causes such as stroke or multiple sclerosis. Identifying whether the cause is peripheral (inner ear) or central (brain) is a primary goal of specialist assessment.

For patients in Amritsar, recognizing the specific type of headache or vertigo is essential because management strategies vary widely. That is why a visit to a headache specialist Amritsar or a vertigo specialist Amritsar can provide targeted therapy and better outcomes.


Causes and risk factors

Understanding causes and risk factors helps guide both diagnosis and prevention. For migraine, the underlying pathophysiology involves genetic predisposition, altered neuronal excitability and vascular and inflammatory mechanisms. Common triggers may provoke attacks in susceptible individuals.

Risk factors and triggers for migraine and primary headaches:

  • Genetics: Family history of migraine increases risk.
  • Hormonal changes: Menstrual cycles, pregnancy, menopause; women are affected more often.
  • Sleep disruption: Too little or too much sleep.
  • Stress: Emotional and physical stressors.
  • Dietary triggers: Alcohol (especially red wine), caffeine withdrawal, processed foods, nitrates.
  • Environmental: Bright lights, strong smells, high altitudes.
  • Medication overuse: Frequent use of acute pain medications can create medication-overuse headache.

Vertigo causes and risk factors:

  • BPPV: Displacement of otoliths within the semicircular canals, often triggered by head movements.
  • Vestibular neuritis/labyrinthitis: Often post-viral inflammation of the vestibular nerve.
  • Meniere’s disease: Associated with fluctuating hearing loss, tinnitus and episodic vertigo due to endolymphatic hydrops.
  • Central causes: Stroke, demyelinating disease, tumors — more likely when vertigo is sudden, persistent or accompanied by other neurological signs.
  • Medications and systemic conditions: Ototoxic drugs, metabolic disturbances, anemia, dehydration.

Special populations: Children, pregnant women and older adults may present differently. For instance, pediatric migraine can manifest as episodic abdominal pain or cyclical vomiting, while elderly patients with new-onset headache require urgent evaluation to exclude secondary causes. In Amritsar and across Punjab, awareness campaigns at hospitals and clinics aim to identify high-risk individuals and encourage timely neurology referral.


Symptoms and when to see a neurologist

Many headaches are benign and self-limiting, but certain symptoms should prompt urgent evaluation by a neurologist or an emergency service. Understanding red flags and the typical symptom patterns of migraine and vertigo helps patients prioritize care.

Common migraine symptoms:

  • Moderate-to-severe unilateral or bilateral pounding/pulsating head pain.
  • Nausea and sometimes vomiting.
  • Photophobia (sensitivity to light) and phonophobia (sensitivity to sound).
  • Aura: visual disturbances (zigzag lines, blind spots), sensory changes, or speech difficulties preceding the headache in some patients.
  • Attack duration: 4–72 hours without treatment.

Common vertigo/dizziness features:

  • Spinning sensation or environment feels like it is moving.
  • Imbalance or unsteadiness, nausea, and vomiting during attacks.
  • Triggered by head movement (common in BPPV).
  • Associated hearing changes (Meniere’s) or neurological symptoms (central vertigo).

Seek immediate medical attention if you experience:

  • Sudden, severe “thunderclap” headache — may indicate subarachnoid hemorrhage.
  • Headache with fever, neck stiffness, altered consciousness — possible meningitis or encephalitis.
  • New neurological deficits (one-sided weakness, difficulty speaking, vision loss) — stroke must be excluded.
  • Progressive worsening of headache pattern or headaches that wake you from sleep.
  • Severe, prolonged vertigo with imbalance or fainting.

For non-emergency but persistent problems — for example, headaches that limit daily activities, daily or near-daily headaches (possible chronic headache), or recurrent vertigo — a visit to a neuro physician Amritsar or a headache clinic Amritsar is recommended. Livasa Amritsar’s neurology team sees patients for acute and chronic presentations and provides same-day triage in many cases.


Diagnosis: tests and assessments available in Amritsar

Accurate diagnosis of headache and vertigo requires a careful history, physical and targeted diagnostic testing. Neurologists in Amritsar, including the team at Livasa Amritsar, use a combination of bedside assessments and modern investigations to distinguish primary from secondary causes and to identify vestibular versus central origins of vertigo.

Key diagnostic steps and tests:

  • Clinical history and headache diary: Documenting frequency, triggers, aura, medication use and impact is vital for classification and treatment planning.
  • Neurological examination: Cranial nerves, coordination, gait and vestibular testing (Dix–Hallpike manoeuvre for BPPV).
  • MRI brain with contrast: Used when secondary causes are suspected (new-onset atypical headache, focal deficits or red flags). MRI for migraine Amritsar is widely available at advanced imaging centers, including services connected with Livasa Hospitals.
  • CT scan: Useful in emergency settings for suspected hemorrhage or major structural causes.
  • EEG: Considered if there are seizure-like events or to exclude epilepsy when atypical features are present. EEG for headaches Amritsar is offered at specialized neurodiagnostic labs.
  • Video nystagmography (VNG): A key test for vestibular function, VNG records eye movements to identify peripheral vs central vestibular disorders. Search for “VNG test Amritsar” or ask your neurologist for testing at Livasa Amritsar’s vestibular lab.
  • Vestibular evoked myogenic potentials (VEMP), audiometry: Helpful in Meniere’s and other inner-ear conditions.
  • Blood tests: To identify inflammatory, infectious or metabolic causes in secondary headache presentations.

Below is a comparison table of common diagnostic tests used for headache and vertigo evaluation:

Test Primary use Turnaround / notes
MRI brain Evaluate structural/central causes, demyelination, tumors Same-day to a few days; non-invasive
CT scan Emergency hemorrhage, fractures Rapid, used in emergency settings
EEG Exclude seizures when relevant 1–2 hours; outpatient
VNG (video nystagmography) Assess vestibular function; differentiate peripheral vs central vertigo 45–90 minutes; available at specialized centers
Audiometry / VEMP Assess hearing and otolith function Outpatient; useful for Meniere’s disease

In Amritsar, high-quality MRI and VNG testing are accessible at major centers. Livasa Amritsar coordinates diagnostic testing with the neurology team to ensure a fast, integrated assessment for patients referred to the headache clinic Amritsar or vertigo service.


Treatment options: medical, interventional and rehabilitative

Treatment for migraine, headache and vertigo is individualized based on diagnosis, attack frequency/severity, patient preference and comorbidities. Broadly, treatments fall into acute (abortive), preventive (prophylactic), interventional and rehabilitative categories. Choosing the right combination often requires a specialist consultation at a migraine clinic Amritsar or a headache specialist neurologist Amritsar.

Acute (abortive) therapies aim to stop or reduce pain during an attack:

  • Analgesics (paracetamol, NSAIDs) for mild attacks.
  • Triptans (sumatriptan, rizatriptan) for moderate-to-severe migraine; effective for many but not suitable for patients with certain cardiovascular risks.
  • Antiemetics for nausea/vomiting.
  • Oxygen therapy or subcutaneous sumatriptan for cluster headaches in specialist settings.

Preventive therapies aim to reduce attack frequency and severity:

  • Daily oral medications: beta-blockers, certain antidepressants, anticonvulsants (topiramate, valproate), and calcium channel blockers.
  • Botox for chronic migraine: OnabotulinumtoxinA injections every 12 weeks are an effective option for many patients with chronic migraine who have failed other preventives.
  • Monoclonal antibodies targeting CGRP (calcitonin gene-related peptide): a newer class with good efficacy and tolerability but variable availability and cost.
  • For cluster headache: verapamil and injectable therapies; nerve blocks can be considered in refractory cases.

Interventional options and procedures:

  • Peripheral nerve blocks and occipital nerve stimulation for refractory cases or cluster headache.
  • Botox injections (see above) for chronic migraine prevention.
  • Vestibular rehabilitation and Canalith repositioning maneuvers (Epley) for BPPV.

Vestibular therapy and rehabilitation are core to vertigo care:

  • Canalith repositioning (Epley) resolves BPPV in most patients with immediate improvement.
  • Vestibular rehabilitation therapy (VRT) — tailored exercises to improve balance and compensation — is effective for vestibular hypofunction and persistent dizziness.

Below is a comparison table of primary treatment modalities for migraine and vertigo:

Procedure / Therapy Benefits Typical recovery / follow-up
Oral preventive medications Reduces attack frequency; widely available; cost-effective Weeks to months to assess effect; regular follow-up
Botox injections for chronic migraine Effective for many chronic migraine patients; localized injections Office procedure; repeat every 12 weeks
CGRP monoclonal antibodies Targeted preventive therapy; good tolerability Monthly to quarterly injections; cost may be higher
Epley maneuver (BPPV) High immediate success rate for BPPV; non-invasive Immediate improvement often seen; may need repeat
Vestibular rehabilitation (VRT) Improves balance, reduces dizziness over weeks Multiple sessions over weeks to months

In clinical practice, combinations are common — for example, oral preventives with periodic Botox for chronic migraine, or repositioning maneuvers followed by vestibular rehabilitation for persistent BPPV or vestibular hypofunction. In Amritsar, the availability of Botox for migraine Amritsar, nerve block for cluster headache Amritsar and vestibular rehabilitation Amritsar allows patients to access a full spectrum of care locally.


Specialized services at Livasa Amritsar

Livasa Hospitals in Amritsar provides a multidisciplinary approach to headache, migraine and vertigo care. The Livasa neurology team includes experienced neuro physicians, headache specialists, vestibular therapists and imaging specialists who coordinate care through a dedicated headache clinic Amritsar and vestibular service.

Key services at Livasa Amritsar:

  • Comprehensive headache clinic: Focused consultations for migraine, tension-type headache, cluster headache and medication-overuse headache.
  • Vertigo and balance clinic: Bedside vestibular assessment, VNG testing, Epley/Canalith repositioning and vestibular rehabilitation therapy.
  • Interventional options: Botox injections for chronic migraine, occipital nerve block for refractory headaches and image-guided nerve procedures as required.
  • Advanced diagnostics: MRI, CT and EEG facilities integrated with neuro consultation for rapid evaluation.
  • Teleconsultation: Neurology teleconsultation Amritsar for follow-up, second opinions or initial triage; convenient for patients across Punjab.
  • Pediatric and women-focused neurology: Specialized care for pediatric migraine and hormonal considerations in women; consult a pediatric neurologist migraine Amritsar or women's neurologist migraine Amritsar when necessary.

The Livasa team emphasizes evidence-based care, patient education and individualized treatment plans that consider work, family life and affordability. For many patients in Amritsar, receiving diagnostics and therapy at a single center helps speed recovery and improves adherence to preventive strategies. You can book a consultation at Livasa Amritsar via phone at +91 80788 80788 or online at Livasa Hospitals appointment.


How a typical patient journey looks in Amritsar

Receiving timely and coordinated care can significantly improve outcomes for patients with migraine, chronic headache and vertigo. Below is a typical patient journey at a dedicated center like Livasa Amritsar, highlighting the steps from first contact to long-term management.

1. Initial contact and triage: Patients can call +91 80788 80788 or book online at the Livasa appointment portal. Teleconsultation is often offered for initial triage, helping to determine urgency and required tests. This step ensures rapid access for emergencies and prioritizes patients who need urgent imaging.

2. First specialist consultation: A neurologist or headache specialist reviews the history, headache diary (if available), performs a neurological and vestibular examination and decides on appropriate investigations. This visit may include in-clinic tests such as the Dix–Hallpike manoeuvre or bedside vestibular testing.

3. Diagnostic testing: Depending on findings, MRI brain, VNG, audiometry or EEG may be ordered. Livasa Amritsar coordinates these tests so results are often available quickly for review.

4. Treatment plan initiation: Based on diagnosis, the specialist prescribes acute medications, preventive therapy, or schedules interventional procedures such as Botox or nerve blocks. For BPPV, the Epley manoeuvre may be performed immediately with rapid symptomatic relief in many cases.

5. Rehabilitation and follow-up: For vestibular disorders, vestibular rehabilitation therapy (VRT) sessions are scheduled. For migraine, regular follow-up assesses the effectiveness of preventive treatments; medication adjustments or escalation to Botox/CGRP therapies are made when appropriate.

6. Long-term management and prevention: Patients receive lifestyle counselling, trigger identification and tools such as headache diaries and relaxation therapy referrals. For chronic conditions, continuity of care is emphasized, including teleconsultation options for routine follow-up.

If you are evaluating the cost of treatment in Amritsar, typical ranges (indicative) include outpatient neurology consultation ~INR 500–1500, MRI costs varying by center ~INR 3000–8000, VNG testing ~INR 2000–5000, Botox treatment cycles higher depending on dose and number of sites. For precise pricing and insurance coverage, call Livasa Amritsar at +91 80788 80788 for up-to-date estimates and package details.


Prevention, lifestyle and chronic management strategies

Successful long-term control of migraine and recurrent dizziness depends on both medical therapy and lifestyle modification. Many patients achieve meaningful reductions in attack frequency and disability by combining preventive medications with trigger management and rehabilitation when needed.

Core prevention and lifestyle strategies:

  • Identify and avoid triggers: Maintain a headache diary to track foods, sleep patterns, stress and hormonal changes that correlate with attacks.
  • Regular sleep and routine: Maintain consistent sleep-wake times; both sleep deprivation and oversleeping can trigger migraine.
  • Hydration and diet: Avoid known dietary triggers such as excessive caffeine or aged cheeses, and maintain hydration.
  • Stress management: Mindfulness, cognitive behavioral therapy, relaxation exercises and structured stress-reduction programs can reduce attack frequency.
  • Exercise and weight management: Regular aerobic exercise is associated with fewer headaches for many patients; smoking cessation is strongly advised.
  • Medication adherence: For preventive medications to be effective, they must be taken as prescribed and reviewed periodically with your neurologist.

For balance disorders:

  • Vestibular rehabilitation: Custom exercise programs to improve gaze stability, habituation to provocative movements and balance training.
  • Home safety: For patients with recurrent vertigo or imbalance, home modifications (grab bars, removal of fall hazards) and mobility aids may be necessary to reduce fall risk.
  • Hearing preservation: In conditions like Meniere’s, audiology follow-up is important and lifestyle measures (low-salt diet, diuretics in selected cases) may help.

Prevention is also about appropriate escalation — for chronic migraine or frequent disabling attacks, early referral to a headache specialist in Amritsar ensures access to evidence-based interventions like Botox, CGRP antibodies or neurostimulation therapies when indicated.


How to choose the best neurologist for migraine and vertigo in Amritsar

Choosing a neurologist who specializes in headache and vestibular disorders improves the likelihood of accurate diagnosis and effective treatment. When searching for the best neurologist Amritsar or the top neurologists for migraine headache vertigo Amritsar, consider the following:

  • Specialized training and experience: Look for neurologists with specific interest or fellowship training in headache medicine or vestibular disorders. Experience with Botox for migraine and vestibular rehabilitation indicates broader therapeutic options.
  • Integrated services: Clinics that offer in-house imaging (MRI), VNG testing and vestibular therapy reduce delays and improve coordination.
  • Multidisciplinary approach: Access to physiotherapists, audiologists, pain specialists and psychologists allows comprehensive care for chronic conditions.
  • Patient-centered communication: The best neurologists explain diagnosis and treatment options clearly, involve you in decisions and provide realistic expectations.
  • Telemedicine and follow-up: Teleconsultation and prompt follow-up are important for chronic disease management.
  • Local reputation and outcomes: Patient reviews, referral patterns and outcomes from local centers (including Livasa Amritsar) provide useful context.

If you are searching online, use keywords like “migraine doctor Amritsar,” “headache clinic Amritsar,” “vertigo specialist Amritsar,” or “Livasa Hospitals neurologist Amritsar” to find local specialists. When in doubt, call the neurology department, ask about the neurologist’s experience with migraine and vestibular disorders, and request to see outcomes data or patient pathways for chronic migraine or BPPV management.

Livasa Amritsar’s neurology team offers specialist consultations, integrated diagnostics and both pediatric and women-focused neurology services. For appointments and enquiries about neurologist consultation cost Amritsar or cost of migraine treatment Amritsar, contact Livasa Amritsar at +91 80788 80788 or visit book an appointment.


Conclusion and next steps

Migraine, chronic headache and vertigo are treatable conditions when patients receive a timely, accurate diagnosis and individualized care plan. If you live in Amritsar or elsewhere in Punjab, options such as a dedicated headache clinic Amritsar or a vertigo specialist Amritsar can significantly reduce symptoms and improve quality of life. Early specialist involvement is particularly important for chronic migraine, cluster headaches, new-onset severe headache, or vertigo with neurological signs.

Livasa Hospitals — Livasa Amritsar — provides an integrated neurology service including headache and vestibular clinics, diagnostic testing (MRI, EEG, VNG), interventional therapies (Botox for migraine, nerve block for cluster headache) and vestibular rehabilitation. Whether you need an initial evaluation, a second opinion, or long-term management, the Livasa neurology team is available to guide you through evidence-based therapies.

Take the next step

For expert care from top neurologists for migraine, headache and vertigo in Amritsar, call +91 80788 80788 or book an appointment online with Livasa Amritsar. Teleconsultation is available for initial triage and follow-up, and the neurology team can advise on diagnostic testing, treatment plans and expected costs.

Key search terms you can use locally: migraine doctor Amritsar, headache clinic Amritsar, vertigo treatment Amritsar, VNG test Amritsar and vestibular rehabilitation Amritsar.

Disclaimer: This article is intended for educational purposes and does not replace individualized medical advice. If you are experiencing an emergency (sudden severe headache, neurological deficits, loss of consciousness), seek immediate care or call emergency services.

Request an Appointment

Need Help?

Call US

+91 80788 80788

Address

Livasa Healthcare Group Corporate Office,Phase-8, Industrial Area, Sector 73, Sahibzada Ajit Singh Nagar, Punjab 160071

Email

livasacare@livasahospitals.in