Pealinna Perearstid × Migrevention
You don’t have to face headaches on your own.
At Pealinna Perearstid, headache patients have their own care pathway. You don’t have to search for a diagnosis or experiment with medications yourself: a specially trained headache nurse monitors you between appointments and involves a doctor when needed. The care pathway is for patients registered with Pealinna Perearstid; the headache diary is free for everyone.
Or scan with your phoneThe headache diary can also be used without the care pathway. The app does not replace a doctor’s appointment.
Messaging is not for emergencies. If a headache is sudden or very severe, call 112.
When to see your family doctor
Many people live with headaches for years because they don’t seem serious enough. In truth, it’s worth seeing a doctor as soon as headaches start interfering with your life. More than one in six adults in Estonia has migraine.
Source: Toom K, Raidvee A, Allas K-H et al., Braschinsky M. The prevalence of primary headache disorders in the adult population of Estonia. Cephalalgia 2019;39(7):883–891. doi.org/10.1177/0333102419829909
You have migraine attacks, even just one a month
Headaches occur on more than four days a month
You need painkillers on more than eight days a month
Headaches make you miss work or cancel plans
a headache starts suddenly and is very severe, begins after a head injury, or comes with vision problems, weakness, fever or confusion. Go to an emergency department or call 112.
How the care pathway works
Three steps. At every step it is clear who is responsible and what happens next.
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Talk to your family doctor
Book a regular appointment and say you would like to talk about headaches. Your family doctor or family nurse rules out other causes and refers you to the headache nurse.
- Before the visit, note down how many days a month you have headaches
- Bring a list of the medications you have tried for the pain
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Headache nurse appointment
At the first appointment, you go through your headache history together and set up the Migrevention app.
- You work out what type of headache you have and what triggers it
- The headache diary is the basis for the specialist’s diagnosis
- Together you draw up a treatment plan
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Monitoring and ongoing contact
From then on, you keep the headache diary on your phone. Unlike a paper diary, the data does not stay with you alone: your headache nurse sees it and can respond before things get worse.
- Logging an attack takes under a minute, even when your head already hurts
- The app warns you when painkiller use approaches eight days a month
- You can also contact your nurse between appointments
Headache nurses
Five specially trained headache nurses, all at Ülemiste Health Centre (Valukoja 7). This solution is unique in Estonia.
- Tatjana Mahhanova
- Lilian Hallik
- Viktoria Geiko
- Anna Kovalchuk
- Katharina Salome Hint
How it has worked so far
The Migrevention headache diary is a CE-marked Class I medical device.
Source: Results of the Migrevention and Pealinna Perearstid collaboration. Patient feedback survey, 2025.
Start with one conversation
Book an appointment and say you would like to talk about headaches. From there, we will tackle it together.