In thinking about the upcoming American Headache Society Annual Scientific Meeting in June, our clinic staff has been thinking about what interesting or new information we could offer to present at the conference. This is an important conference in the headache world, a mixture of scientific research and real-world clinical information and ideas. We were … Continue reading Interesting clinical updates on headache
Welcome to the New Year 2020! I have been missing-in-action for the past few months, just too much going on in life to be able to create any new posts. I am back and am committing to posting at least once per month from now on. I have been thinking a lot about resilience lately … Continue reading Resilience and the teen with headaches
It’s the tail end of the summer, and I have been spending a lot of time with my patients getting ready to go off to college for the first time. It is an exciting and scary time for them (and their parents). I have had a relationship with many of these kids for years, sometimes … Continue reading Going off to college with headaches!
So I will go on the record as having been skeptical about the effectiveness of Botox for chronic migraine from the beginning. I doubted whether our patients would actually go through with the 31-injection procedure more than once, in order to get full effect. But I was hoping for the best. These teens with chronic … Continue reading Botox and teens with chronic migraine
It’s the very end of the school year, summer is fast approaching. What does that mean for pediatric headache providers? Hopefully there will be fewer distress calls. It also means numerous camp medication forms and 504 support letters for the fall. Importantly, there are less hectic days with more time to reflect on the general … Continue reading Headaches and summer
Well, it has been just 1 year since the first anti-CGRP medication came on the market, approved by the FDA for both episodic and chronic migraine for patients over the age of 18 years. I have heard from adult providers that these medications have been really helpful for their patients, especially with chronic migraine. We … Continue reading What’s the deal with these new migraine medications?
There comes a time, in any primary care pediatrician’s office, when a patient is in need of a higher or more intense level of care. For most patients with headaches, their care can be managed effectively by their primary care team. Their presentation and history are straightforward, they respond to the usual rescue medications, and … Continue reading When to refer to a pediatric headache specialist