Your patient has passed the next step, by graduating from high school. They have chosen their next path- going to college. They are so pleased to tell you all about it, and you are so proud of them. This is also a time of both positive and negative stress. Perhaps high school was really hard … Continue reading Thriving with college accommodations
I did my first post about Botox for teens under 18 in July 2019, 3 years ago! My intention was to review our data and prepare for publication a paper supporting the use of Botox for those under age 18. The more academic publications there are available, the better to make the case with insurance … Continue reading Update on Botox for teens under 18
Primary preventive measures to reduce migraine, such as the healthy headache lifestyle, are key to keeping migraine frequency to a minimum. But even though your patient is really working hard with the multidisciplinary approach, your patient is still having frequent migraines which significantly impact their functioning. When do you consider adding a daily medication to … Continue reading Revisiting migraine: supplements
In part 1 of this post, pain and psychiatric issues often travel together. Chronic headache pain can lead to long-lasting psychological distress, and depression and anxiety increase the perception of both acute and chronic pain. They are intimately connected. This post will continue the discussion about psychiatric co-morbidities and headache, focusing on psychopharmacology. What is … Continue reading Headaches and psychiatric co-morbidities, part 2
It’s August, and lots of my patients getting ready to go off to college, either as freshmen or as sophomores, whose freshman year was spent at home doing college over zoom. It is an exciting and scary time for them (and their parents), especially with the continuing uncertainly of the Covid pandemic. I have had … Continue reading Off to college during the pandemic
The most recent volume (June 2021) of Pediatric Pain Letter (www.childpain.org/ppl) contains a review of my book, Getting Ahead of Pediatric Headaches. The review was done by Angelina Koehler, CPNP, a pediatric headache provider at Children’s Hospital of Colorado in Denver. Ms Koehler reviews the book thoroughly, covering the main areas of information presented. This … Continue reading My book is reviewed!
In my part of the country, there has been a gradual transition from remote learning to hybrid learning to full in-person learning, starting this spring. And as we all experience, there are significant stressors with all this change. Kids are happy to be back at school with their friends, teachers, feeling sort of ‘back to … Continue reading Back to school, bring on the stress; psychiatric comorbidities and headache
The Covid 19 pandemic has changed the educational and work practices and norms for all of us. With the advent of significantly more virtual or remote learning and working, we are all exposed to much more screen time than ever before, as well as figuring out home office configurations. For people with headaches and migraines … Continue reading Managing screen time and headaches
In my last post, I discussed common pain conditions that are often comorbid with migraine and headache. But there are many other common medical conditions that are found within the population of those with migraine in particular. Some of these conditions are neurologic, some are metabolic or other systems. Examples of these types of medical … Continue reading Migraine and other medical comorbidities
Ever notice that your patients with migraine and headache often have other medical issues? Well, there are a number of common coexisting medical conditions which are often associated with migraine and headache. Frequently these issues are associated with pain, and are referred to as overlapping pain conditions. Examples of these types of overlapping pain conditions … Continue reading Migraine and headache and pain conditions
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