I have not posted for a few months, so many things have been coming up. I was recovering from a 2nd hip surgery and getting back to work. Also I was considering and dealing with a retirement offer from my institution. The good news is that I am retired now as of 4/30! But boy … Continue reading The next chapter
My new book is now available for all! I am very pleased to announce this event, a work in progress for a number of years. I hope this book will bring some well needed and up-to-date education and information to the world of pediatric headache and migraine. Here’s the press release: Getting Ahead of Your … Continue reading My new book is available!
What is hope? The dictionary definition of hope is ‘a feeling of desire for a certain thing to happen.’ What does that mean to a person with chronic headache? It is neither the expectation or wish that their pain will ease or end. Rather it is allowing for the possibility that what is desired may … Continue reading Hope and chronic headache
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
In this post, I would like to share some information we are publishing soon, a case study related to headache, autism spectrum disorder (ASD), and self injurious behavior. In this population, anything that can reduce this kind of behavior would be a welcome addition to the care of these often challenging patients. We know that … Continue reading Migraine/head pain and autism spectrum disorder
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
When I first covered the anti-CGRP medications, it was 2019, just 1 year after they had come out. Since then, we have much gained more exposure to these medications, though none are approved by the FDA for those under age 18 yet. We get asked all the time about these medications, and while they do … Continue reading Revisiting the ‘new’ migraine prevention medications
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
My last posts have focused on migraine abortives and analgesia for kids with migraine. Here I will continue to review medications and strategies for rescue, focusing on adjuvants and combination medications. These medications are the 3rd leg of the plan which are used to treat migraine. . There are several medications that are used either … Continue reading Revisiting migraines part 4: adjuvant medications and combination therapies
Since I am revisiting the topic of caring for kids with migraine, I thought I would jump right into medications next, treatment and then preventive. I am a firm believer in headache healthy lifestyle factors and their important for preventing migraines. I have discussed these quite a bit in the blog. So let’s talk about … Continue reading Revisiting Migraine part 2: abortive medications
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