Nothing could be more pressing on the minds of all of us than the Covid 19 pandemic. Our clinic has been closed to live visits since March 16. We are now doing all virtual visits for both new evaluations and follow up visits. There has been plenty of institutional IT support and direction in these … Continue reading Managing headaches during the pandemic
Stress and pain go hand and hand, feed off each other, triggering more pain and headaches. One way to help our patients with chronic pain and headaches is to encourage mind/body techniques, like mindfulness, meditation, relaxation, CBT, yoga, Reiki and other modalities. One way to help get it started is to have them actually download … Continue reading App review: WebMAP Mobile, for adolescents with chronic pain
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
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?
I am always looking for good resources for patients. I am particularly interested in books/articles which would be helpful for my patients who are ‘aging out’ of pediatric care. My young adults are getting ready to move on and would benefit from some adult-focused headache reference material. Some of my kids do need follow up … Continue reading Headache Book Reviews
In this post, I will continue the conversation with Sarah Nelson, PhD, pain psychologist. Previously we talked about common psychological issues associated with headache, issues that affect coping and functioning for patients with chronic headache, dealing with resistance to accepting psychological help and barriers to care. What are the best screening measures to use in … Continue reading Psychology and headaches, part 2
Psychological factors are known to play a role in pediatric headache. We know that stress is the #1 trigger for migraine for people of all ages. We also know that stress is a contributor/cause of tension-type headaches (stress headaches). And finally we know that patients with constant/chronic headache often have increased pain and decreased functioning … Continue reading Psychology and headaches, part 1