Children and teens with headache and migraine have been affected in a variety of ways by these pandemic times. Thinking back, there has been a difference between last spring and this fall and the effect on my patients, particularly in the school environment. I will refer back to specific chapters in my book ‘Getting ahead … Continue reading Pandemic reflections
Getting Ahead of Pediatric Headaches: A comprehensive guide for Nurse Practitioners to manage headaches in children and adolescents I started my blog as a way to communicate to pediatric providers about the care of pediatric patients with all kinds of headaches. Over time, I decided to turn it into a book. I felt that the … Continue reading My book is available!!!
The pandemic and its impact on life and work have consumed most of us during the past 6 months. So many choices and many not in our power to make. All vacations cancelled-no trip to Africa this June, no headache conference. Limited in-person interaction both at work and in life. Lack of control over most … Continue reading Managing headaches during the pandemic, part 2
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?