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!!!
Whenever I see a patient in my office, I spend most of the visit talking, getting to know the patient and family and getting a thorough history. Really, this is the most important part of the visit. But I always do a mostly a neurological focused physical exam. There are certain findings which are common … Continue reading Headache-focused neuro exam
Over the past year, I have covered many issues and situations in the care of kids and teens with a variety of headache diagnoses. What is the common denominator for all of them? SCHOOL! And your patient can find themselves either very supported or very challenged (or somewhere in between) in the school environment and … Continue reading School and the patient with headache
So in the past few posts I have talked about the effect of a concussion can have on a patient with an existing headache diagnosis. Now let’s take a look at a classic headache clinic presentation as case study. I am using a composite of patients and situations, commonly seen in primary care. Background: Joe is … Continue reading Migraine and concussion case study
In my last post I introduced the concept of concussion and the teenager with headaches. I would like to continue this topic by discussing what is helpful for these kids to help avoid disability and too much missed school. The first step we recommend is for them to see their PCP or even the ED … Continue reading Concussion and the headache patient
There is much evidence and information in the literature about the general effect of concussion on kids and teens. Most pediatric practices and schools use specific protocols for concussion recovery and these plans generally work well. Unfortunately, for patients with headache, the story of recovery can be quite different. In this post, I would like … Continue reading The Impact of concussion on teens with headache