Here are the case studies with your possible interventions. Case Study #1: Sally is an 8 year-old little girl who you have known since birth. She’s happy and friendly, loves to play soccer and school, especially math. She met all of her developmental milestones, though you do remember that she did have colic as an infant. … Continue reading Migraine case studies, part 2
So your patient has developed chronic migraine, which is defined as 3-4 migraine per week, 15 migraine days per month, and is predictably miserable. Developing chronic migraine does happen in pediatrics, but it happens much more often in older teens and adults. You’ve done what you could to prevent it from happening: did a course … Continue reading Chronic migraine, what to do?
So when does episodic migraine transform into chronic migraine? Well, it’s a matter of frequency. The International Headache Society defines chronic migraine as more than 15 headache days per month over a three month period of which more than eight are migrainous, in the absence of medication over use (2-3+ times per week). Often your … Continue reading When migraine turns chronic
In this post, I am going to discuss the ins and outs of prescribing a daily medication for migraine prophylaxis. In the last post, I identified one migraine/week as a benchmark for considering a daily preventive medication. Here’s the run down on the basic daily meds that primary care providers could start for their patients … Continue reading Daily medications for migraines, part 2
So we have talked about lifestyle habits to prevent migraines, all the things your patient can do to prevent migraines. But your patient is still having frequent migraines or the migraines are significantly impacting the patient’s functioning. When do you consider adding a daily medication to prevent migraines? The mark I use for deciding when … Continue reading Daily medications for migraine, part 1
HeadFirst PNP 