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
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
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
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 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
There are 3 groups of medications that are used to treat a migraine attack: migraine abortives, analgesia, and adjuncts. We have covered the migraine abortives (those medications specifically designed to stop the migraine attack) and analgesia (used to reduce pain) in the past 2 posts. There are several medications that are used either in combination … Continue reading Migraine medications to the rescue…..adjunct and combination therapies
In the previous post, I talked about the important lifestyle factors and strategies of hydration, diet and sleep. In this post I will discuss exercise/physical activity. Again these are basic lifestyle strategies that are appropriate for all headaches, but can be particularly important to migraineurs. Exercise or physical activity is vital to healthy functioning for … Continue reading All about the Migraine…. part 3
The 3 most common subtypes of primary headaches commonly seen in pediatric patients are: migraine, tension-type, and new daily persistent headache. Children often have a combination of types, such as chronic mixed type headache, which generally combine migraine and tension-type headache. All primary headaches present differently and are often treated differently. Migraine is a well-known … Continue reading All about the Migraine…. part 1
Headache is one of the most common problems seen in the primary care office. It is often a chronic complaint, not easily managed, and often an unsatisfying experience for families and providers. You can’t cure headache like an ear infection, it will always come back in some form or another. And while headache is technically … Continue reading Headaches in the community
So your young teenage patient comes in the office with a primary complaint of headache. This is something that happens very frequently. In fact, headache is in the top 5 diagnoses for children and teens, occurring in 75% of teens and 25% of younger children. Kids miss school, lose time with friends and in … Continue reading I have a headache!