Revisiting migraines part 4: adjuvant medications and combination therapies

My last posts have focused on migraine abortives and analgesia for kids with migraine. Here I will continue to review medications and strategies for rescue, focusing on adjuvants and combination medications. These medications are the 3rd leg of the plan which are used to treat migraine. .  There are several medications that are used either … Continue reading Revisiting migraines part 4: adjuvant medications and combination therapies

Headaches and psychiatric co-morbidities, part 1

It is quite common for patients with migraine and headaches to have a coexisting psychiatric co-morbidity, such as anxiety or depression. In fact, headache and psychological distress share the same risk factors, such as environmental stressors and genetic predisposition. Headache history may predispose a patient to psychopathology and psychopathology may predispose a patient to headache. … Continue reading Headaches and psychiatric co-morbidities, part 1

My book is reviewed!

The most recent volume (June 2021) of Pediatric Pain Letter (www.childpain.org/ppl) contains a review of my book, Getting Ahead of Pediatric Headaches. The review was done by Angelina Koehler, CPNP, a pediatric headache provider at Children’s Hospital of Colorado in Denver. Ms Koehler reviews the book thoroughly, covering the main areas of information presented. This … Continue reading My book is reviewed!

Anxiety!!!

Oh my goodness, along with the Covid 19 pandemic, there has been a significant uptick in anxiety, among my patients with headaches, especially the teens and young adults. This has been clear since about mid-October. Historically, there is the usual ramp up of anxiety, worry, lack of coping, that tends to happen around this time … Continue reading Anxiety!!!