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!

Back to school, bring on the stress; psychiatric comorbidities and headache

In my part of the country, there has been a gradual transition from remote learning to hybrid learning to full in-person learning, starting this spring. And as we all experience, there are significant stressors with all this change. Kids are happy to be back at school with their friends, teachers, feeling sort of ‘back to … Continue reading Back to school, bring on the stress; psychiatric comorbidities and headache

Migraine and headache and pain conditions

Ever notice that your patients with migraine and headache often have other medical issues? Well, there are a number of common coexisting medical conditions which are often associated with migraine and headache. Frequently these issues are associated with pain, and are referred to as overlapping pain conditions. Examples of these types of overlapping pain conditions … Continue reading Migraine and headache and pain conditions

Migraine analgesic medications to the rescue……

There are 3 groups of medications that are used to treat a migraine attack: migraine abortives, analgesia, and adjuncts. . We covered the migraine abortives (those medications specifically designed to stop the migraine attack) in the last post. So let’s talk about analgesia now.  Analgesics are medications that are used to reduce the pain. Again, … Continue reading Migraine analgesic medications to the rescue……

All about the Migraine….part 2

So you have identified one of your patients as having migraine. Now decisions have to be made about management. Important points to consider are: frequency of migraine, intensity of pain and/or associated symptoms, triggers, and lifestyle factors.  Unless the patient is presenting with frequent or intractable migraine several times/week, the first things to review with … Continue reading All about the Migraine….part 2

All about the Migraine…. part 1

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