It’s the tail end of the summer, and I have been spending a lot of time with my patients getting ready to go off to college for the first time. It is an exciting and scary time for them (and their parents). I have had a relationship with many of these kids for years, sometimes … Continue reading Going off to college with headaches!
So it’s been a tough past month here in the headache program. And experience shows that this rough patch will continue for another month toward the end of the school year. This time of year triggers lots of stress for our patients, especially the high schoolers. Lots of stress = lots of headache = lots … Continue reading Self-Care and the Headache Provider
In this post, I will continue the conversation with Sarah Nelson, PhD, pain psychologist. Previously we talked about common psychological issues associated with headache, issues that affect coping and functioning for patients with chronic headache, dealing with resistance to accepting psychological help and barriers to care. What are the best screening measures to use in … Continue reading Psychology and headaches, part 2
Psychological factors are known to play a role in pediatric headache. We know that stress is the #1 trigger for migraine for people of all ages. We also know that stress is a contributor/cause of tension-type headaches (stress headaches). And finally we know that patients with constant/chronic headache often have increased pain and decreased functioning … Continue reading Psychology and headaches, part 1
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
In this post, I am going to introduce you to another primary headache, new daily persistent headache (NDPH). This primary headache is not often seen in primary care, but I think our clinic population has about 25% of teens with this diagnosis. There’s a good reason why a referral to a specialty headache program is … Continue reading Introducing……… New Daily Persistent Headache
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