Headaches in Children

Headaches in children are common. The International Classification of Headache Disorders, third edition (ICHD-3 beta version) lists over 200 headache disorders which may affect adults or children. In practice, the majority of headaches in children who seek evaluation will be migraine-related. Not infrequently these headache disorders will present first with non-headache symptoms, such as vomiting,abdominal pain, or vertigo.…

Cluster Headache Treatment

Cluster Headache (part 1)   Cluster headache is considered the most disabling headache condition.  Cluster headache is also one of the most unique headache types and is readily distinguished by trained providers from other headache disorders, such as migraine.  Episodic cluster headache is a highly treatable condition, but sadly a majority of individuals will suffer…

Migraine Headache: Ask the Expert – Q&A

Migraine Headache: Ask the Expert The following questions represent some of the most common that I am asked regarding migraine headache and treatment. My doctor gives me Vicodin for my headaches. Is that the best treatment?   No.  Vicodin (hydrocodone-acetaminophen) is an opioid pain medication.  As an opioid there is risk for dependence, tolerance, rebound,…

BOTOX and Chronic Migraine

BOTOX and Chronic Migraine   Chronic migraine is a subtype of migraine headache.  Chronic migraine affects approximately 2% of individuals in the United States.  It is more difficult to treat and manage than episodic migraine.  Chronic migraine imposes a significant burden on both the individual and society.   Chronic migraine is underdiagnosed.  Data from the…

It’s Not Just in Your Head

Migraine Headache “Not just in your head” Do you suffer from headaches? Have you been told your headaches are “sinus headaches,” “tension headaches,” “stress headaches,” or allergies? Do you treat your headaches often with prescription, over-the-counter, or sinus medications? How often do you experience “regular” headaches? Perhaps even more importantly, how often do you have…