Kids Migraine Treatment
Journaling: Diamond often asks patients to keep a headache diary, where parents and kids can document the onset time, severity and duration of pain in hopes of seeing a pattern and identifying the trigger.
Preventative medications: Triptan drugs like Imitrex help stabilize the size of blood vessels if taken at the onset of the headache. But if the child or teen’s migraines are frequent enough (i.e. weekly in occurrence) to impair normal functioning, Sperry said he considers prescribing preventative medications that are used daily — often for a matter of years.
Calcium-channel blockers, some seizure medicines, antidepressants and beta blockers commonly are used, but most of the drug groups include constipation, insomnia or drowsiness side effects, Sperry said. So it’s a matter of weighing the benefits with the drawbacks.
“Lots of times, the migraines are so debilitating that families are willing to try these drugs out. I can’t tell you how delighted they are when this kind of stuff works,” Sperry said. “As much as you don’t want to put your kid on drugs, parents get desperate when all their children want to do is go lay down and crawl in a hole and things have spiraled out of control.”
Biofeedback: The Diamond Headache Clinic uses a non-drug therapy technique for children and adolescents. The method teaches patients to control bodily functions — such as heart rate, blood pressure, body temperature and muscle tension — to train their anatomical response to stress. The clinic conducted research on biofeedback and found 90 percent of kids, who are in the prime of their lives in terms of imagination and visualization abilities, who participated in the therapy showed significant symptom reduction.
Hospitalization: When intensely stubborn, “status” migraines go on for days and are resistant to drugs, Sperry said it’s time for a di-hydro-ergotamine IV. This treatment should stop the episode in 24 to 48 hours.
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