Out Of The Black Hole

Posts Tagged ‘Pediatric Patients’

Non-Drug Treatment for Pediatric Migraine

Friday, January 1st, 2010

The last thing most parents want to do is give their child a drug. Yet, when that child is a migraineur (a person with chronic migraine headaches), as are a reported 10-28% of children under the age of 19, many feel they have no choice.

This is simply not true. In fact, most pediatric neurology specialists will recommend alternative treatments before medication for safety reasons. A number of non-drug therapies are available for pediatric migraine sufferers. As with any complementary or alternative medicine (CAM) treatment, the patient’s physician must be a part of the team making the decisions and overseeing care.

One of the most common non-drug treatment options is temperature therapy. The application of a warm or cool compress eases pain for many. Apply the hot or cold pack to the area of greatest pain, taking care to insulate it so no damage to the child’s skin occurs.

Sleep frequently eases the suffering of adult migraineurs. The duration of children’s migraines is usually shorter than that of an adult. A nap taken in a dark, quiet, area can eliminate some migraines altogether.

Scheduling can be a factor in reducing the frequency of pediatric migraines. Unlike adults, who experience stress in an acute, episodic manner, children usually experience a constant stress level, particularly during the school year. Establishing a regular routine, including time to relax and an age-appropriate sleep schedule, helps many young migraineurs.

Relaxation training, including instruction in self-hypnosis and guided imagery, is becoming the treatment of choice for recurrent pediatric migraines. Studies on the subject show that over half of the pediatric patients who learn these relaxation techniques experience less frequent migraines, but with no reduction in pain intensity when they do have one.

There are many options for pediatric migraine therapy, do not be afraid to ask the doctor about drug alternatives.

Applying Heat or Cold for Migraine Relief

Wednesday, November 18th, 2009

Many migraineurs (people who suffer from migraine headaches) relieve the pain of a migraine with the judicious application of heat or cold. This type of pain abatement is particularly popular with people trying to minimize or avoid prescription medication use, especially among pediatric patients and their families.

Below are a few techniques that can help ease the pain of a migraine. Not all techniques work for all patients. While some migraineurs find comfort in cold, at least as many are more uncomfortable in the presence of cold. The same is true of heat used for pain relief-for some it helps, for others it makes the pain worse.

Apply a compress, hot or cold, to point on the head where pain is most severe. This is frequently on the temple where a large artery runs, or in front of the ear, another arterial locale.

For patients who feel their migraine pain “stabbing into the back of the eye” a damp cloth (warm or cool) laid over the eyes often provides relief. As a side benefit, covering the eyes in this manner also eases the discomfort of photosensitivity for many patients.

Taking a hot or cold shower with the water directed at the head and neck is another method to try, as is taking a warm (neither hot nor cold) bath. The latter is further enhanced with the use of appropriate aromatherapy techniques.

Some patients find relief in by alternating hot and cold cloths at the point where the migraine pain is most intense. Sometimes hot and cold used simultaneously can ease the pain. A migraineur may apply a cold compress on their forehead while at the same time soaking their feet in a container of warm water.

Rarely are patients simultaneously sensitive to both hot and cold, but it should be watched for.

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