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What Treatment is Recommended for Common Headaches?

Discussion Headache is pain in the scalp, forehead, orbits and temple. Facial and neck pain are usually excluded from this definition. It is a common problem with more than 6 million pediatric patients having migraine. Headaches can also have co-morbidities and more than 1 primary headache type can co-exist. The costs are high both economically and in the quality of life for the patients and families. A review of common headache types and indications for neuroimaging can be found here. Treatment is necessarily multi-pronged. Patients should understand their diagnosis so they can understand what reasonably can be expected from treatment, how they can prevent headaches and how they can help to treat themselves once the headache occurs. When patients and families think about treatment for headache they usually think about medications, but the first treatment should be behavior and lifestyle changes. A balanced, consistent lifestyle is recommended for anyone but especially individuals with headache. Discussing the patient’s current daily schedule can help identify problem areas to work on. Often sleep does not receive enough priority. Making a new plan that prioritizes self-care first especially around sleep, eating, and exercise and then filling in the day with school, work and recreational activities should help prevent headaches. Patients should: Participate in normal school, work and recreational activities as much as possible. Keeping involved also helps to mitigate...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Conclusions: OCF is rare in children but is associated with head, thoracic, and abdominal trauma. Type I and II fractures predominate. Although operative treatment rarely is necessary, it is required in patients with atlantooccipital dislocation. Ligamentous structures should be assessed with MRI.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: SPECIAL FOCUS: Pediatric Orthopaedic Rotation Source Type: research
Conclusions: Despite finding that the rate of parent-child bed-sharing was 50% in our growing pains population, when we controlled for age, there was no difference from our control. Parent-child bed-sharing does not seem to be a significant component of growing pains. Bed-sharing could be a possible mechanism to manage a child’s growing pains.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: SPECIAL FOCUS: Pediatric Orthopaedic Rotation Source Type: research
Background: Stemmed shoulder arthroplasties are being performed at increasing rates with loosening and revisions on the rise. Stemless inlay arthroplasty may be an effective alternative. Our purpose is to report 5-year results of primary joint-preserving stemless inlay arthroplasty. Methods: Twenty patients (22 shoulders), mean age 60.41 (range, 43-80) years followed for an average of 68.14 (range, 24-98) months were evaluated prospectively using the Constant, visual analog scale (VAS) pain, Simple Shoulder Test (SST), range of motion, Short-Form (SF)-36 Physical Component score (PCS), and Mental Component score (MCS)...
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
Conclusions: Arthroscopic guided fixation of the posterior malleolar fracture is an effective treatment modality that achieves direct reduction of the fracture, faster rehabilitation, and has a lower risk of neurovascular complications.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
Background: The purpose of this study was to evaluate the association between psychological dysfunction and developing complex regional pain syndrome (CRPS) after an ankle fracture. Methods: The PearlDiver database was used to identify patients who sustained an ankle fracture and developed CRPS based on the presence or absence of psychological disorders. Results: Results of the database identified 163,529 patients who sustained an ankle fracture, and CRPS was identified in 10,127 (6.2%) of these patients. The risk of developing CRPS after an ankle fracture was significantly elevated, with an odds ratio (OR) of 5.44 (P
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
BACK pain could be presented by changing your exercise workout routine, and by changing your sleep position. But, you could also lower your risk of lower back pain by adding this cheap vegetable to your diet, it ’s been claimed.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Authors: Abdel-Meguid TA, Mosli HA, Farsi H, Alsayyad A, Tayib A, Sait M, Abdelsalam A Abstract INTRODUCTION: To evaluate the efficacy and safety of intraprostatic injections of onabotulinumtoxinA (onaBoNT-A) to treat refractory chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). MATERIALS AND METHODS: Prospective two-group controlled study. Treatment group included adult men with refractory category-III nonbacterial CP/CPPS who underwent transurethral intraprostatic injections of onaBoNT-A (200 U). Control group included comparable patients who underwent cystoscopy only. Primary outcome was the proport...
Source: Canadian Journal of Urology - Category: Urology & Nephrology Tags: Can J Urol Source Type: research
Authors: Lee AJ, Yabes JG, Hale N, Hrebinko RL, Gingrich JR, Maranchie JK, Fam MM, Turner I I RM, Davies BJ, Ben-David B, Jacobs BL Abstract INTRODUCTION: Multimodal analgesia is an effective way to control pain and limit opioid use after surgery. The quadratus lumborum block and paravertebral block are two regional anesthesia techniques that leverage multimodal analgesia to improve postoperative pain control. We sought to compare the efficacy of these blocks for pain management following radical cystectomy. MATERIALS AND METHODS: We performed a retrospective review of radical cystectomy patients who received b...
Source: Canadian Journal of Urology - Category: Urology & Nephrology Tags: Can J Urol Source Type: research
Authors: Crane A, Lloyd J, Shoskes DA Abstract INTRODUCTION: The phenotyping system UPOINT has proven effective in classifying patients with Urologic Pelvic Pain Syndromes in a clinically meaningful way and to guide therapy. While highly successful in men with chronic pelvic pain syndrome (CPPS), UPOINT is more limited in patients with interstitial cystitis/painful bladder syndrome (IC/PBS) since by definition all patients have the urinary and organ specific phenotype. Furthermore, AUA guidelines recommend a sequential tiered approach to therapy rather than the multimodal UPOINT scheme. We sought to modify UPOINT t...
Source: Canadian Journal of Urology - Category: Urology & Nephrology Tags: Can J Urol Source Type: research
Conclusion: Microalbuminuria is a common finding in patients with SCD in eastern Saudi Arabia. Patients with SCD should be screened for MA, and those with positive tests should probably be treated with antiproteinuric agents that may slow the progression to advanced stages of renal failure and decrease the risk of cardiovascular diseases. PMID: 29682347 [PubMed]
Source: International Journal of Nephrology - Category: Urology & Nephrology Tags: Int J Nephrol Source Type: research
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