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Migraine, Sinusitis and Recurring Headache in Children

August 8, 2009 by dean · Leave a Comment 

Examine the upper necks of children before sinus surgery

Examine the upper necks of children before sinus surgery

Given what we know about ‘sinus’ headache in adults, it is not surprising that a recent survey has concluded that children with recurrent headaches are misdiagnosed as sinus headache and receive unnecessary Xrays and sinus treatment.

Of 214 patients, approximately 40% of patients with migraine and 60% with tension-type headache had been misdiagnosed as ‘sinus’ headache; treatment of sinuses had no effect in 60%; and of those 53% patients who had had Xrays, 50% were normal.

Examination of the upper neck in children with recurrent (and ‘suspected’ sinus) headache is as important as it is in adults. This is relatively inexpensive and does not involve radiation ….

Cheers

Dean

© 2009 & Beyond. Watson Headache Institute, All Rights Reserved.

(Senbil N et al. Sinusitis in children and adolescents with chronic or recurrent headache: a case-controlled study. J Headache Pain 2008 Feb;9(1):33-6)

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About dean
Consultant Headache & Migraine Physiotherapist; International Teacher; Director, The Headache Clinic & Watson Headache Institute; PhD Candidate Murdoch University, Western Australia; Adjunct Lecturer, Masters Program, Physiotherapy School, University of South Australia; MAppSc(Res) GradDipAdvManipTher Experienced health practitioners trained in the Watson Headache Approach perform the examination and treatment techniques developed by Dean Watson. These techniques are based on his extensive experience of 7000 headache patients (21,000 hours) over 21 years and are now taught internationally. For your nearest practitioner who has completed training in the ‘Watson Headache Approach’ please refer to the ‘Practitioner Directory’.

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