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Monday, June 16, 2025

Misconceptions About Migraines in Kids and Adolescents


It’s a frequent false impression that younger youngsters don’t get migraines. The truth is, about 10% of school-age youngsters and 15-27% of adolescents get migraines. Domestically, the variety of adolescents with migraines is even increased.

What may also be complicated is that complications can happen on their very own, however they may also be a symptom of the neurological illness, migraine. Migraine is hereditary and youngsters have a 50-75% likelihood of creating it if one or each mother and father have it.

I wish to make clear some misconceptions about migraines in order that this data might assist some youngsters and adolescents get remedy sooner.

MYTH: Migraines are simply actually dangerous complications

Many individuals consider migraines as simply actually dangerous complications. Nevertheless, migraines are a doubtlessly disabling neurological illness. Complications are only one symptom of that illness. Complications, after they’re a symptom of migraine, will be delicate or extreme. Day by day or as soon as a month. And migraines usually embrace different signs moreover complications (see subsequent level).

MYTH: The primary symptom of migraines is ache on one aspect of the pinnacle

It’s true that migraine complications can manifest as ache on one aspect of the pinnacle. However for teenagers, they usually really feel ache on either side or within the entrance. Migraine ache may really feel like stress or sinus complications. Additional, head ache just isn’t the one symptom of migraine. The truth is, youngsters can have migraines with none head ache in any respect! Different signs of migraines are nausea; sensitivity to gentle, smells and sounds; imaginative and prescient modifications; dizziness and fatigue. It’s because migraines have an effect on the blood vessels across the mind and surrounding tissues, inflicting irritation.

MYTH: Younger youngsters can’t inform you what hurts

Fortunately, this isn’t true; we DO have methods for little youngsters to explain their ache. By the point youngsters are two or three years previous, they will relay their signs by drawing them. Youngsters will draw themselves throwing up, overlaying their eyes from the sunshine or ears from loud noises.

MYTH: Younger youngsters and toddlers don’t get migraines

It’s onerous to think about, however youngsters as younger as 18 months can get migraines. If infants throw up quite a bit or have frequent colic with no different trigger, migraine may very well be the explanation. It is a barrier to remedy as a result of nobody thinks of youngsters getting migraines this younger.

MYTH: All complications are “innocent”

It’s true that whereas migraines could cause quite a lot of ache, vomiting, and lightweight sensitivity, these signs don’t trigger long-term issues. Nevertheless, there are purple flag signs that folks ought to look ahead to. This consists of complications waking them up constantly from sleep, confusion, numbness, weak spot, fever and stiff neck. These signs, together with complications, may very well be an indication of one thing extra critical.

MYTH: Signs of migraines are the identical for girls and boys

This isn’t true. For women, migraine signs usually begin round age eight or 9 when the hormones begin altering. They often worsen within the teenage years and infrequently don’t subside till menopause.

Boys usually begin at a a lot youthful age, some earlier than the age of 5. For essentially the most half, they don’t worsen in the course of the teenage years like they do for women. About half of boys outgrow migraines of their twenties.

MYTH: Drugs is the one method to deal with migraines

It’s true that drugs, each over-the-counter and prescription, can deal with migraine complications. However they aren’t the ONLY method to deal with migraines.

Some youngsters’ migraines don’t reply properly to drugs. Or typically youngsters get rebound complications from taking an excessive amount of drugs, they usually should cease taking it altogether. On this case, we might have them strive one of many newly FDA-approved units for youngsters and adolescents. An instance is Nerivio, a distant electrical neuromodulator. Youngsters eight years and older can use it as an acute and preventive remedy. It delivers alerts to nerve fibers within the arm that assist handle how the wearer responds to ache. In different phrases, it methods the mind to give attention to one thing else.

One of the crucial extremely efficient non-medication remedies for complications is cognitive behavioral remedy (CBT). CBT teaches youngsters the talents to acknowledge triggers and how you can management them. It additionally helps them handle their stress, which is without doubt one of the most frequent migraine triggers.

In case your youngsters are having complications greater than as soon as every week, extra usually than regular, or they’re getting in the best way of their social lives, speak to your physician about them. The earlier they start remedy, the higher final result they may have.

For extra details about our Headache Middle please name 513-636-4222 or e mail headache@cchmc.org.

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