The Neuro Impulse Protocol
 


Headache in Children

Headache is generally considered an adult problem but it is actually very common in children as well. There are numerous reasons why children suffer from headache and chiropractic may offer natural relief for children, and adults, who live with them.

Identifying headache

child with headacheWhile older children can tell you if their head hurts babies cannot, so it can be difficult to detect if your baby is suffering from headache. Some signs to watch for are pulling their ears, twisting and contorting their bodies, not wanting to look straight ahead and inconsolable crying. While many parents give Paracetamol to calm the child this is not the solution to the problem.

Why do children get headaches?
There are a number of common reasons why a child may suffer from headache, some of these include sinus or viral infections affecting the ears and respiratory system. Also, children who are in stressful situations where they feel unable to cope may be prone to headaches.

redfruitjellyAnother common cause which may contribute to a child's headache is allergy and sensitivity to certain food items. In rare instances headache in children can be a symptom of a more serious problem. It is important that if your child suffers from headaches, and has symptoms such as vomiting, nausea, clumsiness, changed personality or over tiredness you should seek medical advice to determine the cause.

Subluxation
While many things can trigger headaches by far the most common cause is a functional, mechanical spinal issue. A condition chiropractor's refer to as subluxation. The vertebral, or spinal subluxation involves abnormal changes in the function of a joint.

cervical spine MRI
A subluxation results in the nervous system not functioning as well
as it should. For example, the muscles of the neck are controlled by nerves that come from the spine, which are in turn controlled by the brain.

A joint problem in the neck or skull may irritate the nerves that directly supply these muscles and lead to tightness and discomfort.

As the child runs around and plays all day, these muscles become fatigued and headache may result. This spinal/muscular type of headache is commonly referred to as stress headache. When spinal joints are not functioning properly and muscles are tighter than they should be, there may also be a small change in other functions such as blood flow to the brain.

boy holding head in pain
This may result in severe headache, a condition referred to as migraine. In school age children, migraine may sometimes present as abdominal pain and nausea, but no headache.

Children with abdominal migraine become very inactive and want to sit around and be quiet. They are likely to perform weakly at school and may show changes in their normal character. There may be an identifiable trigger related to school or family.

Treatment
A chiropractor is specifically trained to find and correct vertebral subluxations that cause nerve interference. If your child has a headache, your chiropractor will take a detailed history, do a thorough examination and may have an x-ray taken. In cases where the subluxation is the cause of the headache, your chiropractor is well trained to apply very safe and gentle techniques to correct it.

Your chiropractor may also help you identify any factors such as food sensitivity or allergy which may be contributing to your child's headaches.

reflex hammer
Pediatric Chiropractic
Neurological Exam

Let's try a little 10 point quiz here and self-evaluation of your neurological exam skills.

Can you think of at least 10 'weighted' or significant questions you might ask in your history for a child with headache?

  1. Can you perform a screening cranial nerve exam without referring to a list?
  2. Which cranial nerves can you test without any diagnostic equipment?
  3. What is the purpose of measuring head circumference in a young child with headache and from what age should you keep growth charts?
  4. How many lymph node groups are their in the head and neck and which ones are necessary to check in a child with headache?
  5. What are the five essential parts of a neurological exam?
  6. Can you name 10 pertinent questions you would ask in a review of systems for a head and neck exam in a child with headache?
  7. What are the neurocutaneous syndromes and what is their signficance for a chiropractor seeing a child with headache?
  8. Can you explain what is meant by dysphonia, dysarthria, dysprosody, dysphasia, aphasia, agnosia, apraxia and synkinesia?
  9. How would you do a screening exam for hearing and optical acuity in a child?
  10. How would you test for higher cortical functions in a child

Would you like to check the answers and see how well you fared? Simply insert your name and email and you will receive our concise answer list and show you how you can bring your chest exam skills up to speed.


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Kiro Kids has been at the forefront of developing long distance education and multimedia tools for chiropractors. Our interactive CD, The Head and Neck Examination, covers the ground presented in the Master of Science program developed by Kiro Kids using interactive teaching technology which includes methods used to examine the head and neck in a systematic pattern.

Paediatric Neurology for the Chiropractor is an interactive learning experience which takes you step by step through a detailed neurological examination using many images and video clips. This 340 slide CD is the largest interactive presentation produced by Kiro Kids.

I fervently believe in educating patients to see their chiropractor for wellness checks and in times of illness. I also believe every chiropractor has a duty of care to ensure clinical skills are up to the task.