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
While 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.
Another 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.

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.

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.

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