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Neurology Now:
doi: 10.1097/01.NNN.0000433469.18152.2f
Departments: Letters

Headaches in Children

Goldstein, Debbie - P.T.

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Columbia, MD

I was disappointed that in your recent story on headaches in children, there was no mention of the role of physical therapists in the evaluation and treatment of their symptoms.

Far too often, children have poor postural habits that can cause or exacerbate headache. For example, sleeping on too many pillows, studying while sitting on a bed and looking down at a book or laptop computer, carrying a heavy backpack slung over a shoulder, sitting with a slouched posture in school for long periods, playing video games while sitting or lying on the floor—all of these things can make headache worse.

In my practice, I have found that altering these behaviors may decrease and in some cases eliminate headaches. This is in contrast to the experience of many of the children who, prior to receiving a physical therapy evaluation and treatment, had seen several specialists and been prescribed numerous medications without significant positive benefit.

Debbie Goldstein, P.T.
Columbia, MD

© 2013 American Academy of Neurology

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