Chronic daily headaches in children

Hershey AD, et al. Show all Journal

Curr Pain Headache Rep. 2006 Oct;10(5):370-6.


Chronic daily headache (CDH) is increasingly recognized as a problem in pediatrics and tertiary pediatric headache care. It is estimated that up to 4% of the adult population has CDH. Many of these are chronic migraine (CM).

The fraction of the pediatric population with CDH appears to be lower, although the prevalence has not been adequately determined.

The simplest definition of CDH is more than 15 headache days per month. In the International Classification of Headache Disorders, Second Edition (ICHD-II), several types of CDH have been identified. These criteria have been contrasted with the Silberstein-Lipton criteria, with revisions suggested.

The diagnosis of CDH is further complicated and may be initiated by the overuse of analgesic medications (medication overuse headache) and requires the resolution of this issue before a final diagnosis can be established. In children, most CDH appears to have migraine features, although it may not completely meet the ICHD-II criteria for migraine or CM. Evaluation of CDH needs to include a complete history and physical examination to identify any possibility of the secondary headaches or headaches directly attributed to a secondary cause.

Treatment and management involve a multidisciplinary approach, including acute therapy for when the headache severity increases (while avoiding medication overuse), preventative therapy to reduce the frequency and impact of the CDH, and biobehavioral therapy to assist with long-term outcome.

Bruxism Awareness Week Brings Hope to Sufferers

Estimated to affect 8-10% of the UK population - although some believe this is as high as 50% - Bruxism often goes undiagnosed and countless people are suffering in silence. Bruxism Awareness Week 2012 aimed to change that with activities and events to raise the condition’s profile.

Bruxism, or teeth grinding, often takes place during sleep and can lead to tooth damage, poor sleep quality and chronic pain. Dentists can help their patients with a range of treatments available such as the proven NTI-tss occlusal splint system from S4S.

Through a series of activities, Bruxism Awareness Week, 22nd – 28th October 2012, encouraged dental practitioners to start providing treatment for Bruxism or to more actively promote their services to patients. Dr Barry Glassman, internationally renowned authority on Bruxism, gave a series of ‘myth busting’ presentations to packed audiences. His hands-on session in London was also a huge success, selling out well in advance of the day.

Dr Glassman spoke about the treatment of Chronic Daily Headaches in Children, and how, with the use of a Pardiactric NTI Splint he helps many of his young patients to become free from the terrible daily chronic headaches. Parents are urged to speak to their dentists and dentists are urged to speak with S4S to discuss the specifically design paediatric splint to help more kids in the UK to be free of these headaches.

S4S Dental provided free Bruxism Awareness Week packs to assist practices to take part, reach out to their patients and ease their suffering.

For more information please contact S4S on: 0114 250 0176