24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
(361)575-0611
(800)421-8825

Child & Adolescent Development: Overview
Resources
Basic InformationMore InformationLatest News
Many Kids With Diabetes Missing Out on Eye Exams, Study FindsOlder Mothers May Raise Better-Behaved Kids, Study SuggestsHealth Tip: Check Your Child's TemperatureFruit Juice for Kids: A Serving a Day OK'Eraser Challenge' Latest Harmful Social Media Trend for Kids'Heads Up' Football Program Tackles Concussion Danger in KidsParents Don't Always Head to Child's Doctor When Illness StrikesSpring-Clean Your Medicine Cabinet to Safeguard Your KidsFewer U.S. Kids Overdosing on OpioidsWhy Some Kids Take Longer to Recover From Brain InjuryNearby Day Cares Don't Pose Health Risks to Kids: StudyObese Moms May Fail to Spot Obesity in Their Own KidsToo Much Screen Time May Raise Kids' Diabetes RiskHealth Tip: Help Kids Maintain Healthy CholesterolMite-Proof Bedding May Help Curb Asthma Attacks: StudyWatchful Waiting Cost-Effective for Pediatric Acute Otitis MediaHealth Tip: Make Sure Kids' Shoes Fit WellCity Tax on Cars Cut Pollution, Kids' Asthma RiskKidney Transplant Survival Up Among Babies, KidsSecondhand Smoke Linked to Food Allergies in KidsObesity May Raise Girls' Risk of Asthma, AllergiesDisabled Kids at Higher Risk of Abuse, Study FindsNasal 'Nerve Block' May Help Ease Kids' MigrainesCan Mom's Vitamin E Head Off Child's Asthma Risk?Asthma Much More Lethal for Black Children, Study FindsInsecticides Linked to Behavioral Issues in ChildrenCould Common Insecticides Be Tied to Behavior Issues in Kids?Complication Rates Often Higher in Youth With T2DM Versus T1DMChildhood Cancer Survivors Living LongerYouth With Type 2 Diabetes Often Face ComplicationsKids Mean Less Shuteye for Mom, While Dad Slumbers On'Superbug' Infections Striking More U.S. KidsHeadaches Often Strike Before Strokes in Kids: StudyACL Tears on the Rise Among Kids, Especially GirlsLearning Issues Common in Kids With Heart Defects: StudyAAP Policy Statement Focuses on Child Witness Well-BeingKids Born to Older Moms Score Higher on Thinking TestsThere's Fun and Fitness in the Pool for Asthmatic KidsMost Parents Don't Think They're Meeting Kids' Nutritional NeedsKids' OD Risk Rises When Opioids Left Out at HomeAntibiotics Could Be Alternative to Surgery for AppendicitisIs Surgery Always Needed for Kids' Appendicitis?Health Tip: Give Your Kids Bone-Building FoodLow-Income Kids More Likely to Have ADHD, AsthmaTougher Alcohol Laws Mean Fewer Young People Killed on the RoadHealth Tip: Protect Kids in Cold WeatherNeeded: An 'Action Plan' for Kids Prone to Severe Allergic ReactionsBe Your Child's ValentineAmbient Air Pollution May Raise T2DM Risk in Hispanic ChildrenWinning the Veggie Wars With Kids
Questions and AnswersLinks
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses
Child Development & Parenting: Infants (0-2)
Child Development & Parenting: Early (3-7)

Nasal 'Nerve Block' May Help Ease Kids' Migraines

HealthDay News
by By Steven Reinberg
HealthDay Reporter
Updated: Mar 6th 2017

new article illustration

SUNDAY, March 5, 2017 (HealthDay News) -- Kids and teens who suffer with migraines may find relief from a nasal "nerve block" that's commonly used in adults with the debilitating headaches, a new study suggests.

During the procedure, a catheter is placed in each nostril and inserted until it reaches a bundle of nerves at the back of the nose. At that point, an anesthetic is released that deadens those nerves, thus relieving the headache pain.

"The treatment does not require needles and often gives relief in just minutes, and relief can last for up to months," said lead researcher Dr. Robin Kaye, from Phoenix Children's Hospital.

"Migraine headaches are really common in the pediatric population, and affect up to 12 percent of kids over the age of 12," she noted.

These headaches can be debilitating for kids, and especially for teenagers, Kaye said. "When kids have these, it prevents them from participating in school, sports, music and time spent with friends and family," she said.

However, one headache expert had reservations about the study, noting that the therapy carried some risks while not providing significantly greater pain relief than existing medications.

In adults, the procedure is often done in a doctor's office. A catheter or swab is inserted blindly until it reaches the nerve bundle. At that point, the anesthetic, usually lidocaine, is released.

In the study, Kaye's team used a fluoroscope to ensure that the catheter was in the right place before the anesthetic was applied. A fluoroscope is a medical imaging tool that shows a continuous X-ray image on a monitor, almost like an X-ray movie.

Kaye pointed out that the procedure is not a first-line therapy for migraine. Only children who have severe migraine and have failed other treatments are eligible.

The lowest levels of radiation possible were used during the procedure, she added, and no side effects were seen.

"It is not a cure for migraines. But it really can help improve the lives of these patients that are severely affected by migraine headache, and it can allow them to get back to their daily life sooner," Kaye said.

The findings were scheduled to be presented Sunday at the Society of Interventional Radiology meeting, in Washington, D.C. Research presented at meetings is considered preliminary until published in a peer-reviewed journal.

For the study, Kaye and colleagues used the procedure more than 300 times on 200 patients aged 7 to 18 at Phoenix Children's Hospital. The level of patients' pain was assessed on a scale of 1 to 10 before the procedure. Some patients were sedated, while others weren't.

Ten minutes after treatment, patients were asked about their level of pain. A statistically significant decrease in headache scores was seen, with an average pain reduction of more than 2 points on a 10-point scale, Kaye said.

But one headache specialist was skeptical.

"I don't think the evidence from this study is robust enough to recommend that people start using this," said Dr. Suzanne Hagler. She is director of the headache center at Nicklaus Children's Hospital in Miami.

Hagler is also concerned about the danger of exposing kids to radiation. "If it could be done without radiology, it would be more useful," she said.

Sedating kids is also worrisome because sedation carries its own dangers, she noted.

Moreover, the amount of pain relief seen with this procedure isn't enough to use it instead of IV medications, Hagler suggested.

"The goal is to bring the patient's pain level down to zero. And that's our goal when we use IV medications," she said. The procedure is also very uncomfortable and can cause a bloody nose, she added.

"If a child's headaches are becoming frequent and interfering with school and social activities, parents should have their child evaluated, because we have many treatments that we can use to decrease the frequency and severity of the headaches," Hagler said.

More information

Visit the American Migraine Foundation for more on kids and migraines.