Society for Pediatric Pain Medicine
Better Care for Children in Pain

The Society for Pediatric Pain Medicine (SPPM) aims to advance the quality of anesthesia care and the alleviation of pain-related conditions in children.

Society for Pediatric
Pain Medicine

Better Care for Children in Pain

Member Menu

  • Member Login
  • Forgot Password?
Generic selectors
Exact matches only
Search in title
Search in content
  • Home
  • About
    • Vision Statement
    • Board of Directors
    • Committees
      • Advocacy Committee
      • Communications Committee
      • Education Committee
      • Finance & Membership Committee
      • Research Committee
    • Special Interests Groups (SIGs)
      • Special Interest Group: Creating, Maintaining, and Supporting New Inpatient Pediatric Pain Services
      • Interdisciplinary Chronic Pain Treatment (ICPT) SIG
    • SPPM Bylaws
    • FAQs
    • Contact
  • Meetings
    • Upcoming Meetings
    • Past Meetings
    • Other Meetings
    • Exhibitor Information
  • Education
    • Questions of the Month
    • SPPM Visual Pearls
    • Case Reports
    • Books for Clinicians
  • Membership
    • Member Benefits
    • Membership Classifications
    • New Member Spotlight
    • Renew Your Dues
    • Join Now
  • Resources
    • Latest News
    • Newsletters
    • COVID-19 Resources
    • Publications
    • Job Postings
    • Links of Interest
  • Patients & Families
    • Useful Links
    • Books for Patients and Families
    • Mobile Apps
    • FAQs
  • Trainees
    • Pediatric Chronic Pain Fellowship Programs
    • Pediatric Acute Pain/Regional Anesthesia Fellowship Programs

Question of the Month – September 2019

Written by:
Genevieve D’Souza, MD
Stanford University


A 16 year old boy presents to the pediatric chronic pain clinic with 5 month history of daily headaches. Onset of headaches correlated with the start of 9th grade in a new high school. His headache is in the occipital area radiating to the top of his head bilaterally. His grades have dropped significantly as he is absent 2-3 days/week and comes home early from school the other days. He reports being stressed from missing all the school work and now having to make up all the work. He reports difficulties in falling asleep and is playing videogames for 2-4 hrs at night as he can’t fall asleep. He was trialed on triptans and gabapentin but had to discontinue them due to side effects.  Review of the chart reveals a normal MRI of the head. On examination, he has a normal neurological exam with positive bilateral occipital neuralgia. He has been taking acetaminophen every 4 hours and ibuprofen every 6 hours, in scheduled fashion.  


Which option would not be the recommended next step in management?

clock.png

Time is Up!

clock.png

Time's up

Upcoming Meeting Information

SAVE THE DATE!

SPPM Global Virtual Conference
November 5, 2022
VIRTUAL CONFERNCE

Program and Registration Available Soon!

 

Join SPPM
Renew
Donate
Get Involved
Upcoming
Job Postings
Return to top of page
2209 Dickens Road, Richmond, VA 23230 • 804-282-9780 • [email protected]
Copyright © 2022 Society for Pediatric Pain Medicine | View Privacy Policy