Teenage Headaches

[raafox]

Hi all,

thanks for the input so far, keep it coming as it is helping me to cover all areas. So time for a little update on current progress and a few more clues.
Patient reports not having any specialist referral so far only from GP to MRI scan which was of the head and I don't think covered the neck. Neural symptoms at the moment although present seem to be low severity and not worsening, something i will continue to monitor and refer onwards immediately if they worsen or give me cause for concern. Current symptoms today are a little better since receiving acupuncture and patient was keen to continue with it. Patient also reports symptoms are most commonly worse first thing in the morning and also mid to late afternoon at school. Having spent the weekend away she reported feeling better having slept in a softer hotel bed compared to her own bed.
I have advised her to investigate using a different bed at home, variation in her pillows and trying preventative pain meds rather than using them for symptom relief.

I am also considering the idea of hypermobility and will check for markers at the next session and I am also considering strength training long term due to the physical nature of handball here in Norway and my patient's low muscle bulk and flexibility (cervical).
Thanks