Menstrual migraine affects approximately 60% of women with migraine yet remains significantly underdiagnosed in clinical practice. This hormonal-triggered condition requires coordinated care to improve patient outcomes and quality of life. “In a primary care setting, especially OB/GYN offices, it’s important to expect migraine,” said Ricardo A. Herrera, M.D., neurologist and headache medicine specialist with Norton…
Norton Healthcare has received American Heart Association Get With The Guidelines achievement awards for demonstrating commitment to following up-to-date, research-based guidelines for the treatment of heart disease and stroke, ultimately leading to more lives saved, shorter recovery times and fewer readmissions to the hospital. Heart disease and stroke are the No. 1 and No. 5 causes of…
The treatment landscape for childhood obesity is evolving with the introduction of glucagon-like peptide-1 (GLP-1) receptor agonists in pediatrics. These medications, which have demonstrated substantial efficacy in adults, are now showing promising results in adolescent populations. “Integrating GLP-1 receptor agonists into pediatric obesity treatment represents a significant advancement in our ability to address a growing…
The landscape of opioid use disorder (OUD) treatment is evolving, with recent Drug Enforcement Administration regulation changes enabling physicians to treat patients without obtaining the X-waiver. This shift underscores the pivotal role primary care providers can play in addressing treatment gaps and offering care for patients with OUD. Understanding opioid use disorder: Definitions and diagnosis…
Migraine affects 37 million men, women and children in the United States and ranks among the top 10 most disabling medical conditions, according to the World Health Organization. More than 90% of patients report that migraine interferes with education, career and social activities – making early recognition and treatment in pediatric populations particularly crucial. Paul…
Early recognition of Parkinson’s disease requires health care providers to look beyond the classic tremor. Parkinson’s disease affects approximately 1 million people in the United States, with 90,000 new diagnoses each year. Despite its prevalence, early recognition remains challenging for health care providers. Parkinson’s disease is the most common neurodegenerative movement disorder, characterized by abnormal…
By focusing on small steps, physicians can help patients make meaningful, lasting improvements to lifestyle habits that contribute to chronic disease. Time constraints and patient resistance can make conversations about activity, diet, stress reduction and other improvements feel secondary. Even small, incremental lifestyle changes can lead to significant long-term improvements in health outcomes. The Small…
The patient An 18-year-old male with a history of heart transplantation for cardiomyopathy after a durable ventricular assist device presented with progressive cardiac allograft vasculopathy (CAV) and severe diastolic graft failure. The patient presented to the cardiac intensive care unit after a recovered cardiac arrest in extremis with impending multiorgan failure. He initially underwent placement…
Provider Team The patient The patient is a now 13-year-old girl with a history of anxiety and headaches dating back to approximately age 7, although she did not present to neurology until age 9. At that time, she was reporting approximately 15 out of 30 headache days per month and was meeting criteria for chronic…
Pediatric migraine management requires a nuanced approach that differs significantly from adult protocols. While migraine affects up to 10% of children and adolescents, treatment decisions must account for developmental considerations, family dynamics and the substantial placebo effect observed in younger patients. This evidence-based guide synthesizes current best practices for clinicians managing pediatric migraine, from initial…