Teenage Migraines, 504 Plans, And Pain


Asked by Sheila Berg

Teenage Migraines, 504 Plans, And Pain

My 16 year old, academically gifted student has just been diagnosed with chronic migraines by a pediatric neurologist. We are meeting next week to discuss a 504 plan for her(CA schools) and I want to know if we should be looking for anything else besides modified and extended time for makeup work. Her teachers have been supportive thus far, but with no end in sight, we are looking at long term accommodations, and make sure we have her covered.

As far as her migraine issues go... Today is her 18th day of current migraine pain. She simply can't function to do any work right now. She has been told to only take rescue meds (Maxalt) 2 days a week if necessary. Doctor thinks she has rebound migraines from Imitrex. How can I let her suffer like this? Any insight would be appreciated.


Hi Sheila, No one wants to see their child suffer any kind of pain, I understand that and can sympathize with you. I hate to see my children in distress. I'm going to address a few points, so bear with me, OK? First, I'm glad you taking action with the school and they are being proactive in their approach. There really isn't one set answer for a 504 plan for students. Much of the answer depends on your daughter's migraine triggers and, of course, her individual needs. You may want to have a conversation with both her high school counselor and her doctor on this topic. Her doctor should be able to help with helping you anticipate her needs, and the counselor will have experience with what's been done for other students. Many parents have been where you are now. She really can't continue to go on with this continued daily pain. Has the doctor offered anything to break the cycle? Unfortunately, there can be times when a migraine just doesn't respond to the medications we have, and it goes on and on. Seeing as her regular medications haven't stopped this Migraine, it's time to talk to the doctor about breaking this cycle. Sometimes, a steroid taper such as a Medrol DosePack will break the migraine. Sometimes, the best treatment for intractable migraines that aren't responding to medications is IV infusion therapy to get the cycle broken. Which leads me into my next point. It may be a good idea to see a "true" migraine specialist. I say that often here, but it really is the one thing that can make all the difference in the world. You see while neurologists may be fine doctors, they have a hard time being experts in one area. This is because they treat so many conditions like MS, epilepsy and stroke. A migraine specialist is just that, an expert who treats one condition - your daughters - migraines and headache disorders. I hope you find this information helpful, please let me know how you make out, Nancy

You should know: The answer above provides general health information that is not intended to replace medical advice or treatment recommendations from a qualified healthcare professional.