Neurological Balance and Medical Disorders

Guide

Pediatric Migraines: Symptoms, Triggers & Therapy Support

Authored by: The DrSensory Editorial Team

Reviewed by: 🛡️ DrSensory Clinical Review Board – Doctor of Therapy Rehab Division

Last updated: June 2025

All medical content on this page has been reviewed and approved by licensed Doctors on the DrSensory Clinical Review Board. Our reviewers follow strict editorial standards and ensure alignment with current APTA guidelines, evidence-based practice, and orthopedic rehabilitation protocols.

14 min read

Migraines in Children: Causes, Symptoms & Therapy Strategies

What Are Migraines in Children?

Migraines are not just adult headaches—they are a neurological condition that affects up to 10% of school-aged children and as many as 28% of teens. Pediatric migraines are often underdiagnosed because symptoms may differ from those in adults.

Migraines in children can disrupt daily activities, school participation, social life, and even development—especially when frequent or severe. Early recognition and a supportive care team, including pediatric therapists, are key to improving outcomes.

Signs and Symptoms of Pediatric Migraines

Children may struggle to describe migraine symptoms. Look for these warning signs:

Core Symptoms

  • Moderate to severe headache (often bilateral in children)
  • Nausea and/or vomiting
  • Sensitivity to light and sound (photophobia and phonophobia)
  • Pale appearance or flushed cheeks
  • Fatigue or sudden need to lie down

Associated Symptoms

  • Dizziness or balance issues
  • Blurred vision or aura (flashing lights, spots)
  • Mood changes (irritability, anxiety, withdrawal)
  • Neck stiffness or muscle tension
  • Cognitive difficulties (e.g., slow processing, word retrieval issues)

Migraines can last anywhere from 30 minutes to several hours, and sometimes longer.

What Triggers Migraines in Children?

  • Understanding and avoiding triggers is essential for migraine management.
    Common pediatric triggers include:

    • Stress and anxiety (school, social pressures)
    • Sleep disturbances
    • Dehydration or missed meals
    • Certain foods (e.g., chocolate, processed meats, aged cheese)
    • Environmental factors (bright lights, loud noises, weather changes)
    • Screen time and digital eye strain
  • Each child’s triggers can differ, making symptom tracking a critical first step in care.

Diagnosing Migraines in Children

Pediatric migraines are diagnosed clinically through a careful history and symptom review. A neurologist or pediatrician may also:

  • Conduct a neurological exam
  • Rule out other causes (infections, brain injury, vision issues)
  • Recommend imaging (MRI or CT) only if symptoms are atypical or worsening

Diagnosis may take time, especially if symptoms overlap with other conditions like seizures, anxiety, or sinus issues.

How Pediatric Therapists Help Children with Migraines

Although migraines are managed medically, pediatric therapists support children struggling with migraine-related functional, sensory, and cognitive challenges—especially when migraines are frequent or disruptive.

Occupational Therapy

  • Teaches self-regulation techniques and relaxation strategies
  • Develops sensory-friendly routines to reduce trigger exposure
  • Assists with executive function skills affected during migraine episodes
  • Provides visual motor and ergonomic strategies for screen use

Physical Therapy (PT)

  • Addresses postural imbalances, neck and upper back tension
  • Improves balance and coordination if dizziness is present
  • Teaches stretching and strengthening to relieve muscular stress

Speech-Language Pathology (SLP)

  • Supports cognitive-communication challenges like word-finding, memory, and processing speed
  • Helps children articulate their symptoms and advocate for support at school
  • Assists in developing visual and auditory tolerance strategies

Therapists also help children return to school or physical activity safely with graded reintroduction plans.

How DrSensory Supports Families of Children with Migraines

DrSensory makes it easy to find trusted pediatric therapists who understand the complexities of migraines in children. Our verified therapist directory helps you:
Search by specialty (OT, PT, SLP) and location

  • Read detailed therapist profiles
  • Find in-person and telehealth options
  • Learn about therapy approaches that support neurological wellness

📍 [Search Pediatric Therapists Near You →]

Frequently Asked Questions (FAQ)

Can migraines affect my child’s school performance?

Yes. Migraines may lead to frequent absences, reduced concentration, and cognitive fatigue. Some children also experience brain fog or sensory overload after a migraine, impacting schoolwork.

What’s the difference between a migraine and a regular headache in kids?

Migraines are neurological in origin and typically include nausea, light/sound sensitivity, and functional impairment, while tension headaches are often milder and related to stress or posture.

Can pediatric therapy reduce migraine frequency?

While therapists don’t treat the migraine itself, OT, PT, and SLPs can reduce triggers, improve posture, and build coping skills, all of which may lower the frequency or intensity of migraines over time.

Should my child stop physical activity if they get migraines?

Physical activity may be paused during acute episodes, but staying active is important for general health and often helps prevent migraines. Physical therapists can help design safe return-to-play or activity plans.

How do I know if my child’s headache is something more serious?

Seek immediate care if your child experiences:

  • Sudden, severe headache (“thunderclap” pain)
  • Headache after a head injury
  • Persistent vomiting
  • Vision loss or confusion
  • Weakness or trouble speaking

This page provides general educational content and is not a substitute for professional medical advice. Always consult a licensed provider for diagnosis and treatment.

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