The incidence and frequency of pediatric headache has increased over the past 3 decades, affecting as many as 88% of children and adolescents.1 Currently, there are no approved acute treatments for recurring headache or migraine in childhood, and few medications for the management of pediatric headache have been studied in controlled trials. In addition, an insufficient number of reports in the current literature provide examples of conservative management for pediatric headache. Here, the author describes a case of a 10-year-old girl with a history of unremitting headache and orthodontic intervention. Her symptoms resolved following removal of the orthodontic intervention in conjunction with osteopathic manipulative treatment (OMT). The present case suggests further study involving osteopathic evaluation and OMT should be considered as a safe and effective option for conservative management of secondary pediatric headache.

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Competing Interests

Financial and other disclosures: No financial disclosures reported. Dr Heineman serves on the American Academy of Osteopathy’s Publications Committee, which oversees The AAO Journal.