Low Back Pain & Spinal Manipulation: How Does It Work?

For many years, Chiropractic has been at the forefront of treating low back pain (LBP) with both greater patient satisfaction and less lost time at work when compared to other non-surgical treatment approaches. There have been many explanations as to why chiropractic manipulation therapy (CMT) works but many of these studies include other treatment modalities or methods and the benefits are ,therefore, not clearly derived only from CMT.  A recent study has tried to clear this up and the results are very interesting!

This study included two chiropractors and two a physical therapists (PT) from Canada and the US. What is unique about this study is that they measured clinical or symptomatic improvement by tracking improvement in activity tolerance using a standard questionnaire commonly used by chiropractors and PTs all over the world, as well as changes in the spinal stiffness using a valid/reliable instrument before and after CMT was utilized. The importance of these findings is that only CMT was utilized and hence, other forms of treatment commonly utilized by chiropractors did not cloud the findings. There were 48 patients included in the study and the initial 2 treatments were administered 3-4 days apart, followed by an assessment 3-4 days after the 2nd treatment. Assessments were also performed before and after each treatment. The assessments included use of the questionnaire and a stiffness measurement using the special instrument. Also, “recruitment of the lumbar multifidus muscle” (a muscle in the low back that helps stabilize the trunk or core) was measured by ultrasound. After each treatment, significant improvement was found in the overall pain level and in reduced spinal stiffness (which remained improved 3-4 days after the last/second treatment).

The study conclusions revealed less pain, more activity tolerance and less spinal stiffness after the administration of the 2 treatments. The greatest clinical improvement was found in those who had the most dramatic reduction in stiffness after each treatment. They found that the level of muscle recruitment was directly related to the degree of spinal stiffness.  They also found that patients who received thrust manipulation (CMT) had immediate improvements with reduced pain, stiffness and improved muscle recruitment measurements. However, this same effect was NOT obtained when non-thrust mobilization techniques were used. This means many non-thrust manual techniques such as mobilization, massage, and other soft tissue release methods do not create the immediate benefits that were produced by thrust manipulation.

With this new information, we are now able to explain with confidence to patients the reasons why they typically feel better after the spinal adjustment. The patient can then appreciate receiving an answer that makes clear sense and has been “proven.” It’s important to realize that the “bonus” of receiving chiropractic care for low back pain includes not only just pain reduction, but more importantly, improvement in tolerating activities such as vacuuming, washing dishes, golfing, walking and of course, working.

We realize you have a choice in where you get your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Call us at 303.300.0424

Carpal Tunnel Syndrome and Sleeping

Have you ever woken up in the middle of the night and noticed your hand sleeping to the point where you had to get out of bed and shake or flick your fingers to alleviate the numbness? If the numbness was primarily on the thumb-side half of your hand, it may have been carpal tunnel syndrome that woke you up. So, the question is, why is it such an issue at night?

To properly answer this question, let’s get familiar with the anatomy of the wrist.  There are 2 bones that make up the forearm – the ulna (on the pinky side) and the radius (on the thumb side). Just beyond that, there are two rows of four bones each called the carpal bones for a total of 8 small bones that make up the wrist joint. These carpal bones are arranged in a horseshoe or tunnel shape. When you look down at your wrist and wiggle your fingers quickly, you can see all the movement that occurs on the palm side of the wrist.  That’s a lot of movement!  You can also see the muscles on the upper half of the forearm moving rapidly as the fingers wiggle.

There are 9 muscle tendons that travel through the carpal tunnel, as well as some blood vessels and most important, the median nerve sits on top of all those moving tendons. Just beneath the floor of the tunnel is a ligament called the transverse carpal ligament. The tendons inside the tunnel are surrounded by lubricating sheaths that make it easier for the tendons to slide back and forth as we wiggle our fingers, grip to open a jar, type on a computer, play a musical instrument, or so on. Without the tendon sheaths, the friction between the rubbing tendons would quickly build up heat, resulting in swelling, pain and numbness.  However, in spite of the lubricating function of the sheaths, when we work our fingers and hands too much, swelling and inflammation does occur.

So, why do we have numbness at night when we aren’t working, gripping and moving our fingers repetitively? The answer lies in how we sleep. Since we are asleep, we cannot control where we position our hands and wrists. Most of us curl up in a ball and tuck our hands under our chin or someplace cozy.  Normally, when we bend our wrists, the pressure inside the carpal tunnel doubles. However, a carpal tunnel patient already has a higher level of pressure in their wrist. So, when a carpal tunnel patient bends their wrist in the exact same way, the pressure goes up even more – that is, 3, 4, 5, or more times than a normal person without their wrist bent. That is why a wrist “cock-up” splint works so well at night!  It keeps the wrist straight so you can’t bend it.  Often, this allows the CTS patient to sleep through the night instead of waking up 2, 3, or more times with numbness, tingling, and/or pain on the thumb half of the hand.

At Denver Chiropractic Center, we have extensive experience using Active Release Techniques to treat carpal tunnel syndrome. We release scar tissue in the muscles adjacent to the nerve, and can take the symptoms away by relieving the pressure of that nerve (the Median Nerve). Call us today to schedule your initial exam where we’ll tell you whether you’re a candidate for our treatment approach. 303.300.0424

We realize you have a choice in where you get your health care and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for CTS, we would be honored to render our services.

Low Back Pain & Scoliosis

Low Back Pain & Adolescent Idiopathic Scoliosis

Scoliosis is a curvature of the spine that is shaped like a “C” or an “S” when looking at the person from behind. I’m sure you’ve noticed when you’re at a beach, at a swimming pool, or walking in an airport, some people have a high shoulder, walk with a bit of a limp if one leg is short, and may have a shoulder blade that sticks out more than the other. Scoliosis often develops for unknown reasons (hence the term, “idiopathic”) during the adolescent age range between 10 or 11 years old and can progress, not change or less often, improve up to age 16 to 18. During these 4-6 years, the time when the adolescent is growing quickly, the curve often worsens without any intervention but few studies have looked at what types of treatment or combinations of treatment work the best, especially non-surgical methods.

A recent study was conducted that looked at the response to non-surgical treatment using conventional medical treatment (MT) vs. conventional MT plus chiropractic, as well as conventional MT and “sham” (fake) chiropractic treatment.  This is a pilot study using a small population of patients in order to determine if a larger scale study would be important to run (which was determined to be the case).

The conventional medical treatment approach included two groups – observation (a “wait and watch” approach) in a braced group verses a non-braced group. The chiropractic treatment group received spinal manipulation using “diversified technique” which is widely used where the patient is treated while lying on their stomach, sides, and back and the type of manipulation used was the thrust type where the “cracking” sound occurs (which is caused by the release of gas from the joint capsules and is technically called cavitation). This was applied to the regions determined by the chiropractor as requiring the treatment by using palpation (touch) methods, postural examination, range of motion, and x-ray and all chiropractors involved had 6-hours of training to assure consistent and similar approaches were used. Treatments were administered (determined by a survey of many chiropractors) at 3x/week for a month, 2x/week for a month, 1x/week for a month, and 2x/month for 3 months or as needed for a total of 6 months. The “sham” or fake chiropractic treatment used the same treatment frequency and similar positioning of the patient but purposely did not obtain a joint cavitation or “crack” but still seemed “real” to the patient.

The primary outcome used to determine “success” was a reduction of the scoliosis curve measured on x-ray at a 6-month point. Using the standard medical model, those with curves of 20-25 degrees require careful observation, curves 26-40 degrees are potential candidates for bracing, those greater than 40 degrees are potential candidates for surgery and, an increase in curve by more than 5 degrees measured twice a year or every 6-months is considered failure.

The results are interesting. Of those receiving only conventional medical treatment, none improved and one failed. The same occurred in the conventional MT plus sham/fake chiropractic. NO ONE failed and one improved in the chiropractic treatment plus MT group making it the only successful non-surgical treatment approach in the study. The preliminary findings from this study are huge! Chiropractic treatment in this group of adolescent children was determined to be THE ONLY non-surgical approach that had the ability to maintain (not allow the curve to progress) or even better, improve the curve!

At Denver Chiropractic Center, we work with many patient who have scoliosis. We combine Active Release Techniques to release tight soft tissues, chiropractic adjustments to increase spinal mobility, and physical therapy exercises to help retrain the nervous system. Call us today to see how we can help. 303.300.0424

We realize you have a choice in where you get your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Denver Chiropractic Center Weekly Health News For You

Have you ever noticed that you seem to drag during November and December? Well, there’s a reason for this. As the days get shorter and you get less time in the sun, your brain produces less Serotonin, the feel good brain chemical. The result is usually a little fatigue, less energy than normal, and the annoying urge to eat sugar. This is why many of us gain weight this time of year.

The best defense is to essentially go with the flow. Cut yourself some slack, try not to totally cave in to it, and know that soon the days will start getting longer (December 22). Try to get outside for a walk or run at least 3 times a week, even if it’s just for 20 minutes. Try getting to the slopes or going out for some Nordic fun – snowshoeing or cross country. Open up those blinds and let the daylight in. It’ll help.

Mental Attitude: Commuting To Work Is Bad For Your Health! Spending hours each day behind the wheel or crammed in a public train or bus, commuting to and from work is bad for your health. Those who commuted reported more everyday stress, exhaustion, missed work days and generally poorer health. Those with longer commutes reported even worse health. Duke University, Oct 2011

Health Alert: Under Construction! Nearly all construction workers will experience one or more work-related injury or illness over a lifetime, plus a greater risk of premature death. Over a 45-year career, a construction worker has a 75% chance of a disabling injury, and a one in 200 chance of being fatally injured on the job. An individual who begins construction work at the age of 20 has a 15% chance of developing chronic obstructive pulmonary disease and an 11% chance of developing dust-related parenchymal chest X-ray changes. Center for Construction Research and Training, Oct 2011

Diet: Strawberries & Stomach Ulcers. Scientists discovered strawberry consumption might help reduce and or slow the formation of stomach ulcers caused by alcohol consumption, viral infections and nonsteroidal anti- inflammatory medications, like aspirin and ibuprofen. Plos One, Oct 2011

Exercise: Good Reasons. Exercise helps speed recovery from chemotherapy treatments, increases the ability to supply blood to the skin for cooling and increases the thickness of the cartilage in your joints. Surgeon General’s Report on Physical Activity and Health, 1996

Wellness/Prevention: Cranberry Juice vs. Cranberry Extracts. Cranberries have been recognized for their health benefits for years, especially in preventing urinary tract infections. However, it was found that drinking actual cranberry juice is much more effective in preventing a Urinary Tract Infection than simply consuming cranberry extracts. Food Science and Biotechnology, Oct 2011

Active Release: Posture and mobility. Do you ever catch yourself all hunched over, briefly horrified by your won bad posture? Recent research by Gray Cook from Functional Movement Screens points to poor posture and mobility of the thoracic spine as a contributing source of many problems- from hamstring injuries to back pain to headaches. We can help you with that. Active Release, spinal adjusting and rehab can all be used to improve posture and spinal mobility. If you have chronic back pain, we can help you. Give us a call: 303.300.0424

Thanks For Reading!

Denver Chiropractic Center

303.300.0424

Dr. Glenn Hyman

Dr. Jeff Stripling

Low back pain – why patient education is a part of how Denver Chiropractic Center can help you.

Low Back Pain & Patient Education

Patient education is a very important aspect of caring for our patients. In fact, it can be one of the most important aspects of care. For example, when patients present with a brand new injury and pain levels are off the map, it’s quite common for that acute suffering patient to inappropriately think that, “I’m going to die… this hurts so much!” Hence, one of the very first things we do as chiropractors is to determine what structures are generating the pain so we can tell you!

Once you have an understanding of where the pain is coming from and why it hurts so bad, then you can be reassured that it’s not life threatening or dangerous. Also, at this acute point of time, the patient often unknowingly puts heat on the back, often for hours. This is the WORST thing you can do as the area is already swollen and putting heat on a swollen area draws more blood and fluids into the area. It’s literally like throwing gas on a fire. So, receiving proper information from us such as, put ice on the area for 15-20 minutes on and off several times in a row to “PUMP” the swelling out of the area will make complete sense.

Also, did you know that 2/3rds of our body’s weight is above the waist? That means, when a 150# person bends over, they are “lifting” 100#! That’s one of several reasons why bending over can be so dangerous. To “fix” that, squat by bending the knees keeping the back straight and keep objects that you might be lifting close to your body as that weight literally weighs 10x more when your arms are straight and you’re lifting. When you can’t squat and have to bend over, bend the knees, arch your back (literally “stick your butt out”), and bend over at your hip joints – DON’T use your back. You’ll need to practice that one a few times before it’s fully understood.

As your back pain improves, we will review these important self-help approaches and add new “tricks of the trade” like certain stretches, some strengthening and perhaps some balance exercises. Did you know that your thigh muscles shrink just by sleeping overnight? It’s true! When you wake up in the morning, your thigh muscles are smaller than when you went to bed. Well, this same muscle shrinkage (technically called “atrophy”) occurs in the lower back and hips, so strengthening exercises are REALLY IMPORTANT! Just think, if your muscles shrink overnight just from laying in bed, what about when you might have been told to use bed rest for several days or more? There potentially is a lot of muscle shrinkage and weakness that can occur in a relatively short amount of time and therefore, strengthening exercises also need to be taught in order to regain your strength so you can more safely do your activities.

Now what about back pain prevention? What methods to you think will help us NOT get low back pain? That’s right – managing weight! If your BMI (body mass index or, the ratio between your height and weight) is >25, you need to trim down a bit (or more). Go on line and SEARCH BMI, and pick one of many “BMI Calculators” to figure out your BMI. So, what do chiropractors know about weight loss?

Did you know the chiropractic college curriculum includes more nutritional courses than most medical schools? We will help you find a way to lose weight – whether its calorie restriction, a special diet like no/low salt, gluten-free, or a diabetes-specific diet. Another prevention trick for the low back (actually, whole body!) is to STAY FIT! Make aerobic exercise and even a light weight lifting program part or your daily ritual. Other methods help too, so come in and let us guide you in this journey to better health!

We realize you have a choice in where you get you healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Weekly Health News for You…

Mental Attitude: That’s Life. Our life experiences (the ups, downs and everything in between) shape us, stay with us and influence our emotional set point as adults. By studying identical twins and monitoring them as their life paths diverged, researchers discovered life experiences are important influences on our levels of anxiety and depression. With diet, we say, “you are what you eat.”  This study shows “you are what you have experienced.” Virginia Commonwealth University, Oct 2011

Health Alert: Drunk Drivers! During the past year in the United States, the Centers for Disease Control estimates there were 112 million incidents of adults getting behind the wheel of their car while under the influence of alcohol. That’s 300,000 a day! These people put everyone on the road at risk. 11,000 people are killed every year in crashes that involve an alcohol-impaired driver. CDC, Oct 2011

Diet: Thin Children? Children with thinner parents are 3 times more likely to be thin than children whose parents are overweight. When both parents were in the thinner half of the healthy-weight range, the chance of the child being thin was 16.2%, compared with 7.8% when both parents were in the upper half of the healthy weight range, 5.3% with two overweight parents, and only 2.5% for children with two obese parents. Archives of Pediatrics & Adolescent Medicine, Sept 2011

Exercise: Vigorous Exercise. Men who perform vigorous exercise 3 times a week have a 22% lower risk of heart attack. Researchers believe the vigorous exercise results in higher HDL-C (“good” cholesterol) levels, known to lower the risk of heart disease. American College of Sports Medicine, Oct 2011

Chiropractic: Total Regeneration. According to Deepak Chopra, M.D., “98% of the atoms in your body were not there a year ago.” With that concept in mind, taking care of your body is essential as it is a constant state of regeneration. Through proper diet, regular exercise, getting enough rest, maintaining low stress levels and proper chiropractic care, you can give your body the best opportunity to be healthy and stay healthy.

Wellness/Prevention: Kids, Stay Thin! If your children are overweight or obese, their risk of having high blood pressure is almost three times higher than children at normal weight. Hypertension: Journal of the American Heart Association, Oct 2011

Quote: “Your most unhappy customers are your greatest source of learning.” ~ Bill Gates

Active Release Did you know? Dr. Hyman is still the only Active Release Techniques (ART) Instructor practicing in Denver. Dr. Hyman has been teaching students at ART seminars all over North America since 2002.

How our Denver Active Release Clinic (Denver Chiropractic Center) can help you stay healthy.

With Thanksgiving just around the corner, I know you’re busy, so I’ll get to the point. We’ll be in the office all week this week, but just Monday, Tuesday & Wednesday 9-Noon next week. Here’s this week’s health news for you:

Mental Attitude: More Vacations? Researches claim vacations help us recharge our batteries and perform at a higher level once we return to work. However, because the after-effects are short-lived, we should take trips more frequently in order to keep our levels of health and well-being high. The Psychologist, Aug 2011

Health Alert: Over Spending? Researchers at Mount Sinai School of Medicine found $6.7 billion was spent in one year for unnecessary tests or prescribing unnecessary medications, with 86% of that cost attributed to the prescription of brand-name statins to treat high cholesterol. Archives of Internal Medicine, Oct 2011

Diet: Iron Man? The right amount of iron is needed for proper cell function, but too much may lead to diseases like Alzheimer’s and Parkinson’s. Men typically have more iron in their bodies than women, which may be why men develop these age-related neurodegenerative diseases at a younger age. (Younger women’s iron levels are thought to be lower because of menstruation.) To reduce iron levels: decrease over-the-counter supplements that contain iron, unless doctor recommended; eat less red meat; donate blood; and take natural iron-chelating substances that bind to and remove iron (such as curcumin or green tea). Neurobiology of Aging, Oct 2011

Exercise: Music To The Ears. Researchers found listening to music (in this case Vivaldi’s “The Four Seasons”) while exercising improved participants’ mental agility. The study’s author, Charles Emery, believes all types of music can produce a similar effect, no just classical. ABC News, April 2011

Brain Activity And Chronic Low Back Pain. A new imaging technique, arterial spin labeling, shows the areas of the brain that are activated when low back pain worsens in chronic pain patients. This is a first step towards objectively describing chronic pain, normally a subjective experience. When a patient has worsening of their usual pain, there are changes in the activity of the brain in the areas that process pain and mood. Anesthesiology, August 2011

Quote: “He who is not courageous enough to take risks will accomplish nothing.” ~ Muhammad Ali.

Active Release. How to stay healthy. Recent research has shown that chiropractic patients who receive monthly maintenance care have better treatment outcomes that last longer. While I have no formal studies to prove it, the many patients who come to see us for monthly ART sessions also seem to stay healthier. We can usually spot developing problems and get rid of them before they start causing pain.

Shin splints, blueberries and This Week’s Health News For You.

Mental Attitude: Remember Zinc. For over 50 years, scientists have known zinc plays a vital role in the brain but were not quite sure what that role is. Now, researchers from the Duke University Medical Center and MIT have discovered that zinc regulates the communication between neurons in the hippocampus, where learning and memory processes occur. Neuron, Aug 2011

Health Alert: Health Costs Rising! According to experts, healthcare spending will grow 6% each year through 2020. Researchers estimate that doctor visits, clinical services and prescription drugs will be the largest growth areas. The Centers for Medicare and Medicaid Services

Diet: Where to Eat? As childhood obesity rises and the American diet shifts towards increasing consumption of foods eaten or prepared outside of the home, concerns about the nutritional quality and the total consumption of such foods are also increasing. Comparing measurements from 2006 to 1977, children now eat more calories every day (+179 kcal/day). This is associated with a major increase in calories eaten away from home (+255 kcal/day). The percentage of calories eaten away from home is now 33.9%. Journal of the American Dietetic Association, Aug 2011

Exercise: Strong Arm Diabetes. Building muscle can lower your insulin resistance risk, thus lowering your chance of developing Type-2 Diabetes. Scientists have known for a while that low muscle mass raises the risk of insulin resistance; however, no study had attempted to figure out whether increased muscle, regardless of obesity levels, might improve blood glucose control Journal of Clinical Endocrinology & Metabolism, July 2011

Chiropractic: Hall of Fame Help. During his playing career, NFL Hall of Fame Quarterback Joe Montana said, “I’ve been seeing a Chiropractor and he’s really been helping me a lot. Chiropractic’s a big part of my game.”

Wellness/Prevention: Blueberries And Cancer. Eating as little as a cup of blueberries every day may help prevent cell damage linked to cancer. University of Alabama at Birmingham, Sept 2011

Quote: “Nature, time and patience are three great physicians.” ~ H.G. Bohn

Active Release: Shin splints. Shin splints is a painful inflammation of the muscles of the shin, usually the Tibialis Anterior or Tibialis Posterior muscles. While the problem is felt in the shins, the source is usually the foot and ankle. When the feet are weak and the ankles are tight, your shin muscles are subjected to additional stress. While Active Release is great for correcting the affected muscles, the foot and ankle must be addressed with rehab exercises. Icing after activity helps too. If you’re dealing with shin splints, call us 303.300.0424

The best Halloween Tip ever, and this week’s Health News for You

Here’s the best Halloween tip that I’ve ever heard. Anyone with kids knows that the worst thing about Halloween is the candy. The kids get instantly addicted to it and don’t stop asking for it for weeks after Halloween. A couple of years ago, a patient shared this idea with me.

After the trick-or-treating is done, let the kids pick out a few pieces of candy. Then take the rest and put it in a bog for the kid to leave on the porch for the “Halloween Goblin.” The Goblin will come in the night and take the candy, leaving behind a toy for the each kid.

We’ve been doing this for 3 years and it works great. One year they traded so much candy that the Goblin took it to the local fire station, where the firefighters were happy to give it a good home. Anyway, have a safe and happy Halloween.

This week’s Health News For You:

Mental Attitude: Friendships & Anxiety. Anxious, solitary kids are more emotionally sensitive and more likely to be excluded and victimized by their peers. They’re also less likely to have friends, and when they do, to have fewer than their peers and to lose friendships over time. Look for ways to socialize kids who don’t like to play with others. Child Development, Sept 2011

Health Alert: Obesity Costs! States spend up to $15 billion a year in medical expenses related to obesity. Estimates in dollars range from $203 million in Wyoming to $15.2 billion in California. National costs of obesity are $147 billion. Agency for Healthcare Research and Quality, Sept 2011

Diet: Wine & Dementia Risk. Moderate wine drinkers are 23% less likely to develop dementia and/or Alzheimer’s disease (note- yay!). Resveratrol, found in fairly high levels in wine, is a naturally occurring antioxidant that decreases the stickiness of blood platelets and helps blood vessels remain open and flexible. It also inhibits enzymes that can stimulate cancer cell growth and suppress immune response. (Wine is also less fattening than beer.) Alzheimer’s Disease Research Center

Exercise: More Good Reasons. Exercise decreases the rate of joint degeneration in people with osteoarthritis, lowers your resting heart rate, helps to boost creativity and reduces circulating levels of triglycerides. Surgeon General’s Report on Physical Activity and Health, 1996

Active Release: Tennis Elbow. Tennis elbow is a painful irritation and inflammation of the area on the outside of the elbow known as the lateral epicondyle. Anyone who grasps things- like a tennis racket, power tools, barbells, etc, is at risk. Ice and rest can help, but often Active Release Techniques is needed to break up the scar tissue in the tendon and related muscles. This condition can take longer than others to heal, so if your elbow is bothering you, call us sooner rather than later.  American Journal of Public Health, August 2011

Quote: “Security is mostly a superstition. It doesn’t exist in nature.” ~ Helen Keller

Neck pain and Headaches – How we can help you at Denver Chiropractic Center

When you hear the term headache, you don’t usually think about the neck. Rather, you focus on the head, more specifically, “…what part of the head hurts?” But, upon careful questioning  and examination of our patients at Denver Chiropractic Center, we usually find some connection or correlation between neck pain and headaches.

The key to this connection can be found in looking at the anatomy of the neck. There are 7 vertebrae that make up the cervical spine and 8 sets of nerves that exit this part of the spine and innervate various parts of the head, neck, shoulders and arms, all the way to the fingers.

All of these nerves pass through muscles, and this is where the problem can start. Think of the nerves as electric wires that stretch between a switch and a light bulb. When you flip on the switch, the light illuminates. Each nerve, as it exits the spine, is like a switch and the target it travels to represents the light bulb. So, if one were to stimulate each of the nerves as they exit the spine, we could “map” exactly where each nerve travels (of course, this has been done).

When we look specifically at the upper 3 sets of nerves that exit the spine (C1, C2, and C3), we see that as soon as they exit the spine, they immediately travel through several muscles at the base of the skull. These muscles can become tight for several reasons, like poor posture (computer sitting), whiplash, and sleeping on an uncomfortable pillow.

Like any nerve, if enough pressure is applied to the nerve, some alteration in nerve function occurs and usually a sensory change is noted (numbness, tingling, pain, burning, etc.). If the pressure continues, these symptoms can last for a long time. These types of headaches are often called “cervicogenic headaches” (literally meaning headaches that are caused by the neck), and are the most common type of headache.

These can be caused by the nerves getting pinched or pressured by tight muscles through which they travel as they make their way to the scalp. At Denver Chiropractic Center, we use a combination of Active Release Technique and gentle (never forceful) chiropractic adjustments to release the tension in the muscles. This often releases the pressure on the nerves and can relieve headaches and neck pain.

Treatment programs for headaches and neck pain at our office general take 8-12 treatments over a period of 4-8 weeks. We look for some signs of improvement within the first 4 treatments. But before we can treat you, we need to make sure you’re an appropriate candidate for our care. While we can help with cervicogenic headaches, there are other types of headaches that require medical evaluation. It all starts with an initial consultation and exam.

We realize that you have a choice in where you go for your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing Denver Chiropractic Center and look forward in serving you and your family presently and, in the future.

Simply call us at 303.300.0424 to set up your initial appointment, or fill out our very brief web form to have us contact you: denverback.com/contact.html.