Headaches Archives - Page 5 of 7 - Denver Chiropractic Center

Dr. Glen Hyman’s Denver Chiropractic Center: Whiplash Self-Care: Part 1

Whiplash is a condition that can occur from MANY causes – in fact, anything that results in a sudden change in the head/neck position. Usually, there is a rapid acceleration that injuries the soft tissues around the neck area by stretching them beyond their limits. Hence, the more accurate terms for whiplash are, “cervical acceleration-deceleration” or CAD as it describes the mechanism of the injury and “whiplash associated disorders” (WAD) describing the degree of injury.

Most commonly, when we think about whiplash, we immediately envision a motor vehicle collision (MVC), but prior to the invention of the automobile, the term “railroad spine” was coined to describe injuries to the neck from crashes that occurred between trains. Since then, due to pilots landing planes on aircraft carriers, sports injuries, and the rise of the automobile, this once rare condition has affected MOST of us at some point in time!

Today’s topic will focus on self-care. What can you and I do for ourselves WHEN we suffer a CAD injury? Since there are different levels of injury severity, keep in mind that EACH CASE IS UNIQUE and we will ONLY be discussing general options. So ALWAYS let your symptoms guide you in the process of care – that is, if you feel a sharp, piercing/stabbing, activity or movement stopping type of pain, STOP!!! Don’t further injure your tissues!!! We will discuss a common WAD II injury (soft-tissue injury limiting motion but not injuring nerves) and we’ll look the acute and sub-acute stages of the injury.

Stage 1 – ACUTE: The inflammatory phase (up to 72 hours). ICE is necessary to decrease swelling (inflammation). Limit motion but try NOT to use a collar unless you have no choice as even small movements that avoid the sharp/knife-like pain are better than no movement at all. A collar may be needed when driving (especially if the roads are bumpy)! Anti-inflammatory herbs like ginger, turmeric, boswellia, bioflavonoid, and others reduce inflammation WITHOUT irritating the stomach, liver, kidneys, and will NOT inhibit the chemicals needed for healing (like NSAIDs do!). Chiropractic care with Active Release Techniques Soft Tissue Treatment SHOULD begin ASAP after an injury. We may only use gentle manual traction and/or mobilization, also staying within reasonable pain boundaries. It’s been well proven that early movement is best!

Stage 2 – SUB-ACUTE: The repair phase (72 hours to 14 weeks). Ice can continue if it helps control pain. You can also alternate ice and heat at 10/5/10/5/10 minutes, starting and ending with ice (it “pumps” the tissues). Cervical range of motion (ROM) exercises with LIGHT resistance (use 1 or 2 fingers against the head and push in a forward, backward, sideways, and rotating directions first with “isometrics” – not moving the head, and when tolerated, “isotonic” – moving the head against the LIGHT pressure applied in BOTH directions within the range that avoids sharp/knife-like pain. Movement, strength, pain, and coordination are ALL better managed when light resistance + motion is used vs. not moving (isometrics). Self-applied methods of performing “myofascial release” (which we will teach you) include: Self-massage, the use of a tennis ball and/or foam roll and others. During this repair phase, chiropractic adjustments and Active Release Techniques Soft Tissue Treatments REALLY help!!! We will continue this discussion on the next page…

Chiropractic and Neck Pain in Children

Children have been treated by chiropractors for spinal problems ever since chiropractic was founded in 1895, and neck pain is no exception. Neck pain is surprisingly common in kids, though not quite as common as it is in adults, reaching a similar occurrence rate by age 18. Studies conducted in the United States and in other countries report similar findings, leaving one to conclude there is a high prevalence of neck pain in kids all over the world. There are many causes of neck pain with a few being unique to children and some that could be a warning sign of something dangerous, such as meningitis. But far more commonly, neck pain in kids is NOT dangerous.

Let’s take a look!Looking at neck and shoulder pain in high-school-aged students, 931 males between 16 and 19 years of age were surveyed. More than two out of five students (44.3%) had recurrent neck and shoulder pain more than once a week with an overall prevalence of 79.1%. THAT’S A LOT! The study reported the student’s average sitting time was 10.2 hours a day, 59% did NOT sit up straight, and 11.9% reported that they stretched their neck and shoulders regularly throughout the day. Students with recurrent neck and shoulder pain also reported frequent fatigue and depressed moods. Looking specifically at 1,122 backpack-using adolescents, 74.4% were classified as having back or neck pain. When compared to non- or low use backpackers, there was nearly a two times greater likelihood of having back/neck pain! Also, females and those with a large body mass index (overweight) were also significantly associated with back/neck pain. Lastly, they found when compared to adolescents with no back/neck pain, those with pain carried significantly heavier backpacks.Another common cause of neck pain in adolescents is a condition called torticollis or, “wry neck.” This is basically a muscle spasm of certain neck muscles that rotate and extend the head from the neutral / normal position, often described as being “stuck” in this position. Though there are several types of torticollis, it can be triggered by almost anything including a change in weather, sleeping in a draft, following an infection like a cold or flu, maintaining a faulty prolonged posture, certain types of medications, and many others. Some studies describe torticollis as usually improving within one to four weeks, but in the hands of a chiropractor, it usually takes two to three days for the acute pain to subside and one week to completely finish the job! Of course, this varies depending on the case. Infants can be born with “congenital torticollis,” which occurs in 0.3 to 2.0% of newborns. Here too, chiropractic is VERY effective.

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend, or family member requires care for neck pain, we would be honored to render our services.

Chiropractic: Used by Severe Migraine Sufferers.

A study of 225 severe migraine sufferers found that during the previous two years, nearly the same percentage sought treatment from a Doctor of Chiropractic (27.1%) as sought out pharmacological treatment from their General Practitioner (27.6%).
Headache, February 2014

What Kind of Headache Do I Have? (Part 2)

Last month, we discussed three types of headaches: Tension Headache (the most common), Cluster Headaches (a vascular headache – less common, short duration but REALLY painful), and Sinus Headaches. Migraine headaches were discussed the month before last. In keeping with the theme, ONE more headache type will be discussed: Rebound Headaches, followed by anti-inflammatory herbal remedies, and finally, “Headache Triggers.”

Rebound headaches are the result of pain killer overuse. Of course, one would think of pain killers like aspirin, acetaminophen (Tylenol), or ibuprofen (Advil, Motrin, Nuprin, etc.) as well as many prescription drugs as being “friendly” and commonly reached for when a headache or any other ache or pain occurs. But, as the old saying goes, “…too much of a good thing can be bad!” These culprits, instead of helping, can actually hurt you! One theory for the cause of rebound headaches is that too much of these meds can cause the brain to shift into an excited state that triggers the headache. Another theory is that these headaches result from too sudden of a drop of the medicine in the bloodstream, which would only occur if the medication was being taken at a high dose for a relatively long period of time. According to the Migraine Research Foundation, EVERY 10 SECONDS, someone in the United States goes to the emergency room with a migraine or headache due to the intense pain, severe nausea or dehydration, drug interactions, or side effects from headache medications! DON’T BE ONE OF THEM!!!

As mentioned last month, PLEASE FIRST try an anti-inflammatory herb like ginger (Zingiber officinale), turmeric (Curcuma longa), Feverfew, passionflower (Passiflora alata), Peppermint (menthe piperita), ginko (ginko biloba), caffeine (Coffea Arabica), black or green tea, Valerian (Valeriana officinalis), Coriander Seed (Coriandrum sativum), Dong Quai (Angelica sinensis), Lavender Oil (Lavandula angustifolia), Rosemary (Rosmarinus officinalis), Lime or Linden (Tilia spp.), horseradish (Armoracia rusticana), honeysuckle (Lonicera japonica), and more!

So what triggers headaches? Here are a few of the more commonly researched triggers: weight [in females, a BMI of 30 (mild obesity) = 35% greater risk, and BMI of 40 (“severe obesity”) = 80%]; personality (traits such as rigidity, reserve, and obsessivity); “let-down” or weekend headaches (breaking your routine, like staying in bed until noon); odors and fumes (e.g., fresh paint); dehydration (drink water AND eat fruits / veggies to get more water); skipping meals (hunger is a common trigger); physical exertion (certain sports like running, weight lifting); too much caffeine (small amounts help, but too much can trigger headaches); inactivity (sedentary lifestyles trigger – 30 min./day cardio, 5x/week is ideal); sleep deprivation (those averaging six hours have more frequent & severe headaches); and certain foods like red wine, beer, MSG, chocolate, aged cheese, sauerkraut, and processed meats like pepperoni, ham, and salami. Foods that can reduce headaches include those high in magnesium– spinach, tofu, oat bran, barely, fish oil, olive oil, white beans, sunflower, and pumpkin seeds.

In addition to GOOD CHIROPRACTIC CARE, and Active Release Techniques headache management requires a multidimensional approach for best results!

We realize you have a choice in whom you consider for your health care and we sincerely appreciate your trust in choosing Denver Chiropractic Center service for those needs. If you, a friend, or family member requires care for headaches, we would be honored to render our services.

Chiropractic: Asymmetric Hip Mobility and Neck Pain.

Over three hundred freshmen college students underwent an examination of their hip joints and were asked whether or not they suffered from neck pain. The results showed that the young adults with asymmetrical hip mobility were nearly three times more likely to also suffer from neck pain.
Journal of Manipulative and Physiological Therapeutics, July 2013

Chiropractic for Headache Relief.

Spinal adjustments resulted in almost immediate improvement for headaches that originate in the neck. As a treatment for tension-type headaches, spinal adjustments resulted in significantly fewer side effects and longer-lasting relief than prescribed medication.
Duke University, January 2001

Whiplash – Can We Predict Long-Term Problems?

Whiplash (or the rapid acceleration forwards followed by deceleration or sudden stopping of the moving head during the whiplash event) occurs at a speed that is so fast, we can’t prepare for it. In other words, by the time it takes us to voluntarily contract a muscle to guard ourselves against injury, that rapid forward/backwards “whipping” of the head and neck is already over! When considering the details of the injury event, sometimes we lose focus on what REALLY matters. Is there a way to reduce the chances for a long-term chronic, disabling, neck pain / headache result? Last month, we found out that the long-term use of a cervical collar is NOT a good idea. What are some other ways to prevent long-term disability?

A very interesting study investigated the first 14 days of treatment during the acute stage of whiplash neck sprain injuries following a car accident. The researchers wanted to determine what long-term consequences resulted from two different treatment approaches. In one group (201 patients, 47% of the total group), the patients were encouraged to, “…act as usual,” and continue in their normal daily, pre-injury activities. The patients in the second group were given time off from work and were immobilized in a soft cervical collar during the first 14 days after the car crash. At the end of the 14 days, there was a significant reduction of symptoms between the first visit to the fifteenth day (24 hours after the 14 day initial treatment time frame in both groups). However, when evaluated at the six-month point, the group that continued their normal daily routine, did not take time off work, and did not wear a collar had, “…a significantly better outcome,” compared to the other group. This study supports that over-treatment with a collar and time off from work “sets people up” for adopting a “sick role” where the patient is overly-focused on their problem. This study parallels what we discussed last month and embraces the chiropractic philosophy to staying active, exercise, don’t use a collar, and the use of manipulation which exercises joints and keeps them from stiffening up, thus reducing pain and the fear of doing activity!

Another study looked at different presenting physical factors that might be involved in the development of long-term handicaps after an acute whiplash injury in a group of 688 patients. They measured these physical factors at three, six, and twelve month intervals and found the relative risk for a disability a year after injury increased with the following: 1) A 3.5 times disability increase with initial high pain intensity of neck pain and headaches; 2) A 4.6 times increase with initial reduced neck movement or ranges of motion; and 3) A 4 times greater chance with initial multiple non-painful complaints (such as balance disturbance, dizziness, concentration loss, etc.). In yet another study, both physical and psychological factors were found to predict long-term disability. These included initial high levels of reported pain and poor activity tolerance, older age, cold sensitivity, altered circulation, and moderate post-traumatic stress.

The “bottom line” is that as chiropractors who also use Active Release Techniques, we are in the BEST position to treat and manage whiplash injured patients based on the type of care we perform and offer. We promote exercise of muscles and joints, encourage activity not rest, and minimize dependence on medication, collars, and other negative treatment approaches.

The many types of headaches: chiropractic can help

Headaches come in MANY different sizes, shapes, and colors. In fact, if you search “headache classification,” you will find the IHS (International Headache Society) 152 page manual (PDF) lists MANY different types of headaches! Last month, we discussed migraine headaches. This month, we’ll talk about the other headache types. So WHY is this important? Very simply, if we know the type of headache you have, we will be able to provide you with the proper treatment. Headaches are classified into two main groups: “primary” and “secondary” headaches. The “Primary” headache list includes: 1) Migraine; 2) Tension-type; 3) Cluster; 4) “Other primary headaches,” of which eight are listed. One might think that with this simple breakdown of the different types of headaches it should be easy to diagnose a type of headache. Unfortunately, that’s NOT true! In fact, a 2004 study published that 80% of people with a recent history of either self or doctor diagnosed sinus headache had NO signs of sinus infection and actually met the criteria for migraine headaches! So, the more we can learn about the different types of headaches, the more likely that we will arrive at an accurate diagnosis.

Tension-Type Headaches: This is the most common type affecting between 30-78% of the general population. It is usually described as a constant ache or pressure either around the head, in the temples, or the back of the head and/or neck. There is typically NO nausea/vomiting, and tension-type headaches rarely stop you from performing normal activities. These headaches usually respond well to chiropractic adjustments and to over-the-counter medications like Advil, aspirin, Aleve, and/or Tylenol, though we’d prefer you first reach for an anti-inflammatory herb like ginger, turmeric, bioflavonoid, and the like as these have less stomach, liver, and/or kidney related side-effects. These headaches are typically caused by contraction of the neck and scalp muscles, which can be result of stress, trauma, lack of sleep, eyestrain, and more.

Cluster Headaches: These are less common, typically affect men more than women, and occur in groups or cycles. These are VERY DISABLING and usually arise suddenly and create severe, debilitating pain usually on only one side of the head. Other characteristics include: a watery eye, sinus congestion, or runny nose on the same side of the face as the headache. An “attack” often includes restlessness and difficulty finding a pain-reducing, comfortable position. There is no known cause of cluster headaches, though a genetic or hereditary link has been proposed. The good news is that chiropractic adjustments can reduce the intensity, frequency, and duration of cluster headaches!

Sinus Headaches: Sinusitis (inflamed sinuses) can be due to allergies or an infection that results in a headache. This may or may not include a fever, but the main distinguishing feature here is pain over the infected sinus. There are four sets of sinuses. Many people know about the frontal (above the eyes on the forehead) and maxillary (under the eyes in our cheeks) but the two sinuses deep in head (ethmoid and sphenoid sinuses) are much less known or talked about. These two deep sinuses refer pain to the back of the head, and when infected, it feels like the back of the head could explode. Lying flat is too painful so sitting up is necessary. Chiropractic adjustments applied to the sinuses, upper neck, and lymphatic drainage techniques work GREAT in these cases!

We will continue next month with the remaining types of headaches!

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend, or family member requires care for headaches, we would be honored to render our services.

This Week’s Denver Chiropractic Center 1- Page Health News

This is too cool to not share, but my wife Meredith and our baby sitter Meaghan worked hard to make our Lego costumes for Halloween. I am Lego Captain America. Meredith is Lego Ironman. And Meaghan is Lego Spider Man. A safe and happy Halloween to all!

Health Alert: Evidence Shows Steroids in Waterways.
Recent research has discovered that common livestock steroids do not fully break down in water as previously believed. Researchers are working to understand the environmental effect of this class of drugs on species that rely on rivers and streams near cattle ranches.
University of Iowa, September 2013

Diet: The Effects of Soy and Whey Protein Consumption on Resistance Training.
A small study looked at the effects of consuming either soy or whey protein prior to resistance training. For fourteen days, male participants consumed either 20g of whey protein, soy protein, or a placebo and then performed six sets of squats at ten reps per set using 80% of their maximum lifting weight. Blood tests showed soy protein appeared to lower serum testosterone levels and whey protein appeared to blunt the effect of the stress hormone cortisol in the body.
Journal of the American College of Nutrition, October 2013

Exercise: When Soccer Injuries Occur…
Researchers have found that soccer injuries are more likely to occur if a player’s team is winning, if the player is a forward (an attacking player), after a yellow or red card is issued against the other team, or as the number of free kicks (a kick right after a foul) increases. According to the study’s co-author, Dr. Jaakko Ryynänen, “The ability to recognize periods of matches (games) when the injury incidence is high may be important in terms of preventive measures.”
University of Gothenburg, October 2013

Chiropractic: Heads Up!
If your head is in a forward posture, it can add up to 30 lbs (~13 kg) of abnormal leverage on the cervical spine (neck). In time, this can pull the entire spine out of alignment. Forward head posture may even result in the loss of up to 30% of vital lung capacity. These breath-related effects are primarily due to the loss of the cervical lordosis (the inward curve of the cervical spine), which blocks the action of the inferior hyoid muscle responsible for helping lift the first rib during inhalation.
Rene Cailliet, M.D., January 1996

Chiropractic again: Adjustments Effective After Low Back Surgery.
A review of 32 patients who received chiropractic care after lumbar spine surgery revealed improvements in pain levels with no adverse effects.
Journal Of Manipulative Physiological Therapy, July 2011

Your head position and strain on your neck

For every inch your head is forward, your upper back and neck muscles have to hold an extra 10 lbs (~4.5 kg), as they have to work harder to keep the head (chin) from dropping to your chest. This also forces the sub-occipital muscles (they raise the chin) to remain in constant contraction, putting pressure on the three sub-occipital nerves. This nerve compression may cause headaches at the base of the skull or mimic sinus (frontal) headaches.
Kapandji, Physiology of the Joints, Volume III

We address this in two ways at Denver Chiropractic Center. We use chiropractic adjustments to realign the spine. We also use Active Release Techniques to release those tight sub-occipital muscles that can cause headaches, neck pain and fatigue.