Friday, April 2, 2010

Still looking for headache relief?

Before looking for a headache remedy, one should understand the origin of the headache. Spinal manipulations have shown to decrease the severity and frequency of headaches, because they usually are due to a misaligned spine. Poor posture or injury can force your vertebrae out of place and pressure the nerves. These nerves can send painful signals to the muscles surrounding the neck and cause a headache. The spinal manipulations straighten your spine and relax the muscles.

There are several types of headaches; including tension, migraine and cervicogenic. Most people experience the tension headache, which includes moderate pain on both sides of the head. It is often described as a pressure that is squeezing your head causing the pain. Migraines are more severe and are usually described as a throbbing pain. Sometimes a migraine can cause nausea, loss of appetite, and in some cases vision difficulties. If you get migraine headaches regularly, keep a record of the foods you eat. You might notice that your headaches are caused by specific foods. The cervicogenic headache is related to the spine and causes most tension type headaches.

Not all headaches are cause by spinal misalignments but you should consult your chiropractor before you begin any treatments. Sometimes caffeine, lack of nutrients, stress, allergies, menstruation, or poor sleep habits can cause headaches. In some cases of reoccurring headaches the location of the pain can clue you into a more severe problem. A headache located above the right eye may indicate a liver problem. Pain at the top of your head could indicate a kidney problem or high blood pressure. If you experience pain at the back of the neck, high stress levels probably cause the headache.

Your chiropractor will conduct physical, orthopedic and neurological tests to reveal the condition of your spine. A palpation test can check for irregularities in the spine that may be the cause of your headaches. Sometimes and x-ray is necessary. Your chiropractor may consult with other medical specialists if the test results dictate further exams.

Looking for a Headache Remedy?

Chiropractors do not prescribe medications or recommend surgery (rarely a treatment for headaches), but instead have had success relieving the pain associated with headaches. Taking aspirin every day as a headache remedy can lead to increased doses and even more severe headaches in the long run. The medicine taken for today's headache may give you one tomorrow or the days after. Chiropractic has been extremely successful in dealing with cervicogenic headaches. A chiropractor's ability to adjust spinal abnormalities lessens the forces contributing to headache pain. Other manual techniques such as massage and heat therapy can be a useful headache remedy.

(as posted at ChiroCommunity)

Thursday, April 1, 2010

Back pain: Will chiropractic treatment help?

Back pain — How well does chiropractic care stack up against more conventional treatments?

By Mayo Clinic staff

For many people, low back pain follows a fairly predictable course. Nagging back pain lasts a few weeks — maybe letting up temporarily when you take a pain reliever — and then it goes away.
So where does chiropractic care fit into the picture? That's up to you to decide.

What the research says

Clinical trials indicate that chiropractic care is as safe and effective as conventional treatments — which may include pain medication, rest or exercise. But that may not be saying much. Low back pain typically improves within a matter of weeks, even for people who seek no treatment at all.
Low back pain is often caused by injuries or strains, and there's no magic cure. It simply takes time for your back to heal. But treatment of some type — either chiropractic or conventional — might make you more comfortable as you wait for this healing to occur.

What does a chiropractor do?

Chiropractic treatment is based on the concept that restricted movement in the spine may lead to pain and reduced function. Spinal adjustment (manipulation) is one form of therapy chiropractors use to treat restricted spinal mobility. The goal is to restore spinal movement and, as a result, improve function and decrease back pain.

During an adjustment, chiropractors use their hands to apply a controlled, sudden force to a joint — pushing it beyond its normal range of motion. The joint's movement may be accompanied by a popping or cracking sound.

Chiropractors may also use massage and stretching to relax muscles that are shortened or in spasm. Many use additional treatments as well, such as ultrasound, electrical muscle stimulation and exercises.

Is it safe for everyone?

Chiropractic care is generally considered safe, but it's not appropriate for everyone.
• Don't seek chiropractic adjustment if you have osteoporosis or signs or symptoms of nerve damage, such as numbness, tingling or loss of strength in an arm or leg.
• If you have a history of spinal surgery, check with your surgeon before consulting a chiropractor.
• Manipulation of the neck has been associated with having a stroke in rare cases.
• If you have back pain accompanied by fever, chills, sweats or unintentional weight loss, see a medical doctor to rule out the possibility of an infection or tumor.
If you're considering chiropractic care
If you'd like to try chiropractic care to treat your low back pain, a little preparation can help you get the most from your treatment.
• Consult your doctor. Talk to your doctor about the type of specialist best able to treat your back pain. In addition to chiropractors, many osteopathic physicians and some physical therapists have training in spinal manipulation.
• Make it a team approach. As with any medical specialist, select a chiropractor who's willing to work with the other members of your health care team.
• Arrange a consultation. Before you make a treatment appointment, arrange a consultation with the practitioner — either in person or by phone — to find out how he or she might address your back pain. Make sure you're comfortable with the recommendations, including how many sessions you'll need. For acute low back pain, four to six sessions are typically enough.
• Understand the risks. When limited to the low back, chiropractic adjustment has few risks.

However, manipulation of the neck has been associated with injury to the blood vessels supplying the brain. Rarely, neck manipulation may cause a stroke.

Think prevention

A little care and attention can help you keep back pain at bay. Maintain a healthy weight. Exercise regularly. Sit up straight. When you lift something heavy, let your legs do the work. Avoid activities that involve repetitive bending or twisting. If you sit or stand for long periods of time, take frequent breaks to walk around.

Wednesday, March 31, 2010

Chiropractic's Role in Treating Headaches

Cervicogenic Headache Model Gives Credence to Chiropractic

Until recently, the medical understanding of headaches has not taken into account the chiropractic model. The concept that headache pain can emanate from cervical dysfunction is still completely foreign to most of the medical profession.

Noted researcher Nikolai Bogduk, MD, PhD, professor of anatomy at Newcastle, Australia, commented:

"The people in control of the headache field seemingly have not, cannot, or will not, recognize this paradox ... that the model for cervicogenic headache is not only the best evolved of all headaches but is testable in vivo, in patients with headache complaints. No other form of headache has that facility."

Several years ago, a Canadian anesthesiologist, Peter Rothbart, MD, FRCPC, came to the same conclusions about cervicogenic headache. Dr. Rothbart made many observations in his own pain management practice which subsequently led to an article in the Toronto Star, the most widely read newspaper in Canada. The Toronto Star article, "A Pain in the Neck," was subtitled: "Chiropractors were right.

Many headaches are caused by damaged structures in the neck -- and scientific evidence proves it." The article explained that years ago, French medical professor Robert Maigne "came to believe that many headaches originated with a structural problem in the neck." He was "thought to be a lunatic," said Dr. Rothbart. But others took up Dr. Maigne's work, including Dr. Nik Bogduk.

In 1995, a team of MDs at Syracuse University established neck problems as the cause of many headaches "with scientific, anatomical proof." Dr. Rothbart termed the Syracuse results "a minor miracle." In the Toronto Star article, Dr. Rothbart made several insightful comments:

"Some brilliant people have put their hearts, souls and minds to this (headache) problem and haven't come up with anything. All we've been able to do is treat people with an array of medicines, one after the other, and hope the side effects won't be too bad."

"We couldn't believe it at first. We've been able to put together a scientific explanation for how neck structure causes headaches -- not all headaches, but a significant number of them."

"It's true that chiropractors have been saying this for years. Unfortunately, many (medical) doctors tend to have a jaundiced view of chiropractors, but they were right about headaches."

Dr. Rothbart's clinical experience and findings have led him to become a founder and president of the North American Cervicogenic Headache Society (NACHS). The NACHS is dedicated to establishing the place of cervicogenic headache in the minds and practices of those health care provider who treat headaches. At the first North American Cervicogenic Headache Conference, held last year, Dr. Rothbart remarked:

"So far as the International Headache Society and the American Association for the Study of Headaches have defined this entity (cervicogenic headache) -- it simply doesn't exist. I'm pleased to say that thanks to the works of Drs. Merskey and Bogduk, cervicogenic headache is recognized in the IASP (International Association for the Study of Pain) taxonomy. This situation creates an enormous problem in addressing the diagnosis and treatment of headaches. Since most of the physicians and headachologists are unfamiliar with the IASP taxonomy, they are unaware of this entity, so diagnosis of cervicogenic headache is rarely made. Thus, there are a large number of chronic headache sufferers who go through life with the wrong diagnosis and hence the wrong treatment for their headache. It was the ongoing ignorance about this clinical entity that motivated the founders of this society to establish a formal organization. One of our goals is for this entity to be accepted into the general headache classification, and until this happens, large numbers of patients will continue to suffer unnecessarily."

The development of the concept of cervicogenic headache has opened a new door for chiropractic. As this concept is developed and adopted, it is expected that a large percentage of headache sufferers will fall into this category. Chiropractic has much to offer as the first line care for cervicogenic headache.

source:chiroweb.com

Tuesday, March 30, 2010

Think you can't be helped by a Chiropractor?

People seek care for four main reasons:
1. Treatment of a specific symptom.
2. Preventing the symptom from returning.
3. Part of a total approach to optimum physical and mental health.
4. To improve their family's health.

The types of people who seek Chiropractic care can be found below.
1. People involved in auto accidents.
2. People injured on the job.
3. People who slip and fall.
4. People who have sports-related injuries.
5. People who have stress.
6. People who don't exercise as they should.
7. People who are overweight.
8. People who have various aches and pains from normal everyday activities.
The common denominator of the people in the above list is that they have either suffered mishaps that caused injury to their bodies, or they have body types that are more prone to having injuries while performing normal, everyday activities.


These categories can further be broken down into the following:
1. Very young children/infants.
2. Young adolescents.
3. Young adults/teenagers
4. People in their 20's to 30's
5. People in their 40's to 60's
6. People over 70

People in each age category have very specific types of conditions that they are more likely to confront. Chiropractic offers a unique treatment method to combat the various health issues that arise.

For example, the very young children and infants are more likely to have postural difficulties due to the various falls taken while learning to walk, run, ride bicycles, etc. They also tend to have more earaches as well due to the early weakness of the neck and muscles surrounding that area. Many of our patients have found that using chiropractic care for children offers another aspect of care that should be used in addition to the standard medical pediatric care already being received.

Younger adolescents and teenagers should be checked for scoliosis by a chiropractic physician. Chiropractic is the only profession that offers conservative treatment of scoliosis at the time of earliest onset.

To use a botanical analogy: It makes more sense to help a sapling grow straight rather than attempt to change a tree that was allowed to grow crooked over many years.

Chiropractic offers a gentle approach to help your child have the best chance of avoiding more severe treatment methods that may become necessary in later years.

It is very common for adolescent age children to have various symptoms that adults deal with as well. In my experience the difference is that many adults tend to contribute these symptoms to growing pains . And, because the children are younger, with optimal recuperative powers, they tend to respond much quicker than adults with the same symptoms. These same mild spinal conditions can become more serious if left unattended, especially for those children who develop into athletes or very active young adults.

As the age groups get older, the conditions become more obvious ones. Lower back problems, neck pain, and headaches are all very common maladies. They can be caused by poor posture, poor lifting and bending procedures, the stress of our jobs, auto accidents, etc. These conditions must be taken seriously because if not, they create more life-long problems. This is very evident when examining the 40-60 and older categories. After reviewing patient histories taken over many years in practice, it is obvious that the majority of these conditions were caused by not fully correcting spinal problems that occurred many years in the past. Perhaps this may have been due to the fact that prior to the 1990's, Chiropractic did not get the acclaim it has gotten recently in helping these structural conditions.

source: chiroweb.com

When you are ready to stop hurting, stop by and see us! BRATCHER CHIROPRACTIC

Monday, March 29, 2010

Chiropractic & Treatment of Arthritis

One of the most widely misunderstood conditions among patients is arthritis. When some people hear this word they envisage a future with crippled and twisted joints. However "arthritis" is a very general word that encompasses many different conditions from the benign to the severe. For our purposes we will limit the discussion to the most common forms of arthritis.

Osteoarthritis

By far the most common form of arthritis has many names, osteoarthitis, degenerative arthritis, degenerative joint disease (DJD), and spondylosis if it is in the spine. Basically the condition is due to the wearing out of the cartilage that lines the joint surfaces and it found not only in humans but also in all mammals. When joint cartilage is damaged, the sensitive bone tissue that is usually protected by the cartilage, becomes stressed causing degenerative changes in the joint. Sometimes the bone around the joint will proliferate and make osteophytes or what are more commonly called bone spurs. These spurs can cause painful irritation to other tissues around the joint thus complicating the already hurtful condition.




The most common areas of the body that develop degenerative joints are in the spine particularly in the lower neck and lower back, the knees, the hips and the fingers. Everyone will experience DJD at one point in their lives though things such as previous trauma, ones occupation, activities, weight, diet, and heredity influence the degree of the condition and its onset.

The symptoms of DJD always involve some degree of pain and or stiffness in the body part involved. If the weight bearing joints such as the hips or knees are involved, ones mobility can be affected especially in the more advanced stages of the condition. In some cases if the joint is sufficiently worn and the person can no longer walk without severe pain, the joints are surgically replaced with synthetic devices. Of course, one should attempt to manage their condition early on in one's life to avoid the need for surgery.




The best management of DJD is of course prevention and involves taking care of one's joints at an early age :

One should always make sure that even when young all injuries to joints are properly managed to insure proper healing to avoid future disability

People involved in occupations that require standing or walking should wear proper shoes that provide good support and shock absorption

Excess body weight can cause increase stress upon the weight bearing joints of the body

Avoid kneeling on hard surfaces to do housework as this can put strain on the sensitive structures of the knee

Eat a diet high in fruits and vegetables as they contain natural vitamins, minerals, and antioxidants which are essential for the health of the joints as well as the rest of the body

Recently there has been some studies that show that the nutritional supplement Glucosamine can help with DJD and can possible help rebuild joint cartilage. However it must be used over a long-term period and does not work in all conditions.

Chiropractic adjustments are a safe & effective treatment for spondylosis and can help restore proper mobility and function to the spinal joints. Other treatments such as joint mobilization, massage, ultrasound, hot and cold and electrotherapy modalities are also helpful in the care of painful and stiff joints. Sometimes a brace is required to help stabilize the joint in order to alleviate pain. Exercises such as stretching, yoga, tai chi and other gentle mobilizing activities is also helpful to maintain arthritic joints.



Gout

An increased level of uric acid in the blood and the deposition of uric acid crystals in the joints cause gouty arthritis. The most common joints are the big toes, the knees, ankles and wrists and the condition and is often characterized by acute pain in swelling. Most people who develop gout are heretically predisposed though episodes are usually brought on by binge eating of the wrong foods, during dehydration or fasting or after a major surgery or illness. Foods that must be avoided contain a natural substance called Purines are metabolized in the liver to form uric acid. People with this condition cannot properly metabolize uric acid thus the buildup in the bloodstream and the subsequent joint problems The foods most associated with high purine content are: red meat especially organ meet, certain seafood, legumes, mushrooms and other foods as well. There are other dietary restrictions that must be followed including avoiding alcohol though a complete list is available at your doctor. Besides dietary considerations, gout is usually managed with medication that helps lower the uric acid in one's bloodstream.



Rheumatoid Arthritis

Rheumatoid arthritis is a chronic inflammatory disease of systemic origin. The direct cause is not known but it is thought to be due to a problem with the immune system. The most common joints affected are the small joints of the hands and fingers, the feet, knees and shoulder though other areas of the body can be affected as well. The condition is usually associated with morning stiffness that is aggravated by motion. Often people complain of general malaise and fatigue and the disease in its more advanced forms can affect many of the other body systems. There are specific blood tests to help identify Rheumatoid arthritis that can be easily run by your doctor. Management includes medication, vitamin and diet therapy. Chiropractic adjustments, joint mobilization, modalities such as ultrasound, heat, electrotherapy and massage can also help with the pain and stiffness associated the condition.

source: chiropractic.com

Friday, March 26, 2010

How Chiropractors Diagnose Neck Pain: Patient History

by: Arn Strasser, D.C.


History taking is the first step in diagnosing the cervical spine. Because chiropractors so often treat conditions that are "functional" in nature -- that is conditions in which there are not a frank medical disease, and in which signs and symptoms are often important clues to diagnosis -- chiropractors emphasize in-depth history taking.

Initially the chiropractor will want to know if there has been an accident or injury. A patient who has sustained a neck fracture will present with an abnormally stiff and painful neck. The chiropractor will want to know if there has been trauma to the neck from a fall or other traumatic incident. If there is suspicion of a neck fracture from such an incident, or secondary to an organic disease, the chiropractor will call for a spinal x-ray or imaging study prior to any further examination of the neck.

Chiropractic patient history taking is the same as in a typical medical office with some important differences. The "what, when, and how" of an injury, and the location and nature of the neck pain is supplemented with information on possible episodes of middle and lower back pain, as well as muscle and extremity joint pain. Even when neck pain is the primary presenting complaint, chiropractic always considers the whole spine, of which the neck is one part of an integrated biomechanical system.

Chiropractic views mechanical problems, such as neck pain or extremity injuries to the knee or the shoulder, in the context of the whole body, and the "whole person". All presenting complaints are seen in the context of the totality of work, family, habits, diet, exercise, and most importantly -- the life stresses that may be impacting the patient.

In diagnosing neck pain, the chiropractor will want to know if there has been shoulder or arm pain accompanying the neck symptoms and whether there has been numbness or loss of strength in the arms. Whether headaches accompany the neck pain or there has been a sudden onset of a severe headache, are important issues discussed during the chiropractic interview.

Thursday, March 25, 2010

Can Sitting at a Computer be Causing Your Migraine Headaches?

By: Dr. Larry A. Johnson, D.C.

Has it ever occurred to you that while you are happily typing away on your computer for hours on end you are actually creating a problem in your neck that can lead to chronic migraine headaches or tension headaches? If you suffer from migraine headaches or tension headaches it may be something you should investigate.

When a person with migraine headaches or tension headaches visits a chiropractor for their pain what does the chiropractor typically do for that patient? The usual treatment for most headache patients is to manipulate, or adjust, the neck. Chiropractors teach us that most headaches come from neck problems, and that by adjusting or manipulating the neck tension and migraine headaches can be relieved or cured.

Over 80% of headache patients that receive chiropractic treatment show improvement that ranges from slight improvement up to complete elimination of their headache pain. If this is the case then it seems logical that the majority of migraine headaches or tension headaches originate from spinal (neck) problems. It also seems logical that if we knew what was causing these neck problems, and eliminated what was causing them, we could also eliminate the headaches, both migraine and tension.

As a chiropractor for 25 years I have treated many patients with migraine headaches and tension headaches. After examining thousands of patients I discovered that as many as 95% who were experiencing headaches had one thing in common, a reversed cervical (neck) curve. From the side view a normal neck should have a slight curve in it. But in my experience as a chiropractor I estimate that approximately 95% of my patients with headaches had either a lessening of that curve, no curve at all, or a curve that was completely reversed. When these "poor neck curvatures" were treated with chiropractic adjustments most showed great improvement.

Chiropractors know that headaches can be caused by "poor neck posture," so the next question becomes "can sitting at a computer cause poor neck posture?" If the answer is yes, then it's very obvious that sitting at a computer can and does cause headaches.
People usually develop poor neck curvatures because of poor posture habits. Anything a person does that places their head in a position forward to their body will lessen or reverse their normal neck curve. And poor neck curvatures DO cause headaches. Chiropractors have been teaching this for decades.

The types of activities that can lead to poor neck posture include sitting at a computer for extended periods of time, reading with the head bent forward, sitting while slouching in a chair or on a couch, sleeping with the head or neck in odd positions, or any other activity that places the head in a position forward to the body. So, to answer our original question, yes, headaches can be caused by sitting at a computer. Sitting at a computer can cause an abnormal neck curvature to develop which can cause headaches.

Good posture can surely prevent the development of poor neck posture, which would seem to be the best remedy, but what can be done if the lessening or reversal of the neck curve has already been developed? Obviously, chiropractic treatment is an option that could be considered. But there are many other alternative treatments for tension or migraine headaches.
Most people just take a pain pill. But are pain pills the best approach? They surely are in some cases, but there are many other headache treatment options that don't require the use of potentially harmful drugs. All drugs have side effects, some of which can end up being worse than the headaches themselves. Before treating your health problems with drugs it is wise to seek the advice of a health professional.

There are many natural remedies for migraine headaches or tension headaches. These include stress and tension reduction, ice therapy (used at the base of the skull), eliminating food triggers, getting the proper amount of rest, biofeedback, headache pillows or cushions, exercise and many others. Some of these may help relieve headaches, both migraine and tension, and could be investigated further.