Some estimates suggest that 25 percent of the population has a headache right now. Because headaches are so common, most people think it is a normal part of life. Headaches, however, are a sign that something is wrong. We know that stress, toxic fumes, certain foods and preservatives and even alcohol can cause headaches. A frequent and overlooked cause of headaches is the malfunction of spinal bones in the neck and upper back. When the bones of the spine lose their normal position or motion, the sensitive nerves and blood vessels to the head become compromised. When these delicate tissues are stretched or irritated, they can produce certain types of headaches. While aspirin or other medications may cover up the symptoms, they do not really correct the cause of the headache. A report released in 2001 by researchers at the Duke University Evidence-Based Practice Center in Durham, NC, found that chiropractic adjustments resulted in almost immediate improvement for those headaches that originate in the neck, and had significantly fewer side effects and longer-lasting relief of tension-type headache than a commonly prescribed medication.
Many people suffer from chronic headaches. Some headaches can be attributed to stress or tension, but the latest medical literature1 reports that some cases of chronic headache are caused by a problem in the neck—and that they are often misdiagnosed or unrecognized by physicians. Chiropractic for headache. These headaches are known as “cervicogenic headaches,” since they have their “genesis” in the cervical spine. They arise when the nerves, joints, or muscles of the neck are injured or strained. Pain signals from the neck can get mixed with nerve pathways of the head and face, and can create pain in seemingly unrelated parts of the body.
Cervical spine dysfunction can cause pain in any part of the head, and cervicogenic headaches are usually focused on one side. These types of headaches can last for many hours or days, and are usually described as a dull, aching pain. Neck movement, injuries, or an awkward posture can trigger these headaches. Medication may relieve pain temporarily, but if the root cause of the pain is not eliminated, the symptoms will just return down the road. The first step in treating headache is to take a careful history and perform a thorough physical exam. This will help us determine the precise source of your pain, and help us design an effective treatment plan. Chiropractic can be a great way to treat headaches, since we work specifically with the spine to make sure that it is functioning properly. If you suffer from regular headaches, contact our office for an appointment. Biondi DM. Cervicogenic headache: a review of diagnostic and treatment strategies. JAOA 2005;Supplement 2;105(4):S16-S22.
Migraine headaches are estimated to cost the U.S. over $17 billion each year. While it is clinically recognized that migraines can be related to cervicogenic conditions, the exact nature of this relationship is unknown. This study set out to test the effectiveness of chiropractic treatment for migraines. 123 participants diagnosed with migraines according to the International Headache Society standard completed the study. Each participant experienced a minimum of 1 migraine per month, and had at least 5 of the following indicators: inability to maintain normal activities/need to seek dark and quiet, pain located around the temples, “throbbing” pain, symptoms of nausea, vomiting, aura, photophobia or phonophobia, migraine triggered by weather changes, migraine worsened by head or neck movement, diagnosis of migraine by a specialist, and a family history of migraine. The study consisted of three stages. In the pretreatment stage, researchers collected data on migraine incidence, intensity, duration, disability and use of medications, this data was used as a baseline to compare with study results and data collection continued throughout the trial. For the second stage of research participants were split into a control group (40) that received a placebo treatment using electrodes and an experimental group (83) that received a maximum of 16 treatments of chiropractic spinal manipulative therapy (CSMT). The last 2 months of the study involved data collection for comparison purposes. Results showed that those that received chiropractic treatment had significant improvement in migraine frequency, duration, disability and lowered medication use in comparison to the control group. Improvements in migraine frequency and duration for the chiropractic group are illustrated below. The area of greatest improvement was medication use, with a significant number of participants reporting that their medication use was down to zero by the end of the trial. Five participants reported that migraine symptoms were worse after 2 months of CSMT, but they did not report intensified symptoms at the post treatment stage. The authors report that their study with a 6-month duration is more valid than some previous studies because studies with shorter durations are too short to allow for the cyclical nature of migraines. Limited sample size and lack of consideration for what aspect of CSMT caused the improvements are some limitations of this study. Researchers also suggest that an improved study method might be to treat the control group with a sham form of CSMT rather than a treatment that does not mimic chiropractic. Despite some limitations this research adds to the body of evidence that suggests chiropractic manipulative therapy can be an effective treatment for migraine and headaches. The authors conclude: “A high percentage (83%) of participants in this study reported stress as a major factor for their migraines. It appears probable that chiropractic care has an effect on the physical conditions related to stress and that in these people the effects of the migraine are reduced. However, further studies are required to assess how chiropractic SMT may have an effect on migraine morbidity.” Tuchin PJ, Pollard H, Bonello R. A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics 2000;23(2):91-95.
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