The Neck and Headache Connection

The Neck and Headache Connection

Clear Lake Chiropractor Comments: Patients with headaches also commonly complain of neck pain.  This relationship is the rule, not the exception and therefore, treatment for headaches must include treatment of the neck to achieve optimum results.  The term, “cervicogenic headaches” has been an accepted term because of the intimate connection between the neck and head for many years.  There are many anatomical reasons why neck problems result in headaches.  Some of these include:

  • The first 3 nerves exiting the spine in the upper neck go directly into the head.  They penetrate the muscles at the top of the neck near the attachments to the skull and therefore, any excess pressure on these nerves by the muscles or spinal joints will result in irritation and subsequent pain.
  • The origin or nucleus of the 5th cranial nerve called the Trigeminal, innervates the sensation to the face and is located in the upper cervical region near the origin of the 2nd cervical spinal nerve, which innervates sensation to the back of the head up to the top.  Therefore, problems located in the upper neck will often result in pain radiating up from the base of the skull/upper neck over the top of the skull to the eyes and /or face.
  • The 11th cranial nerve that innervates the upper shoulders and muscles in the front of the neck arises from the top 5 to 7 spinal cord levels in the neck.  Injury anywhere in the neck can result in spasm and pain in these large muscle groups.
  • Other interconnections between the 2nd cervical nerve and trigeminal/5th cranial nerve include communication with the 7th cranial / facial nerve, the 9th cranial / glossopharyngeal nerve, and the 10th cranial / vagus nerve.  These connections can affect facial muscle strength/movements, taste, tongue and throat movements, and stomach complaints such as nausea from these three cranial nerve interconnections, respectively.

    Headache flickr photo by Peter Hellberg shared under a Creative Commons (BY-SA) license

When patients seek treatment for their headaches, a thorough examination of the neck, upper back, and cranial nerves is routinely performed for the above reasons.  It is common to find upper cervical movement and vertebral alignment problems present in patients complaining of headaches. Tender points located between the shoulder blades, along the upper shoulders, on the sides of the neck and particularly, at the base of the skull are commonly found.  Pain often radiates from the tender point over the top of the skull when pressure is applied in the upper neck/base of the skull area. Tenderness on the sides of the head, in the temples, over the eyes, and near the jaw joint are also common. Traction or pulling the head to stretch the neck is often quite pain relieving and this is often performed as part of the chiropractic visit and can also be applied at home with the use of a home cervical traction unit. Chiropractic adjustments applied to the fixated or misaligned vertebra in the upper neck often brings very satisfying relief to the headache sufferer.  Exercises that promote movement in the neck, as well as strengthening exercises are also helpful in both reducing headache pain and in preventing occurrences, especially with stress or tension headaches.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment with a Clear Lake chiropractor by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

 

Carpal Tunnel Syndrome (CTS) – Common Issues

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Houston Doctor Comments: You are driving down the road and you notice numbness and tingling in your fingers.  You find temporary help by shaking and flicking the fingers, trying to “wake them up.” You’ve also noticed your sleep is becoming interrupted and the need to shake and flick the fingers in the middle of the night is becoming more frequent.  If this sounds like you or someone you know, you’re not alone.  This condition affects many workers as well as “stay-at-home moms,” as woman are 3 times more likely to develop CTS, or carpal tunnel syndrome, due in part that the carpal tunnel itself is smaller than those in men. Also, women tend to work faster in fast, repetitive jobs, and are often hired specifically for that reason.  Further, when workers are paid by the number of pieces they produce, the tendency is to try complete as many pieces as possible so as to make that much more over their base hourly wage.cts symptoms

 

Basically, CTS is caused by pressure building up in a small confined space through which a nerve (the median nerve) and 9 tendons converge into this tight opening into the hand. When repetitive work/fast movements are performed over hours at a time and day after day, the friction produced by the tendons rubbing against each other results in heat, swelling, pain, and median nerve pinching which produces the classic symptom of tingling/numbness into the 2nd, 3rd and half of the 4th fingers.  Hence, those at greatest risk for developing CTS include line workers such as manufacturing, sewing, finishing, cleaning, and fish and/or meat packing.  In 1998, 3 of every 10,000 workers lost work time due to CTS of which half missed more than 10 days of work.  Considering the increased amount in today’s dollars of medical and disability costs, the average lifetime cost of CTS was estimated at $30,000 for each worker back in 1998.

 

So, how do you know if you have CTS?  The early signs include occasional numbness or tingling in the fingers that you probably wouldn’t think much about since simply shaking your hand or flick the fingers, it goes away.  As the numbness becomes more frequent and it does not respond by shaking and flicking the fingers as quickly, you might take notice.  Without proper management, difficulty buttoning shirts/cuffs, writing, holding onto small objects, opening jars, all become gradually more pronounced.  When sleep becomes interrupted, especially when it becomes necessary to get up and move around before being able to return to sleep, that’s when people usually decide, “I better see someone for this!”

 

Treatment success is directly related to how fast a person reacts by making a prompt appointment.  The best results always occur when care is obtained quickly, when the initial symptoms first appear. In addition, there are sometimes underlying contributors or causes such as diabetes, arthritis, pregnancy, birth control pill use, hypothyroid, obesity, and other conditions that may need proper management in order to relieve the symptoms.  Non-surgical care includes the use of wrist splints (especially at night when sleeping), anti-inflammatory measures (medications, gluten-free/paleo diet, vitamin B6 and others such as omega 3 fatty acids/fish oil, vitamin D3 in high doses, calcium, magnesium, CoQ10), work station modifications, forearm exercises, chiropractic manipulation of the neck and arm, acupuncture, and certain modalities such as low level laser/light therapy, can all be helpful.

 

Surgery should always be considered a “last resort” after all non-surgical approaches have been exhausted.  Rarely is there a “medical emergency” that warrants prompt surgical release except in cases of fracture where the carpal tunnel canal is abruptly reduced in size.  You need a “quarterback” to help guide you in the treatment/management process.  Chiropractors are well trained to manage CTS and offer a non-drug, non-surgical solution to this potentially disabling condition.

 

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment with a Clear Lake chiropractor or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

 

 

 

Whiplash: Where Is My Neck Pain Coming From?

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Houston Chiropractic Doctor Comments: Last week while driving to work, you’re stopped at a red light and glance in the rearview mirror and notice that a car is approaching from behind way too fast.  The next thing you remember is the squeal of the tires and a loud crash with an accompanied sudden jolt as your car is propelled forward by the impact. Your initial reaction is one of shock, wondering is anyone hurt? How bad is my car damaged? Will there be another hit? Should I get out of the car? I’m going to be late for work! Within a few minutes, the police arrive and after about an hour of taking statements from the two drivers and a few witnesses, you decline an ambulance offer to take you to a nearby hospital for an examination as, “…this little stiffness and ache in my neck is no big deal.”  Happy you can still drive your car, you arrive at work an hour and a half late.  After reviewing the details of the crash with co-workers several times, you begin to notice a headache, your neck stiffening up and movements becoming limited and painful.  After another couple of hours and a few Ibuprofen, the neck pain has increased and you now have a whopping headache. You decide, “I better go see my chiropractor to see if something is wrong.”

 

After the exam and x-rays, the chiropractor shows you a chart and explains the mechanism of injury that usually occurs in a low Houston Whiplash Treatmentspeed rear-end collision.  A couple of things that were said really hit home in helping you to understand how such a seemingly minor crash can create so much pain.  The first is that it is not possible to voluntarily contract a muscle quick enough and “brace” to prevent the acceleration of the head. Upon impact, as the car is propelled forwards, the head initially goes backwards and then when the muscles in front of the neck are stretched to their limits, the head is then “whipped” forwards in a “crack the whip” type of response and all of this takes less than 600-700 milliseconds!  Because of the far limits of neck motion being reached during this process, the ligaments that hold the vertebra together are often stretched and/or torn.  This can be appreciated on the bending neck x-rays which shows one vertebra sliding forwards on the one below and the angle created being greater when compared to the surrounding vertebra.  The second point of discussion that stands out was the fact that your head was rotated at the time of impact from looking in the rearview mirror places the neck at a greater risk of injury because of the twisting motion that occurs during the “crack the whip” process.  Another interesting point: because there wasn’t a lot of car damage, the shock and force of the impact was not absorbed by crushing metal and that energy is therefore transferred to the contents in the vehicle, including the occupants.  That is why your briefcase ended up on the floor and your glasses flew off during the crash. Another point of discussion was made concerning the difference between genders and the degree of injury, as women are more likely to be injured more severely because of the less muscular and sometimes longer female neck.  The degree of injury is also at greater risk when there is osteoarthritis in the neck that pre-exists the crash.  An analogy of how a young sapling branch can bend without breaking verses the “old oak branch” which snaps and breaks when its only bent slightly. So, if you are a middle aged, female with a long slender neck with pre-existing arthritis looking in the rearview mirror prior to impact in a rear-end collision, ligament over stretching / tearing is highly probable.

 

In summary, it is important to obtain prompt evaluation and treatment by your chiropractor as soon as possible as when time passes without treatment, it is more difficult to bring about a reduction of pain and increased motion and, it will generally take longer.  Taking medication for pain only postpones the needed process of restoring movement and function of the neck so that should not be the only treatment.  In general, a “wait and watch” approach is not wise in these types of injuries. If you or a loved one is suffering with whiplash, sharing this information may be one of most significant acts of kindness that you can give to those that you care about.

 

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

 

 

Neck and Arm Pain – The Herniated Disc?

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Clear Lake Doctor Comments: Patients that present with neck pain along with arm numbness, pain, and/or weakness, often ask, “…what’s causing this pain down my arm?”  The condition is often caused from a bulging or herniated disc pinching a nerve in the neck.  The cause of this complaint can include both trauma as well as non-traumatic events.  In fact, sometimes, the patient has no idea what started their condition, as they cannot tie any specific event to the onset.Neck and Arm Pain

 

The classic presentation includes neck pain that radiates into the arm in a specific area as each nerve affects different parts of the arm and hand.  Describing the exact location of the arm complaint
such as, “I have numbness in the arm and hand that makes my 4th and pinky fingers feel half asleep,” tells us that you have a pinched C8 nerve.  This nerve can also be pinched at the elbow and make the same two fingers numb.  The difference between the two different conditions is when the nerve is pinched in the neck, the pain is located from the neck down the entire arm and into digits 4 & 5 of the hand.  When the nerve is pinched at the elbow, the pain/numbness is located from the elbow down to the 4th & 5th digits, but no neck or upper arm pain exists.

 

Examination findings usually include limitations in certain cervical (neck) ranges of motion (ROMs) – usually in the direction that increases the pinch on the nerve. Another common finding is the arm is often held over the head because there is more stretching on the nerve when the arm is hanging down and pain in the neck and arm increases.  Hence, raising the arm over the head reduces the neck/arm pain.  To determine where the nerve is pinched, there are a number of different compression tests that can recreate or increase the symptoms.  Some compression tests include placing downward pressure on the head with the head pointing straight ahead, bent or rotated to each side.  Other compression tests are performed by pressing in areas where the nerve travels such as in the lower front aspect of the neck, in the front of the shoulder where the arm connects to the chest/trunk, at the elbow and at the wrist.  If there is a pinched nerve, numbness, tingling and/or pain will be reproduced when pressure is applied to these regions.  Other tests include testing reflexes and muscle strength in the arm.  When a nerve is pinched, the reflexes will be sluggish or absent and certain movements in the arm are weak when compared to the opposite side.  Another very practical test is called the cervical (neck) distraction test where a traction force is applied to the neck.  When neck and/or arm pain is reduced, this means there is a pinched nerve.  This test is particularly useful because when pain is reduced, the test supports the need for a treatment approach called cervical traction. Other forms of care that can be highly effective include spinal manipulation, spinal mobilization, certain exercises, physical therapy modalities, and certain medications.

 

If you, a friend, or a loved one are struggling with a herniated disc in the neck with associated arm complaints, we will properly assess your condition, run the appropriate tests, and administer the appropriate care that is needed.  We also coordinate services with other health care providers when necessary.  This recommendation may represent one of most significant acts of kindness you can give to those that you care about.

 

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

What Makes Low Back Pain So Common?

Clear Lake Doctor Comments: Low back pain (LBP) is one of the most common types of pain involving the musculoskeletal system.  LBP sufferers may sometimes miss work or be unable participate in desired activities, social outings, and the like.  It can be so disabling that out of desperation, they visit the ER.

low back painThere are many causes of LBP. Some of the obvious include over lifting/carrying, performing a task for too long or with too many repetitions, and sitting or standing in one position for too long.  However, frequently LBP seems to occur for no apparent reason, or at least none that can be clearly identified.  One of the most basic causes of LBP is simply standing on two, rather than four legs.  When comparing a 4-legged to a 2-legged subject, arthritis of the spine and disc degeneration occurs much earlier in those of us with two legs.  This is due partially because 2/3rds of our weight is supported by the low back and pelvis.  In addition, vertical loading occurs in the 2-legged subject whereas the load is distributed between four legs in a horizontal fashion in the 4-legged species.  Other less obvious causes of LBP include physical characteristics such as flat feet (fallen arches), a short leg resulting in a tipped pelvis, carrying too much weight, being out of shape/weak muscles, as well as hereditary factors.  Non-physical characteristics include diet, exercise participation, lifestyle, stress and other psychological conditions such as depression, anxiety, bipolar disorders, and others.  Hence, treatment must address the entire person, not just the low back since often, several of the characteristics mentioned here are present and often participating in the cause for LBP.

Because many of these characteristics are not properly attended to, LBP tends to be recurrent, where multiple episodes come and go over time.  In years past, health care providers would focus the majority of their attention on the physical characteristics of LBP and when treatment results was ineffective, the blame was placed on the psychological aspects for which little, if any, treatment was offered.  However, over the last 20 years, the shift towards treating the whole person or, adopting the biopsychosocial model (bio- = physical, psycho- = mental, and social = how LBP is perceived and affects daily social interaction) has been emphasized as the appropriate approach when managing patients with low back pain.  No longer should the psychological aspect be ignored but rather, identified and treated so that this significant barrier to recovery can be properly managed.

Regarding treatment, unless someone presents with a “red-flag” which, for LBP sufferers include cancer, fracture (especially unstable fractures), cauda equine syndrome (spinal cord pinching resulting in bowel / bladder control loss), or infection, immediate/emergent care is not required. A careful health history followed by appropriate tests can usually identify these “red flags.”  Otherwise, surgery for LBP is not recommended until at least 4-6 weeks of treatment with non-surgical approaches are first utilized and, an identifiable “lesion” can be identified that clearly is causing the presenting complaints and clinical findings.  Chiropractic has an obvious advantage over specialty care when considering non-surgical treatment of LBP.  Both physical and emotional issues are identified and a “team” approach with other health care providers when required is ordered.  Moreover, all the international guidelines published for treating LBP recommend spinal manipulation BEFORE most of the other non-surgical approaches are tried due to medication side-effects and, the successes reported in many studies where spinal manipulation is performed.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment with your Houston chiropractor or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

 

 

                                                        

Whiplash – The Cause of Pain

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Houston Chiropractor Comments: Many patients ask the question: “…why do I hurt so much now, and hardly hurt at all right after the accident?”  Another common question is: “…why neck pain after a minor car collision can last so long?”

 

Whiplash Cause of PainA study that investigated chronic pain and dysfunction in whiplash cases reported a soft tissue origin for injuries associated with low-speed collisions. This means the pain comes from the muscles, ligaments, joint capsules, the disk, but not from a pinched nerve that would send pain down the arm and/or create hand numbness or grip weakness.  The study also reported the point at which the neck buckles would only take one fifth to one-fourth of the weight of the person’s head (approximately 2.5 to 3 pounds) if one were to remove all of the supporting muscles, ligaments, and joint capsules.  With the muscles and soft tissues intact, there is a very complex buckling pattern that occurs in the neck during most rear-end collisions where the lower half of the neck bends opposite to that of the upper half creating an S-shaped curve (when looking at the neck from the side).  When this occurs, the vertebrae in the lower half of the cervical spine extend backwards while the upper half flex forwards, stretching the ligaments beyond the maximum elastic point and tissue tearing occurs. When ligaments stretch or strain, microscopic tearing starts at only 3-5% of tissue strain and when the strain reaches 7-8%, the ligament begins to lose its load carrying capacity and more significant tearing occurs.  Unfortunately, none of this can be seen on a standard x-ray and usually goes undiagnosed.

 

Many variables exist that make assessing the amount of tissue damage difficult to predict or understand.  One of these variables is the strength and amount of elasticity of a ligament prior to tearing. Also, the age, gender, and phenotype – that is, skinny, normal, or over weight – makes a difference.  Generally, due to a reduced muscle mass in a female compared to most males, women are at greater risk of injury.  The position of the person in the car, whether a seatbelt was used or not, if the head was turned before impact, if the collision was anticipated prior to impact, the speed at which one person compared to another can voluntarily contract a muscle are all additional factors affecting the degree of injury and corresponding pain.  Another factor is the size of the spinal canal (the place where the spinal cord runs from the brain to the low back) as some people are born with narrow canals, making them more susceptible to injury. Other neurological variables include the degree of the excitability of the nervous system as the more excitable, the lower the pain threshold and pain is perceived more quickly. The type of pain from the deep tissues (ligaments, joint capsules, etc) is different than pain arising from superficial tissues as the former lasts longer and doesn’t follow known neurological pathways into an arm.  Also, over time, if pain becomes chronic (pain lasting >3 months), a significantly lower pain threshold is found in these cases vs. normal control subjects.

 

Hence, when discussing your case with our office, it is important that you share your history of the accident, the time it took after the impact for symptoms to be initially noted, whether it is gradually worsening over time, and any other symptom that is unique to your situation that may not have been discussed here.

 

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment with the best chiropractor in Houston or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

 

 

Oh, My Aching…Leg?

NASA Area Chiropractor Comments: Certain low back conditions give rise to more than just low back pain. For example, leg pain can be more intense than low back pain, even though the cause of the leg pain is coming from the low back.  When this happens, many patients complain that they have “sciatica,” which refers to radiating pain that starts in the low back and extends down into the leg.  When the intensity of leg pain is worse than the low back, it can make patients wonder, “…where is my problem really coming from?”

Leg Pain

To understand this better, a short “anatomy lesson” is appropriate. The spine can be divided into two halves, front and back. The structures in the front half include the larger, heavier bones called vertebral bodies and the shock absorbing cushions that lie between the vertebral bodies called the intervertebral disks.  The disk is like a jelly donut where the center is liquid-like and the outer portion is a tough, criss-cross pattern cartilage arranged like the rings on a tree stump. There are also ligaments that hold the vertebrae and disks tightly together. The back half of the spine includes the spinal cord, nerve roots, as well as the small joints of the back called facet joints.  Every movable joint has a joint capsule that helps lubricate the joint and limits the amount of movement, along with surrounding ligaments.  The larger, heavier vertebral bodies and shock absorbing disks carry the majority of the weight (approximately 80%) while the smaller facet joints carry much less weight (only 20%) but are more responsible for guiding the movements of our back.

 

When leg pain is present, it can be caused by either a pinched nerve, or, an inflamed facet joint.

 

When a nerve is pinched, the cause is usually from the intervertebral disk where the jelly-like center leaks out and presses on the nerve that goes down the leg, commonly referred to as a “herniated disk with sciatica.” This type of pain is quite specific, easy to describe and often extends below the knee to the ankle or foot.  It can include muscle weakness, numbness in certain areas of the leg, and bending forward increases low back and leg pain while bending backwards reduces the leg pain (and sometimes the LBP).

 

When a facet joint capsule tears (technically, called a “sprain”), the pain is “referred” down the leg in a generalized, non-specific manner, usually described as a “deep ache,” often hard to describe and usually does not go below the level of the knee. Here, it feels better to bend forward and worse to bend backwards, of which neither movement changes or affects the leg in a specific way.  Disk related leg pain carries a potential for surgery if all non-surgical approaches fail, while facet joint referred leg pain rarely requires invasive treatments or surgery.

 

The good news is that both of these sources of low back and leg pain are very treatable with chiropractic care!  The important point to remember is that obtaining prompt treatment, when symptoms first appear is best – as waiting and hoping it will subside on its own often results in a longer treatment course and is less satisfying for all concerned.

 

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Headaches and Posture

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Houston Area Chiropractor Comments: Have you ever glanced at your reflection in a storefront window or mirror as you walked by and noticed your posture?  Scary, isn’t it?  We all know that we should stand up straight but we soon forget when we get busy and stop thinking about it.

Poor posture is often due to years of standing slouched and this bad “habit” usually starts at a young age.  Just look around when you’re in an airport or shopping mall and notice the many people Headaches Posturehave poor posture.  In fact, people’s posture may reflect their attitude – if they’re happy, sad or depressed.  Poor posture may be related to self-consciousness, especially during adolescence.  It is also genetic as we frequently see a “trait” throughout family members with similar postural tendencies.

The most common postural fault associated with headaches is the forward based head and shoulders.  From the side, it appears that the head is significantly forward relative to the shoulders, the upper back is rounded forward and the shoulders are rolled forwards and rotated inward.  One exercise that helps reduce this postural bad habit is tucking in the chin and pretending a book is balancing on top of the head.  The objective is to not allow the book to slide forward off your head and land on your toes!

It takes approximately 3 months of CONSTANT self-reminding before the new “good habit” posture becomes automatic, so be patient.  Soon you’ll “catch yourself doing it right” without thinking about it.

Frequently, posture is faulty lower down the “kinetic chain.” The first link of the chain is the feet and the last link is the head. Since we stand on two feet, any change in that first link or the feet, can alter the rest of the chain, especially areas furthest away – the head, resulting in headaches. For example, if one leg is short, the pelvis drops, the spine shifts (scoliosis), the shoulder drops and the head shifts trying to keep the eyes level. A short leg usually needs to be managed with a heel lift, an arch support or combination of both to properly treat the headache patient.

Most health care providers EXCEPT Chiropractic Physicians typically ignore these issues. Chiropractic Doctors are specifically trained to analyze posture and correct it. You can depend on our clinic for up-to-date treatment approaches such as these.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Headaches and Different Management Options

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Houston Chiropractor Comments: Headaches are one of the more common conditions that enter the offices of primary care physicians, including chiropractors.  The standard medical treatment revolves around the use of medications and/or injections.  The standard chiropractic treatment approach includes manual therapies that may include spinal manipulation or adjustments, manual or mechanical cervical traction, mobilization techniques, trigger point therapy, physical agents or modalities such as electrical stimulation, ultrasound, etc., and nutritional counseling.  While both approaches have their pros and cons, there are far less side effects associated with the chiropractic treatment option.headache management

Headaches can generally be classified as primary or secondary. Primary Headaches include Migraine, Tension, and Cluster. Secondary headaches occur because another condition or injury is present such as after a car accident or slip and fall injury, due an infection, a sinus, jaw, and/or dental condition, a vascular injury such as stroke, a medication side effect, psychiatric disorder and others.

Treatment for patients with headaches is dependent on the cause.  Choosing a type of health care service for the treatment of headache can be a difficult choice.  When considering the use of complementary and alternative medical approaches available to patients with chronic tension-type headaches, a recent report revealed that 40% of 110 patients surveyed utilized some form of an alternative/complementary medical approach.  The most frequently utilized was chiropractic (21.9%), followed by acupuncture (17.8%), and massage therapy (17.8%).

If you find yourself frequently utilizing over-the-counter medications such as an anti-inflammatory drugs (ibuprofen: Advil, Nuprin; Naprosyn such as Aleve) or Tylenol, it is probable that the chiropractic management approach will benefit your headache condition.

Frequently, in patients with headaches, the vertebrae in the upper neck lose their normal range of motion and the muscles in that region that attach to the base of the skull become overly tight and squeeze or compress the nerves that feed into the head.  This results in radiating pain over the top or around the head, sometimes into the eyes.  Chiropractic care can make it easier for you to move your head and neck forwards, back, rotate or twist, and side bend.  This, in turn reduces the muscle tension and nerve pinching, which reduces headache pain.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!

Best Sexual Positions for Back Pain

best sexual positions for back painClear Lake Chiropractor Comments: Back pain isn’t just one of the most common reasons for people to miss work; it can also affect your sex life. But new guidelines based on how the spine moves during intercourse could help. A frequently asked question is “How can I have sex without causing further damage or pain to myself or my partner?” People are sometimes embarrassed to ask the question, but it is information that they need.

First, people need to understand that there is an emotional aspect to back pain. Back pain can cause stress. The partner who does not have back pain can have a lack of understanding and perceive the stress and reluctance to have sex as a personal rejection and/or resentment. Research has shown to taking it slow and being patient is beneficial. Start off with a light massage, shower or even just gently rubbing in a soothing pain lotion to help loosen the muscles.

Back pain affects 8 out of 10 people at some point in their lives, and low back pain is the main reason for disability. Regarding sex, doctors used to recommend the spooning position for people with back pain, despite a lack of scientific evidence to support it. Also, a sex position that’s appropriate for one type of pain, might not work for another type of pain.

For men who have an increase in pain while bending forward or after sitting for a period of time, the best positions will be a modified “doggy-style” position while their partner supports their weight on either their hands or elbows. If pain is increased by flexion and motion, then a modified “missionary” position is suggested where the man supports his weight on his hands and his partner flexes their hips and knees. If extension causes back pain, it is suggested that this position is modified so that his weight is supported on his elbows. Another position that is suggested for men with extension related pain is the side position or “spooning”. This will help to minimize the pain from extension and minimize the weight bearing.

For women who have an increase in pain when they sit too long or flex forward to touch their toes the best position are ones that minimize spinal flexion like spooning or “doggy-style” with their weight supported on their hands or elbows. If the pain is increased with extension or arching their back then the best position is a modified “missionary” position with their hips and knees flexed.

The good news is that healthy sexual relations will help to minimize stress which ultimately helps to reduce back pain.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!