Headaches
What
kinds of headaches are there?
More than 90 percent of
headaches can be classified as tension-type, migraine or cervicogenic.
By far, most people get
tension-type headaches and get them frequently. They typically suffer
mild to moderate pain, on both sides of the head, that is often
described as tight, stiff, constricting – like having something
wrapped around your head and pressing tightly.
Migraines are periodic
severe, throbbing headaches that afflict far fewer people (and more
women than men), usually hurt on one side of the head, can cause loss of
appetite, nausea and even vomiting, and may involve a visual change
called an aura.
Cervicogenic headache is
a muskuloskeletal form of tension-type headache (which may also be
related to migraines). Many times, cervicogenic headache goes
undiagnosed as such due to the relative newness of this classification.
Who
suffers from headaches?
Many millions of adults,
worldwide, get headaches regularly. Headaches are among the most common
physical complaints prompting people to treat themselves or get
professional assistance. One estimate holds that some 50 million people
in the U.S. get severe, long-lasting, recurring headaches. Most
headaches are not signs of serious underlying conditions, but they can
be very distracting, debilitating and account for significant amounts of
time lost from work.
What
should I be concerned about?
If you are a headache
sufferer, your obvious concern is to obtain safe, dependable relief. You
should avoid making things worse by using drugs – even
over-the-counter, nonprescription drugs – that can have serious side
effects and dangerous interactions with other medications or supplements
you take. You should also be aware that many people experience what are
termed "analgesic rebound headaches" from taking painkillers
every day, or nearly every day. Watch out! The medicine you take to get
rid of today's headache may give you a headache tomorrow and the days
after.
What can
chiropractic do?
Chiropractors have had
considerable success relieving the cause of headache pain and releasing
headache sufferers from the dangerous vicious circle of taking
ever-larger doses of ever-stronger painkillers that may even be causing
new and worse headaches.
Chiropractic adjustments
have shown to be as effective and even more effective than medications
in reducing the severity and frequency of headaches. Chiropractic is
particularly successful dealing with cervicogenic headache. Even though
cervicogenic and other tension-type headaches may not actually involve
stress or muscle tension, chiropractic's ability to adjust spinal
abnormalities seems to lessen or remove the forces contributing to many
individualsą headache pain.
References
• Bove G,
Nilsson N. Spinal manipulation in the treatment of episodic tension-type
headache, The Journal of the American Medical Association, Nov.
11, 1998; vol. 280, no. 18, pp1576-79.
• Nelson CF, Bronfort G, Evans R. et al. The efficacy of spinal
manipulation, amitriptyline and the combination of both therapies for
prophylaxis of migraine headache. Journal of Manipulative and
Physiological Therapeutics, Oct. 1998; vol. 21, no. 8, pp511-19.
• Zwart J. Neck Mobility in different headache disorders. Headache,
Jan. 1997; vol. 37, pp6-11.
• Nilsson N, Christiansen HW, Hartvigsen J. The effect of spinal
manipulation in the treatment of cervicogenic headache, Journal of
Manipulative and Physiological Therapeutics, June 1997;vol. 20, no.
5, pp326-30.
• Martelletti P, LaTour D, Giacovazzo M. Spectrum of
pathophysiological disorders in cervicogenic headache and its
therapeutic indications, Journal of the Neuromusculoskeletal System,
Winter 1995; vol. 3, no. 4, pp167-8
• Nelson CF. The Tension Headache, Migraine Headache Continuum: A
Hypothesis. Journal of Manipulative and Physiological Therapeutics,
March/April 1994; vol. 17, no. 3, pp156-66