Headaches are a common complaint at
chiropractic clinics. There are many causes of headaches, some of which are
“idiopathic” or, unknown. Some headaches arise from “vascular” (blood vessels)
causes such as migraine and cluster headaches.
These often include nausea and/or vomiting and can be quite disabling
and require rest in a dark, quiet place sometimes for a half or a whole
day. Another type of headaches can be
categorized as “tension” headaches.
These usually result from tightness in the muscles in the neck and upper
back caused from stress, work, lack of sleep, sinusitis, trauma such as
whiplash, and others.
So “how does chiropractic work?” To
answer this, let’s first discuss what we do when the headache patient comes
in. First, the history is very
important! Here, we’ll ask “how/when did the headaches start. This may glean the actual cause of headaches
such as a car accident or injury of some sort.
Next, we’ll ask about activities
that increase or create the headache, which gives us ideas of how we might help
manage the headache patient. For example, when certain activities precipitate
the onset of a headache, we will modify the work station and/or give specific
exercises on a regular schedule to keep the neck tension under control. When
information gathered about what decreases or helps the neck pain and headaches,
we will recommend treatments often that can be done at home such as a home
traction unit. This would be suggested if we are told that “…pulling on my neck
feels great!” The quality of pain
(throbbing = vascular, ache and tightness = neck), intensity of pain (0-10 pain
scale), and timing (worse in the morning vs. evening) help us track change
after treatment is rendered, usually gathered once a month.
The examination includes blood
pressure which can in itself create headaches when high, looking in the eyes to
view the blood vessels in the back of the eye to make sure there is no evidence
of increased pressure against the brain, ears – to see if there is an infection
or wax blockage. This can help if there
is dizziness and/or balance loss. We
will sometimes listen to the throat as well as the heart to see if there may be
a blockage, a valve problem, or other issues.
Neck muscle tightness (spasm) will be evaluated along with the range of
motion, paying particular attention to the positions/directions that increases
and decreases pain, especially those that decrease pain. Nerve function by checking reflexes,
sensation and muscle strength as well as correlating information like positions
that decrease arm or leg pain will be included as any position that reduces
pain in the arm or leg must be incorporated into an exercise. X-rays may
include bending “stress” views so that ligaments (that hold bones together) can
be evaluated for “laxity” (torn and unstable).
When this is found, we avoid adjustments to these vertebrae.
As you can see, if is very important
do a thorough evaluation so headache patients can be properly managed.
Treatment approaches include: 1. Adjustments; 2. Soft tissue therapy (trigger
point stimulation, myofascial release); 3. Posture correction exercises and
other exercises; 4. Education about job modifications; 5. Co-management with
other health care providers, if medication or injection therapy is needed.