Headaches are among the common complaints in patients presenting for professional care. Patients with headaches often seek chiropractic care because they find spinal manipulation or adjustments applied to the cervical spine and upper back region are highly effective in reducing the intensity, frequency and duration of the headache pain. This is because the cervical spine is often the origin of the headache as the nerves in the upper neck pass through the thick, overly taught neck muscles in route to the scalp/head. When the muscles of the neck are in spasm, the nerves get irritated or squeezed by the overly tight muscles resulting in headache pain.
A research study published in October 2009 issue of The Spine Journal, Western States Chiropractic College, Center for Outcomes Studies, reported benefits are obtained with the utilization of spinal manipulation in the treatment of chronic cervicogenic headaches. The word “chronic” means at least 3 months of headache pain has been present. This new study compared 2 different doses of therapy using several outcome measures including the pain grade, the number of headaches in the last 4 weeks and the amount of medication utilized. Data was collected every 4 weeks for a 24 week period and patients were treated 1-2 times/week and separated into either an 8 or a 16 treatment session with half the group receiving either spinal manipulative therapy or a minimal light massage (LM) control group.
The results of the study revealed the spinal manipulation group obtained better results than the control group at all time intervals. There was a small benefit in the group that received the greater number of treatments with the mean number of cervicogenic headaches reduced by 50% in both pain intensity and headache frequency.
The importance of this study is significant as spinal manipulation therapy (SMT) offers a perfect remedy for patients who doesn't want to utilize medications in the treatment of headaches. Combine SMT with dietary management, lifestyle modifications, stress management, and vitamin/herbal anti-inflammatory (such as ginger, turmeric, boswellia) when needed, a natural approach to the management of chronic headaches can be accomplished.
Dr. David P. Chen
Chiropractor in Laurel, MD 20708
Laurel Regional Chiropractic
Showing posts with label adjustments. Show all posts
Showing posts with label adjustments. Show all posts
Wednesday, August 18, 2010
Friday, March 19, 2010
Study Shows Chiropractic Helps Headaches
A study published in the February 2010 issue of The Spine Journal provided additional evidence demonstrating the effectiveness of chiropractic for cervicogenic headaches.
In this study, 80 patients with chronic cervicogenic headaches were divided into three groups. Two of the groups received various forms of chiropractic adjustments, which the study authors called Spinal Manipulative Therapy (SMT), and one group received just a light massage so as to be able to compare the results. Results were calculated using standard pain scales. Data from the subjects was collected every 4 weeks for a 24 week period.
The researchers found that the groups that received chiropractic treatment showed significantly greater improvement in pain scores as compared to the group that got just light massage. Those receiving the chiropractic care were more likely to have a 50-percent improvement in their pain. The two groups of patients who received chiropractic care were only given either 8 or 16 chiropractic sessions. The study did see a slightly better response for the group receiving more adjustments, but due to the study parameters, no data was available beyond 16 visits.
In conclusion it states, “Our pilot study adds to an emerging picture of spinal manipulative therapy dose for the treatment of headache. It showed that a plateau in intervention effect might be found in the range of eight to 16 treatment sessions, although a dose effect at these treatment levels cannot be ruled out. The study also adds to the support of spinal manipulative therapy in moderate doses as a viable option for the treatment of chronic cervicogenic headaches.”
Source: Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose Response and Efficacy of Spinal Manipulation for Chronic Cervicogenic Headache: A Pilot Randomized Controlled Trial. Spine J. 2010(Feb);10(2):117-128.
Dr. David Chen
Chiropractor in Laurel, MD
Laurel Regional Chiropractic
In this study, 80 patients with chronic cervicogenic headaches were divided into three groups. Two of the groups received various forms of chiropractic adjustments, which the study authors called Spinal Manipulative Therapy (SMT), and one group received just a light massage so as to be able to compare the results. Results were calculated using standard pain scales. Data from the subjects was collected every 4 weeks for a 24 week period.
The researchers found that the groups that received chiropractic treatment showed significantly greater improvement in pain scores as compared to the group that got just light massage. Those receiving the chiropractic care were more likely to have a 50-percent improvement in their pain. The two groups of patients who received chiropractic care were only given either 8 or 16 chiropractic sessions. The study did see a slightly better response for the group receiving more adjustments, but due to the study parameters, no data was available beyond 16 visits.
In conclusion it states, “Our pilot study adds to an emerging picture of spinal manipulative therapy dose for the treatment of headache. It showed that a plateau in intervention effect might be found in the range of eight to 16 treatment sessions, although a dose effect at these treatment levels cannot be ruled out. The study also adds to the support of spinal manipulative therapy in moderate doses as a viable option for the treatment of chronic cervicogenic headaches.”
Source: Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose Response and Efficacy of Spinal Manipulation for Chronic Cervicogenic Headache: A Pilot Randomized Controlled Trial. Spine J. 2010(Feb);10(2):117-128.
Dr. David Chen
Chiropractor in Laurel, MD
Laurel Regional Chiropractic
Thursday, January 14, 2010
Effects of Biofreeze and chiropractic adjustments on acute low back pain: a pilot study.
Objective
The specific aims of the study were to study the effectiveness of Biofreeze combined with chiropractic adjustments on acute low back pain (LBP) compared with chiropractic care only. The hypothesis was that Biofreeze enhances the effect of chiropractic adjustments on acute LBP.
Methods
The data were collected at the baseline, 2 weeks after treatment, and 4 weeks after treatment for final analyses. Diversified manual adjustments were provided by licensed chiropractors twice a week for 4 weeks to both control and experimental groups. Biofreeze was applied to the lower back area 3 times a day for 4 weeks in the experimental group. For at-home care, subjects were instructed to apply Biofreeze 3 times a day as follows: Using a 5-g sample pack, subjects were instructed to apply Biofreeze to the low back once in the morning and 2 times in the afternoon. For evening application, subjects were instructed to apply once in the late afternoon, once in the evening, and once at bedtime. Outcome assessments included visual analog scale, Roland Morris Disability Questionnaire, heart rate variability for stress, and electromyography for low back muscle activity.
Results
A total of 36 subjects were recruited in the study (25 male). The average age was 34 years. Significant pain reduction was found after each week of treatment in the experimental group (P < .05). The Roland Morris Disability Questionnaire did not show significant changes in both groups. There were no significant differences for pain reduction in the control group. Heart rate variability analysis showed no significant change (P > .05) in the experimental group after 4 weeks of Biofreeze and chiropractic adjustments. There were no statistically significant changes in the electromyography readings between the 2 groups.
Conclusion
Biofreeze combined with chiropractic adjustment showed significant reduction in LBP. Biofreeze cooling gel gives rise to the cooling sensation without lower skin temperature because of the unique characteristic of menthol, which is one of the main ingredients. It is clear that the cooling effect of Biofreeze is different from the application of cold. It is possible that menthol stimulates the peripheral sensory receptors to inhibit pain through the gate control mechanisms.
Original article by: Zhang J, Enix D, Snyder B, Giggey K, Tepe R. J Chiropr Med. 2008 Jun;7(2):59-65.
Dr. David P. Chen
Chiropractor at Laurel Regional Chiropractic
Laurel, Maryland
The specific aims of the study were to study the effectiveness of Biofreeze combined with chiropractic adjustments on acute low back pain (LBP) compared with chiropractic care only. The hypothesis was that Biofreeze enhances the effect of chiropractic adjustments on acute LBP.
Methods
The data were collected at the baseline, 2 weeks after treatment, and 4 weeks after treatment for final analyses. Diversified manual adjustments were provided by licensed chiropractors twice a week for 4 weeks to both control and experimental groups. Biofreeze was applied to the lower back area 3 times a day for 4 weeks in the experimental group. For at-home care, subjects were instructed to apply Biofreeze 3 times a day as follows: Using a 5-g sample pack, subjects were instructed to apply Biofreeze to the low back once in the morning and 2 times in the afternoon. For evening application, subjects were instructed to apply once in the late afternoon, once in the evening, and once at bedtime. Outcome assessments included visual analog scale, Roland Morris Disability Questionnaire, heart rate variability for stress, and electromyography for low back muscle activity.
Results
A total of 36 subjects were recruited in the study (25 male). The average age was 34 years. Significant pain reduction was found after each week of treatment in the experimental group (P < .05). The Roland Morris Disability Questionnaire did not show significant changes in both groups. There were no significant differences for pain reduction in the control group. Heart rate variability analysis showed no significant change (P > .05) in the experimental group after 4 weeks of Biofreeze and chiropractic adjustments. There were no statistically significant changes in the electromyography readings between the 2 groups.
Conclusion
Biofreeze combined with chiropractic adjustment showed significant reduction in LBP. Biofreeze cooling gel gives rise to the cooling sensation without lower skin temperature because of the unique characteristic of menthol, which is one of the main ingredients. It is clear that the cooling effect of Biofreeze is different from the application of cold. It is possible that menthol stimulates the peripheral sensory receptors to inhibit pain through the gate control mechanisms.
Original article by: Zhang J, Enix D, Snyder B, Giggey K, Tepe R. J Chiropr Med. 2008 Jun;7(2):59-65.
Dr. David P. Chen
Chiropractor at Laurel Regional Chiropractic
Laurel, Maryland
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