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Headaches- How Does Chiropractic Work

Posted on: January 6th, 2013 by lucky No Comments

 

Headaches at Campbelltown Chiropractor– How Does Chiropractic Work?

Headaches are a common complaint seen at Campbelltown Chiropractor. 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.

What Information We Need From You At Campbelltown Chiropractor.

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, at Campbelltown Chiropractor 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. This would be suggested if we are told that “…adjustments 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.

 

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.

Treatment At Campbelltown Chiropractor

As you can see, if is very important to 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.

At Campbelltown Chiropractor we will find what is best for your headaches no matter what modality you need to use.

 

Neck Pain – Can Chiropractic Really Help?

Posted on: December 19th, 2012 by lucky No Comments

NECK PAIN -TREATED by  Campbelltown Chiropractor Dr Col Ferguson DC

Neck pain is a very common problem that we see at campbelltown chiropractor it affects up to 70% of the adult population at some point in their life.  Though there are specific causes of neck pain such as arising from a sports injury, a car accident or “sleeping crooked,” the vast majority of the time, no direct cause can be identified and thus the term nonspecific is applied. There are many symptoms associated with patients complaining of neck pain and many of these symptoms can be confused with other conditions.  Wouldn’t it be nice to know what neck related symptoms are most likely to respond to chiropractic manipulation before the treatment has started?  This issue has been investigated with very favorable results!

Campbelltown Chiropractor  “Clinical Prediction Rules.

The ability to predict a favorable response to treatment has been termed, “clinical prediction rules” which in general, are usually made up of combinations of things the patient says and findings from exams. In a large study, data from about 20,000 patients receiving about 29,000 treatments, was collected and analyzed to find out what complaints responded well to chiropractic treatment.  The results showed that the presence of any 4 of these 7 presenting complaints predicted an immediate improvement in 70-95% of the patients:

1. Neck pain;

2. Shoulder, arm pain;

3. Reduced neck, shoulder, arm movement;

4. Stiffness; 5. Headache;

6. Upper, mid backpain, and

7. None or one presenting symptom.

Items not associated with a favorable immediate response included “numbness, tingling upper limbs,” and “fainting, dizziness and light-headedness in 4-12% of the patients.  The “take-home” message here is that it was far more common to see a favorable response (70-95%) of the patients compared to an unfavorable response (4-12%), supporting the observation that most patients with neck complaints will respond favorably to chiropractic treatment.

What we do at Campbelltown Chiropractor

So, what do we do as a campbelltown chiropractor when a patient presents with neck pain?

First, after gathering preliminary information such as name, address then a history of the presenting complaint is taken. This consists of information including what started the neck complaint (if you know), when it started, what makes it worse, what makes it better, the quality of pain (aches, stiff, numb, etc.), the location and if there is radiating complaints, the severity (0-10 pain scale), timing (such as worse in the morning, evening, etc.), and if there have been prior episodes.  Various questionnaires are included that are scored so improvement down the road can be tracked and a past history that includes a medication list, past injuries or illnesses, family history and a systems review are standard.  The exam includes palpation, range of motion, orthopedic and neurological examination.

X-ray and/or other “special tests” may also be included, when needed. A review of all the findings are discussed and after permission to treat is granted, a chiropractic adjustment may then be rendered.

A list treatment options may include:

1. Adjustments;

2. Soft tissue therapy (trigger point stimulation, myofascial release);

3. Physical therapy modalities;

4. Posture correction exercises and other exercises/home self-administered therapies;

5. Education about job modifications;

6. Co-management with other health care providers if/when needed.

AT campbelltown chiropractor Col Ferguson’s our objective is to get you pain free as fast as possible so we will include some or all of the above.