San Diego Chiropractic Blog

Types of Headaches

Headaches is one of the major afflictions for which new patients visit my chiropractic office in San Diego. This condition may seem like a minor health issue to those of us who do not suffer from chronic or severe headaches. But they can have a major role as to how the patient and the population are generally affected. Over ten million visits to the doctor in the United States were caused by headaches in 2007 alone, while being a popular excuse for calling out of work and school.

Medications from the doctor offer relief for a little while, but don’t do anything to help the origin. Chiropractic care, on the other hand, works directly at righting the root causes that trigger a multitude of headaches. This piece will delineate the five basic kinds of headaches — tension, toxic, sinus, cluster and migraine — so you may have a better understanding of which kind of headache you might be experiencing.

Tension Headaches

The most common type of headache, by far, is tension headaches. Roughly 4 out of 5 people are subject to tension headaches from time to time, while five percent are subject to tension headaches every day. Tension headaches affect women twice as much as men.

The duration of anywhere from 30 minutes to several days is average for tension headaches. Band-like pain, pressure, or throbbing of the head are the most common symptoms related to this type of headache.

There can be a significant increase in severity with the frequency of the headaches. Emotional stress, depression, not enough rest, poor posture, and/or chiropractic subluxation causing pressure on the nerves are some of the multiple causes for tension headaches. More frequently than otherwise, this kind of headache normally happens due to a mixture of the above mentioned causes.

Toxic Headaches

This is a rare occurrence of a headache in the medical community. Despite this fact, it is often straightforward to identify this category of headache, when occurring as a result to toxin exposure.

Sinus Headaches

Sinus headaches are not unusual, and the pain is localized to sinus cavities around the forehead, eyes, nose, and cheeks. Rather than relieving sinus headaches long term, many medications used for this purpose ironically may exacerbate and prolong sinus conditions.

Cluster Headaches

Cluster headaches are one of the most intense sort of headaches and are normally one-sided. Luckily, though, they are quite unusual and less than 0.1% of people suffer from them. They generally begin prior to age 30 and happen in time periods ranging from 14 days to three months.

These headaches usually occur one to three times per day, lasting for 30-90 minutes. The patient usually awakens from them one to two hours after retiring.

When the cluster period is over, these headaches may disappear for months or years, but the headaches reappear later on. These attacks are considered to be tied to circadian rhythms in the pineal gland and hypothalamus, which controls the resting and awake cycles. This type of headache often occur with spring or fall changes in season.

Migraine Headaches

Migraine headaches, vascular in nature, are caused by variations in the arteries inside and outside the brain. Approximately 28 million Americans suffer with migraines, however approximately 13 million Americans don’t have a diagnosis now. Migraines affect more women than men. Of the ones who have been diagnosed, 25 percent experience at least four episodes per month; 35 percent endure 1-4 attacks per month, and the final 40 percent go through one attack per month or less. Migraines can commonly last from four hours to three days.

There is a family history of migraines in four out of five sufferers from migraines. Children who have one parent who gets migraines have a 50 percent chance of getting them, and if both parents get them, they have a 75 percent chance.

Understanding migraine headache triggers may help avoid future headaches; common trigger factors include weather changes, caffeine, chemical exposure, fatigue or insomnia, and missed meals. Signs may include an aura in the form of light, noise or odor sensitivity; nausea or vomiting; and stomach distress or pain. Additional symptoms of paleness, dizziness, a mild fever, or an upset stomach may manifest in a child with a migraine.

Written by the best San Diego Chiropractor

Which is worse - neck pain or back pain?

I hear this question often in my San Diego chiropractic office. Of course the answer is easy - if you have back pain, back pain is definitely worse than neck pain. If you have neck pain, neck pain is definitely worse than back pain.

Another common question that I hear regarding low back pain is why sitting makes it hurt more than standing.

This is a good question, which can be answered through physics. I remember seeing a diagram in one of my office ergonomic books that exposed the different stress levels on the spinal disks with various body positions.

The diagram had drawings of a person standing, lying down, sitting and then sitting while hunched forward with very poor posture. The disk pressure differences with these different postures was given as follows:

1) Standing upright 100%

2) Lying down 24%

3) Sitting upright 140%

4) Sitting hunched 190%

The explanation of the much higher disk pressures while sitting is explained by examining the structural changes that occur when we change from a standing to a seated position.

Our spines are supposed to have curves when viewed from the side. The neck should have a nice sweeping forward curve, the mid-back should carry a backward curve and the low back should have a sweeping forward curve. When these curves are present, the weight of your body is carried evenly across several different structures of the spine. These curves help provide stability for your spine.

Once we assume a seated position, the natural forward curve in our low backs reverses which increases the pressure on the disks and either increases back pain or causes back pain. If we stay in that seated position but flex our bodies forward at the waist (think bad posture - slumping over your keyboard or desk) the pressure in the disks elevates causing more damage and more pain.

Limiting the time that you sit will help your back pain in most instances. This is advice that I hand out to my San Diego chiropractic patients everyday of the week. I hope that it helps you as well.

Yours In Good Health

Dr. Jones

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Dehydration is a common problem among adults. I have read studies that indicate that at any one time approximately 75% of American adults are suffering with mild symptoms that result from being dehydrated. Being a chiropractor in San Diego, a desert community, we see many people suffering from ailments ranging from neck pain and headaches to lower back pain with sciatica that all carry some link to dehydration.

The human body is approximately 65% water. By definition, dehydration occurs as the result of excessive loss of water from the body. This occurs as a direct result of not taking in enough water. That is a very superficial explanation of dehydration. In reality, it’s a bit more complicated than that since the body loses electrolytes as well as fluids.

Dehydration is a major issue with our health. A common scene in professional sports is that of the athletes becoming dehydrated and “cramping up”. This cramping of muscles affects us normal people as well. We suffer from back spasms and similar symptoms as a result of dehydration.

Another common symptom of dehydration is headaches. Dehydration has long been known to be a trigger of Migraine type headaches. Many people mistakenly think it occurs only in hot weather and that you’re not dehydrated if you’re not thirsty.

Dehydration Facts:

” It takes an average of 64 to 80 ounces to replace the water our bodies lose in 24 hours.

” Under normal circumstances, how much water we need depends a great deal on the volume of our perspiration and urine output.

” Our bodies’ need for water increases under circumstances such as:

” warmer weather or climate

” living at high altitudes

” increased physical activity

” when experiencing vomiting or diarrhea

” when fevered

” when you have a cold or the flu

” if you have a chronic disease such as uncontrolled or untreated diabetes, kidney disease, alcoholism, cystic fibrosis, or adrenal disorders,

” if you are taking some medications. Always check your prescription information.

” during long air flights

” Losing as little as 1 to 2% of body weight can result in dehydration.

” Losing 3 to 5% can negatively impact reaction time, concentration and judgment

” Losing 9 - 15% results in severe dehydration and is life-threatening.

Dehydration Symptoms:

” Excessive thirst

” Fatigue

” Muscle weakness

” Headache (or, in the case of Migraineurs, Migraine)

” Dizziness

” Less frequent need to urinate and decreased output

” Darker colored urine (should be nearly clear to pale yellow)

” Confusion

” Increased heart rate and respirations

” Skin that doesn’t snap back when pinched and released

” Children may exhibit additional symptoms:

” Absence of tears when crying

” No wet diaper for three hours or longer

” Irritability

” Lethargy

” Fever

When caught early, dehydration can usually be treated at home. Common treatments include:

” Mild dehydration: rehydration by drinking fluids including sports drinks, which rehydrate by providing not only fluid, but also electrolytes and salt. In children, products such as Pedialyte may be recommended as it also contains carbohydrates to help absorption in the intestinal tract. Coffee, tea, and soda should not be used for dehydration as the caffeine in them can actually be dehydrating.

” Moderate dehydration: rehydration may suffice, but IV fluids may be required.

” Severe dehydration: Immediate action must be taken, treating the situation as a medical emergency. Hospital treatment is necessary for IV fluids to rehydrate more quickly and efficiently and to allow observation.

As with most ailments, it’s better to prevent dehydration than to treat it. Here are some preventative steps you can take:

” Drink plenty of fluids and eat foods high in water. Fruit contains the most water, followed by vegetables, meat, then grains with the least.

” Choose your beverages wisely. Caffeine and alcohol can be dehydrating. For some people, too much fruit juice can cause diarrhea, which can be dehydrating.

” If you’re planning a day with more significantly exercise than usual, begin hydrating the day before.

” Sports drinks can help maintain electrolyte balance, but be aware of the sugars in them.

” Plan outdoor activities for cooler parts of the day.

” If you’re organizing outdoor activities, provide shaded areas.

” When you’re ill, be sure to continue drinking fluids, and get additional fluids if you have a fever or are vomiting or have diarrhea. Call your doctor for help with vomiting or diarrhea if necessary.

Yours In Good Health

Dr. Jones

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Like many across the United States my Chiropractic Office in San Diego provides treatment for neck pain and back pain. Although chiropractic care helps many different conditions, it is often viewed as treatment for just back pain and neck pain.

When dealing with back pain and neck pain, it is important to have your pain evaluated by a healthcare professional. Dismissing back pain and neck pain as insignificant can lead to more significant health issues.

Many conditions can cause back pain and neck pain, ranging from injury and infection too twisting or turning “the wrong way”. Injuries such as those sustained in an automobile or other accident can damage muscles, joints, ligaments, and vertebrae.

Overuse or under use of the back muscles is by far the most common cause of back pain that manifests as tightening or spasm of the muscles that connect to the spine. Inflammation and swelling often occur in the joints and ligaments, especially in the cervical and lumbar regions, as people age.

A herniated disc occurs when the nuclear pulposus, the inner material of the disc, pushes through a tear in the annulus fibrosis, the outer material of the disc causing nerve root compression. The cervical and lumbar regions of the spine have the most mobility and the discs there are more likely to wear down or be injured. Ninety percent of disc herniations occur in the lower two lumbar vertebrae.

Spinal stenosis, the narrowing of the spinal canal, can cause spinal cord irritation and injury. Conditions that cause spinal stenosis include infection, tumors, trauma, herniated disc, arthritis, thickening of ligaments, growth of bone spurs, and disc degeneration. Spinal stenosis most commonly occurs in older individuals as a result of vertebral degeneration.

A pinched nerve, or radiculopathy, occurs when something rubs or presses against a nerve, creating irritation or inflammation. Radiculopathy can result from a herniated disc, bone spur, tumor growing into the nerves, and vertebral fracture, and many other conditions.

Sciatica is a certain type of radiculopathy that involves inflammation of the sciatic nerve. Pain is experienced along the large sciatic nerve, from the lower back down through the buttocks and along the back of the leg.

A spinal tumor that originates in the spine (primary tumor) or spreads to the spine from another part of the body (metastatic tumor) can compress the spine or nerve roots and cause significant pain.

Infections of the vertebrae (e.g., vertebral osteomyelitis), the discs, the meninges (e.g., spinal meningitis), or the cerebrospinal fluid can compress the spinal cord and result in serious neurological deterioration, if it is not diagnosed and treated immediately.

Arthritis often affects the facet joints which are formed by two adjacent vertebra and direct or guide movement of the spine. As the joints degenerate, they loose their normal alignment, and the cartilage and fluid that lubricates the joints may deteriorate. Bone then rubs against bone, which can be very painful.

These are just a few of the conditions that can cause back pain and neck pain. Most cases of back and neck pains are due to mechanical causes and can be readily addressed by a chiropractor. The point is, however, neck pain and back pain is a warning signal that should not be ignored.

Yours In Good Health

Dr. Jones

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In my San Diego based Chiropractic clinic, I hear wives tales regarding health and fitness all the time. The one that I hear most often doesn’t have anything to do with neck pain or back pain - it has to do with knuckle cracking. It seems that almost everyones’ parents have told them “Don’t crack your knuckles, they will get big and full of arthritis when you are older!” Believe it or not, this is not true. Cracking joints that are weight bearing ie, your neck, back, knees and ankles, etc can be harmful if you are not a trained chiropractor, but cracking your knuckles is only irritating to other people.

A study was just released that examined 7 common medical myths that are being circulated today. They are as follows:

Two US researchers took seven common beliefs and searched the archives for evidence to support them.

Despite frequent mentions in the popular press of the need to drink eight glasses of water, they found no scientific basis for the claim.

The complete lack of evidence has been recorded in a study published the American Journal of Psychology, they said.

The other six “myths” are:

Reading in dim light ruins your eyesight.

The majority of eye experts believed it was unlikely to do any permanent damage, but it might make you squint, blink more and have trouble focusing, the researchers said.

Shaving makes hair grow back faster or coarser.

It has no effect on the thickness or rate of hair regrowth, studies say. But stubble lacks the finer taper of unshaven hair, giving the impression of coarseness.

Eating turkey makes you drowsy.

It does contain an amino acid called tryptophan that is involved in sleep and mood control. But turkey has no more of the acid than chicken or minced beef. Eating lots of food and drink at Christmas are probably the real cause of sleepiness.

We use only 10 per cent of our brains.

This myth arose as early as 1907 but imaging shows no area of the brain is silent or completely inactive.

Hair and fingernails continue to grow after death.

This idea may stem from ghoulish novels. The researchers said the skin dries out and retracts after death, giving the appearance of longer hair or nails.

Mobile phones are dangerous in hospitals.

Despite widespread concerns, studies have found minimal interference with medical equipment.

The research was conducted by Aaron Carroll, an assistant professor of pediatrics at the Regenstrief Institute, Indianapolis, and Rachel Vreeman, fellow in children’s health services research at Indiana University School of Medicine.

I hope that you enjoyed this information. Happy Holidays!

Yours In Good Health

Dr. Jones

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“Hey Doc, is it OK if I crack my own neck?”

In my San Diego chiropractic clinic, I treat many patients for neck pain, back pain and other joint pains. A few of these patients ask me if it is OK if they crack their necks and backs by themselves. A few of them will tell me that they have their kids or the wife walk on their back. And a few of them are in my office because either they cracked their back or neck by themselves or they had someone else do it for them which resulted in an injury.

The funny thing about some of these people who were injured by a non-chiropractic adjustment is that they are nervous about me adjusting them for their neck pain or back pain.

The truth about cracking your own neck or back is that it is not very safe. Usually people develop pain or stiffness in the spine because of an injury or some ongoing condition. Chiropractors are trained to specifically diagnose and provide treatment for these conditions or injuries.

Through the course of my fifteen year career, I have seen patients who have broken vertebra by adjusting their own necks and backs. I have seen broken ribs as a result of having someone walk on their backs, I have seen two patients who suffered mild strokes from cracking their own necks and I had one patient whose brother suffered paralysis from the chest down because his partner walked on his back resulting in a crushed vertebra and a seriously damaged spinal cord.

Some people crack their own joints daily for years without suffering obvious serious consequences. Even these people are doing themselves a disservice. In no normal situation should you feel as though you have to crack a specific joint every day. Those who do crack the same joints everyday for years will develop arthritis in those joints resulting in pain, dysfunction and possibly disability.

In most cases cracking or as we chiropractors call it “adjusting” a joint is fairly easy once the skills are acquired. However, the one of the most important things regarding the delivery of any type of health care is when not to deliver it. In every case that I have seen when a patient was injured by a non-chiropractic adjustment, the injured patient “thought” that they knew what was wrong.

Don’t make the same mistakes. If you need to get adjusted, go to the chiropractor!

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

Do you know what and what not to do after an auto accident?

It is that time of the year again. You know, when the roads are wet with rain and half the people on the road drive like it is dry (FAST) and the other half slow down to half the posted limit. People who live in San Diego only see an average of 11 rainy days per year. That is about 3 percent of the time. Until your car loses traction and you hit another vehicle, most don’t realize how quickly and easily it can happen. While an accident usually starts and ends in matter of seconds, the neck pain, headaches, back pain, etc. can continue for weeks, months or sometimes, years.

In addition to the typical physical aches and pains associated with auto accident injuries, there are legalities to consider as well. Sometimes there are disputes as to who is the guilty party that is responsible for the accident. Many people will deny their responsibility even though their role in the accident is obvious. If you have been involved in an automobile accident, there are a number of things you can do to preserve your legal rights.

The following is a summary of some of the most important things you can do to protect your legal rights after an automobile accident:
1. Do not leave the scene. If you leave the scene of an automobile accident, you may be criminally prosecuted. You are required to provide your name, address, driver’s license and auto insurance information to the other driver.
2. Assess yourself for injuries and then, if you are able, help the injured if there are any. If someone has been injured in the accident, you should call for an ambulance / paramedics and assist them to the extent you are qualified. Before calling for the ambulance, be prepared to give an accurate location of the accident and a count of the number of individuals injured.
3. Avoid additional collisions. Make sure your vehicle is not presenting a safety hazard to other motorists. If possible, it should be moved so that it is not obstructing traffic. You can further warn oncoming traffic to proceed with caution by setting flares, turning on your hazard lights, and raising the hood and trunk of your vehicle.
4. Notify the police. Typically the police will prepare a report that contains specific information regarding the accident and the parties involved. While you may not be required to call the police, the accident reports they produce could be helpful to you later.
5. Do not admit liability. You should not admit responsibility for the accident to the other drivers, passengers, or to the police for that matter. You may convey facts concerning how the incident occurred; however, it is best not to comment on your responsibility (or liability) for the accident. This is a legal matter that is not always readily and easily ascertainable.
6. You should get the names, addresses, and telephone numbers of any individuals involved in the accident, as well as any witnesses to the accident. You should also obtain the name of the insurance company and policy number of the other drivers involved. If possible, you may take photographs to document the accident scene including skid marks, road obstructions, and damage to the vehicles.
7. Notify your insurance company. If you do not give your insurance company prompt notice, your policy may provide that the insurance company may deny coverage for your claim. Accordingly, you should give your insurance company notice by way of telephone and by written notice that provides you a means of proving such notice was given, such as by facsimile or by certified mail. You should provide your insurance company with all information they request concerning the facts of the accident.
8. Consult a chiropractic doctor to evaluate your neck and back for injuries. Some injuries may not manifest themselves until some period of time after the accident; the fact that you do not immediately feel as though you have been injured does not necessarily mean that no injury has occurred. You should consult your insurance agent to see if the cost of seeing a doctor in connection with the accident is covered by your insurance policy. You should not settle your claims for injuries arising from the accident until you have been advised by your chiropractic doctor as to the full extent of your injuries.

I hope that you find this information helpful. Drive safe!

Yours In Good Health

More Coming Soon Here’s To Your Health Yours In Good Health
Dr. Jones

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Have you ever had chiropractic care for injuries from an auto accident?

At my San Diego based Chiropractic Clinic I provide treatment for many patients with neck pain, back pain and headaches. In many cases, the cause of these aches and pains are related to auto accidents or other types of personal injury.

More often than not, the accident in question occurred years earlier and the initial symptoms were not taken seriously by the patient. Most people don’t take the time to seek treatment for themselves yet they scramble to get their cars fixed. This thought process extends into other injury / treatment scenarios as well. I once had an acquaintance who smoked but proudly proclaimed that she didn’t smoke inside her car because she didn’t want to ruin the interior!

I don’t know why so many of us carry these kinds of thought processes. In the case of auto accident injuries, the little bit of neck pain or the slight headache or the lower back pain is often overlooked or dismissed and minimized as being un-important. This is flawed thinking. Imagine if we treated other health conditions with such disregard.

The injury mechanisms in whiplash type accidents are complex. Muscles are stretched and torn, ligaments can sometimes partially tear or rupture, intervertebral discs can become herniated and spinal fractures can occur. These injuries can lead to a vast number of symptoms that can cause anything from slight irritation all the way to severe disability.

While the mechanism of injury in whiplash cases is complex, the typical resulting spinal injuries follow a well established path. Initially, the muscles and ligaments in the injured area are irritated. This irritation leads to inflammation. Inflammation is not only responsible for many of the initial symptoms that you experience but it is also responsible for scar tissue formation which can make your symptoms permanent or chronic.

Statistically, 25% of all auto accident / injury victims will suffer from some ongoing symptom related to their accident. Chiropractors are experts in dealing with the types of injuries that occur as a result of auto accidents. The best way to insure that you are not a member of this group of 25% is to get an examination and possibly treatment, if recommended by your chiropractor.

Your’s In Good Health

Dr. Jones

San Diego Chiropractic Care
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