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The Neck and Headache Connection
January 4, 2012
Patients with headaches also commonly complain of neck pain. 
This relationship is the rule, not the exception and therefore, treatment for headaches must include treatment of the neck to achieve optimum results. The term, “cervicogenic headaches” has been an accepted term because of the intimate connection between the neck and head for many years. There are many anatomical reasons why neck problems result in headaches. Some of these include:
- The first 3 nerves exiting the spine in the upper neck go directly into the head. They penetrate the muscles at the top of the neck near the attachments to the skull and therefore, any excess pressure on these nerves by the muscles or spinal joints will result in irritation and subsequent pain.
- The origin or nucleus of the 5th cranial nerve called the Trigeminal, innervates the sensation to the face and is located in the upper cervical region near the origin of the 2nd cervical spinal nerve, which innervates sensation to the back of the head up to the top. Therefore, problems located in the upper neck will often result in pain radiating up from the base of the skull/upper neck over the top of the skull to the eyes and /or face.
- The 11th cranial nerve that innervates the upper shoulders and muscles in the front of the neck arises from the top 5 to 7 spinal cord levels in the neck. Injury anywhere in the neck can result in spasm and pain in these large muscle groups.
- Other interconnections between the 2nd cervical nerve and trigeminal/5th cranial nerve include communication with the 7th cranial / facial nerve, the 9th cranial / glossopharyngeal nerve, and the 10th cranial / vagus nerve. These connections can affect facial muscle strength/movements, taste, tongue and throat movements, and stomach complaints such as nausea from these three cranial nerve interconnections, respectively.
When patients seek treatment for their headaches, a thorough examination of the neck, upper back, and cranial nerves is routinely performed for the above reasons. It is common to find upper cervical movement and vertebral alignment problems present in patients complaining of headaches. Tender points located between the shoulder blades, along the upper shoulders, on the sides of the neck and particularly, at the base of the skull are commonly found. Pain often radiates from the tender point over the top of the skull when pressure is applied in the upper neck/base of the skull area. Tenderness on the sides of the head, in the temples, over the eyes, and near the jaw joint are also common. Traction or pulling the head to stretch the neck is often quite pain relieving and this is often performed as part of the chiropractic visit and can also be applied at home with the use of a home cervical traction unit. Chiropractic adjustments applied to the fixated or misaligned vertebra in the upper neck often brings very satisfying relief to the headache sufferer. Exercises that promote movement in the neck, as well as strengthening exercises are also helpful in both reducing headache pain and in preventing occurrences, especially with stress or tension headaches.
When considering treatment for headaches, our chiropractic and physical therapy clinics in Bayonne and Scotch Plains NJ offer state-of-the art technologies to offer relief from headaches. Our physicians come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Why Does My Neck Hurt So Much But My Car Only Got a Dent?
December 28, 2011
Whiplash pain can be much different from other types of injuries. When a car accident is severe, the pain will come on right away. If the injury produces a mild or moderate sprain, sometimes it takes a few days for the pain and inflammation to reach its maximum. Sometimes it is stiffness that is the prominent symptom and the patient notices this in the first few weeks after the accident. The delay in pain is often seen in low speed collisions where typically there is very less damage to the vehicles.
There are a lot of factors that determine the extent of injury following a low speed whiplash. One of these is the neck posture prior to impact. Was the head turned? This can occur if the patient was looking at the rear view mirror during the collision. Low speed collisions can occur in parking lots. If the patient was turned to see if a space was clear, this can make a simple trauma result in a significant injury.
Besides the position of the patient prior to the collision, the speed and amount of vehicle damage are sometimes good criteria for the severity of the trauma. However, it may not be in many cases because of crumple zones. Cars are built with crumple zones. These areas are crushed during the collision and absorb the energy of impact. In some low speed collisions, there is less crumple and more of the force is transmitted to the occupants. This is but one reason why vehicle damage won’t always equate with the spinal damage.
Another factor in whiplash is whether the head-rest was properly positioned. A proper head-rest should be close to the back of the head and itshigh pointslightly above the top of the head. The reason for the high position is that in a rear-end collision, the patient who is being hit will rise slightly with impact. If the head- rest is too low, then the neck will bend around it like a fulcrum causing even more injury. The same thing happens if the seat is reclined too far and the head whips backwards before hitting the head-rest.
Because symptoms can come on slowly and minor vehicle damage is not a good indicator of injury, a thorough examination is required. It is important to be checked by a competent health care provider after any motor vehicle collision.
When considering treatment for whiplash injury, our chiropractic and physical therapy clinics in Bayonne and Scotch Plains NJ offer a safe and painless treatment option. Our physicians come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Does The Use of a Low Back Pain Brace Really Make a Difference?
December 21, 2011
“Do you think a back brace will help my condition?” 
This is a question that is frequently asked of many health care providers who treat low back pain. The answers typically vary, as there is support for and against the use of a brace when low back pain is present. In a Feb. 2009 study, the use of an elastic lumbar belt was studied in a group of subacute low back pain patients for its effect on functional capacity (lift and carry types of activities), pain intensity, and the effects on health care service costs. This study was unique in that it was carried out in several different locations and, the patients were randomized and received either a lumbar belt or nothing (“control group”). 197 patients were included in the study, which is a good sample size for research purposes. The results of the study, at the end of 90 days, revealed a higher score for the back brace treated group than the non-braced control group. The pain scale improved greater in the brace treated group as an improvement of 42 points vs. 32 points was reported. Similarly, 61% in the brace treated group used no medication compared to 40% in the non-braced group. It was concluded that patients with subacute low back pain improved significantly in functional status, pain reduction and medication utilization.
The use of back braces has been considered a “standard” in the treatment of patients with LBP for many years. One argument against using back braces centers around becoming “dependant” either physically or mentally on its use and this has long been a concern amongst health care providers. For most patients, this is not a concern as most do not “enjoy” the use of a brace and they look forward to discontinuing their use of it. Braces are particularly helpful when the patient cannot stop performing needed activities, such as work. This is especially true for farmers who have to tend to the animals and crops during planting, cultivating and harvest times of the year. In addition, single moms or dads who have to go to work in order to provide for their children are driven to stay on the job. In these cases, the use of a back brace can be of utmost importance.
There are many types of back braces. Some are narrow and are particularly favored when frequent bending and/or twisting movements are required by a job, sport, or other daily activity. Other braces are taller in the back and taper in the front, which give better support but still allow some bending / twisting movements. Some braces are more rigid and can actually stop movement in certain directions. These types include a hard, rigid surface that is placed in the area of the back where movement is not desired. These are used at times when there are fractures of the spine, after spinal surgery and in scoliosis bracing. Some braces are to be worn low on the pelvis to support that area, while most are placed in the center of the low back region. There are also rib belts sometimes used when ribs fracture, soft and rigid neck braces sometimes used after car accidents, and braces for the arms or legs. The decision to use a brace rests on the degree of injury and the patient’s ability to avoid certain activities or positions. When the injury is significant and/or the patient cannot control his/her activities (such as work), then the use of a brace may be one of the most important treatment approaches for that patient. It’s similar to having stitches when a deep or wide cut occurs. Ask us about the use of supports, braces, or belts if you or your family or friends are suffering with low back pain.
When considering a back brace for your back pain, our chiropractic and physical therapy clinics in Bayonne and Scotch Plains NJ can offer a professional recommendation for you. Our physicians come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Vitamin C and Muscle Pain
December 14, 2011
Patients suffering with muscle pain use a variety of different complementary and alternative treatments. Since medications and surgery are rarely indicated, the use of safer (less toxic) alternatives has become widespread. About 1/3 to ½ of patients will report trying different treatments, such as exercise programs, prayer, chiropractic, and vitamin supplements.
Antioxidants such as certain vitamins may offer an important link to muscle pain in some patients. Long used by athletes to speed wound healing and recovery from work-outs, vitamin C has now caught the attention of researchers, who are trying to see how this vitamin works and whether it is effective as a supplement for patients with muscle pain.
Sometimes patients will take individual nutrients for particular symptoms or because that was what was recommended by a doctor. Other times the nutrient is part of a larger regimen including food and weight loss advice, other vitamins, minerals, and herbs. Most patients take a variety of supplements but what they take varies a lot from patient to patient.
The “Myers cocktail” is based on the work of the late John Myers, MD. Gaby has modified this and used it as an intravenous vitamin-and-mineral formula for the treatment of a wide range of clinical conditions. It consists of magnesium, calcium, B vitamins, and vitamin C. Patients who have experienced traumas have essentially suffered tissue and cellular damage. Antioxidants are part of the repair mechanism for cell healing. Vitamin C is important for tissue repair and its concentrations are lowered in patients who have suffered a trauma.
One study of twelve muscle pain patients showed supplementing with vitamin C (500 mg daily) showed a 17-20% decrease in symptoms. Because Vitamin C, in particular, has little known toxic effects at high doses, a few to several grams can be recommended daily. The vitamin should be buffered to minimize stomach irritation. Bowl tolerance (loose stools) occurs when the body is saturated with the vitamin. One way to ingest buffered vitamin C is to take one gram each hour until bowl tolerance is reached. That amount would then be the maximum dose for the patient. The dose should then be spread throughout the day. Taking vitamins with foods may also aid in their absorption.
Ask your health care provider about the different vitamins you may be taking and your general diet. Getting our nutrient from whole foods is the best source for different vitamins and minerals. Supplements should really be used to supplement a diet naturally rich in antioxidants, such as one with many daily servings of vegetables and fruits.
When considering additional treatment for muscle pain, our chiropractic and physical therapy clinics in Bayonne and Scotch Plains NJ offer state-of-the art technologies to offer relief from muscle pain. Our physicians come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Carpal Tunnel Syndrome: What is it Again?
December 5, 2011
Carpal Tunnel Syndrome (CTS) is a condition that results from pressure applied to the median nerve on the palm side of the wrist that causes numbness, tingling, weakness, and/or muscle damage affecting the thumb side of the hand and fingers, including the thumb, index, 3rd and thumb side of the 4th finger. There is literally a tunnel through which 9 tendons and their sheaths, some blood vessels, and most importantly, the median nerve travel through to get to the thumb and fingers. As these tendons slide back and forth in their sheaths, friction can build up, leading to swelling when fast, repetitive finger related work is performed, especially for prolonged time frames. The “syndrome” starts when the swelling occurs and the numbness/tingling/weakness complaints begin.
There are many causes of CTS. Most commonly, CTS occurs in people whom perform fast, repetitive motions including (but not limited to): typing on a computer keyboard, using a computer mouse, sewing, driving, assembly line work, painting, writing, use of hand tools, sports such as racquetball or handball, and playing musical instruments. Many of these tasks involve bending or twisting of the wrists (think of a violin or flute player and you get the picture). CTS most often occurs in people 30-60 years old, affects women more than men and, can be either caused or contributed by other conditions such as fracture/trauma to the wrist or hand, arthritis of the wrist, diabetes, alcoholism, hypothyroid, kidney failure and dialysis, menopause, premenstrual syndrome (PMS), and pregnancy, infections, obesity, rheumatoid arthritis, SLE, and others.
Symptoms most commonly include numbness or tingling in the thumb-side palm, thumb, 2nd, 3rd, and thumb half of the 4th fingers. The symptoms can extend to the elbow or higher to the neck or shoulder, can affect both hands (but one is usually worse than the other), and can interfere with daily activities such as buttoning shirts, opening jars, holding onto the steering wheel, riding a bike, working with the hands, etc.
During an initial examination, a Doctor of Chiropractic exam will often check your sensation with a sharp pointed object, percuss over the palm-side wrist, ask you to hold your hands back to back and palm to palm while counting the seconds to numbness, test grip strength, and also check the neck, shoulder and elbow as these areas refer pain back and forth. Sometimes, he or she will order an EMG to test the nerve’s damage. Conservative chiropractic treatment is highly effective and DEFINITELY should be done FIRST, before injections,medications, or surgery!
We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend or family member require care for CTS, we would be honored to render our services.
When considering treatment for carpal tunnel syndrome, our chiropractic and physical therapy clinics in Bayonne and Scotch Plains NJ offer a safe and painless treatment option. Our physicians come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for fasterservice, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
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