Your Health : Chiropractic
Research
Headache Prevention and Treatment
Headaches are more common in adults,
although they can develop at any time in life. Approximately 4 out
of 5 children have headaches at some point, but most are benign and
self-resolving. In fact, many adults who suffer from headaches report
having the first headache in childhood.
Headache symptoms usually begin gradually. In fact, the sudden onset
of severe headache may signify a serious problem and requires immediate
medical attention. Common headache is often described as achy, dull
or throbbing pain. It typically begins at the base of the skull/upper
part of the neck and may radiate into the eye(s), the temple, or other
locations. Headaches may be felt on one or both sides of the head.
Often loud noises or bright lights may make them worse. Some patients
may become nauseated or experience odd smells, sounds, or sights before
and during the headache attack.
How Is a Headache Evaluated?
Early diagnosis and treatment are important in identifying a serious
underlying cause for your headache. In most cases, an in-depth history
and physical examination can help determine if your symptoms are
related to an easily treated problem, or if it is more serious.
Your doctor can use other tests that reproduce the symptoms of your
headache to help develop a specific management plan for your condition,
or refer you to another health care provider. X-rays, laboratory tests
and even advanced imaging studies like magnetic resonance imaging (MRI)
may be necessary. Your doctor may ask you to complete a headache diary,
recording:
- day and time of the headache
- headache location
- what the headache feels like
- what you were doing when the headache began
- how long the headache lasts
- what makes it feel better or worse
- anything else you notice before, during, or after the attacks
What Is the Treatment for Headaches?
Headache treatment is cause-related. Doctors of chiropractic often
treat patients with tension-type headaches and headaches caused by
problems with the joints and muscles in the neck, as well.
Joint manipulation and mobilization of
the neck, along with stretching and strengthening exercises, have been
demonstrated to be effective in the treatment of this type of headache.
Massage and other forms of soft-tissue treatment can
sometimes be helpful.
Scientists are also investigating other therapies, such as acupuncture,
to prevent and treat this disorder. Over-the-counter pain relievers,
such as acetaminophen, can be used for an occasional headache, but
not for long-term headache management.
More serious causes of headache require aggressive treatment, and
your doctor of chiropractic can assist you in finding a medical headache
specialist. The majority of patients with headache recover completely
after treatment. Unfortunately, the recurrence rate is relatively high,
particularly with tension-type headache. If you have any questions
or concerns about headache, feel free to discuss them with your doctor
or chiropractic.
What Causes Headaches?
Headaches can be primary and secondary. Primary headaches do not result
from some other health condition.
The most common type of primary headache is caused by problems with
the neck muscles. Changes in the blood vessels inside the skull usually
cause migraines. Other common types of headache include “cluster” headaches—headaches
grouped together over weeks at a time; sinus headaches, associated
with allergies and/or sinus infection; and headaches from poor vision.
Secondary headache results from some other cause or condition—head
injury, concussion, blood vessel problems, or high blood pressure—or
from side effects of some medications, infections in the head or sinuses
or elsewhere in the body. Rare headache causes include tumors, aneurysms
and other abnormal growths inside the skull, and toxic substances in
the blood. Certain foods, such as monosodium glutamate (MSG), a food
flavor enhancer, may cause headaches, as well.
How Can Headaches Be Prevented?
Muscle-tension headaches can often be avoided by maintaining proper
posture and neck movements while performing your normal activities.
You should:
- Avoid slouching
- Avoid reading with your neck bent forward
- Keep your computer monitor at eye level
- Take frequent breaks from reading and working on the computer.
- Try a low-fat, high-complex carbohydrate diet. A recent study demonstrated
that such a diet can dramatically lower the frequency, intensity,
and\duration of migraine headaches.