Friday, September 30, 2011

10 Surprising Facts About Headaches

10 Surprising Facts About Headaches

Did you know that sex can give you a bad headache? How about that three gene variations linked to migraines have been discovered? And that most sinus headaches are really migraines?

Research is zeroing in on a source of pain we’ve all felt at one time or another, whether it’s a dull aching pain or a tension headache, the throbbing of a migraine or a pounding hangover headache after a big night out. Here’s the rundown of 10 things you may not know about headaches - and how to avoid them:

Explore the head in 3D and learn where headaches affect you.

1. Sinus Headaches Are Rare: Nasal and sinus congestion, facial pain and pressure, and a headache usually don’t add up to a sinus headache. Headache specialists say that “true” sinus headaches are rare. In a study with almost 3,000 patients who had at least six “sinus headaches” in the previous six months, medical evaluations showed that 88 percent actually had migraines. In another study, 45 percent of migraine patients had either nasal congestion or watery eyes. Tipoff: it’s probably migraine if in addition to “sinus” symptoms, you’re nauseous, sensitive to light or noise and if the headache throbs and worsens with activity.

2. Processing 3D Images Causes Brain Strain: A Northwestern University ophthalmology professor warns that a large segment of the population may develop a headache and nausea while watching 3D movies. This is due to the brain strain involved with processing the three dimensional images - the more an image jumps out at you, the more effort your brain must make to fuse the pictures together, says Northwestern University's Michael A. Rosenberg, MD.

3. Take-Off and Landing Lead to Headaches: No, this has nothing to do with the aggravation of cancelled flights or long delays. Instead, sudden, severe, stabbing headaches during a plane’s ascent or descent are being reported. Doctors haven’t figured out yet what causes them. Luckily, the pain lasts only about 20 minutes.

4. Bug Spray Prompts Headaches: It’s not the bugs but exposure to insecticides used to kill them that causes these headaches (plus dizziness, trouble breathing, nausea and vomiting). According to the U.S. Centers for Disease Control and Prevention, most cases required no medical treatment, but one death has been reported and 18 percent of those exposed to the insecticides required medical attention.

5. High Cholesterol Causes Headaches: You may not have to worry unless you’re in your late 60s or older and have migraines with aura (the flashing lights, tingling and other signs of a headache’s approach that about one-third of migraine patients report). A recent study found a link between migraine with aura and high cholesterol in seniors. Migraine with aura has also been linked to a higher risk of heart disease and stroke.

Need to lower your cholesterol? Let's start with what's on your plate.


6. Headaches Might Be Genetic: Researchers have pinpointed three genetic variations linked to an increased risk of migraines. One is involved in sensing cold and pain, another is linked to several processes including signaling in nerve cells (neurons). The role of the third isn’t yet known. Each of the gene variations identified alters the risk for migraines by 10 to 15 percent.

7. Alcohol, As a Trigger, Is Overstated: Research from Italy suggests that the role of alcohol and some foods in triggering migraines has been overstated. Instead, the investigators found that stress, fatigue and in women, menstruation are most often the culprits. They suggested that migraine patients who want to drink alcohol could try small amounts of specific types to see what they can tolerate.

8. Botox Can Treat Headaches: Best known as a wrinkle remover, Botox also can put the brakes on chronic migraines (those that occur 15 days per month or more). The U.S. Food and Drug Administration has approved the use of Botox for migraine prevention. Injections seem to cut down on headaches, although studies suggest that Botox doesn’t work as well as some prescription drugs. Researchers still haven’t figured out how Botox staves off the headaches, but they do know that effects last only about three months before patients have to be re-injected.

9. The Battlefield Has Created a New Type of Headache: About one third of the soldiers returning from Iraq are bringing with them a new type of chronic migraine caused by nerve damage or the pressure from bomb blast waves. While these headaches are still being studied, treatments include rest, avoiding migraine triggers, stress management and changes of diet.

10. Sex Causes Headaches: Here’s a surprise: men are more likely to get these types of headaches than women. According to the American Headache Society, two types of headaches are related to sexual activity: a dull ache that develops as the sex act increases or a severe one that strikes as orgasm nears. Experts say it’s best to check with your doctor the first time you get one of these headaches. Hint: performance-enhancing drugs can bring on headaches in men who have migraines



Headache Treatment, Fairfax VA 22031

Tuesday, September 20, 2011

Can Exercise Assist with Low Back Pain during Pregnancy?

VHI Evidence Based Newsletter

Can exercise improve pain and function in pregnant women with pelvic girdle or low back pain?

A: To answer this question, we performed a comprehensive search of the PubMed database (June 2011) for randomized, controlled trials and systematic reviews from the past 10yrs that addressed this specific research question. 1

Four studies met the criteria for inclusion in this review, comparing education to education plus exercise (1), exercise and education to no treatment (2), education plus home exercise or supervised exercise (3), and standard treatment plus acupuncture or stabilization exercise (4).

Two studies showed a significant effect of exercise (1, 4). Kluge et al evaluated education or education with 10 wks of lumbopelvic exercise among 50 pregnant women with lumbar and/or pelvic girdle pain (1). Immediately after the intervention, significant improvements in pain and function were shown with exercise. Of note, a majority of women reported lumbar pain. Elden et al evaluated 6 wks of standard treatment plus acupuncture or pelvic stabilization exercise among 386 pregnant women with pelvic girdle pain (4). One week after the intervention, acupuncture and stabilization exercise significantly reduced pain compared to standard treatment.

In contrast, two studies found no effect of exercise (2, 3). Haugland et al compared 4 wks of education and exercise to no treatment among 569 women with pelvic girdle pain during pregnancy (2). At 12 mos postpartum, pain had decreased in both groups. Study limitations included a high drop-out rate, and 60% of control subjects seeking outside treatment. Nilsson-Wikmar et al compared education to education plus 10-16 wks of pelvic stabilization exercise performed either at home or in a clinic setting among 118 women with pelvic girdle pain during pregnancy (3). By 12 mos postpartum, all subjects showed significant improvements in pain and function. In both of these studies, the type of exercises used do not appear to be classified as stabilization exercises.

Based on this review, specific lumbopelvic stabilization exercises appear useful on reducing pain and increasing function in pregnant women with lumbopelvic pain; however, additional research is needed. Sample exercises from VHI PC-Kits have been provided based on examples from the two studies finding a beneficial effect.

Dr. Joshua Brooks
Chiropractor Fairfax, VA 22031

Friday, September 9, 2011

Improve Flexibility (and Cool Off) by Stretching in the Pool

Improve Flexibility (and Cool Off) by Stretching in the Pool

After a long run on a hot day, few things feel better than diving into a pool. But why stop at cooling off? By taking your stretching routine underwater, you'll be able to move your joints and limbs through a wider range of motion—and with greater control—compared to stretching on land, says Scott Riewald, Ph.D., a biomechanics expert who works with Olympic athletes. "It's easier to reach and hold the point of optimal stretch, with less strain," he says. Do this routine in the pool after a run. Hold each stretch for 20 to 30 seconds, repeating twice on both legs.

Hip Flexors

Start in a lunge position with the left leg on a low step. Bend the right knee and shift your body weight forward so your hips drop down. You'll feel this in the front of the left hip.

Run Healthier By Building Range Of Motion

Hamstrings

In waist-deep water, place one foot, heel down, on a low step. Looking straight ahead, flex at the hips to bring the torso forward until you feel a stretch in the back of the thigh.

Heal Your Hamstrings With Yoga

Calves

Stand in chest-deep water and hold the wall. Step back with the right leg and press the heel down. Hold for 20 seconds, then bend the right knee slightly for a deeper stretch.

Quadriceps and Hip Flexors

Stand on your left leg. Grasp the right foot behind you. For a deeper stretch, press the hips forward and allow the right knee to move back slightly.

Hip and Lower Back

Stand on your left leg in chest-deep water. Grab your right knee with both arms and pull it tightly to the chest while maintaining good posture.

IT Band

Position yourself so your left side is close to a wall. Cross the left foot in front of the right. Lean to the left with your torso while pushing the right hip away from the wall.


Dr. Joshua Brooks
Chiropractor Fairfax Va 22031
www.RosaChiropracticFairfax.com