resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
April, 2008, Vol. 08, Issue 04
Misperceived Headache Pain
By Ben Benjamin, PhD
Q: True or false: Headache pain can be referred to the head from injuries to the C5, C6 and C7 ligaments.
A: False. Only the upper cervical ligaments refer pain to the head.
Headache pain frequently is referred to the head from injuries to the C2 and C3 supraspinous and intertransverse ligaments. Among the many causes of headaches and neck injuries, these may be the ones most often misunderstood.
Headaches have plagued humans since the beginning of recorded history. As many as 50 million people in the U.S. regularly suffer from headaches. An additional 26 million people suffer from migraines. Some headaches are debilitating, while others simply are annoying. People whose primary complaint is a severe headache account for 18 million visits to the doctor each year.
Headache pain may be felt at the back of the head, at the forehead, in one or both temple areas, localized in one or both eyes, or even behind the eyes. A headache may appear as a band-like pain around the head just above the ears or over the top of the head. The pain may be throbbing or stabbing, eyesight and hearing may be altered, and if head pain is severe, thinking processes may be affected. All of these head-pain patterns can be the result of referred pain from injured upper cervical ligaments.
Head pain caused by ligament injury may feel like a muscle tension headache. It takes a skilled assessment to differentiate a headache caused by stress and tension from one caused by ligament sprains. Some headaches are the result of both excess muscle tension and ligament sprains.
Headaches usually are multifactorial, meaning many factors combine to bring about the headache. For example, a headache can be the result of a concussion, more than 200 diseases, allergies, chemical sensitivity, or exposure to fluorescent lights. Only when the causes of a headache are clearly identified can the pain be successfully treated.
Some headaches due to head or neck injuries may begin a few weeks after the injury is sustained, as in the case of whiplash. Often, the injury has been forgotten or is not associated with the headache because the neck no longer hurts. A whiplash injury frequently causes referred head pain due to damaged muscles, tendons and ligaments in the neck. (See Fig. 1 and Fig. 2)
Adhesive scar tissue usually is the primary factor in causing this type of referred pain headache (see Fig. 3 for the referred pain patterns). When the muscles, tendons or ligaments of the neck are injured, the torn fibers often heal in a matted scar. When normal movement pulls upon this adhesive scar tissue, it tears again and again, causing more referred pain and ridding the body of unwanted scar tissue. The unwanted tissue can be discarded through friction therapy combined with massage, together with appropriate exercises, and the pain cycle can be broken.When you eliminate the poorly formed scar tissue and re-establish free movement in the neck, an injury-related headache usually disappears.
Click here for more information about Ben Benjamin, PhD.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.