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You are here: Home / Duke University research about treatment for tension and cervicogenic headaches.

Duke University research about treatment for tension and cervicogenic headaches.

Tension-type headache and cervicogenic headache are two of the most common non migraine headaches. Population-based studies suggest that a large proportion of adults experience mild and infrequent (once per month or less) tension-type headaches, and that the one-year prevalence of more frequent headaches (more than once per month) is 20%-30%; a smaller percentage of the population (roughly 3%) has been estimated to have chronic tension-type headachepopulation. This agrees with an earlier clinic-based study which found that 14% of headache patients treated had cervicogenic headache.

Physical treatments, like Chiropractic, is aimed at the prevention of headache episodes rather than the alleviation of symptoms once an attack has begun.  If effective and available, these non-pharmacological treatments may be the first choice for most patients and may also be well suited for the significant minority of patients who: (a) have poor tolerance of pharmacological treatments; (b) have medical contraindications for pharmacological treatments; (c) experience insufficient relief from, or are unresponsive to, pharmacological treatment; (d) wish to become pregnant (or are nursing); (e) have a history of long-term, frequent, or excessive use of analgesic or abortive medications that can aggravate headache problems; or (f) simply prefer to avoid medication use.

Objectives

The objective of this report is to describe and assess the evidence from randomized controlled trials (RCTs) and other prospective, comparative clinical trials (CCTs) for the efficacy and safety of behavioral and physical treatments for tension and cervicogenic headaches.  Physical Treatments Results:  Cervical spinal manipulation was associated with improvement in headache outcomes in two trials involving patients with neck pain and/or neck dysfunction and headache. Manipulation appeared to result in immediate improvement in headache severity when used to treat episodes of cervicogenic headache when compared with an attention-placebo control.  Furthermore, when compared to soft-tissue therapies (massage), a course of manipulation treatments resulted in sustained improvement in headache frequency and severity. However, among patients without a neck pain/dysfunction component to their headache syndrome – that is, patients with episodic or chronic tension-type headache – the effectiveness of cervical spinal manipulation was less clear.

For the full study Click Here

Patient question about Vertigo.

Q) For the past 5 years I have noticed when I wake up in the morning I get extremely dizzy. It feels like the entire room is spinning. Its a little scary but lasts only a couple of minutes then goes away. I have been to my primary medical doctor and other specialists in the past. They take my blood work which they tell me is normal then give me medication. The medications they gave me doesn’t seem to be doing anything except making me tired all the time. Some of my friends have been treated by a Chiropractic Neurologist with great results. How does a Doctor of Chiropractic Neurology fix vertigo?

A) Vertigo is a common problem, especially in the elderly or after a head or neck trauma. Vertigo is a sense of dizziness or spinning, sometimes associated with symptoms such as nausea, vomiting and sweating.
It can have many causes and in most cases is a treatable condition. The treatment used obviously depends on the cause which is why chiropractic neurologist Dr. Matthew Hoffman will do a thorough examination when you first come in for treatment.
One of the most common causes of vertigo and dizziness is Benign Paroxysmal Positional Vertigo (BPPV), also called Benign Vertigo or Positional Vertigo.
There are other, more serious, causes of vertigo such as stroke, tumors, anemia, heart problems and neurological diseases such as MS, which is why Dr. Hoffman performs and extensive neurological examination.
The inner ear contains fluid that allows the brain to sense movement along with a nerve plexus in the neck to maintain balance. The cause of BPPV is a dislodgement of small calcium carbonate crystals, known as otoconia, which then float in the inner ear fluid. These crystals strike against the sensitive nerve endings and cause the symptoms of BPPV.
Normally BPPV is misdiagnosed and treated with drugs, such as Stemetil and Compazine (prochlorperazine), a sedative, which has many serious side affects and does not address the cause.
A Chiropractor can form diagnosis and deliver the right treatment, which can help you get rid of this disabling condition, and quickly.
The condition is treated by certain repositioning maneuvers and spinal adjustments. Dr. Hoffman is trained to perform these maneuvers , which are a simple and well-tolerated technique that will cure BPPV in the majority of patients.
Dr. Hoffman will move you into specific positions to move the otoconia where they wont cause further symptoms. This maneuver combined with cervical(neck) manipulations to realign the nerve messages properly, is an extremely affective means of alleviating the vertigo.

Pilates at Hoffman Chiropractic Neurology

Pilates classes are now being offered at the Hoffman Chiropractic Neurology Office in Bourbonnais. 
These low impact work-outs are available for people who have experienced an injury and/or for athletes looking for a cutting edge exercise program. The Pilates method of exercise is known for its total body fitness, using movements that integrate many of the body parts at once, while incorporating purposeful breathing and concentration with every move you make. The mind and body become united in movement and you experience a holistic work-out.

Founder Joseph Pilates believed that the spine, abdominal, and pelvic areas are the “core” or the “powerhouse” of the body. His integrative approach to exercise was to develop the deep muscles of the powerhouse. He felt hat if the core was strong, flexible, and working together, it would then be ready for any type of movement. Pilates is a gentle, focused and safe way of exercising that increases your flexibility, balance, range of motion, and coordination. Muscular balance is improved with Pilates by strengthening weak muscles and stretching short muscles. People develop long, strong muscles without adding any bulk and there are no jarring movements that are characteristic of other forms of exercise that can sometimes cause injury. The Pilates method focuses on quality of movements and breathing patterns, while at the same time, getting in touch with your whole body.

In doing Pilates work-outs, people report a heightened sense of awareness to their bodies, and they begin to notice how they sit, stand and move, which can help them prevent injuries. They become aware of pulling in their stomachs to aid in proper posture and alignment and pulling down their shoulder muscles to relieve stress. Another benefit of Pilates is that it can enhance athletic performance as it increases one’s flexibility, stability, strength, energy, and coordination. Pilates is a fun way to work-out that also reduces stress, relieves tension, and helps you feel ready to take on the next challenge of the day.

Our classes here at Hoffman Chiropractic Neurology are led by experienced and certified instructors.
We do a variety of exercises on the floor using mats, as well as using other equipment and machines. These classes are available to patients living throughout Kankakee County, including the cities of Manteno, Peotone, Bradley, Grant Park, Hersher, Limestone, Aurora Park, Bourbonnais, and Kankakee.
Call our office today to book a slot in the next Pilates class.

Chiropractic Can Relieve Headaches

Chiropractic treatment works amazingly well for most types of headaches, but some headaches could potentially be a warning symptom for a serious medical condition or problem.  Prior to chiropractic treatment, a thorough and complete history will be analyzed as well as an exam performed to rule out these medical conditions. Most of the time, chiropractic care is appropriate to resolve the headaches, but to assume that every headache should be treated with chiropractic care is a mistake.  Headaches that get worse when laying horizontally, that are new or of recent onset, or the worse headache of your life, should be carefully evaluated and dealt with appropriately by the chiropractor.

Patient testimonials

Here the success stories of real patients who have found headache and migraine relief at Hoffman Chiropractic Neurology.

Hoffman Chiropractic is DACNB Certified

We would like to congratulate Dr. Hoffman on passing the National Chiropractic Neurology Board Exam! He is now a Board Certified Chiropractic Neurologist, DACNB, Diplomate of American Chiropractic Neurology Board. What is a Chiropractic Neurologist exactly? A Chiropractic Neurologist serves in the same consulting manner as a medical neurologist, but without the drugs or surgery. Numerous brain and nervous system conditions do not respond well with aggressive drug therapies or surgical procedures.

Dr. Hoffman and his staff offer a wide variety of brain-based therapies that help with conditions such as movement disorders, dystonia, post-stroke rehabilitation, radiculopathy, ADD, ADHD, Asberger’s, and several more. You get the quality care and understanding of our staff to treat your neurological needs without an increase in risk and complications that accompany the use of medications and surgery. Our staff will work hard to find the location of the problem, but also a solution to fix the problem. We don’t believe in covering up the problem with the use of medications. This benefits no one and with that end result you generally find yourself back at the beginning facing the problem again.

If you have went the traditional route in neurological medicine and are not responding to your current treatment plan, then maybe you need to consider Chiropractic Neurology as your next step towards getting better. If you or someone you know is suffering from a neurological based condition and would like more information on the ways Dr. Hoffman can help your current neurological needs, please contact our office to schedule an appointment at (815)937-0446 begin_of_the_skype_highlighting (815)937-0446 end_of_the_skype_highlighting.

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