By Luciano Di Loreto
29 Jan, 2017
Chiropractic, Fit for Life Wellness & Rehabilitation Centre
Back Care Tips, Blog, Chiropractic Expertise, Chronic Pain, Education, Headache, Healthy Aging, Heart Health, MSK health tips
Mindfulness; it’s become a popular topic for mental health and well-being, but what does it actually mean, and where does it come from? Mindfulness, a form of meditation, has its roots in Buddhism. It is one group of many meditation techniques that originated in Eastern religious or spiritual traditions. Today, it is often practised to help with stress reduction.1
Most commonly, mindfulness meditation is used to help modify a person’s response to stress. A growing body of research shows that the practice is effective in reducing stress and improving mood, and may even help to improve cognition in older adults.2 It has also been shown to improve anxiety, sleep disturbances, stress, and chronic pain.
There are a few other reasons why mindfulness meditation is gaining in popularity: it involves low physical and emotional risk, is easy to implement, is not expensive, and it has the potential to empower people to be more actively engaged in their mental health.2
Many mindfulness exercises involve practising just that—being mindful. It involves focusing on breath, posture, and the space you occupy at the present moment. Often, even just adding a few minutes of meditation to your routine per day can make a big difference in your overall sense of mental well-being. Here are some tips to help add meditation to your daily routine3:
- Choose a time. Morning is a calm time in many people’s days, but choose what’s easiest for you and stick to it.
- Choose a place. Consistency of space can be helpful to ground your practice. Preferably choose a place that’s quiet and where you can sit quietly and relax for a few minutes each day.
- Choose a duration. It’s good to decide before you start how long you’re committed to. Start with five minutes, and slowly build upon it.
- Set an intention. At the beginning of each meditation, remind yourself why you are meditating that day.
- Set your posture. This is about more than spinal health: having a healthy posture increases alertness in your meditation, and it helps keep you focused. (There are more posture tips below.)
- Take a few deep inhales, and a few deep exhales, allowing your body to unwind. As you breathe out, focus on relaxing different muscles and areas of the body with each breath, moving in one direction up (or down) the body.
- Choose an object of attention. Not necessarily a physical object, but a point of focus, such as the breath as it flows in and out of the nostrils, or the chest, as it rises and falls with each breath. With a relaxed body and an open posture, this keeps your meditation focused on the present.
Remember, concentration involves placing your attention on one thing or in one place. Mindfulness is noticing everything in its purest form, moment-to-moment. Neither of these things come easily. Meditation is a practice, not just an activity, so it takes time to develop it as a skill unto itself.3
Here are a few tips for setting your posture: try sitting on a chair or cushion. When you first start each meditation, it’s best to find back support in a chair or sit with your back against a wall to maintain a straight-back position. In this position, let the rest of your body hang freely. You can rest your hands on your knees or lap. When you let your eyes close, you allow yourself to bring the attention inward to the body, and to the present moment.3
If you’re able to sit a little bit each day and be mindful of the present moment, not only will you experience noticeable benefits like the ones listed above, the practice will become easier. Commit to what’s possible for you, and stick with it. Happy meditating!
References
- Horowitz S. Health Benefits of Meditation: What the Newest Research Shows. Alternative and Complementary Therapies. 2010; 16(4): 223-8. doi:10.1089/act.2010.16402.
- Morone N, Greco C, Weiner D. Mindfulness meditation for the treatment of chronic low back pain in older adults: A randomized controlled pilot study. Pain. 2008; 134(3): 310-9. doi:10.1016/j.pain.2007.04.038.
- How to Meditate | New York Insight Meditation Center. Nyimcorg. 2016. Available at: https://www.nyimc.org/how-to-meditate/. Accessed November 4, 2016.
Source: CCA Blog
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Headaches are a common inconvenience for many Canadians. They can seemingly strike at any time.
Nearly 90 percent of women and about 70 percent of men will get a tension headache during their lifetime, while 37 percent of women and 21 percent of men experience them regularly.
Most believe the only cure for a pounding headache is simply to just grin, bear it, and let it pass. The good news is there are ways to both prevent and treat frequent headaches.
What causes a headache?
A headache is your body’s way of telling you something isn’t quite right. Most of the common causes of the milder variety of headaches stem from something you are either doing or not doing. These include:
- Missing meals
- Consuming excessive alcohol
- Excessive stress
- Not getting enough sleep
In rare cases, headaches can be sparked by more serious problems. It is important to rule out any significant health issues as early as possible if your headaches are becoming a major problem.
Your headaches could also be caused misalignments in your body. These misalignments, which commonly happen in spinal bones within the neck structure can irritate the nerve roots in the neck and may even cause minor constrictions in some vessels that supply blood to the brain. Your spinal bones can become misaligned for many reasons, which can be anything from excessive physical stress to severe emotional strain.
How your chiropractor can help
A chiropractor is a spine, muscle, and nervous system expert specifically trained to diagnose the underlying cause of your frequent headaches.
They will perform a thorough spinal examination to determine whether the symptoms are coming from misalignments in your body.
On the flip side, they can also rule out misalignments and find out if your headaches are coming from your lifestyle choices (e.g., poor diet, alcohol consumption, or not enough sleep).
If misalignments are the culprit, your chiropractor may perform a simple spinal adjustment to improve function and help relieve your headache. Other treatment options are also available.
Chiropractic has been proven to help those suffering from chronic migraines. An Australian study1 found 72 percent of migraine sufferers in a clinical trial experienced either “substantial” or “noticeable” improvement after a period of chiropractic treatment.
- Source: http://www.news-medical.net/news/2005/05/22/10268.aspx
Blog reposted with permission from the Alberta College and Association of Chiropractors.
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You have a headache? You certainly are not alone! Fifty-nine percent of Canadian adults report suffering from some form of headache.1 Headaches can be debilitating, but most often feel like unpleasant discomfort, pain or pressure that can be addressed by manual therapies, relaxation and rest, hydration and even short-term use of pain medication.
Yet, in severe cases, the pain can be unbearable and last for many hours or even days. In 2010, an estimated 2.7 million Canadians reported being diagnosed with a migraine headache2. Research indicates that the number of migraine sufferers is likely under-estimated since not everyone seeks care from a healthcare professional, and are likely undiagnosed.
Similarly, thanks to the help of Dr. Google, many Canadians resort to searching the internet to self-diagnose and self-manage. However, like many sources of pain, the causes of headaches are not all alike. Hence, the remedies will also differ. If you are concerned and looking for relief, seek help from a qualified healthcare professional. Like other MSK conditions, headaches can be differentiated by a comprehensive examination and strategies to relieve the pain can be identified. Talk to your chiropractor or other healthcare provider about your pain and headache today.
Here are a few types of headaches to consider:
Tension Headaches
The most common type of headache, tension headaches are characterized as diffuse, dull, aching pain typically described as tightness around the head. Not surprisingly, the most common trigger for tension headaches is stress. Generally, this type of headache can be managed by decreasing your stress, applying a cold or hot pack and improving your posture. Conservative care, like chiropractic, can also help relieve symptoms and prevent recurrence.
Migraine Headache3
Migraine headaches can present differently from person to person. Symptoms may include disturbed vision, nausea and vomiting, sensitivity to light, and are often accompanied by sensory warning symptoms (aura). Sufferers may need to lie down in a darkened room until the symptoms ease. The causes of migraine headaches are not yet known, but there are a number of triggers that are associated with migraines including stress, sleep deprivation, changes in the environment and certain foods. A migraine can last hours or even days.
Cervicogenic Headache
A cervicogenic headache is classified as a secondary headache because the pain is referred from structures of the neck. Since the origin is usually related to the cervical spine, managing pain can include manual therapy and recommended at-home exercise to address postural issues and dysfunction.
What causes headaches?
As stated earlier, the causes of migraines and other types of headaches are not entirely known. Commonly, joint dysfunction, muscle tightness and poor posture can lead to the development of pain and specifically headaches. The changing barometric pressure that accompanies an abrupt shift in the weather is also thought to trigger migraines.
Here are a few other headache triggers that you might want to avoid where possible:
- Stress
- Alcohol
- Skipping meals
- Dehydration
- Loud, sustained noise
- Sleep deprivation
Sourced from the Canadian Chiropractic Association
Treatment
Depending on the type of headache, your healthcare practitioner may recommend spinal manipulation, soft tissue therapy, home exercise, relaxation and/or nutritional counselling. For more information about how chiropractors approach headache treatment, read the key recommendations for practitioners on the Canadian Chiropractic Guideline Initiative’s webpage.
1. https://www.tc.gc.ca/eng/civilaviation/publications/tp13312-2-neurology-headaches-2159.htm
2. Pamela Ramage-Morin and Heather Gilmour, “Prevalence of Migraine in the Canadian Household Population,” Statistics Canada, Health Reports, Volume 25, no. 6. June 2014.
3. http://www.migrainetrust.org/factsheet-migraine-what-is-it-10504
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Headache Referring Behind My Eye!
Have you ever experienced a headache that refers from the back of the neck to your eye? The sensation that I experience is often quite sharp and localized to one side of my head (usually the right side). These type of headaches are quite commonly experienced by many individuals in the population. Perhaps, increased stress, working at the computer for long hours or long commutes maybe responsible for these headaches…
There are a variety of headaches out there – migraine, cluster and tension-type to name a few. The headache that I am referring above is known in the medical literature as a “cervicogenic headache”.
What is a Cervicogenic Headache?
A cervicogenic headache is caused by an abnormality of the structures in the neck. What structures you ask? Basically, the muscles, nerve, bone, fascia and other soft tissues located in the neck area. A cervicogenic headache is sometimes debilitating and is a condition that accounts for 15% to 20% of all headaches. The criteria for diagnosing a cervicogenic headache is as follows:
A. Pain is referred from a source in the neck and perceived in one or more regions of the head and/or face, fulfilling criteria C and D
B. Clinical, laboratory and/or imaging evidence of a disorder within the cervical spine or soft tissues of the neck known to cause headache
C. Clinical signs that implicate a source of pain in the neck.
- 1. Reduced range of motion
- 2. Mechanical exacerbation of pain
- 3. Focal neck tenderness
- 4. Trigger points that refer to the head
D. When myofascial tender spots are the only cause, the headache should be diagnoses as tension-type headache and not cervicogenic.
What is the cause of a Cervicogenic Headache?
An issue to the neck muscles and other surrounding tissues/structures (bones and joints) are responsible for this type of headache. Whether it be a strain or strain, trauma or fall, our soft tissues and joints can become involved and negatively influenced. Sometimes the C0-C1 joint (first neck joint between the spine and head) or those neck joints below become tight/locked or restricted for whatever the reason. Furthermore, sometimes the muscles in the areas also become tight and tender. A question that is difficult to answer is what causes what – Is it the joint tightness that causes the muscle pain/tightness OR is it that tight muscles that cause the joint pain and thus the cervicogenic headache? This is like the classical chicken and egg scenario. What came first the chicken or the egg? My guess is that the headache can be caused by either structure (joint or muscle/soft tissue) and that both structures influence one another. When the joint is tight, the muscle become tight and when the muscle is tight, the joint does not move as well.
What Evidence Based Treatment Options are Available for Cervicogenic Headache Suffers?
I find that a chiropractic adjustment helps to alleviate my neck and cervicogenic headache symptoms quite quickly. I get cervicogenic headaches periodically – once a month. When I feel that my neck is tight and stiff and a headache is coming on, I have a colleague of mine adjustment my neck and upper back area. Sometimes the relief is instant!
According to some of the latest research on cervicogenic headaches, the following treatments are effective. Spinal manipulation therapy two times per week for 3 weeks. Joint mobilization 8-12 treatments over 6 weeks. Deep neck flexors exercises twice daily for 6 weeks. It is important to note that there is no consistently additive benefit of combing deep neck flexor exercises and joint mobilization for cervicogenic headache. Sourced from “Clinical Practice Guideline for the Management of Headache Disorders in Adults – Jan 2012?
After each treatment, it is important to reassess the condition.
I hope you have found this blog educational. Remember, it is always important to rule out serious conditions which may also be a source to a headache. These conditions should be ruled out first before any treatment is commenced. Always consult your health practitioner prior to commencing any treatment. Thank you for reading my blog Headache Referring Behing My Eye.
Dr. Luciano Di Loreto, HBSc., D.C.
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