Suffering with Headaches, We Can Help You! Dr. Neal Wieder has been treating successfully patients who suffer with headaches, subluxations and cervicogenic vertigo for over 30 years. Read this article printed from the text Orthospinology Procedures, An Evidence-BAsed Approach to Spinal Care, to find out mre abut the natural remedy for headaches that has been used successfully for 100 years-- Chiropractic care! If you are tired of taking addictive drugs with numerous side effects call our office today tomake an appointment to get the relief you need today. Call 407-330-0240!
Subluxation, Headaches,
and Cervicogenic Vertigo
INTRODUCTION
It has been estimated that each year, 50 million headache sufferers make 50 million office visits to U. S.
health care physicians. Headaches result in approximately 150 million workdays being lost each year, with
a cost to business of $57 billion annually in lost productivity and medical expenses.
1,2 The point prevalenceof headaches as a whole ranges from about 15–20%
3,4 or more in the general population.Prevalence indicates the number of instances of a given condition in a given population at a designated
time. The prevalence rates depend on whether they refer to the measure of a condition in a population at
a given time (point prevalence), at any time during a specified period (period prevalence), or at any time
in a lifetime (lifetime prevalence). Incidence is the number of new occurrences of a condition in a population
over a specified period.
Based on medical criteria, cervicogenic headaches represent about 15–20% or more
4–7 of all typesof cephalgia. The 1-year prevalence of tension-type (TT) headaches (>1/month) is 20–30%, with about 3%
of the population suffering from chronic (
180 days/year) TT headaches. One population-based studyhas shown that regular activities were limited during 38% of TT headache attacks, and 4% of subjects’
attendance at work was affected. Relationships with family and friends were affected in 89% of respondents.
8
The medical management of these headaches consists of various medications and trigger pointinjections in certain cases. These treatments are conducted after other serious etiologies, such as brain
tumors, are ruled out. The medical approach is usually directed toward treatment of the symptoms as opposed
to a possible cervicogenic cause.
It has only been since the 1980s that the medical profession has begun to recognize the existence
of cervicogenic headaches. Chiropractors, however, have been helping patients with headaches for more
than 100 years. This chapter will reveal the role of the doctor of chiropractic in the management of cephalgia.
The anatomy and physiology pertaining to the likely etiology of cervicogenic headaches and correlations
between cervical biomechanical dysfunctions and headaches are also covered. Controlled and uncontrolled
trials involving chiropractic care and its efficacy for headaches are reviewed. This chapter
challenges the notion that most headaches stem from a lack of drugs in the blood stream.
REFERENCES
1. Business and Health Special Report: Controlling Headache Costs. Montvale, NJ: Medical Economics
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2. Cave DG. Analyzing the Content of Physicians’ Medical Practices.
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3. Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of Headache in a General Population—
A Prevalence Study.
J Clin Epidemiol, 1991; 44(11):1147–1157.4. Nilsson N. The Prevalence of Cervicogenic Headache in a Random Population Sample of 20–59 Years
Olds.
Spine, 1995; 20(17):1884–1888.5. Pfaffenrath V, Kaube H. Diagnostics of Cervicogenic Headache.
Funct Neurol, 1990; 5(2):159–164.6. Grimmer K, Blizzard L, Dwyer T. Frequency of Headaches Associated with the Cervical Spine and
Relationships with Anthropometric, Muscle Performance, and Recreational Factors.
Arch Phys MedRehabil,
1999; 80(5):512–521.7. Jull G. Management of Cervical Headache.
Man Ther, 1997; 2(4):182–190.8. McCrory DC, Penzien DB, Hasselblad V, Gray RN. Evidence Report: Behavioral and Physical
Treatments for Tension-Type and Cervicogenic Headache. Duke University Evidence-Based Practice
Center, Center for Clinical Health Policy Research, 2001.
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