Your Doctor

November 2009

Coomera Wellness Centre

Chiropractic care....helping with headaches

It is estimated that between 75-90% of the population experience one or more headaches every year. Most of these will be benign and mildly annoying. However, some will be debilitating and have a significant impact on wellbeing. Fortunately, very few headaches have a sinister cause. Chiropractors are well trained to recognise the ‘red flags’ of more serious problems and refer appropriately.

Headaches are so common that most people think getting a headache is a normal part of everyday life. This is simply not true. Headaches are a sign that something is wrong. While some people may just pop a pill, chiropractors encourage addressing the cause, not just covering up the symptom.

In 2007, the International Headache Society agreed upon an updated classification system for headache. Headaches were classified into Primary, Secondary or Cranial Neuralgias and other headaches. Primary headaches include:

Tension Headache

This is the most common type of headache. It is often described as ‘hatband’ tightness around the forehead, temples and back of head. Tension headaches are thought to be brought on by fatigue and stress, as well as tightness in the neck and jaw region.

Migraine headache

Migraine can begin as a dull ache that develops into a constant throbbing pain felt in the temple or retro-orbital (behind the eye) area. The pain is often accompanied by sensitivity to light (photophobia) and sound (phonophobia). Often there is a period before the actual headache when the patient may experience blurred vision or ‘zig zag’ lines in the vision, pins and needles or numbness. This is known as an ‘aura’ and is a symptom of a Classic Migraine. When the headache is experienced without a preceding aura, it is called a Common Migraine.

Some of the triggers for migraines include family history, stress, lack of sleep or over-sleeping, missing a meal, certain medications, caffeine, alcohol and hormonal changes.

Cluster Headache

These are characterised by clusters of short-lived attacks of severe pain, usually around the eye. They are more common in men and there may be many months in between clusters.

How does chiropractic help?

Chiropractic is a recognised health choice for headaches. One of the most common triggers for headache is imbalance in the cervical spine. These headaches are known as ‘cervicogenic’ – literally ‘from the neck’.

In one Macquarie University study, the approach of correcting spinal imbalances in the neck and upper back with chiropractic care was tested in patients with chronic migraines. The results showed that specific chiropractic adjustments decreased the severity of migraines in 72% of patients. The frequency, duration, disability and amount of medication were also reduced.

Your chiropractor will also be interested in how your lifestyle may be affecting your headaches. Stress reduction, breathing exercises, improving diet, certain supplements and drinking plenty of water may all be helpful.

Pasta and Noodles are increasingly popular

Pasta and noodles have become

everyday foods for many people. Nutritionally they are high in carbohydrates with some protein and

almost no fat. Pasta and noodles are wrongly thought by some to be “fattening”. This is not so. It is the addition of oil, butter, cream, or fatty meat that adds unwanted calories and gives pasta and noodle dishes an unfair reputation.

There is little difference between pasta and noodles. They have similar ingredients and production methods. “Pasta” is an Italian word meaning dough or paste. Dough is usually made from wheat flour mixed with water. Eggs may be added. The dough is then cut into traditional shapes such as long round strands – spaghetti, flat ribbons – fettuccine and tubes – penne.

For those who need extra fibre in their diet, wholemeal and high-fibre varieties of pasta are available.

Noodles originated in Asia. They can be made from wheat, rice, buckwheat and mung beans. Noodles made from wheat often have eggs added. Wheat and rice noodles are made in a variety of thicknesses. Buckwheat is used to make soba noodles. Often a small amount of wheat flour is added to these noodles. Mung beans are used to make glass or cellophane noodles.

Pasta and noodles can be used fresh or dried. If fresh, they need to be used within 2-3 days. When dried, they can be stored for a long time. Most pasta and noodle products are packaged with cooking instructions. It is important not to overcook them.

Congratulations to Dr Chantal Taylor, the winner of our Recipe Competition!

Warm Ravioli Salad with a Bite!

(serves 4-6)

250g uncooked ravioli (or replace with another pasta for vegetarians)

1 whole broccoli

200g feta cheese (Australian Cow’s Feta)

½ cup fresh basil

1 punnet cherry tomatoes

100g semi-dried tomatoes

1 Spanish (purple) onion

3 cloves garlic

2 tablespoons sweet chilli sauce

Cook ravioli in a large saucepan of boiling water until just tender but still firm to bite (about 4-5 minutes), then set aside. Cut broccoli florets in half and steam for about 10 minutes until tender. Using a lightly oiled pan, gently fry chopped onion and crushed garlic until they become translucent.

In a large mixing bowl, gently mix onion, garlic, broccoli, ravioli, semi-dried tomatoes, cherry tomatoes (chopped in half), sweet chilli sauce and finely chopped basil. Transfer to a serving bowl. Add 1cm cubes of feta on top. Garnish with extra basil and sprinkle with pepper if desired.

Myth vs. Fact

Myth:

All I need to know about my spine I can see on an X-ray.

Fact:

X-rays are useful diagnostic tools used often by chiropractors. The advantage of having an X-ray is that it is a relatively cheap test that can give useful information about bone and joint structure. Scoliosis (side curvature of the spine) and other postural changes are easily visible on X-ray. In addition to helping rule out serious disease, an X-ray can check for congenital anomalies (birth variants) that might occur. An example of this is ‘congenital block vertebrae’. Even to a chiropractor’s skilled hands this might feel like a mechanical joint restriction - not allowing one vertebra (spinal bone) to move properly in relation to another. An X-ray, however, may show that the two vertebrae are actually fused together and have been so since birth.

Arthritic change, such as osteoarthritis, is visible on X-ray. This will show as a narrowing and roughening at the joints between the bony surfaces. The presence of arthritic change can give clues as to how long a problem may have been there and what chiropractic techniques are likely to be most helpful.

Like all tests, X-rays have their limitations. Although significant osteoporosis (thinning of bone) can be seen on X-ray, this test is not particularly sensitive as bone density loss needs to be up to 30% before it is easily identified. The more specialised ‘DEXA’ scan can pick up as little as 1% loss.

Although a loss in disc height can be seen on X-ray, a disc bulge or prolapse cannot be visualised. The more expensive and specialised CT (computerised tomography) or MRI (magnetic resonance imaging) scans are much better at viewing disc and other soft tissue problems.

The long-term benefits of chiropractic care

No one thinks it’s odd when the dentist recommends a regular visit to maintain good oral health. Nor do people find it peculiar when their optometrist suggests regular visits to maintain good visual health. Still many people are puzzled when their chiropractor recommends regular visits to maintain good spinal health for as long as possible.

Of course when you are suffering with low back pain, neck pain or tension headache, it is completely understandable that you have one overriding goal – to stop the pain. However, once this short-term goal has been accomplished, it is time to consider your long-term spinal health goals. In formulating your long-term goals, it is essential to understand that spinal health is about more than getting rid of pain. Spinal health has a long-term impact on every function affected by the spinal nerves, which influence every organ system in your body. Some biological functions that seem to benefit from improved spinal health include reaction time, balance and general wellbeing.

Breathing is another good example of a function most people do not associate with spinal health. In one case study, a 53-year old man with a 20-year history of chronic obstructive pulmonary disease, was shown to have improved forced vital lung capacity measured 14 months after beginning chiropractic care (forced vital lung capacity is the amount of air that can be forcibly exhaled in one complete breath).

The long-term implications of the link between chiropractic care and lung volumes cannot be overemphasized. In most adults, even those without pulmonary disease, lung volumes do not improve over time. In fact, lung volumes generally decline with age. Lower than normal lung volumes are associated with shorter life spans. More specifically, depressed lung volumes have recently been linked to increased risk of stroke, heart attack, and other potentially life-shortening cardiovascular problems. Conversely, the better your lung volumes, the longer your lifespan is expected to be. Regular exercise is also essential in developing and maintaining good lung volumes.

You are the boss when it comes to deciding how long you wish to benefit from chiropractic care. In the short run, it would be great to relieve pain. Chiropractic care can be useful in helping most people achieve this short-term goal of spinal health. In the long run, it would be great to retain as much lung capacity, reaction time, balance, and general wellbeing as possible. Consider this when your chiropractor recommends regular follow-up visits.

Laughter is the best medicine!!

Optimist vs. Pessimist

A family had twin boys whose only resemblance to each other was their looks. If one felt it was too hot, the other thought it was too cold. If one said the TV was too loud, the other claimed the volume needed to be turned up. Opposite in every way, one was an eternal optimist, the other a doom and gloom pessimist.

Just to see what would happen, on the twins’ birthday their father loaded the pessimist’s room with every imaginable toy and game. The optimist’s room he loaded with horse manure.

That night the father passed by the pessimist’s room and found him sitting amid his new gifts crying bitterly.

“Why are you crying?” the father asked.

“Because my friends will be jealous, I’ll have to read all these instructions before I can do anything with this stuff, I’ll constantly need batteries, and my toys will eventually get broken,” answered the pessimist twin.

Passing the optimist twin’s room, the father found him dancing for joy in the pile of manure. “What are you so happy about?” he asked.

To which his optimist twin replied, “With all this horse manure, there’s got to be a pony in here somewhere!”

Yoga can help with low back pain

Chiropractors have long been fans of yoga. The idea of connecting with your inner being through meditative stretching, balance and core exercise, sits very well within the chiropractic approach to health.

A 2009 study published in the prestigious journal Spine looked at the effectiveness and efficacy of the Iyengar style of yoga for chronic low back pain (CLBP). In total, 90 subjects were randomized to either a yoga (n = 43) or control group (n = 47) receiving standard medical care. Participants were followed for 6 months after completion of the intervention.

Yoga subjects participated in 24 weeks of bi-weekly yoga classes designed for CLBP. Outcomes were assessed at 12 (midway), 24 (immediately after), and 48 weeks (6-month follow-up) after the start of the intervention. The results showed that yoga improves functional disability, pain intensity, and depression in adults with CLBP. There was also a clinically important trend for the yoga group to reduce their pain medication usage compared to the control group.

Life is movement. Chiropractic is all about freeing up restriction in the body, in particular the spine, that prevents proper movement. This alters nerve function and ultimately health expression. Combining your chiropractic adjustments with yoga and other forms of exercise is a great way of getting the most from your body.

Thin thighs and increased heart disease

Many people are aware that oversized abdomens (above 100cm for men and above 90 cm for women) carry a greater risk of heart disease. According to the British Medical Journal, when it comes to the thighs, the opposite might be true. A study looked at 1436 men and 1380 women in Denmark. All participants were examined for height, weight, and thigh, hip, and waist circumference. The incidence of cardiovascular and coronary heart disease was then measured 12.5 years later.

The results showed a small thigh circumference (<60cm) was associated with an increased risk of heart disease and total mortality in both men and women. Above the threshold of 60cm there seemed to be no additional benefit of having larger thighs in either sex.

The researchers suggested the reduced thigh circumference might be related to too little muscle mass in the region. Once again it comes back to exercise and its value to whole body health. Chiropractors often recommend exercise such as squats, lunges and stair climbing to build strength in the hips and thighs and prevent osteoporosis. It seems there is now another clear reason to push on with those squats!

Season’s Greetings!

We wish all our patients, family and friends a happy, safe and prosperous holiday season!