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cervicogenic headache
9/26 8:44:51

Question
I asked another Chiropracter here this question and he couldn't answer, which I don't understand, I thought it was within the expertise of Chiropractors, am I wrong? Maybe you can answer...

Whenever I've had a tension headache, it would always go away soon after taking something like Ibuprofen. I recently have had a headache due to neck pain and learned that it is called a
"cervicogenic headache." I also read that this kind of headache, unlike most others, doesn't respond well to medication, which seems to be the case--when I take ibuprofen, it does nothing for it. Can you tell me why this particular kind of headache doesn't respond to meds? Thanks

Answer
headaches, staten island headache, cervicogenic headache, NSAIDS, nsaid side effects, nsaid complications,



Hello Lee,

Thank You for your question.

I am sorry that you are prone to headaches of any kind!

".....I asked another Chiropracter here this question and he couldn't answer.....", I do not think it is the case that he(she) could not answer,,,, I think it is more the case that this doctor would not answer.  Why not answer???,  because this is a medical question about medication. The Doctor of Chiropractic is NOT licensed to dispense medication, is NOT licensed to provide medical advice.  In many states a Chiropractic Doctor (DC) is actually PROHIBITED from discussing medications.  In some states a Doctor could get in trouble discussing medications, if they are a chiropractic doctor!!!
              In many states:  ONLY  A  MEDICAL  DOCTOR  CAN  DISCUSS  MEDICATION.

That being said,
I would recommend you ask our medical colleagues here on ALLExperts.com the same question.

That being said,
I will discuss this issue, but state:  I am NOT a MEDICAL DOCTOR (MD), I am a Doctor of Chiropractic (DC), so any comments I would make upon the medications are:
public knowledge, not specific to your case, not specific to the specific drug, just general information on headaches in general and medicine in general.

So you ask: "....I asked another Chiropracter here this question and he couldn't answer, which I don't understand, I thought it was within the expertise of Chiropractors, am I wrong?....", there are legalities which may preclude some doctors (chiropractors) from wanting to come close to this discussion.

Ibuprofen is a anti-inflammatory  - see:   http://en.wikipedia.org/wiki/Ibuprofen   


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see  also:   http://www.drugs.com/ibuprofen.html  
Important information about ibuprofen
Ibuprofen can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use ibuprofen. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).

Seek emergency medical help if you have symptoms of heart or circulation problems, such as chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.

Ibuprofen can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole).

Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.

Do not take more ibuprofen than is recommended. An overdose can cause damage to your stomach or intestines. Use only the smallest amount of ibuprofen needed to get relief from your pain, swelling, or fever.

Before taking ibuprofen
NSAIDs can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you take ibuprofen. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).

NSAIDs can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID.

Do not use this medication if you are allergic to ibuprofen, aspirin or other NSAIDs.

Ask a doctor or pharmacist if it is safe for you to take this medication if you have:

a history of heart attack, stroke, or blood clot;

heart disease, congestive heart failure, high blood pressure;

a history of stomach ulcers or bleeding;

asthma;

polyps in your nose;

liver or kidney disease;
systemic lupus erythematosus (SLE);

a bleeding or blood clotting disorder; or

if you smoke.

FDA pregnancy category C. It is not known whether ibuprofen is harmful to an unborn baby. However, taking ibuprofen during the last 3 months of pregnancy may result in birth defects. Do not take ibuprofen during pregnancy unless your doctor has told you to. It is not known whether ibuprofen passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child without the advice of a doctor.
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The tension headache that responds to this NSAID, mild analgesic,must have some inflammatory cause.  The CERVICOGENIC headache is telling you that it is coming from your neck- therefore probably a cervical vertebral subluxation complex.  This MECHANICAL and NEUROLOGICAL cause of your headache needs a mechanical and neurological treatment of the CAUSE of the problem- perhaps a cervical spinal adjustment.

My Staten Island Headache patients get the following information handouts, perhaps this will be of help to you:



PAIN           

Pain  is a  憆ed light on the dashboard?
 
Pain  is  your  body  telling  you  that  something  is  wrong.

  Think  you  should  listen??

That RED LIGHT on the dashboard of your car-
-- do you ignore it until the car breaks down,
or do you get it checked and correct the problem?  

Pain,
pain in your body-
-- do you ignore it until your body breaks down,
or do you get it checked and correct the problem?   

Pain,  
do you cover up the pain by taking a painkiller?  
Take a painkiller,
mask the pain,
and allow a problem to progress in your body?

Pain  Killing  medication???  =    16,000  deaths   ( probably  under-reported )
       DEATH ! ? ! ?    better   watch  out  on  those  medications!!!  

                             
                           Notice  on  Pain  Relievers:
 
Label changes ORDERED by FDA;  the FDA announced proposed label changes for OTC over-the-counter pain relievers to  include the potential for stomach bleeding and liver damage (FDA news  206- 207;  12-9-06) ;
SIXTEEN THOUSAND DEATHS: "Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective medications for the treatment of many chronically painful medical conditions. However, it is estimated that 25% of all serious adverse drug reactions involve NSAIDs, with more than 100,000 hospitalizations and 16,000 deaths occurring annually due to NSAID-induced gastrointestinal (GI) events."----- http://hhc.sagepub.com/cgi/content/abstract/13/6/468   Home Health Care Management & Practice, Vol. 13, No. 6, 468-475 (2001)  Motrin, Advil = NSAIDS

The  American Heart Association issued a scientific statement   recommending medical doctors change the way they prescribe OTC pain relievers from a first choice    to an alternate of recommending non-pharmacologic treatment (AHA statement  2-26-07).

NSAID Acceleration of ARTHRITIS; an important side effect of Aspirin and other NSAIDS is that it will inhibit cartilage repair and accelerate cartilage  destruction ( Journal of Rheumatology, 1982; 9: 3- 5 ).   Many times people take NSAIDS  for  the pain of Arthritis,  not realizing these drugs may make the underlying condition worse.   These medications  cover  up  the  pain,  and  cause  the  problem  to   worsen.


Pain  can  often  be  the  result  of  the  Vertebral  Subluxation  Complex.


Vertebral  Subluxation           (  慥SC?,    憇ubluxation?  )
Vertebral Subluxation  is  actually  a  quite  common  condition.   Doctors of Chiropractic look for pathological conditions which may require referral to other specialties,   and also look for 慡ubluxation? Other disciplines look for pathology, but overlook the importance of alignment and movement in the spine which affects our nervous system  (the master control system- ALL health disciplines learn this).  VSC- 慡ubluxation??can be the cause of many symptoms and conditions.


Only  a  Doctor of Chiropractic  will  evaluate  and  treat  for  VSC,   as  well  as  other  pathology.


The course of VSC is highly variable.   Some patients with VSC literally cannot walk, yet other patients with similar test findings may be able to run marathons or lift heavy weights.    Some patients immediately develop symptoms related to the VSC,  some patients take years to develop symptoms.  Some people suffer for only a few days with pain and symptoms, some people suffer for months.  Some people recover in days, some take months or years, depending upon severity of the condition.
              A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.
The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.  When subluxated, joints are in a stressed, vulnerable, compromised condition.  Subluxation may cause Arthritis, Disk Herniation, or aggravate such conditions.

       Vertebral  Subluxation   cannot   be corrected through chemicals (medicine), stretching,  yoga,  vitamins  or  physical  therapy  alone.       Subluxation- a neuro/skeletal/muscular-    mechanical-    problem  requires  a    mechanical correction-  -  -    a manipulation,         best  performed  with  the  chiropractic  adjustment.

Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomate, American Chiropractic Board of Sport Physicians;  Diplomate, American Academy of Pain Management;  Certified Clinical Nutritionist (IAACN);  FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine ; Invited to Colorado Springs (Olympic Training Center) to  Care for USA Olympic Athletes 2010


I hope that information is useful to you, Here is some further:


揌eadache?  ( Also Known As-  Cephalgia )  Sometimes  we  experience Headache.   Head pain,  headache, can come from many causes;   perhaps we overindulged in food or alcohol,  headache can result; perhaps an allergy, our eyes, fatigue, tension,  or a multitude of causes can  cause our headache.  Sometimes we take pill after pill with little good result....  Sometimes the cause of headache pain can be in our head/ neck/ spinal alignment, our posture, our movement patterns.    Perhaps your neck is giving you a headache!!  Often-  the true    c a u s e   of  the headache and pain;  is a misalignment,  a  慿ink?in the neck- more properly termed a Vertebral Subluxation.
              Vertebral   Subluxation   Complex    (a.k.a.  憇ubluxation?
The vertebral subluxation complex is the underlying cause of many healthcare problems.
A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.

                   This is a serious condition identified by its five parts:
    Spinal Kinesiopathology:
         This is fancy way of saying the bones of the spine have lost their normal motion and position. It restricts your ability to turn and bend. It sets in motion the other four components.
    Neuropathophysiology:
         Improper spinal function can choke, stretch, or irritate delicate nerve tissue. The resulting nerve system dysfunction can cause symptoms elsewhere in the body.
    Myopathology:
          Muscles supporting the spine can weaken, atrophy, or become tight and go into spasm. The resulting scar tissue changes muscle tone, requiring repeated spinal adjustments.
    Histopathology:
         A rise in temperature from an increase in blood and lymph supplies result in swelling and inflammation. Discs can bulge, herniate, tear, or degenerate. Other soft tissues may suffer permanent damage.
    Pathophysiology:
         The VSC contributes to OsteoArthritic degeneration. Bone spurs and other abnormal bony growths attempt to fuse malfunctioning spinal joints. This spinal decay, scar tissue, and long-term nerve dysfunction can cause other systems of the body to malfunction.

The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.
         Automobile accidents, improper lifting, improper posture, alcohol, emotional stress, chemical imbalances, and long periods of sitting can cause the Vertebral Subluxation Complex.
          Vertebral  Subluxation  cannot be corrected through chemicals (medicine), stretching, yoga, vitamins or physical therapy alone.  Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a mechanical correction-  -  -    a manipulation,     best performed with the chiropractic adjustment.  For good health- Treat the   Cause,  not just the symptoms.

Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management;  Certified Clinical Nutritionist (IAACN); FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine


You ask:   "......Whenever I've had a tension headache, it would always go away soon after taking something like Ibuprofen. I recently have had a headache due to neck pain and learned that it is called a
"cervicogenic headache." I also read that this kind of headache, unlike most others, doesn't respond well to medication, which seems to be the case--when I take ibuprofen, it does nothing for it. Can you tell me why this particular kind of headache doesn't respond to meds?......"
              It  seems  headache  is  a  major  concern  for  you.   I  would  definitely  visit  your  local  Doctor  for  a  Chiropractic  checkup.

Your  local  chiropractic  doctor (DC)  could  easily  evaluate  you  and  perhaps  treat  the  CAUSE  of  your  complaints,  rather  than  covering  up  the  problem  by  killing  the  pain,  rather  than  seeking  the  cause  of  the  pain.  If  you  feel  more  comfortable  with  a  specific  specialist,  see:   http://www.acatoday.org/pdf/ApprovedChiropracticSpecialtyPrograms.pdf   
              Perhaps  you  would  feel  best  seeing the  chiropractic  neurologist ?


I  hope  this  GENERAL  information  helps.   Your  MEDICAL  questions,  I  would  recommend  seeing  the  MEDICAL section  of  this  board  for.

Wishing  you  Good  Health  Naturally!
Your  Staten  Island  Chiropractic  Friend,

Dr. Victor Dolan, DC, DACBSP
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