Migraines & Chiropractic

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Migraines

Do you suffer from migraines? If you do, you will know how debilitating they can be. If you don’t, just imagine suffering with a throbbing headache for days on end, and feeling nauseous, and vomiting, and being unable to stand bright lights and loud noises. They really are awful!

For about 1 in 6 people around the world, they experience this on a regular basis, often many times each month.1 They are often severe and are considered by the World Health Organisation to be the most debilitating of all neurological disorders.1 Trying to carry on a normal life when you suffer from migraines can be really challenging. Caring for yourself, let alone a family, can be tough, and trying to work when all you want to do is hide in a dark quiet room can be impossible.

A sad fact is that almost half of sufferers don’t get the relief they need from usual drug treatment options.2 And to make matters worse, commonly prescribed medications for migraines can actually end up causing more headaches and more pain in the long run.2 This is a real problem!

That is why researchers and health professionals have been exploring what other healthcare options may help people who suffer from migraines. One of these options that have received quite a lot of research attention is chiropractic care. This may be because so many people with migraines see a chiropractor for help.2 Let’s take a look at what the research says about chiropractic care and migraines.

In 2019 a systematic review was published that looked at all of the clinical trials that had investigated whether chiropractic care can help people with migraines.2

What they found was that when all of the research is combined, people with migraines who saw a chiropractor or another health professional who provided spinal manipulation had fewer days with migraines each month. And they also experienced less migraine pain. That means that chiropractic care really does seem to help some people who suffer from migraines.

In one of the studies they were looking at, the researchers found that for about 1 in 5 people who suffer from migraines, their migraines almost went away completely after 2 months of chiropractic care!

We don’t know for sure who will respond well to chiropractic care, and we don’t know how much of an influence the placebo effect might have, but for some people, when they get under chiropractic care, their migraines almost completely resolve within just a couple of months.

So, if you suffer from them, or you know someone who does, consider chiropractic care, because it may really make a big difference to you or the people you care about. They don’t have to be a life sentence, so go and see a chiropractor and rediscover what life is supposed to be like.

References

  1. Goadsby PJ, et al. Pathophysiology of Migraine: A Disorder of Sensory Processing 2017;97(2):553-622.
  2. Rist PM, et al. Headache 2019;59(4):532-42.

Acknowledgments

  • Dr. Heidi Haavik – BSc(Physiol) BSc(Chiro) PhD
  • Dr. Kelly Holt – BSc, BSc(Chiro), PGDipHSc, PhD
  • Dr. Jenna Duehr – BChiro, BHSC (Nursing), MHSc

Pain Is Created In The Brain

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Did you know that scientists now know the feeling of pain is something your brain decides you should experience if it believes there is some tissue damage in your body? In fact, your brain can decide that you should feel pain even if it only thinks there is a potential threat of damage! 2-5

It may seem strange, but it’s totally up to your brain to decide whether you should feel pain or not. Your brain may decide you should experience pain even if you have no actual tissue damage yet,6 or your brain may not create the feeling of pain for you when tissue damage has actually occurred! 7 8 This is called the “pain paradox”. It means that the pain you feel does not always reflect the severity or even the location of your problem – if there is a problem at all. Science has shown beyond a doubt that pain is created in your brain! 2 4 9 10 

Sometimes pain can be very helpful and informative.1 Our brains create the experience of pain to let us know something is not ok.1 Maybe we are overexerting ourselves, or maybe we have had an injury that we need to be careful with to allow our body to heal. The pain can let us know what not to do while our body heals the problem.1 This pain is helpful and informative.1

If we listen to our body these pain experiences can be a good thing. But for some people, pain can persist even after the initial injury that caused it has healed.9 11 12 And for some people, the pain can spread to other areas that are not injured at all.6 For these people, the pain has become non-informative and non-helpful.9 11 12 The pain itself has become a problem. The brain has learnt to be in pain.9 11 12

The way the brain does this is very similar to the way the brain learns anything. It’s called neural plasticity – or brain adaptations.9 11 12 Brain scientists now know that what you focus on drives the way your brain will change.13-15 This can be a problem if you are focusing on your pain because it may make your pain worse. So, even if you’re in pain, try to focus on the good things in your life instead of your pain. Focus on what is working well. Focus on what makes you happy. This alone can help you!1

Brain scientists who have studied the effects of chiropractic spinal adjustments, have discovered that adjustments may change brain function.16

Chiropractic has a neuroplastic effect on the brain.16 In particular, adjustments change function in a part of your brain called the pre-frontal cortex.17 This part of your brain is actually the part of your brain that’s very involved in pain becoming chronic.8 18-21 This might be why getting chiropractic care early on when you have a problem has better long-term outcomes.22 It might also be that chiropractic care can prevent pain from becoming chronic.22

Neuroscientists believe that chiropractic care most likely helps reduce your feeling of pain by helping your brain ‘turn down’ or ‘switch off ’ the perception of pain in your brain.23 This means chiropractors may or may not adjust your spine exactly where you feel that it hurts. They are looking for parts of your spine and/or body where there is a lack of proper movement and they will adjust you there – so don’t worry if it’s not where you feel the pain.

References

  1. Seymour B. Pain: A Precision Signal for Reinforcement Learning and Control. Neuron 2019;101(6):1029-41.
  2. Koyama T, McHaffie JG, Laurienti PJ, et al. The subjective experience of pain: Where expectations become reality. Proceedings of the National Academy of Sciences 2005;102(36):12950-55.
  3. Hadjistavropoulos TD, S; Goubert, L.; Mogil J.S.; Sullivan, M.J.L.; Vervoort, T.; Craig K.D.; Cano, A.; Jackson, P.L.; Rainville, P.; Williams, A.C.; Fitzgerald, T.D. A Biopsychosocial formulation of pain communication. Psychological bulletin 2011;137(6):910- 39.
  4. Wager TD. Placebo-Induced Changes in fMRI in the Anticipation and Experience of Pain. Science 2004;303(5661):1162-67.
  5. Ploghaus A. Dissociating Pain from Its Anticipation in the Human Brain. Science 1999;284(5422):1979-81.
  6. Curatolo M, Arendt-Nielsen L, Petersen-Felix S. Central Hypersensitivity in Chronic Pain: Mechanisms and Clinical Implications. Physical medicine and rehabilitation clinics of North America 2006;17(2):287-302.
  7. Fenton BW, Shih E, Zolton J. The neurobiology of pain perception in normal and persistent pain. Pain management 2015;5(4):297-317.
  8. Mitsi V, Zachariou V. Modulation of pain, nociception, and analgesia by the brain reward center. Neuroscience 2016;338:81-92.
  9. Apkarian AV, Hashmi JA, Baliki MN. Pain and the brain: specificity and plasticity of the brain in clinical chronic pain. Pain 2011;152(3 Suppl):S49.
  10. Atlas LY, Bolger N, Lindquist MA, et al. Brain Mediators of Predictive Cue Effects on Perceived Pain. 2010;30(39):12964-77.
  11. May A. Chronic pain may change the structure of the brain. PAIN® 2008;137(1):7-15.
  12. Costigan M, Scholz J, Woolf CJ. Neuropathic Pain: A Maladaptive Response of the Nervous System to Damage. Annual Review of Neuroscience 2009;32(1):1-32.
  13. Draganski B, Gaser C, Busch V, et al. Changes in grey matter induced by training. Nature 2004;427(6972):311-12.
  14. Kolb B, Whishaw IQ. BRAIN PLASTICITY AND BEHAVIOR. Annual Review of Psychology 1998;49(1):43-64.
  15. Ungerleider L. Imaging Brain Plasticity during Motor Skill Learning. 2002;78(3):553-64.
  16. Haavik H, Murphy B. The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. J Electromyogr Kinesiol 2012;22(5):768-76.
  17. Lelic D, Niazi IK, Holt K, et al. Manipulation of Dysfunctional Spinal Joints Affects Sensorimotor Integration in the Prefrontal Cortex: A Brain Source Localization Study. Neural plasticity 2016;2016:3704964.
  18. Apkarian AV, Thomas PS, Krauss BR, et al. Prefrontal cortical hyperactivity in patients with sympathetically mediated chronic pain. Neuroscience Letters 2001;311(3):193- 97.
  19. Seminowicz DA, Moayedi M. The Dorsolateral Prefrontal Cortex in Acute and Chronic Pain. The Journal of Pain 2017;18(9):1027-35.
  20. Kang D, McAuley JH, Kassem MS, et al. What does the grey matter decrease in the medial prefrontal cortex reflect in people with chronic pain? European Journal of Pain 2019;23(2):203-19.
  21. Loggia ML, Berna C, Kim J, et al. The lateral prefrontal cortex mediates the hyperalgesic effects of negative cognitions in chronic pain patients. The Journal Of Pain: Official Journal Of The American Pain Society 2015;16(8):692-99.
  22. Eklund A, Jensen I, Lohela-Karlsson M, et al. The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain-A pragmatic randomized controlled trial. PLoS One 2018;13(9):e0203029.
  23. Haavik H, Niazi IK, Holt K, et al. Effects of 12 Weeks of Chiropractic Care on Central Integration of Dual Somatosensory Input in Chronic Pain Patients: A Preliminary Study. 2017.
  24. Dalton PA, Jull GA. The distribution and characteristics of neck-arm pain in patients with and without a neurological deficit. The Australian journal of physiotherapy 1989;35(1):3-8.
  25. Holt K, Russell D, Cooperstein R, et al. Interexaminer reliability of a multidimensional battery of tests used to assess for vertebral subluxations. Chiropr J Aust 2018;46(1):101-17.
  26. Haavik H, Murphy B. Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense. J Manipulative Physiol Ther 2011;34(2):88-97.
  27. Holt KR, Haavik H, Lee AC, et al. Effectiveness of Chiropractic Care to Improve Sensorimotor Function Associated With Falls Risk in Older People: A Randomized Controlled Trial. J Manipulative Physiol Ther 2016.

Chiropractic Care and Pregnancy

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Chiropractic Care and Pregnancy

Pregnancy can be a really exciting time for parents as they get ready for their family to grow with the baby’s arrival. As the baby grows, mum’s body changes as she prepares to give birth.

Sometimes these changes can be uncomfortable or painful, with about three-quarters of pregnant mums suffering from pain in their back or pelvis.1, 2 This is one reason that so many pregnant mums seek chiropractic care.

Is it safe?

When deciding whether they should see a chiropractor, pregnant mums often ask ‘is it safe to be adjusted by the chiropractor when I’m pregnant?’ The good news is that chiropractors can tailor the care they provide to each individual patient and the research suggests that chiropractic care during pregnancy is safe for both mum and baby.4,6

What does the research say?

But what does the research tell us about the benefits of seeing a chiropractor while you’re pregnant? When it comes to back pain, not many big studies have been done yet that have looked at whether chiropractic care helps pregnant mums.3

So, although more research is needed, results from the research that has been done so far are promising and seem to show that for some pregnant mums, chiropractic care can be really helpful.4 In one study, researchers in Switzerland followed 115 pregnant women for a year who went to see a chiropractor with low back pain.5 What they found in this study was that over half of the patients said they ‘improved’ after just 1 week of chiropractic care, and after a month that figure had grown to 70%.

In a study conducted in New Zealand, researchers studied pelvic floor muscle function in pregnant women before and after they were adjusted by a chiropractor.

By the end of the study, about 90% of the mums who entered the study said their pain was better. From this study, we can’t be sure if it was the chiropractic care that really helped them but at the end of the study over 85% of the mums said they were happy with the care they received from their chiropractor.

Could chiropractic care help me through delivery?

One area researchers think chiropractic care may help pregnant moms is with the delivery of their baby. For a woman in labor, the ability to relax and contract her pelvic floor muscles is really important for helping the baby to move through the birth canal.7 Ideally, for the birth process to go as well as possible, giving the greatest chance of natural, vaginal birth, you want strong pelvic floor muscles that can relax and contract at just the right time.7, 8

New Zealand Research Study

In a study conducted in New Zealand, researchers studied pelvic floor muscle function in pregnant women before and after they were adjusted by a chiropractor. What they found was that after the pregnant women were adjusted, their pelvic floor muscles appeared to relax more when they were at rest.

This relaxation of their pelvic floor muscles after they were adjusted may mean that chiropractic care could help them to have a natural vaginal delivery. This was only a small trial, and the researchers couldn’t be sure how much of an impact these relaxed muscles would have on labour itself, but it does suggest that for pregnant mums, chiropractic care may give them more control over their pelvic floor muscles, which may make childbirth easier. Other research supports this idea with one study reporting that new mums experience on average a 25% reduction in the length of labour time with chiropractic care during pregnancy and that rises to a 31% reduction for mothers who have given birth before.It makes sense to keep yourself as healthy as possible during your pregnancy.

So, if you want help with the way your spine and nervous system are functioning, consider seeing your chiropractor, because it’s natural, safe, and may help you to feel better and boost your chances of having a faster, easier delivery of your little bundle of joy.

References

  1. Malmqvist, et al. J Manipulative Physiol Ther 2012;35(4):272-8.
  2. Weis, et al. Journal Of Obstetrics and Gynaecology Canada 2018;40(8):1038-43.
  3. Stuber & Smith. Journal Of Manipulative and Physiological Therapeutics 2008;31(6):447-54.
  4. Borggren. Pregnancy and Chiropractic: a Narrative Review Of the Literature. Journal of Chiropractic Medicine 2007;6(2):70-74.
  5. Peterson, Muhlemann, Humphreys. Chiropractic & Manual Therapies 2014;22(1):15.
  6. Stuber, Wynd, Weis. Chiropr Man Therap 2012;20:8.
  7. Yan, et al. Wiley Interdisciplinary Reviews Systems Biology and Medicine 2016;8(6):506-16.
  8. Du, et al. International Urogynecology Journal 2015;26(10):1415-27.

Acknowledgments

  • Dr. Heidi Haavik – BSc(Physiol) BSc(Chiro) PhD
  • Dr. Kelly Holt – BSc, BSc(Chiro), PGDipHSc, PhD
  • Dr. Jenna Duehr – BChiro, BHSC (Nursing), MHSc

How Often Should You Visit Your Chiropractor?

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When you first see your chiropractor, you may be among the many people who ask, ‘how often do I need to come?’ Often the answer people want to hear is ‘once’ but chiropractic care, like most things that are really good for us, rarely makes a long term difference to your health and wellness after just one visit.

One reason a single visit to your chiropractor may not make a long-term change is that it usually takes years for the problem to develop that motivates someone to first see a chiropractor and it can take many visits to the chiropractor to correct that problem.

Seeing your chiropractor can be a little like going to the gym. It takes time, frequency and follow up.

One way of looking at it is that it can be like the thousandth straw that breaks the camel’s back. A problem can build up day after day as you sit hunched over your desk, or bend and twist as you lift, or tense up as you deal with your daily stress and then one day, you bend to tie your shoelaces and all of a sudden something hurts! You can rest assured that tying your shoelaces isn’t what caused the problem, it’s simply the thousandth straw that broke the camel’s back (or was too much for your back) and that’s why you’re in pain.

There will usually be changes to the way the supporting muscles in your spine work that build up over time until your muscles can’t cope anymore, and symptoms appear.1-2 So, seeing your chiropractor can be a little like going to the gym. It takes time, frequency, and follow up. Working with you to correct the problem and help your brain and the muscles in your spine communicate or ‘talk’ with each other again so you can regain the stability you need to function properly and resolve your aches and pains.3

But how long will this take and how often do you need to be checked by your chiropractor? Everybody is different, so your chiropractor will be guided by their clinical experience, and what your goals are when they recommend a care plan for you. 

US Research Study

A new research study was recently published that suggests, in the early stages of chiropractic care, the more often you get adjusted, the better the results you enjoy, and this can also be better for you in the long term as well.4

In this study, that was conducted by scientists in America, they looked at 256 people who had chronic, regular headaches and divided them into groups who either received chiropractic care once a week, or twice a week, or three times a week, for up to six weeks, or they received no chiropractic care at all and instead were given light massages over the same 6-week period. Previous studies have shown that people with this kind of headache often respond well to chiropractic care.

The scientists in this study were most interested in how many visits per week to the chiropractor showed the best results. They looked at how many days a week a patient suffered from headaches at the end of the study and whether any changes in headache frequency between the groups were still there up to one year later. What they found was that the patients who were seen by their chiropractor most regularly, so up to three times a week, had fewer headaches than those who were seen once or twice a week, and they were much better than the patients who received no chiropractic care at all.

In fact, after one year, the patients that had been seen three times a week had over three fewer headaches per month compared to the patients who only received a light massage. So, these effects obviously lasted.

The more you get adjusted, the better the results that you will enjoy.

This study was done in people with chronic headaches, so we can’t be sure if the same differences occur in people with other problems who see a chiropractor. A similar study in patients with chronic low back pain did find that people who were adjusted more often had the best results, but the results weren’t as clear as the study done on patients with headaches.

The studies suggest that seeing a chiropractor more often when you begin care has real, beneficial, long-term effects to the way your spine and nervous system works, but how much you benefit may depend on what’s wrong with your spine when you begin care.

So, when you go and see your chiropractor, know that their recommendations for your plan of care are based on what their clinical experience tells them is best for you, and that the research suggests more frequent adjustments has the biggest positive impact on your health and wellness.

References
  1. Hodges & Moseley. J Electromyogr Kinesiol 2003;13(4):361-70.
  2. MacDonald et al. Pain 2009;142(3):183-8.
  3. Ferreira et al. Manual Therapy 2007;12(3):240-48.
  4. Haas et al. Spine J 2018. 18(10): 1741-1754.
  5. Haas et al. Spine J 2014;14(7):1106-16.
Acknowledgments
  • Dr. Heidi Haavik – BSc(Physiol) BSc(Chiro) PhD
  • Dr. Kelly Holt – BSc, BSc(Chiro), PGDipHSc, PhD
  • Dr. Jenna Duehr – BChiro, BHSC (Nursing), MHSc

What Is That Popping Sound?

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What is that popping sound?

If you have been adjusted before by a chiropractor, you may have noticed a popping sound that may seem a little strange. What is that popping sound? What happens if I crack my knuckles? Studies have also looked at people who have routinely cracked their knuckles for years and years and compared them to non-knuckle crackers to see if there’s any difference in x-ray images of their hands.1 These studies all came back with the same conclusion. Habitual knuckle cracking over the course of several decades is not associated with clinical or radiographic evidence of osteoarthritis. 1 The popping sound you hear when a chiropractor adjusts you is simply a change in state between liquid and gas within a joint.

Whether or not you hear the popping sound makes absolutely no difference to how good the adjustment was.

What does research show?

There have been all sorts of theories about what the popping sound really is. Some have thought the sound was caused by tendons snapping over a joint, or a bone being put back into place, or the snapping of adhesions or scar tissue.5 Recently there was a really interesting study done that actually looked at what was happening in a joint when there were popping sounds.6 The researchers in this study used video magnetic resonance imaging (MRI) to study what happened in a person’s finger joint when they pulled his finger until his knuckle made the popping sound. So, they used a cable attached to his finger and slowly pulled his finger until it cracked while recording this with video MRI. They then measured the space between the joint surfaces, before and after the crack, using automatic computer software. What they found was that the joints remained very close together during the early stages of the finger being pulled, and then when the force of the pull was strong enough, the joint would very separate and a bubble would form, and this was when the popping sound was heard. This means that the popping sound you hear when a chiropractor adjusts you is simply a change in state between liquid and gas within a joint. It’s called tribonucleation. It’s actually very similar to what happens when you open a champagne bottle, but it’s all happening in an enclosed joint space. Early on, it was thought that the popping sound was associated with unhealthy joints, but as far back as the 1930’s scientists were showing that this also occurs in perfectly healthy joints. So, keep in mind next time you get adjusted by your chiropractor, that the popping sound doesn’t have anything to do with bones grinding or rubbing, but instead is simply gas bubbles forming within a joint as your adjustment separates two joint surfaces that are close together.

Disclaimer and References

 This information is provided for educational purposes only. It is not intended to be professional advice of any kind. Haavik Research Ltd encourages you to make your own health care decisions based on your own research and in partnership with a qualified health care professional. chiroshub.com © Haavik Research 2021 1. Powers et al. The Journal of family practice 2016;65(10):725-26. 2. Cleland et al. J Man Manip Ther 2007;15(3):143-54. 3. Cramer et al. J Manipulative Physiol Ther 2011;34(9):572-83. 4. Williams & Cuesta-Vargas. J Manipulative Physiol Ther 2014;37(4):230-5. 5. Protopapas & Cymet. J Am Osteopath Assoc 2002;102(5):283-7. 6. Kawchuk et al. PLoS One 2015;10(4):e0119470.

• Dr. Heidi Haavik BSc(Physiol) BSc(Chiro) PhD • Dr. Kelly Holt BSc, BSc(Chiro), PGDipHSc, PhD • Dr. Jenna Duehr BChiro, BHSc(Nursing), MHSc What does the research show? Whether or not you hear the popping sound makes absolutely no difference to how good the adjustment was. Disclaimer and References This information is provided for educational purposes only. It is not intended to be professional advice of any kind. Haavik Research Ltd encourages you to make your own health care decisions based on your own research and in partnership with a qualified health care professional. chiroshub.com

Heart Rate Variability

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Did you know that your nervous system controls your heart rate? It is one of the many smart things that your body does without you having to or put any thought into it. Your nervous system will increase or decrease your heart rate based on the needs of your body, and this is called heart rate variability.

Most people know that having a healthy heart rate is important – you don’t want it too fast, and you don’t want it too slow. It is providing your vital organs with blood and oxygen that you need to survive. However, your heart rate is not at a constant steady 70 beats per minute all day every day; it changes based on whether you are resting or exercising, whether you are happy or angry, nervous or relaxed.

These changes in heart rate can be measured by something called heart rate variability or HRV. HRV is controlled by your nervous system (made up of your brain, spinal cord and all the nerves that go to every tissue and cell in your body), specifically the part of your nervous system that is automatic, that we don’t have to think about, like breathing. A good HRV (a high one) is thought to reflect a healthy heart and a body that can respond and adapt to its environment and needs.

It is important that your brain knows what is going on in and around your body so that it can know when to increase or decrease your heart rate, and it needs to do this quickly. For example, if you suddenly need to run really fast because you’re being chased by a bear, your nervous system will quickly need to increase your heart rate so it can pump enough blood to your muscles so you can run. However, when you are sleeping or relaxed, you don’t want your heart rate to stay beating that fast as this is not good for you, so your brain will sense this and then decrease your heart rate. 

We know now, from a lot of neuroscience research studies, that when your spine is not moving properly, this changes the way your brain can sense what is going on in and around your body and the way it controls your body.1-3 If the joints of your spine are not moving properly (what chiropractors call being subluxated) this may affect how well you can sense what is going on in and around you and how well you can react to your environment. Research has shown that when a chiropractor then gently adjusts these subluxations, it helps the brain to more accurately “see” what is going on in and around the body. So, when you get adjusted by your chiropractor, it might help you to be able to respond and adapt to your environment better and keep you balanced and healthy.

Chiropractic may help

What does the research say about chiropractic care and heart rate variability (HRV)? Researchers have looked at a lot of the studies that have been done on the effects of chiropractic care on HRV and summarised them.4 The results show that chiropractic care does affect HRV, and it seems to increase the healing and calming side of our autonomic nervous system, the parasympathetic nervous system! 

In one study,5 the researchers got 96 different chiropractors to measure HRV before and after adjustments on 8 different patients and after 4 weeks on 2 of their patients. Altogether, 539 adults had their HRV recorded before and after their adjustments, and 111 adults had their HRV recorded across four weeks of chiropractic care. They found that in both of these groups of adults, there were improvements in their HRV measurements and that in the group that received adjustments over four weeks, these improvements remained constant over that time. 

These studies suggest that even just one adjustment can influence an important part of our nervous system that controls our heart rate, which represents how well our body can respond to our environment and is considered to be a measure of someone’s adaptability and general health. Also, very importantly, in the stressful, fast-paced life we often live these days, chiropractic care appears to increase the “healing and calming” side of our autonomic nervous system. If you are interested in good health, adaptability and want to respond better to stress, why don’t you consider chiropractic care?

Make sure your spine is functioning well so you can operate at your best!

References
  1. Kawli T, He F & Tan M-W. Disease models & mechanisms 2010;3(11-12):721-31.
  2. Buckingham JC, et al. Pharmacology Biochemistry and Behavior 1996;54(1):285-98.
  3. Elenkov IJ, et al. Pharmacological reviews 2000;52(4):595-638.
  4. Herkenham M & Kigar SL. Progress in neuro-psychopharmacology & biological psychiatry 2017;79(Pt A):49-57.
  5. Kipnis J. Scientific American 2018;319(2):28-35.
  6. Kox M, et al. Proceedings of the National Academy of Sciences 2014;111(20):7379-84.
  7. Pearce BD, Biron CA & Miller AH. Advances in Virus Research: Academic Press 2001:469-513.
  8. Sanders VM & Kohm AP. International review of neurobiology 2002;52:17-41.
  9. Uthaikhup S et al. Arch Gerontol Geriatr 2012;55(3):667-72.
  10. Haavik H & Murphy B. J Electromyogr Kinesiol 2012;22(5):768-76.
  11. Treleaven J. Man Ther 2008;13(1):2-11.
  12. Daligadu J, et al.JMPT 2013;36(8):527-37.
  13. Haavik H & Murphy B. Journal of Electromyography and Kinesiology 2012;22(5):768-76.
  14. Haavik H, et al. 2017 doi: 10.1016/j. jmpt.2016.10.002
  15. Taylor HH & Murphy B. JMPT 2008;31(2):115-26.
  16. Colombi A & Testa M. Medicina 2019;55(8):448.
  17. Kovanur-Sampath K, et al. Musculoskeletal Science and Practice 2017;29:120-31.
Acknowledgments
  • Dr. Heidi Haavik – BSc(Physiol) BSc(Chiro) PhD
  • Dr. Kelly Holt – BSc, BSc(Chiro), PGDipHSc, PhD
  • Dr. Jenna Duehr – BChiro, BHSC (Nursing), MHSc

They’re Not Growing Pains

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Read on to learn more from Dr. Haavik and “growing pains”. Click on the Link!

Did you know that what we call growing pains aren’t actually associated with growing? 1

We know very little about growing pains apart from that some children get sore arms or legs at the end of the day and they usually wake up feeling better.

21st Century Epidemic – “text-neck”

Our children are experiencing more pain than ever before.5 Pain in kids is often associated with low levels of physical activity 6 and our kids are less active now than ever before.7 One reason for this inactivity is many children now spend between 5 to 8 hours a day on their smartphones and handheld devices! Text neck results in changes in the bones, ligaments and muscles that support the head and causes postural changes and pain in the neck and other related areas.4

Chiropractic Care can interpret the Pain Cycle in Kids

Text neck results in changes in the bones, ligaments and muscles that support the head and causes postural changes and pain in the neck and other areas.4 It can even cause eye problems and problems with breathing and circulation.4 Parents need to be aware of this major public health problem and be proactive about helping their children. The best place to start is by limiting screen time and encouraging physical activity. A research study looked at the benefits of chiropractic care for kids with recurrent headaches. Headaches in kids are very common8 which is a real problem, and kids with frequent headaches suffer from higher levels of stress and depression. Just like so many other types of pain, kids who suffer from headaches often go on to become adults who suffer from severe headache syndromes.8 Many things can cause headaches in kids, from poor food choices through to trauma on the sports field or playground.8 But, one other very important cause of headaches in kids is prolonged static posture – a scientific way of describing text neck. A group of researchers wanted to find out whether chiropractic care might help break the headache cycle in kids with recurrent headaches. So they did a study with almost 200 kids aged between 7 and 14 who suffered from at least one headache per week. They split the kids up to either receive chiropractic care for four months or fake chiropractic for four months. What they found was the kids in the chiropractic group had significantly fewer headaches than the kids in the control group and they felt better too. Almost half of the kids in the chiropractic group reported that their headaches had improved during the study which was a really good result for those kids! This study shows how chiropractic care can help interrupt the pain cycle in kids2,3 Remember though that chiropractic care isn’t just about treating pain. Chiropractic care is all about improving the communication between your brain and body so you can function at your optimal potential. It’s also good to know that chiropractic is known to be safe for kids and babies.9,10 So, make sure your child’s spine and nervous system are in great shape by taking them to see your family chiropractor and give them the best possible start in life.

Disclaimer and References

This information is provided for educational purposes only. It is not intended to be professional advice of any kind. Haavik Research Ltd encourages you to make your own health care decisions based on your own research and in partnership with a qualified health care professional. © Haavik Research 2021 chiroshub.com 1. Lehman PJ, Carl RL. Sports Health 2017;9(2):132-38. 2. Aartun E, et al. BMC Musculoskelet Disord 2014;15:187. 3. Kjaer P, et al. BMC Musculoskelet Disord 2011;12:98. 4. Fares J, et al. Surg Neurol Int 2017;8:72-72. 5. Nieswand V, et al. Curr Pain Headache Rep 2020;24(10):62. 6. Kędra A, et al. Eur Spine J Epub 2020/08/28. 7. Tremblay MS, et al. Health Rep 2010;21(1):7-20. 8. Lynge S, et al. Chiropr Man Therap 2021;29(1):1 9. Todd AJ et al. J Manipulative Physiol Ther Epub2014/12/03. 10. Doyle MF.Clinical Chiropractic 2011;14(3):97-105.

• Dr. Heidi Haavik BSc(Physiol) BSc(Chiro) PhD • Dr. Kelly Holt BSc, BSc(Chiro), PGDipHSc, PhD • Dr. Jenna Duehr BChiro, BHSc(Nursing), MHSc

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Handbrake In Your Brain

By | ADHD, Allergies, Benefits of Chiropractic, chiropractic adjustment, energy, High Blood Pressure | No Comments

Handbrake in Your Brain

Does it feel like you have a handbrake on your muscles and you don’t have your usual strength?

This idea of having a handbrake on your muscles may actually be more real than you think – maybe not a handbrake on your muscles, but a handbrake in your brain which is what controls your muscles and tells them to contract.

Chiropractic care can make you stronger over the last few years studies have shown that when you get adjusted by a chiropractor it can make you stronger. One study reported in a group of students who received chiropractic care, that they were actually able to produce 16% more force in their leg muscles after a chiropractor had gently checked and adjusted any dysfunctional spinal segments, or what chiropractors call vertebral subluxations.1

What does the research show?

Researchers in New Zealand followed up this study in Tae Kwon Do athletes, and again showed that even in a group of elite, highly trained athletes, a single session of chiropractic care can improve their strength.2 But what does this have to do with handbrakes in the brain you may wonder? Well, in a new study by the same team of researchers, they wanted to see if chiropractic care resulted in an increase in the way the brain could drive the muscle in the subject’s arms.4 To do this, they measured the participant’s bicep’s muscle strength, and then measured something that’s called ‘central inhibition’, before and after a single session of chiropractic care, or just moving their heads around as a control intervention. This ‘central inhibition’ measure is a bit like the brain’s handbrake to the muscle. There are two ways the brain can increase the way your muscle contracts. It can either press the gas pedal or it can release the ‘hand brake’ to that muscle. The scientists wanted to know if a particular type of handbrake changed after these subjects got adjusted. The technical term for the method they used to record this was ‘TMS twitch interpolation technique’ and it allows them to explore the way the participants brains are driving their arm muscles… in other words it measured the degree to which their brain was pulling the handbrake to that particular muscle. What they found was that there was a difference in the degree of central inhibition to the bicep’s muscle only after they were adjusted, compared to when they did the control movement of the neck. There was less inhibition, suggesting the brain had released the handbrake to the muscle after they got adjusted. So, this may be one of the reasons why the previous studies showed that chiropractic care could increase strength, because maybe chiropractic care is reducing the central inhibition to your muscles, or in other words, releasing the handbrake to your muscles making it easier for your brain to move your muscles and produce more strength. So, if you feel like you’ve got a handbrake in your muscles or in your brain, maybe you should go see a chiropractor and see if they can help your brain release the handbrake so that your brain can more efficiently control your muscles and perhaps even help you to get that jam jar open.

Disclaimer and References

 This information is provided for educational purposes only. It is not intended to be professional advice of any kind. Haavik Research Ltd encourages you to make your own health care decisions based on your own research and in partnership with a qualified health care professional.

Niazi IK et al. Exp Brain Res Epub 2015/01/13. 2. Christiansen TL, et al Eur J Appl Physiol 2018;118(4):737-49. 3. Holt K, et al. Scientific Reports 2019;9(1):2673. 4. Kingett M, et al. Brain sciences 2019;9(6)

@Haavik Research 2021

• Dr. Heidi Haavik BSc(Physiol) BSc(Chiro) PhD • Dr. Kelly Holt BSc, BSc(Chiro), PGDipHSc, PhD • Dr. Jenna Duehr BChiro, BHSc(Nursing), MHSc

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Headaches & Chiropractic

By | Allergies, Asthma, Benefits of Chiropractic, chiropractic adjustment, Chiropractic Myths, kids chiropractic | No Comments

In this blog learn what Haavik Research has to say about headaches and chiropractic care.

Do you suffer from headaches or know someone who does? If you do, you are not alone.

The head is the most common site of pain in the body. Headaches can range from milk pain through to intense pain that leaves you bedridden.

Headaches are a sign that something is wrong. Your brain will create the sensation of pain if it thinks there is something wrong or if it thinks there is a potential problem – e.g. Your brain will give you a headache if you have taken too much medication – letting you know there is some chemical toxicity going on! And some headaches are a warning of life-threatening illness.

Chiropractic Care May Help

We know now, from research studies, that when your spine is not moving properly, this changes the way your brain perceives what is going on in and around your body, the way it integrates other sensory information, and the way it controls your body.1-3 The movement of your spine is very important for your brain to know where you are in space, and since you cannot see your spine with your eyes, your brain relies on the information it receives from the small muscles closest to your spine and skull. If the segments of your spine are not moving properly this may, for some people, manifest as headaches. Others may experience back pain. It’s possible that problems in the spine may even lead to some babies experiencing colic or some kids may not be fully aware of their bladder at night and end up with bedwetting. Research has shown that when a chiropractor then gently adjusts these subluxations, it helps the brain to more accurately ‘see’ what is going on in and around the body.

So, when you get adjusted by your chiropractor, if your spinal dysfunction was manifesting as headaches, these may improve. If your spinal dysfunction was manifesting as back pain, then this may get better.

Researchers have reviewed all of the randomized controlled trials that have looked at the effects of chiropractic care or spinal manipulative therapy on headaches.4-6 The results show that chiropractic care does really help some people with headaches and migraines! We don’t know for sure who will respond well, but for some people, when they get under chiropractic care, their migraines may almost completely resolve within just a couple of months. In another study,8 80 patients with chronic headaches that were due to a problem in their neck, called cervicogenic headaches, received eight weeks of chiropractic care and another similar group of 80 patients received eight weeks of light massage. What they found in this study was that the patients receiving chiropractic care improved significantly compared to the control group that received massage. These studies suggest that chiropractic care may really help some people suffering from different types of headaches. So, if you experience headaches, why don’t you consider chiropractic care and make sure your spine is functioning well so you can operate at your best!

Disclaimer and References

 This information is provided for educational purposes only. It is not intended to be professional advice of any kind. Haavik Research Ltd encourages you to make your own health care decisions based on your own research and in partnership with a qualified health care professional. © Haavik Research 2021 chiroshub.com 1. Uthaikhup S, Jull G, Sungkarat S, et al. Arch Gerontol Geriatr 2012;55(3):667-72. 2. Haavik H, Murphy B. J Electromyogr Kinesiol 2012;22(5):768-76. 3. Treleaven J. Man Ther 2008;13(1):2-11. 4. Bryans R, Descarreaux M, Duranleau M, et al. J Manipulative Physiol Ther 2011;34(5):274-89. 5. Bronfort G, Haas M, Evans R, et al. Chiropr Osteopat 2010;18:3. 6. Millstine D, Chen CY, Bauer B. BMJ 2017;357. 7. Tuchin PJ, Pollard H, Bonello R. J Manipulative Physiol Ther 2000;23(2):91-95. 8. Haas M, Spegman A, Peterson D, et al. Spine J 2010;10(2):117-28

• Dr. Heidi Haavik BSc(Physiol) BSc(Chiro) PhD • Dr. Kelly Holt BSc, BSc(Chiro), PGDipHSc, PhD • Dr. Jenna Duehr BChiro, BHSc(Nursing), MHSc

Chiroshub.com

Chiropractic Care for Children and Babies is Safe

By | ADHD, Allergies, Asthma, Benefits of Chiropractic, chiropractic adjustment, Chiropractic Myths | No Comments

Have you thought about taking your child or baby to see a chiropractor?

You should feel confident that your child will be in safe hands. Research studies have found that chiropractic care for children and infants is very safe and rarely associated with adverse events1-3

The safety of chiropractic care

A question chiropractors are often asked is whether chiropractic care is safe for children and babies? A recent public inquiry asked this question and this is what 22,000 parents had to say.

Chiropractic care is safe for children and babies

The research evidence is clear that when a thorough history and exam is taken an appropriate techniques are chosen, chiropractic care is very safe for children and babies.1 3

What does the research show?

The Victorian Government in Australia in 2019 held an inquiry into chiropractic care for babies and children and they asked parents in Australia to let them know about their experiences when they took their children to a chiropractor. This is what the inquiry found.⁵ Almost 22,000 parents responded to the inquiry and told the Australian government that they had taken their child to see a chiropractor and 99.7% of these parents reported a positive experience with the chiropractic care of their children. These parents had accessed chiropractic care for their child for a wide range of conditions and complaints, including maintaining general health and wellbeing. The most common conditions included posture concerns, colic, neck pain, difficulty with breastfeeding, back pain, and headaches. And the overwhelming majority of parents reported that chiropractic care helped their child, with 98% of these parents indicating that their child improved after seeing the chiropractor. But what about the safety of chiropractic care for kids and babies? This inquiry in Victoria had a very big focus on safety and what they found was that through their “extensive search they identified very little evidence of patient harm occurring in Australia. In particular, there were no patient complaints or practitioner notifications that arose from significant harm to a child following spinal manipulation.”

Disclaimer and References This information is provided for educational purposes only. It is not intended to be professional advice of any kind. Haavik Research Ltd encourages you to make your own health care decisions based on your own research and in partnership with a qualified health care professional. chiroshub.com

1. Todd AJ, Carroll MT, Robinson A, et al. J Manipulative Physiol Ther 2014 doi: 10.1016/j.jmpt.2014.09.008 2. Doyle MF. Clinical Chiropractic 2011;14(3):97-105. doi: http://dx.doi.org/10.1016/j.clch.2011.06.004 3. Alcantara J, Ohm J, Kunz D. Explore (NY) 2009;5(5):290-5. doi: 10.1016/j.explore.2009.06.002

• Dr. Heidi Haavik BSc(Physiol) BSc(Chiro) PhD • Dr. Kelly Holt BSc, BSc(Chiro), PGDipHSc, PhD • Dr. Jenna Duehr BChiro, BHSc(Nursing), MHSc

© Haavik Research 2021