At my first Chiropractic session, my practitioner started by beginning to address the muscle imbalance in my body, i.e. all the knots, tightness and weak spots.
Starting on my front, he inserted an acupuncture needle into each shoulder, towards the end of the shoulder, at the apex of my arm, in places where he could find the sorest knot (and he had plenty of knots to choose from).
Acupuncture needles are used to stimulate groups of muscles or knots to move, to release into the correct position.
When he was locating a knot to place the acupuncture needle into, the knot on my right shoulder was very sore to the touch. But when the needles were inserted, and left to do their work, it was the left shoulder that began to ache around the needle. Which is just the reaction we're looking for, my practitioner said.
Whilst these needles were doing their magic, he also used a Tens machine on the rest of my back, placing four paddles in a rectangular shape (from what i could feel) from in line with my armpits to lower down on my ribs. The Tens machine itself made a lot of noise, a bit like a vaccum, but I've used a Tens machine before (when I was a kid, and played around with my mum's) so I knew what to expect. At first the machine was programmed to gradually increase the strength of a pins and needles type sensation through the paddle, and then it oscillated across the paddles in waves, diagonally from lower to upper, and across and then down again.
After the Tens machine had been turned off, and the acupuncture needles removed, he massaged my shoulder area, to "increase the muscle tone" I think he said. After some massage, he placed a towel over my shoulders, and made an adjustment to my back. An adjustment being cracking a joint that needed cracking. Ok, that is the simple way of putting it. I took a deep breath in, and when I exhaled, he adjusted my back.
Craaack.
Ahhh.
Turning onto my back, he made some adjustments to my neck. He turns my head gently, and then makes a little "impulse", which is a quick turn to that side, designed to help make adjustments. He said it doesn't always crack, because the joints don't always need to crack, but the impulses are designed to make the joints move. He did an impulse on a joint on my left side of my neck, and then on the right, and then when he went back to my left side, to a different joint.
Craaaaaaack-craaack-craaack.
Owwwwww.
It hurt a lot more, as I commented to him, than when I crack my neck. But that is because he actually cracked a joint that was stiff, and needed cracking.
Then he used his fingers hold specific areas under my skull. I have learned that this is the "suboccipital" area, named so because it is below the "occipitus" area.
Whoever knew this would be educational as well?
As I lay there and surrendered to the pressure of his fingers, the right side began to get very sore. I lay there for a while, thinking I could put up with it, but eventually I told him, and he released some of the pressure. Ahh, I relaxed.
He repeated that for normal people, the initial pressure is quite intense, and then it tends to dissipate. Whereas mine just got worse on the right side, and did nothing on the left.
But it was when he took his fingers away, that the muscles reacted so strangely, and the sharp pain that radiated in that area made me cry out.
Argh!
"All I did was take my fingers away!"
"I knoww, but it hurt!"
Something tells me this is going to take a while...
***
Session 2 - see above, but less pain. Except for when the Tens Machine was duly making the muscles work, and the area in the left shoulder with the acupuncture needle started aching a hell of a lot, and the pain started spreading up my neck and into my head.
***
Session 3 - see Session 2, but less pain spreading up my neck whilst the Tens Machine worked with the acupuncture needle.
He also taught me how to do a "scapular retraction". Which is a fancy term for squeezing my shoulder blades together.
***
Session 4 - see sessions 2 & 3 except this time, agony. At first, the left shoulder area had a few sharp twinges shortly after he had set the Tens machine up. He turned down the intensity, which helped hugely. But then my right started hurting, sharp stabbing pains inside my shoulder, and the left one joined in, and I almost cried. The pain seemed to come from inside my muscle and around the needle and began to spread up my neck. Oh the relief when he turned the machine off and took the needles out, especially the left one.
***
P.S Scapular retractions hurt. He said he is not surprised it hurts when I do them, but the important thing is that I keep doing them. If I didn't think this would help, I would take the same view of eating meat - I don't like it, therefore why should I do it?
***
Session 5 - no bad pain this time, hooray! Lying on my back, with his fingers on pressure points at the base of my skull, the intensity I felt at the pressure point on my right lessened. This, as my chiropractor has said before, is what happens to normal people with this treatment. I let him know how it was feeling, and how I relaxed I felt.
And right on cue, it reacted and as he took his fingers I yelped in pain.
Typical.
***
Sessions 6 & 7 - no pain, just relaxation
***
I now have a week without seeing my chiropractor, as he is away skiing. He says that we shall see how my head neck and back cope without what has up until now been a weekly session, and see if we need to continue having sessions weekly, or if we can have sessions fortnightly and then continue to space them out.
Showing posts with label Chiltern Health Centre. Show all posts
Showing posts with label Chiltern Health Centre. Show all posts
Monday, 18 February 2013
Wednesday, 2 January 2013
Trying to be NICE
The Chiltern Health Centre, where I have been most recently for a chiropractic consultation, and at the beginning of last year for hypnotherapy, drew my attention to a recent report from NICE, regarding medication overuse headaches. This blog, written by one of the practitioners at the clinic, talks about the report's findings and looks at it from a Chiropractic and Osteopathic perspective (the author is herself an Osteopath).
Medication Overuse headache is caused, put simply, by taking too many painkillers. This amounts to taking over the counter medicines such as aspirin, paracetamol and ibuprofen (which is an NSAID - non-steroidal anti-inflammatory drug) on more than 15 days a month, or opioids, ergots, triptans for more than 10 days a month. These latter three are anti-migraine medicines. I have in fact been prescribed with Triptans, to help fight any migraine attacks. I got a prescription of 6 tablets about 3 or 4 years ago, and am now down to my last tablet.
Taking painkillers for a headache can result in a withdrawal headache if you rely too much on the drugs to eliminate the pain. The "vicious cycle" as it so often described is accurate. My head hurts, and I want it to stop. So I take a pill. But taking the pill makes my head hurt, and because my head still hurts, I take another pill. My head still hurts. And so the cycle continues.
NICE's recommendation, according to the blog & the report, is cease taking the medication immediately, and stay off them for a month. Unfortunately, as is pointed out by the blog and many other sources, "Headache symptoms are likely to get worse in the short term before they improve and there may be associated withdrawal symptoms"
So. My head hurts. I take a pill. The pill makes my head hurt. I take another pill. Cycle.
My head hurts. I stop taking pills. My still hurts, and in fact, almost like a nicotine craving in the brain when you quit smoking, the head goes ballistic with pain because it's not getting any pills, and because you can't take any pills, the pain doesn't go away or decrease when you need or want it to. Slowly, this pain does subside, and the dependence dissipates. Eventually, hopefully, cycle broken.
I am hopelessly reliant on painkillers. It used to be ibuprofen, but more recently it is paracetamol, because (inevitably, really) ibuprofen wasn't really doing the trick. And at first, paracetamol did too. And to some extent, paracetamol still works because it often takes the edge off the worst headaches (and I now reserve painkiller usage to when I can't move without my head or face searing with pain).
The chiropractor I saw for my second opinion reminded me of these findings/recommendations, and after I saw him, I decided to give two weeks a go. I had already accidentally managed a week, so I decided to try for another week. Needless to say, this second week has not been as breezy (because my headache is self-aware and resists any attempts to remove it?) From Sunday through to Tuesday, I was in quite a lot of pain. Alcohol dulled the pain, but left me open to dehydration related agony the following day, so I kept that at a glass or two in the evening.
By Tuesday (1st Jan) I couldn't do it. I couldn't move without my head being in agony, and I couldn't get to sleep to try and make it go away. So I gave in and took a triptan tablet. This isn't strictly forbidden, from my understanding, since my dependence is on regular painkillers. And it certainly helped take most of the headache away, and I was able to actually get stuff done and be myself again. As I commented to a friend, Monday was "just one of those days that no matter what, I am my headache. There's no happiness, sadness, excitement, nothing." And that was only day two. So by day three, even though I was willing myself to be strong, I'm not made of stone, and I took a pill.
But today is the last day of two weeks without paracetamol, ibuprofen or aspirin. Tomorrow, I'll embark on another two weeks and hopefully be able to negotiate any agony with resistance.
The end goal is freedom. If I keep that in mind, I think I'll be able to do it.
But I reserve the right to have a duvet day if I feel like my head is expanding from the inside out.
Medication Overuse headache is caused, put simply, by taking too many painkillers. This amounts to taking over the counter medicines such as aspirin, paracetamol and ibuprofen (which is an NSAID - non-steroidal anti-inflammatory drug) on more than 15 days a month, or opioids, ergots, triptans for more than 10 days a month. These latter three are anti-migraine medicines. I have in fact been prescribed with Triptans, to help fight any migraine attacks. I got a prescription of 6 tablets about 3 or 4 years ago, and am now down to my last tablet.
Taking painkillers for a headache can result in a withdrawal headache if you rely too much on the drugs to eliminate the pain. The "vicious cycle" as it so often described is accurate. My head hurts, and I want it to stop. So I take a pill. But taking the pill makes my head hurt, and because my head still hurts, I take another pill. My head still hurts. And so the cycle continues.
NICE's recommendation, according to the blog & the report, is cease taking the medication immediately, and stay off them for a month. Unfortunately, as is pointed out by the blog and many other sources, "Headache symptoms are likely to get worse in the short term before they improve and there may be associated withdrawal symptoms"
So. My head hurts. I take a pill. The pill makes my head hurt. I take another pill. Cycle.
My head hurts. I stop taking pills. My still hurts, and in fact, almost like a nicotine craving in the brain when you quit smoking, the head goes ballistic with pain because it's not getting any pills, and because you can't take any pills, the pain doesn't go away or decrease when you need or want it to. Slowly, this pain does subside, and the dependence dissipates. Eventually, hopefully, cycle broken.
I am hopelessly reliant on painkillers. It used to be ibuprofen, but more recently it is paracetamol, because (inevitably, really) ibuprofen wasn't really doing the trick. And at first, paracetamol did too. And to some extent, paracetamol still works because it often takes the edge off the worst headaches (and I now reserve painkiller usage to when I can't move without my head or face searing with pain).
The chiropractor I saw for my second opinion reminded me of these findings/recommendations, and after I saw him, I decided to give two weeks a go. I had already accidentally managed a week, so I decided to try for another week. Needless to say, this second week has not been as breezy (because my headache is self-aware and resists any attempts to remove it?) From Sunday through to Tuesday, I was in quite a lot of pain. Alcohol dulled the pain, but left me open to dehydration related agony the following day, so I kept that at a glass or two in the evening.
By Tuesday (1st Jan) I couldn't do it. I couldn't move without my head being in agony, and I couldn't get to sleep to try and make it go away. So I gave in and took a triptan tablet. This isn't strictly forbidden, from my understanding, since my dependence is on regular painkillers. And it certainly helped take most of the headache away, and I was able to actually get stuff done and be myself again. As I commented to a friend, Monday was "just one of those days that no matter what, I am my headache. There's no happiness, sadness, excitement, nothing." And that was only day two. So by day three, even though I was willing myself to be strong, I'm not made of stone, and I took a pill.
But today is the last day of two weeks without paracetamol, ibuprofen or aspirin. Tomorrow, I'll embark on another two weeks and hopefully be able to negotiate any agony with resistance.
The end goal is freedom. If I keep that in mind, I think I'll be able to do it.
But I reserve the right to have a duvet day if I feel like my head is expanding from the inside out.
Thursday, 27 December 2012
My First Second Opinion
This is the first time in the history of my headache that I haven't plunged straight in with a new treatment with the first practitioner I've seen.
Today I had my second opinion from a chiropractor at Chiltern Health Centre in Sutton. And he said some similar, and some different things.
For a start, he didn't take any x-rays, but he looked at a neck x-ray I had left with the hypnotherapist at the clinic when I first started seeing him in January. Which lasted on two sessions before I had to start working on Saturdays and didn't manage to go back.
This neck x-ray is 4 years old, and I have had my car crash since then, but he still did the routine testing of the joints and when he compared what he felt to the x-ray, he said there wasn't much difference. This x-ray showed my neck is quite straight.
Well, at least it's not backwards.
Of course there were the usual 'oofs' and 'oohs' from me when he touched sensitive spots. And there was the usual "what the..." when he touched my shoulders and felt how rock solid they are (and not in a good rock solid muscle way. In a bad they-aren't-moving-not-because-I'm beefy-but-because-they're-broken way.
He took my medical history, during which I jumped all over the place - MRIs, drugs, Osteopathy, hypnotherapy, this year, that year.
He was glad to hear I wasn't hurt in the car crash, but seemed amused that I'd gotten acquainted with a ditch.
I got changed into a gown that had velcro up the back and he moved my head around and felt my neck joints. He lay me on a moving bed (well I stood on a foot plate against the vertical bed, then the whole thing moved backwards until horizontal) and he felt around the top of my neck. He pushed his fingers in the same places, like hooking his fingers under my skull. I do it to alleviate pain, and that's the same place I'm always rubbing. After a while he said the intensity should be ebbing away, and I said no, it's getting more intense on the right side. "Ah", he said. "You're not normal."
So after establishing that my shoulders are rock solid and I'm not normal because the intensity got worse... he said something that I have known for a while, and that the other chiropractor didn't really touch on: that the muscles and spine are connected, and neither one are letting the other do their job properly. My muscles in particular are baddies in this scenario, because as they get tighter, they pull the joints into the wrong position, and that's where they get stuck, and the other joints have to compensate.
I'm very aware my posture isn't bad, so really it's no news to me that I stick my head out and I'm rounding my back. Everything this guy said was matter of fact, no nonsense.
And the best (and worst) thing he said? Was that he doesn't know if this will make me better, and therefore he doesn't know how long it will take.
I have had so many people promise me I'll only need so many sessions, and I'm still going back after a year. When someone says to me "You'll be good as new in 10 sessions" I think "so I'll still be the same in 20 sessions". It's pessimistic, I know, but I have had so many false hopes.
This chiropractor recognises that both the joints and spine, and the muscle balance need to be addresses, simultaneously. And he said he'd use various different methods to do that when treating me, such as acupuncture and Tens machine, etc.
But, none of this will work, without my commitment.
And it has taken me this long but I realise now that no wonder the other treatments don't work - one hour, here and there, won't fix me, if I don't carry on treating myself at home.
I'm not talking learning how to adjust my own back. I'm talking stretches, exercise, hydration, healthy eating. I'm talking building up my muscle strength and making sure my muscles are strong enough to keep my spine healthy.
This is a way of life, I'm committing to. I'm not just having yet another treatment. I'm learning to heal myself, any way I can.
The question is, am I ready to commit?
Oh, and he told me to stop cracking my neck and back. Dammit.
Today I had my second opinion from a chiropractor at Chiltern Health Centre in Sutton. And he said some similar, and some different things.
For a start, he didn't take any x-rays, but he looked at a neck x-ray I had left with the hypnotherapist at the clinic when I first started seeing him in January. Which lasted on two sessions before I had to start working on Saturdays and didn't manage to go back.
This neck x-ray is 4 years old, and I have had my car crash since then, but he still did the routine testing of the joints and when he compared what he felt to the x-ray, he said there wasn't much difference. This x-ray showed my neck is quite straight.
Well, at least it's not backwards.
Of course there were the usual 'oofs' and 'oohs' from me when he touched sensitive spots. And there was the usual "what the..." when he touched my shoulders and felt how rock solid they are (and not in a good rock solid muscle way. In a bad they-aren't-moving-not-because-I'm beefy-but-because-they're-broken way.
He took my medical history, during which I jumped all over the place - MRIs, drugs, Osteopathy, hypnotherapy, this year, that year.
He was glad to hear I wasn't hurt in the car crash, but seemed amused that I'd gotten acquainted with a ditch.
I got changed into a gown that had velcro up the back and he moved my head around and felt my neck joints. He lay me on a moving bed (well I stood on a foot plate against the vertical bed, then the whole thing moved backwards until horizontal) and he felt around the top of my neck. He pushed his fingers in the same places, like hooking his fingers under my skull. I do it to alleviate pain, and that's the same place I'm always rubbing. After a while he said the intensity should be ebbing away, and I said no, it's getting more intense on the right side. "Ah", he said. "You're not normal."
So after establishing that my shoulders are rock solid and I'm not normal because the intensity got worse... he said something that I have known for a while, and that the other chiropractor didn't really touch on: that the muscles and spine are connected, and neither one are letting the other do their job properly. My muscles in particular are baddies in this scenario, because as they get tighter, they pull the joints into the wrong position, and that's where they get stuck, and the other joints have to compensate.
I'm very aware my posture isn't bad, so really it's no news to me that I stick my head out and I'm rounding my back. Everything this guy said was matter of fact, no nonsense.
And the best (and worst) thing he said? Was that he doesn't know if this will make me better, and therefore he doesn't know how long it will take.
I have had so many people promise me I'll only need so many sessions, and I'm still going back after a year. When someone says to me "You'll be good as new in 10 sessions" I think "so I'll still be the same in 20 sessions". It's pessimistic, I know, but I have had so many false hopes.
This chiropractor recognises that both the joints and spine, and the muscle balance need to be addresses, simultaneously. And he said he'd use various different methods to do that when treating me, such as acupuncture and Tens machine, etc.
But, none of this will work, without my commitment.
And it has taken me this long but I realise now that no wonder the other treatments don't work - one hour, here and there, won't fix me, if I don't carry on treating myself at home.
I'm not talking learning how to adjust my own back. I'm talking stretches, exercise, hydration, healthy eating. I'm talking building up my muscle strength and making sure my muscles are strong enough to keep my spine healthy.
This is a way of life, I'm committing to. I'm not just having yet another treatment. I'm learning to heal myself, any way I can.
The question is, am I ready to commit?
Oh, and he told me to stop cracking my neck and back. Dammit.
Sunday, 6 November 2011
Hypnotherapy: The Beginning
Yesterday I had my first Hypnotherapy session with Steve Cook at the Chiltern Health Centre.
It lasted 1 hour, and I did a lot of crying. More than I was expecting to do, as I wasn't expecting to cry at all. Which is funny, because pretty much everyday this week I have cried because of my headache, so why shouldn't I cry in a session about my headache?!
Steve took the opportunity to teach me EFT - Emotional Freedom Technique. It uses tapping of certain points on the face and body to relax and help certain ideas sink in. I think. That's how I see it anyway. It works better when someone else does it to you when you're trying to relax and calm down a headache, because when you do it to yourself you're constantly thinking of the points and which one's next, so you don't really concentrate on the issue you're facing. But I have found it relaxing. I have taken a photo of the help sheet I have been given that indicate the points and their order. You start by tapping on your hand while giving the pain submodalities and telling yourself that you "deeply and completely accept [yourself]".
So I am hoping that this technique will be the start to learning to control my headache. But the thing about this EFT was that it brought up a lot of psychological issues. Consultants have previously thought that my headache was caused by some inner pain I have. But £80 sessions at the Priory didn't help solve that, or at least I'm assuming it didn't because I still have the headache. But regardless of whether it was caused by inner pain and psychological problems, this headache has certainly caused some of it's own. I feel like this headache will never leave me. I am on the verge of giving up, In fact, if it wasn't for the fact the headache has been worse this past week, I would have seen this Hypnotherapy as just another thing to give a go, but now I am sort of seeing it as a lifeline.
I find it difficult to believe I may cure it, and that makes me apprehensive about hypnotherapy, because he wants me to keep an open mind. But from what I've read from other people's experiences, it discourages me from that hope and almost giving me an excuse to resign myself to this destiny of pain (i.e. they have it after 30 years, why should I be any different?).
I am also apprehensive at the idea that someone will be delving into my unconscious to see if there's anything else we've missed. Am I repressing something awful? Is it simply my self-esteem issues manifesting itself as a headache? Am I bottling up too much anger?
And at the end of the day, I can relax myself all I want, but I will still have the muscle tension and the knots gripping my body and keeping it tied up tight, good and proper. I've always wondered if I had a day of massage, or a massage every day for a week, a month, would it get rid of all the knots and the tension?
I just have to keep reminding myself that I could be so much worse off. And I know I have to keep on fighting. If we were put on this earth for anything, it wasn't to make money, to have kids, to create more efficient manufacturing industries. It was to overcome obstacles. And I'm still overcoming this one. Maybe it can't be overcome, but I'd at least like to get somewhere with it. I'm been trying to for so long already.
It lasted 1 hour, and I did a lot of crying. More than I was expecting to do, as I wasn't expecting to cry at all. Which is funny, because pretty much everyday this week I have cried because of my headache, so why shouldn't I cry in a session about my headache?!
Steve took the opportunity to teach me EFT - Emotional Freedom Technique. It uses tapping of certain points on the face and body to relax and help certain ideas sink in. I think. That's how I see it anyway. It works better when someone else does it to you when you're trying to relax and calm down a headache, because when you do it to yourself you're constantly thinking of the points and which one's next, so you don't really concentrate on the issue you're facing. But I have found it relaxing. I have taken a photo of the help sheet I have been given that indicate the points and their order. You start by tapping on your hand while giving the pain submodalities and telling yourself that you "deeply and completely accept [yourself]".
So I am hoping that this technique will be the start to learning to control my headache. But the thing about this EFT was that it brought up a lot of psychological issues. Consultants have previously thought that my headache was caused by some inner pain I have. But £80 sessions at the Priory didn't help solve that, or at least I'm assuming it didn't because I still have the headache. But regardless of whether it was caused by inner pain and psychological problems, this headache has certainly caused some of it's own. I feel like this headache will never leave me. I am on the verge of giving up, In fact, if it wasn't for the fact the headache has been worse this past week, I would have seen this Hypnotherapy as just another thing to give a go, but now I am sort of seeing it as a lifeline.
I find it difficult to believe I may cure it, and that makes me apprehensive about hypnotherapy, because he wants me to keep an open mind. But from what I've read from other people's experiences, it discourages me from that hope and almost giving me an excuse to resign myself to this destiny of pain (i.e. they have it after 30 years, why should I be any different?).
I am also apprehensive at the idea that someone will be delving into my unconscious to see if there's anything else we've missed. Am I repressing something awful? Is it simply my self-esteem issues manifesting itself as a headache? Am I bottling up too much anger?
And at the end of the day, I can relax myself all I want, but I will still have the muscle tension and the knots gripping my body and keeping it tied up tight, good and proper. I've always wondered if I had a day of massage, or a massage every day for a week, a month, would it get rid of all the knots and the tension?
I just have to keep reminding myself that I could be so much worse off. And I know I have to keep on fighting. If we were put on this earth for anything, it wasn't to make money, to have kids, to create more efficient manufacturing industries. It was to overcome obstacles. And I'm still overcoming this one. Maybe it can't be overcome, but I'd at least like to get somewhere with it. I'm been trying to for so long already.
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