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Headache basics

Despite the fact that headaches are extremely common, doctors don't fully understand exactly why or even how they occur. Neither the skull nor the brain is sensitive to pain, but both are surrounded by pain-sensitive membranes. Most headache pain stems from abnormalities in these membranes or nearby muscles, blood vessels, or nerves—either alone or in combination.

Women are twice as likely as men to experience moderate and severe headaches and more likely to experience certain types of headaches, such as migraine. A major reason is fluctuating hormone levels that are part of the monthly menstrual cycle.

Can spinal manipulation ease my low back pain?

On call

Q. I suffer from recurrent episodes of low back pain. Is spinal manipulation really effective for back pain relief?

A. Episodes of low back pain are quite common among older men, and many seek relief through chiropractic care, which usually includes spinal manipulation. Spinal manipulation (or adjustment), as described by the American Chiropractic Association, focuses on using manual pressure to mobilize joints.

5 ways to manage arthritis and keep it from slowing you down

Arthritis is a painful problem that can interfere with your ability to do the things you enjoy. But you can take steps to manage arthritis by protecting your joints, reducing discomfort, and improving mobility.

Physical or occupational therapists can be very helpful in teaching you how to modify activities and accomplish daily tasks more easily in order to manage arthritis. But there are simple things you can do for yourself, starting today. Here are five of them:

Where to turn for low back pain relief

In most cases, a primary care doctor or chiropractor can help you resolve the problem.

Low back pain is one of the most common complaints on the planet. And you may wonder where to turn when you start experiencing some of those aches or twinges in the lower part of your back. Take heart. "In most cases, you won't need a specialist," says Dr. Robert Shmerling, a rheumatologist at Harvard-affiliated Beth Israel Deaconess Medical Center.

When pain strikes

There are many causes of low back pain. Some of the most common include an injury to a muscle or tendon (a strain), an injury to a back ligament (a sprain), and a herniated or "slipped" disc (when the soft material inside of a disc between spinal bones leaks and irritates nerves). Many of these issues will eventually resolve on their own.

Yoga can help with low back pain relief

In the journals


 Image: © Wavebreakmedia Ltd/Thinkstock

Low back pain? Try yoga. A study published online July 20, 2017, by the American Journal of Preventive Medicine found that low back pain sufferers who completed a 12-week yoga program reported less pain and better quality of life compared with those who received standard care, such as medication, physical therapy, and exercise.

The study specifically looked at military veterans, average age 53, 74% of whom were men, who had experienced chronic lower back pain for at least six months. The 12-week program consisted of two hour-long instructor-led yoga sessions per week, with home practice encouraged. The sessions emphasized poses to stretch and strengthen the core and improve joint mobility. Relaxation and breathing techniques helped to reduce tension and pain perception.

7 ways to safeguard your feet

Stay ahead of foot problems by inspecting your feet regularly, keeping them flexible, and wearing the right shoes.

Feet are the unsung heroes of mobility, and it's crucial to keep them healthy. Even minor problems with your feet — such as an ingrown toenail or a small cut — can leave you sidelined. "Breaches of the skin can quickly become problems, whether it's a scrape, ulcer, or blister that gets contaminated or becomes infected," says Dr. Christopher DiGiovanni, chief of foot and ankle surgery at Harvard-affiliated Massachusetts General Hospital.

Be proactive, and care for your feet the way you'd maintain any valuable equipment you rely on for mobility. Here are seven ideas to help.

Quick-start guide to headaches

Pain from migraines, cluster headaches, and other types of headaches require very different treatments.


 Image: © Wavebreakmedia Ltd/Thinkstock

Pain around the eye and throbbing on one side of the head — they're common headache symptoms, but what do they mean? "Many times people assume a headache is due to sinusitis, and they put up with it for years," says Dr. John ­Pettinato, a neurologist with ­Harvard-affiliated Beth Israel Deaconess Medical Center.

Understanding your pain can help you find the best approach to treatment.

Lessons from a chronic pain management program

Comprehensive programs for chronic pain involve a variety of components, from body mechanics to nutrition to occupational therapy and beyond. And while there is no easy fix for chronic pain, and sometimes no permanent fix at all, unexpected victories can be made in the search for answers.

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