Headache: The Management of Pain and Disability

The Chiro.Org Blog

We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 5 from RC’s best-selling book:

“Clinical Chiropractic: The Management of
Pain and Disability: Upper Body Complaints”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.

Chapter 5:   HEADACHE


Headache is one of the most common complaints presented in a chiropractic office. It is not unusual for a few adjustments to correct a problem for which the patient has suffered for years and sought relief from a score of allopaths in vain. Nevertheless, headache is not a simple problem. Its origin may be traumatic, inflammatory, neurologic, psychologic, vascular, endocrine, metabolic, neoplastic, degenerative, deficiency, congenital, allergic, autoimmune, or toxic.

The Value of a Complete History

A thorough case history is mandatory. The cephalgia may be acute, chronic, transient or recurring. It may be primary or secondary. It may be unilateral, bilateral, or shifting. It may be localized or radiate from one area to another. Its course may be steady, intermittent, or throbbing. The initial site may be frontal, orbital, temporal, facial, vertex, or occipital. Its character may be perceived as a pressure, a tight band, an agonizing stabbing pain, or a dull ache. Its onset may be rapid or gradual. Its physiologic origin may be local, systemic, or be the result of noxious reflexes. In addition, its structural origin may be in the head, face, neck, cervical spine, or one or more structures far from the site of pain. Thus, a disorder in almost any function or tissue of the body may be the primary focus or a contributing factor to the complaint.

Review the complete Chapter (including sketches and Tables) at the ACAPress website