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Here are some of the common reasons people present to our office with.


The most common types of headaches we see in practice are as follows:
Tension type headaches (TTH), migraines and cervicogenic headaches.

Tension Headaches

Tension headaches are often characterized by a vice like sensation on both sides of the head.

Migraine Headaches

Migraine headaches are usually pulsing or throbbing. There may be light or noise sensitivity and the person may be nauseous or even vomit.

Certain migraines can involve visual disturbances such as flickering lights or reduced vision.

There are various triggers for migraines. More commonly it can be certain foods, hormonal changes, stress or even flashing lights.

An important screening tool would be to ask the following questions

  1. Do you have recurrent headaches that interfere with work, family or social functions?
  2. Do your headaches last at least 4 hours?
  3. Have you had new or different headaches in the last 6 months?
  4. Does your pain start in your head or in your neck?


A diagnosis of migraine is more likely by a ‘yes’ answer to questions 1 and 2, and a ‘no’ answer to question 3. An answer to question 4, which is, “it starts in the neck”, may mean we have a better ability to reduce spinal triggers that may contribute, but not cause your migraine..

Cervicogenic Headaches

Cervicogenic headaches arise primarily from joints structures in the neck.  These headaches are often one sided and the patients symptoms can be reproduced by certain neck movements or pressure on joint structures in the neck.


Sciatica generally refers to pain in the leg originating in the spine or pelvis. Structures involved could be the sacroiliac joint or the piriformis muscle. Pain can also arise from actual nerve tissue (neuropathic pain).

The presence of subjective neurological symptoms such as numbness, tingling or loss of muscle strength strongly suggests a neuropathic component

Your chiropractor will conduct tests to determine if there is pressure or irritation to nerve tissue. In more severe cases they may need to be refer you for an MRI.


Low Back Pain

Low back pain is usually caused by either a problem with the disc, facet joints, muscles or sacroiliac joints. Disc and facet joint problems are the most common.

Disc problems are more likely if you are under 50 years old. Generally facet pain is on one side of the back, and disc pain is more central although it can radiate into one or both legs.

If pain is increased with coughing or sneezing it is more likely to be a disc problem.

Facet pain is usually alleviated by sitting or walking, whereas disc pain is typically aggravated by sitting and relieved by walking.

Standing in the one spot, and walking usually aggravate sacroiliac pain.

Arising from sitting commonly aggravates disc pain or sacroiliac pain, but not facet pain.

Your chiropractor will perform tests on you to determine where your pain is coming from.

Patients also present with the following common problems

Neck pain
Shoulder Pain
Chest Pain
Tennis and Golfers Elbow
Carpal Tunnel Syndrome
Knee pain
Plantar Heel Pain
Leg Cramps
Hip Pain
Jaw Pain