Improved Treatment for Headaches with Active Release Techniques

[vc_row][vc_column width="1/1"][vc_column_text]Any headache sufferer knows that headaches can be among the most frustrating and debilitating health problems. When headaches develop they often interfere or prevent many of our most basic daily activities such as using the computer, reading, carrying on a conversation, and even thinking. To make matters worse, studies show that treatment for headaches top the list for conditions in which patients are most dissatisfied with their care.

Now for the good news, a treatment technique known as Active Release Technique (ART) is proving to be a very effective method to treat many common types of headaches.  Through ART treatments, many headache sufferers are now able to finally get a handle on their headaches and get back to living their lives.  But before we talk about how ART works so effectively we first need to understand how headaches develop in the first place.

Understanding Headaches

There is a common perception that the cause of all headaches is in the head itself, which seems like a logical assumption since that is where the symptoms are.  However, there is now a firm base of scientific evidence that suggests many of the most common types of headaches may actually be generated in the muscles, joints, and nerves of the neck.

When talking about the neck, we are actually talking about the upper portion of the spinal column – the cervical spine.  The cervical spine consists of 7 small bones call “vertebrae” stacked on top of each other.  By themselves the joints of the cervical spine are not very stable, so to protect the region, a complex system of muscles surrounds the spinal column to control movement and protect the area from injury.

Not only do these muscles need to move and protect the cervical spine, but they also must control the weight of the head.  The head and neck have a unique anatomical relationship in that the larger, heavier head – which weighs about 10 pounds – sits atop the thinner neck.  This essentially represents an inverted pendulum, to topple over. This places a high demand on the neck muscles to both support and control the weight of the head, while at the same time ensuring adequate movement and stability of the joints of the cervical spine. This complex process requires each muscle to be adequately strong, flexible, and coordinated, and as long as this is the case the neck remains protected and healthy, and will not generate headache symptoms.

How do problems in the neck lead to headaches?

The interesting fact is that muscle and joint dysfunction in the cervical spine has actually been shown to cause headaches through a process known as referred pain. The referred pain phenomenon is a complicated neurological process, but simply stated, referred pain is a process that causes pain to be felt at a location other than where the problem is occurring.  Other examples of referred pain can be seen during a heart attack, when pain is felt in the left arm, or with a disc herniation in the low back, which causes pain to be felt down the leg.

Scientific studies have shown that when problems in the muscles and joints of the neck occur, they often refer pain to the head, causing symptoms such as ache, throbbing, pressure, burning, even stabbing pain. In many cases there can be some ache or tension in the neck that occur along with the headache symptoms, but in many cases there are no noticeable symptoms in the neck at all.

How do problems in the neck lead to headaches?

There are many situations that can develop which will affect the health and function on the muscles and joints of the neck. For example, poor or prolonged postural strain that occurs with computer use and many desk jobs, repetitive use with certain sports, muscles imbalances, lack of stretching or strengthening, or previous injury such as car accidents (even minor accidents with little or no injuries that occurred at the time) can all lead to muscle tightness, weakness, and a lack of coordination of the cervical spine muscle – muscles that are critical to maintaining the health and function of the head and neck region.

Over time this strain develops into what is known as micro-trauma. Simply stated, micro-trauma is very small scale damage that occurs in the muscles, tendons, joint capsules, and ligaments in response to small levels of strain. In many cases this micro-trauma is not painful, but damage still need to be repaired. The body responds to micro-trauma in a predictable way – by laying down small amounts of scar tissue to repair the area. Unfortunately over time this scar tissue will build-up and accumulate into what we call adhesions. As these adhesions form they start to affect the normal health and function of the muscles and related joints. In fact, they will often lead to pain, tightness, stiffness, restricted joint motion, and diminished blood flow. This places even further strain on the neck muscles, which in turn leads to even more micro-trauma. Essentially a repetitive strain injury cycle is set-up causing continued adhesion formation and progressive cervical spine dysfunction.

The Nerves and Their Role in Headaches

Although strain of the muscles, tendons, and ligaments themselves can be responsible for tension-type headaches through the referred pain phenomenon, they may also cause headaches if they compress or entrap the nerves that supply the head. As the nerves exit the spinal cord they travel through small openings in the spinal column, then pass through and between the muscles that surround the cervical spine, and continue on to supply distant structures such a muscles, joints, skin and blood vessels.

Many of these nerves travel down the arm (which is why neck problems often cause arm pain) but some of these nerves actually travel up to supply the back, side, and top of the head.  Under normal circumstances these nerves should be able to move and slide between the surrounding muscles. However, when the neck muscles become tight and there is an accumulation of scar tissue adhesions in the around the muscles it is common for these adhesions to affect the nerves.  In many cases the adhesions can cause the nerves to become “stuck” to the surrounding muscles and other structures. Instead of the nerves easily gliding between the muscles they become stretched and irritated.  When nerves become irritated symptoms are usually generated in the area that the nerve travels to – in this case, the head.

How Can Headaches Be Treated?

The Traditional Approach

            The most common approach to treating headaches is medication to reduce inflammation, block pain, or relax muscles that may be causing headache symptoms. In the case of chronic or recurrent headaches, sometimes doctors will prescribe stronger prescription medications to help fight the headache symptoms. In some cases, even more invasive measures such a joint blocks are used, whereby an agent is injected into the joint to block the referred pain and other symptoms.

The main reason that medications fail to provide long-term resolution for headaches is that they fail to address any underlying problems of the muscles, nerves or joints of the neck that are causing recurrent headaches.  Instead, they address the symptoms of the headache and simply cover up the underlying issues in the neck – issues that if not addressed will continue to cause problems. As a result many people become reliant on medication to accomplish relief of their headaches.  This is not only a temporary fix that is only covering up the problems, but it also increases risk of side-effects and dependency on the medication.

Unfortunately, muscle tightness, scar tissue adhesions, nerve entrapments, and abnormal joint movement cannot be seen on x-rays or advanced imaging. This is because the water density of the scar tissue tends to be quite similar to the surrounding tissues.  These problems in the muscles, joints, nerves and ligaments can, however, be felt or tested with the hands of a properly skilled practitioner, as scar tissue has a very unique texture. A thorough history and clinical examination is usually sufficient to give the clinician enough information to diagnose the problem.

ART: Our Approach – A Better Solution

ART stands for Active Release Techniques. It is a highly successful hands-on treatment method to address problems in the soft tissues of the body, including the muscles, ligaments, fascia, and nerves.  ART treatment is highly successful in dealing with headaches because it is specifically designed to locate and treat scar tissue adhesions that accumulate in the muscles and surrounding soft tissues. By location and treating the soft-tissue adhesions with ART, it allows the practitioner to, 1) breakup restrictive adhesions, 2) reinstate normal tissue flexibility and movement, and 3) more completely restore flexibility, balance, and stability to the injured area and to the entire kinetic chain.

You can think of an ART treatment as a type of active massage. The practitioner will first shorten the muscle, tendon, or ligament, and then apply a very specific pressure with their hand as you actively stretch and lengthen the tissues.  As the tissue lengthens the practitioner is able to assess the texture and tension of the muscle to determine if the tissue is healthy or contains scar tissue that needs further treatment. When scar tissue adhesions are felt the amount and direction of tension can be modified to treat the problematic area.  In this sense, each treatment is also an assessment of the health of the area as we are able to feel specifically where the problem is occurring.

An additional benefit of ART is it allows us to further assess and correct problems not only at the site of pain itself, but also in other areas of the kinetic chain, which are associated with movement compensations and are often contributing factors to the problem. This ensures that all the soft tissues that have become dysfunctional and are contributing to the specific injury are addressed, even if they have not yet all developed pain.

One of the best things about ART is how fast it can get results. In our experience, many patients respond very well to ART treatment, especially when combined with the appropriate home stretching and strengthening exercises. Although each case is unique and there are several factors that will determine the length of time required to fully resolve each condition, we usually find a significant improvement can be gained in just 4-6 treatments.

If you think that ART for your headaches could be an option, please reach out to us for an appointment by calling 403-278-1405 or email

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.  


Is Your Stress Contributing to Your Pain?

[vc_row][vc_column width="1/1"][vc_column_text]By: Active Sports Therapy

If you’re dealing with an injury or pain, studies show that there is a direct link between an individual’s stress level and the amount of pain that they feel. Stress and pain are considered to be closely linked so you may find it beneficial to journal your pain level and your stress level to find out if, personally, there is a correlation for you.

Stress is actually a natural reaction to the world and experiences that we are a part of and everyone will feel stress occasionally. The difficulty arises when a person has elevated stress levels that are persistent to the point where it begins to take a toll on the body.

For example, here is how stress plays out in the muscular system. When you enter a state of stress, a common response for the body is for muscles to tense up. It does this to protect you from injury in a dangerous situation and under normal circumstances, the muscles will relax again. However, if you’re always under stress, your muscles will not get the opportunity to let go and relax, leaving you with tight shoulders, a sore back, and even general muscle pain. The muscles of the neck and shoulders can often be connected to frequent headaches, sometimes referred to as tension headaches.

The good news is, there are many things that you can do to work toward reducing your stress levels.

Active Release Therapy, offered here at AST, can help alleviate the tension in your neck, back and shoulders, often with only a couple of treatments. This treatment combined with these stress relieving tips can make a huge difference when applied.

Sleep – This is so important for people suffering from high stress levels. A good nights sleep will help you to face the day in a more relaxed, energetic, and clear-headed state.

Learn to relax – Relaxing means different things to different people. Aim for an activity that you can incorporate into your daily routine. Reading before bed instead of watching TV is helpful for some. Guided meditation can teach techniques of meditation and there are some great apps out there! Check out The Daily Calm as it’s one of our favourites. Restorative yoga or simply challenging yourself to learn deep breathing techniques can all contribute to the de-stressing process.

Identify what triggers your stress – Is it work, relationships, or an overwhelming schedule? Becoming aware of your biggest stressors can help you to make a plan to manage it. For example, if you have an overwhelming schedule, you might be the type of person that has a difficult time saying ‘no’ to functions, volunteering, etc. and that might be an item in your life that needs tackling.

Ask yourself if you need support – Talking to a mental health professional can help you to deal with your stress and put you on a path to success with therapy, tools and techniques.

Balance – We all have busy lives so learning proper time management skills and ensuring that you have stress relief built in as a priority will help. This could be daily exercise, down-time or quiet time after work, putting a non-negotiable monthly massage in your calendar and budget, or time with friends. Think about what makes you happy, and then do more of that!

We hope these tips are helpful!

Please call us to book an appointment with one of our Active Release Technique certified chiropractors.

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.  [/vc_column_text][/vc_column][/vc_row]