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Migraines are not just headaches; they are a significant public health concern in Singapore, affecting up to 10% of the population. 

Characterised by intense, pulsating pain typically on one side of the head, migraines often come with a range of symptoms, including nausea and an extreme sensitivity to light and sound. In addition, a study by Duke-NUS Medical School highlighted that migraines cost Singapore about S$1.04 billion in 2018, with the majority of costs stemming from lost productivity. 

From this, it is clear that this debilitating condition not only impacts individual well-being but also imposes a substantial economic burden, emphasising the need for effective management strategies. 

In this context, chiropractic care presents a compelling, non-pharmacological approach to managing migraines. But how do chiropractors help with migraines?

Understanding Migraines

Migraines represent a complex neurological condition that manifests as severe, debilitating headaches, often accompanied by symptoms that can make migraines far more incapacitating than typical headaches.

Migraines typically emerge during childhood, adolescence, or early adulthood and can involve four distinct phases: prodrome, aura, attack, and post-drome.

• Prodrome: This initial phase can begin hours or even days before the headache itself, marked by subtle changes that signal the onset of a migraine. Symptoms can include mood swings, food cravings, neck stiffness, and more.
• Aura: Aura can involve visual disturbances, speech or language problems, and sensory or motor issues. This phase usually lasts between a few minutes to an hour.
• Headache Phase: Also known as the attack phase, this is when the actual migraine pain occurs and can persist for 4 to 72 hours if left untreated. The pain is typically on one side of the head but can affect both sides. Physical activity may intensify the pain, alongside ongoing nausea or sensitivity to light and sound.
• Postdrome: Following the resolution of the headache, the individual may feel drained or washed out, though some report a sense of relief or euphoria.

Common Migraine Triggers

Migraines can be set off by a range of factors that vary from person to person, making it crucial to understand what may be causing your migraines to manage them effectively.

• Stress: This is a major trigger for many individuals, with many identifying stress as a precipitating factor. This is mainly a contributing factor because the body’s response to stress can activate various neurological and physiological changes that precipitate migraines.
• Hormonal Changes: Particularly in women, hormonal fluctuations are a significant trigger. Migraines are more prevalent in women and are frequently associated with hormonal fluctuations during menstruation, pregnancy, and menopause.
• Sleep Disturbances: Both insufficient sleep and too much sleep, as well as disturbances in sleep patterns, can trigger migraines.
• Dietary Factors: Certain foods can also trigger migraines in susceptible individuals. These tend to include but are not limited to, processed foods, alcohol, and foods containing preservatives or artificial sweeteners.
• Environmental Factors: Changes in weather, such as extreme temperatures or humidity, can initiate migraines. Additionally, strong odours from perfumes, smoke, or chemicals are known triggers for some people.

How Chiropractic Care Can Help with Migraines

Chiropractic care provides a holistic, non-invasive way to manage migraines, focusing on the body’s natural ability to heal and maintain balance. This care is grounded in the principle that proper spinal health is key to overall well-being.

• A Non-Invasive Approach: Chiropractic care provides a drug-free alternative to traditional migraine treatments, focusing on holistic health practices.
• Focus on Spinal Health: Chiropractors believe that misalignments in the spinal column can affect nervous system function and contribute to conditions like migraines. By restoring spinal alignment through adjustments, chiropractors aim to alleviate nerve irritation and muscle tension that can trigger migraines.
• Soft Tissue Therapies: Techniques such as massage therapy are utilised to relieve muscle tension in the neck, shoulders, and head—areas that can influence migraine symptoms.
• Lifestyle Advice: Chiropractors also provide guidance on improving posture, optimising ergonomics, managing stress, and making dietary choices that might help reduce the occurrence of migraines. Stretching exercises might also be recommended to increase flexibility and address muscle tightness.

When to See a Doctor for Migraines

While chiropractic care offers supportive management for migraines, it’s crucial to recognise when medical intervention may be necessary, especially since chiropractic services are considered complementary to traditional medical treatments. This is because migraines, though often manageable, can sometimes signal more serious health issues.

• Red Flags: Immediate medical attention is crucial if migraines are accompanied by alarming symptoms such as a fever, confusion, sudden weakness, or the worst headache you’ve ever experienced. These could indicate potentially life-threatening conditions like meningitis or stroke.
• Underlying Conditions: Regular occurrences of migraines might be indicative of underlying health issues.
• Medication Management: For some, prescription medications are necessary to manage the severity and frequency of migraines. 

Find Relief from Migraines at Chiro Time

At Chiro Time, we understand that migraines are not just headaches—they are complex neurological events that can significantly disrupt your life. That’s why we offer personalised chiropractic care tailored specifically for individuals experiencing migraines. Our approach integrates multiple techniques aimed at managing the unique challenges of migraines.

• Personalised Care: Each patient receives an evaluation to understand the specific characteristics of their migraines. Our chiropractors in Singapore develop customised care plans that address the symptoms of your migraines.
• Comprehensive Approach: We utilise a variety of techniques, including spinal adjustments, to address spinal misalignments that may be contributing to nerve irritation. Additionally, our chiropractors may leverage soft tissue massages and targeted stretching to relieve muscle tension around the neck and shoulders, which is often a trigger for migraine episodes.
• Patient-Centered Care: Our commitment at Chiro Time is to ensure patient comfort and well-being. We focus on educating patients about posture, stress management, and nutritional advice to help mitigate migraine triggers.

So, can a chiropractor help with migraines and headaches? Through comprehensive and attentive care, patients might find relief from the symptoms of the condition.

Whether you are seeking a headache chiropractor in Singapore or need holistic migraine management, Chiro Time is here to support you every step of the way.l benefits of professional chiropractic care in Singapore.

Have you ever wondered about the real benefits of chiropractic care amidst the flurry of myths and stories shared across social forums? 

Chiropractic care often sparks curiosity and sometimes scepticism, with numerous anecdotes floating around about what chiropractors do and don’t do, can and cannot do.

Today, we’re setting the record straight by addressing some of the common misconceptions about chiropractic care in Singapore, potentially helping you understand the truth behind the adjustments and how they can benefit your health.

Myth #1: Chiropractors Only Treat Back Pain

It’s a widespread belief that chiropractors are solely experienced in managing back pain, a misconception that unduly narrows the scope of their expertise.

The truth: Chiropractors are trained to manage and support a broad spectrum of musculoskeletal issues, not just back pain. Their education encompasses the entire neuromusculoskeletal system, enabling them to assess and address conditions beyond the spine.

Beyond alleviating back discomfort, chiropractic care effectively supports the management of neck pain, migraines, and sciatica, and can support the recovery from sports injuries. It can also support prenatal care for smoother deliveries and postnatal recovery, as well as promote better development and growth in children and newborns, including help with colic and bedwetting. At Chiro Time, we apply a comprehensive approach that includes holistic lifestyle recommendations and personalised aftercare instructions to promote overall musculoskeletal health, aiming to support your body’s natural ability to address pain and prevent future ailments.

Myth #2: You Need a Doctor’s Referral to See a Chiropractor

There’s a common assumption that a visit to a chiropractor must be prescribed by a physician, similar to how one might need a referral for a specialist.

The truth: This is not the case for chiropractic care. This is because chiropractors are primary contact practitioners. This means that you can consult them directly without needing a referral from a medical doctor. Just like visiting your dentist or eye doctor, seeking chiropractic care is driven by personal health needs and does not require prior approval from a physician.

Myth #3: Chiropractic Care is an Ongoing Commitment

Another common apprehension about chiropractic care is the notion that once you begin chiropractic care, it becomes a never-ending cycle.

The truth: Chiropractors create personalised care plans that cater specifically to each patient’s unique needs and health objectives. The course of chiropractic programmes is not indefinite but tailored, with scheduled assessments to track progress and adapt as necessary.

Ultimately, the choice to continue with chiropractic care rests with the patient. Chiropractors support this decision-making process by providing education about care benefits and empowering patients with knowledge for self-care. 

Myth #4: Chiropractors Do Not Undergo Proper, Certified Training

There’s a prevalent myth suggesting that chiropractors lack comprehensive formal education, which couldn’t be further from the truth.

The truth: In reality, chiropractors undergo extensive and rigorous academic and practical training. As a matter of fact, prospective chiropractors must complete a challenging curriculum that typically spans five years, culminating in a Bachelor’s, Master’s or Doctorate in Chiropractic. The specific degree awarded may vary depending on the school and country, but all represent a rigorous, certified programme equivalent to five years of dedicated study. This education, although it does not equate to a medical or dental degree, does equip them with an understanding of the musculoskeletal and nervous systems.

In Singapore, chiropractors are also required to align with international standards, maintaining affiliation with recognised professional boards such as the General Chiropractic Council in the UK, the American Chiropractic Association in the US, or the New Zealand Chiropractic Board. Additionally, they must fulfil ongoing Continuing Professional Development (CPD) requirements to ensure they remain updated with the latest practices and research in the field.

Myth #5: There’s No Evidence Supporting Chiropractic Effectiveness

It’s also a common belief that chiropractic care lacks solid Scientific support and falls under the category of pseudoscience, making some hesitant to consider it a legitimate option for musculoskeletal issues.

The truth: Contrary to this misconception, there’s substantial research underpinning the efficacy of chiropractic care. Ongoing research, conducted by institutions like the New Zealand College of Chiropractic (NZCC), which has its own research department, and studies published in journals in the Journal of Contemporary Chiropractic or by the New Zealand Chiropractors’ Association, continually adds to the body of evidence supporting chiropractic practices. Numerous studies have demonstrated that chiropractic methods, particularly manual spinal manipulations, effectively manage various musculoskeletal conditions. Noteworthy is a comprehensive review conducted in 2007, which examined programmes across thousands of patients, affirming the low risk of serious adverse events associated with chiropractic care. Another claim, as published on the Channel News Asia, is that paediatric chiropractic care is safe and gentle for the little ones.

Myth #6: Chiropractic Adjustments Are Painful

Many people associate chiropractic adjustments with pain due to misconceptions about the nature of chiropractic approaches and principles.

The truth: During an adjustment, the popping or ‘cracking’ sound heard is similar to that of cracking knuckles. It’s the sound of gas bubbles being released from the joint’s fluid, which is a natural occurrence and not typically painful. However, it’s important to note that not all chiropractic techniques produce this popping sound. For instance, with osteoporotic senior patients, those with acute disc problems, or patients with old fractures, a gentler approach using an activator instrument may be used instead of manual adjustments. Similarly, newborns and children may receive adjustments using a “press and hold” technique that doesn’t involve any forceful movements. 

Myth #7: Chiropractors Only Perform Adjustments

It’s a common misconception that chiropractic care consists solely of spinal adjustments. In reality, chiropractic care tends to encompass a wide range of chiropractic programmes tailored to address various health concerns.

The truth: Beyond adjustments, chiropractors employ a variety of modalities, such as soft tissue therapy. They can also design personalised therapeutic exercise programmes and provide patient education, offering guidance on proper posture for daily activities like sitting, standing, and sleeping, as well as recommending specific exercises and stretches to improve musculoskeletal health. Each patient receives a customised care plan developed that addresses their specific health goals, demonstrating the comprehensive approach chiropractors take to enhance musculoskeletal health.

Myth #8: Chiropractors Are Not Regulated

And finally, there is a misconception that chiropractic practice is unregulated, leading some to question its legitimacy.

The truth: In Singapore, while chiropractic services are considered a complementary and alternative approach and are not licensed under the Private Hospital and Medical Clinic Act (PHMCA), they are indeed subject to regulation. For one, organisations like the Chiropractic Association (Singapore) and the Alliance of Chiropractic (Singapore) have been working closely with the Ministry of Health (MOH) for many years to include chiropractic under the Allied Health Professions Council (AHPC).

And as mentioned above, chiropractors undergo a rigorous educational and training process, required for certification. They are also encouraged to practice self-regulation through their professional associations, further ensuring accountability and adherence to high standards of care.

Curious about how chiropractic care can support your health? 

At Chiro Time, we are dedicated to providing effective chiropractic solutions tailored to your individual needs. Whether you’re seeking relief from chiropractic care for back pain or enhancing your overall well-being, our team is here to help. 

Schedule your consultation today and experience the potential benefits of professional chiropractic care in Singapore.

Ever felt a peculiar stiffness in your spine that just seems to beg for a good stretch, maybe even a pop? 

It’s a common impulse: You lean back or twist your torso until you hear that distinctive crack. This cracking sound can bring a wave of relief, but it often leaves many wondering about its safety, given the vital role of our spine, which houses the spinal cord and supports much of our bodily movement.

When you sit for prolonged periods or engage in repetitive tasks, pressure can build up around your spine. This pressure accumulates in the fluid-filled capsules around each vertebra, leading to the formation of gas bubbles. Stretching or adjusting your back shifts these vertebrae and releases the gas, resulting in the popping sound familiar to many. This release of gas temporarily alleviates the feeling of tightness, contributing to a sense of relief in the back.

While this immediate easing of discomfort might feel beneficial, it’s essential to approach back cracking with caution. Understanding the biomechanics behind this relief and whether it’s beneficial or potentially harmful in the long run is crucial, especially when considering the delicate structures within the spinal column. 

Is Back Cracking Safe?

So, is it really safe to crack your back? 

The answer isn’t a straightforward yes or no. 

For most people, the occasional cracking that occurs naturally during movement is generally harmless. However, making a habit of intentionally cracking your back can be risky. This is because repeated forceful cracking can lead to a variety of injuries, including nerve irritation, joint inflammation, or even muscle strain. More seriously, it might result in blood vessel damage or cause the joints to become unstable over time. 

Importantly, if back cracking is causing pain, it’s important to consult with a healthcare provider to explore any underlying issues and prevent injury.

Furthermore, it’s worth questioning whether back cracking genuinely aids your body or merely triggers a placebo effect. Studies indicate that while the immediate sensation might feel relieving, the actual benefits could be psychological, encouraging a brief feeling of ease without providing real mechanical or long-term relief to the spine.

Possible Benefits of Back Cracking

Cracking your back might bring about some immediate and noticeable effects that can feel quite relieving:

• Tension Relief: The act can release tension in the back, making it a quick way to feel physically loosened up.
• Increased Mobility: Regular, gentle spinal manipulation might improve the range of motion, making the back feel more flexible.
• Pain Reduction: For some, cracking the back might lead to a reduction in back pain and even alleviate associated headaches.

These benefits often result from the decrease in pressure within the joints after the gases trapped in the synovial fluid are released, a process that can improve overall joint mobility and comfort.

However, it’s important to note that while some people experience relief, the effectiveness and safety of self-induced back cracking vary widely. Individuals with ongoing discomfort or conditions like sciatica should seek medical advice before using any form of spinal manipulation.

Potential Risks of Back Cracking

While the immediate sensation of cracking your back can be satisfying, it’s not without its risks, particularly if done improperly:

• Incorrect Self-Manipulation: When individuals attempt to crack their own backs, they risk adjusting the wrong areas, which can affect the bones and joints above or below the main area of misalignment. This misguided manipulation might not address the true source of discomfort and can lead to further misalignment.
• Increased Wear and Tear: Forceful or repetitive back cracking can accelerate wear and tear on spinal joints, potentially leading to joint strain, swelling, or even structural breakdown. This process may progress to faster degeneration in the joints (Degenerative Joint Disease) and discs (Degenerative Disc Disease).
• Joint Instability: Frequent and forceful back cracking can stretch the ligaments around the spine too much, which can lead to weakened joint support and stability, increasing the risk of osteoarthritis.
• Nerve Impingement: Incorrect techniques, such as applying excessive force or cracking too often, can pinch nerves, sometimes resulting in more pain and long-term damage than the initial discomfort.
• Severe Vascular Risks: In some extreme cases, inappropriate back cracking techniques may lead to the tearing of blood vessels near the spine, which in rare circumstances, can trigger a stroke. If underlying conditions or stroke symptoms are present, the risk is elevated, making professional evaluation crucial.

Given these potential risks, it’s essential to approach back cracking with caution and consult a healthcare professional if you experience pain or discomfort. This is particularly important for individuals with existing back issues or those who find themselves needing to crack their back frequently.

How to Crack Your Back Safely

Cracking your back might offer a fleeting sense of relief, but it’s crucial to approach this practice with caution to avoid potential harm to your bones and muscles. 

If you’re not experiencing pain and just need a light stretch, here are some safe methods you can try:

• Cat-Cow Pose: This gentle movement helps to stretch and mobilise the spine. Start on your hands and knees, and alternate smoothly between arching your back upwards and dropping your belly towards the mat.
• Knee to Chest: Lying on your back, pull one knee at a time towards your chest to relieve tension in the lower back. You can also hug both legs towards the chest to fully stretch the upper back down to the lower back as well, enhancing the stretch and increasing relief.
• Kneeling Back Extension: From a kneeling position, extend your back by sitting back towards your heels, stretching both your back and hips.
• Sitting Rotation: While seated, cross one leg over the other and rotate your torso towards the bent knee for a gentle spinal twist. This movement not only eases tension but also helps stretch the lumbar muscles, particularly the Quadratus Lumborum (QL).

These stretches may naturally lead to a cracking sound; however, it’s important not to force the crack. If pain, discomfort, or other symptoms occur, cease the activity and consult a healthcare provider.

Additionally, if you’re dealing with persistent back discomfort, chiropractic care could also be considered. Chiropractors in Singapore can help perform spinal manipulations, which can not only alleviate discomfort but also improve posture and mobility. These chiropractors for back pain can also provide tailored advice and chiropractic care, such as targeted exercises to support your spinal health. 

Contact us today for more information or to schedule an appointment.

Throughout pregnancy, a woman’s body undergoes profound changes as the body prepares for childbirth. For instance, hormonal and biomechanical shifts can lead to a variety of musculoskeletal issues, from swollen feet to lower back pain, with hip pain being particularly prominent due to the increasing strain from the growing baby. 

This discomfort is often linked to pelvic girdle pain (PGP), a condition characterised by pain around the pelvic area, affecting the sacroiliac joints at the back and the symphysis pubis joint at the front. This pain, in general, can radiate through the hips and thighs, significantly impacting daily activities and overall comfort.

Why Do I Have Hip Pain During Pregnancy?

While pelvic girdle pain doesn’t affect the baby directly, it can cause significant discomfort and complicate daily activities such as sleeping or moving around. After all, the primary symptom of PGP is pain, though it varies in intensity and nature—ranging from mild to severe and may present as either dull or sharp sensations. This discomfort might even start gradually or appear suddenly, persisting constantly or appearing intermittently.

You might notice pain in specific areas such as:

• The front of your hips around the pubic bone.
• Lower back on one or both sides.
• Between your vagina and anus (perineum).
• Your knees or thighs.

Additionally, you may experience:

• Clicking or grinding sensations in the hips.
• Increased pain during activities like climbing stairs, walking (especially on uneven surfaces), standing due to weight-bearing changes in the second and third trimesters, or moving your legs apart (such as when exiting a car).
• Difficulty with activities that require balancing on one leg, like dressing or standing from a seated position.
• Discomfort when turning over in bed.
• Challenges with maintaining the ideal baby positioning for natural birth, which could affect the delivery process.

But what exactly triggers these painful conditions during pregnancy?

1. Relaxin

Relaxin is a pivotal hormone in pregnancy, primarily affecting the musculoskeletal system, which includes bones, ligaments, and other connective tissues. This hormone softens cartilage and tendons, allowing the hips to expand and widen to prepare for childbirth. However, the increased laxity in these structures can lead to discomfort and instability as it can lead to muscle and connective tissue strain as they work to adapt to the expanded range of motion. This often results in overworked and fatigued muscles and tissues surrounding the joints.”

Specifically, relaxin contributes to conditions such as dysfunction of the sacroiliac joints—critical weight-bearing joints in the hips—and symphysis pubis dysfunction, where the joints in the pelvic bones experience painful separation. 

2. Sciatica

Though sciatica is often associated with conditions like herniated disks in older adults, sciatica during pregnancy can manifest due to the expanding uterus exerting increased pressure on the sciatic nerve, which branches from the lower back into the buttocks and down each leg. This significant nerve is crucial for sensory functions and movement, aiding in activities such as standing, walking, and running. As the pregnancy progresses, the pressure on the sciatic nerve can bring about pain, numbness, and tingling that radiates from the hips down to the thighs and buttocks.

3. Round Ligament Pain

During the second trimester, many pregnant women may begin to experience sharp pains around their hips, groin, and abdomen due to the stretching of the round ligaments. These thick fibrous bands, which support the uterus and connect it to the pelvis, can become overly stretched as the uterus expands. The hormone relaxin, which loosens ligaments to prepare the body for childbirth, exacerbates this stretching, leading to sharp, aching, or pulling sensations. While not directly on the hip joint pain, round ligament pain often radiates to the front of the hips and can mimic or contribute to the overall hip discomfort experienced during pregnancy.

Addressing Hip Pain During Pregnancy

Several strategies can be leveraged to address hip pain experienced during pregnancy, ensuring comfort and mobility during this critical time. Some of these include:

Stretching

Engaging in light exercises and specific stretches could potentially benefit expectant mothers experiencing hip pain. Activities like prenatal yoga are particularly beneficial, as they involve gentle stretching and strengthening exercises tailored for pregnancy. 

For example, yoga poses such as Child’s Pose, Cat Pose, and gentle squats not only help stretch and stabilise the hip area but also enhance overall flexibility and relieve tension in the back and abdomen. These movements support better posture and reduce strain on the hips. 

However, always consult with a healthcare provider before beginning a new exercise regimen to ensure it’s appropriate for your pregnancy stage and fitness level.

OTC Pain Relievers

For persistent or severe hip pain, in some cases, physicians might suggest using over-the-counter pain medications to alleviate discomfort. Such medications can help manage pain but should be used judiciously and under close medical supervision to avoid any potential side effects. Therefore, it is crucial for pregnant women to adhere strictly to medical guidance when using any medication to ensure safety for both mother and child. 

Warm Bath or Compress

Applying warmth to affected areas can help alleviate hip pain during pregnancy, providing some level of soothing relief. However, when it comes to homemade warm compresses, like warm towels or hot water bags, take care not to place them directly on the skin or the abdominal area, especially near the foetus in the early stages of pregnancy. Instead, wrap them with a towel or handkerchief for added safety. 

Massages

Massages can effectively ease hip pain by relaxing tense muscles and improving circulation. To perform a safe and beneficial hip massage at home, lie on your side, cushioned by pillows for support. Your partner can gently massage around the hip area using a combination of pressure and stretching movements to relieve tension.

Disclaimer: While massages can provide relief, they should be done under appropriate guidance to ensure they are safe for pregnancy.

Prenatal Chiropractic Care

Prenatal chiropractic care offers a myriad of benefits, particularly in managing pregnancy-related discomforts. By focusing on the proper alignment of the spine and pelvis, chiropractic care ensures that the nervous system functions optimally, supporting overall bodily health. This tailored care involves gentle adjustments that are safe for both mother and child, easing common pregnancy ailments such as back pain and sciatica. 

At Chiro Time, our prenatal chiropractors conduct thorough examinations to customise care plans that address each patient’s unique needs. Our chiropractors are also trained in the Webster technique for pregnancy care, which addresses the pelvis and the sacroiliac joint, further improving dystocia, baby positioning, abnormal contractions, and the function of the uterus. Along with physical adjustments, our team provides valuable education on exercise, nutrition, and stress management to support a healthy pregnancy.

Talk to a Healthcare Provider About Hip Pain Concerns During Pregnancy

Navigating hip pain during pregnancy requires more than just home remedies; it’s crucial to consult with healthcare professionals who specialise in prenatal care. Timely medical guidance ensures that you manage your symptoms effectively while safeguarding your health and that of your baby. 

At Chiro Time, we’re equipped to provide you with chiropractic care and advice tailored to your pregnancy needs.

Reach out to us to explore how our chiropractic services can support you in managing pregnancy-related hip pain safely and effectively.

Chiropractic care often finds itself at the centre of varied public discourse, generating mixed feelings, from stories of costly treatments with no results to supportive claims about paediatric chiropractic interventions. 

However, with over 50 clinics and about 150 practitioners, as reported by TODAY Online and the Ministry of Health, the presence of chiropractic care is undeniable. The Chiropractic Association Singapore, boasting around 30 registered members as of 2018, according to Channel News Asia, also highlights a growing professional community. 

This leads to questions about the legitimacy and effectiveness of chiropractic as an alternative therapy for pain relief. Is chiropractic care all about back ‘cracking,’ or is there more to this practice? Does it offer a safe and credible form of treatment? This blog aims to explore the status and credibility of chiropractic care in Singapore, clarifying its role and efficacy within the broader health system.

What is Chiropractic Care?

Chiropractic is a distinct approach to healthcare that prioritises the body’s structural alignment—primarily the spine—to promote self-healing. This holistic approach centres not just on bone manipulation but considers the entire nervous system, which links the brain to the rest of the body. Effective spinal health is crucial because it supports the central nervous pathway that influences overall bodily functions.

Originating in the United States as a complementary alternative medicine, chiropractic care employs natural methods to manage joint issues and enhance bodily functions. The practice typically involves manual therapy, including adjustments of the spine. Chiropractors may also integrate other therapeutic interventions such as exercise, nutritional counselling, and ergonomic training to facilitate the body’s natural healing processes and maintain optimal health.

Are Chiropractors Doctors?

In Singapore, chiropractors holding Doctor of Chiropractic degrees, which often include four or more years of university or postgraduate studies overseas, are distinct from medical doctors and are recognised under separate professional criteria. This is because they do not fall under the Medical Registration Act (MRA), which governs medical practitioners. This distinction means that while chiropractors possess knowledge of musculoskeletal health, they are not recognised by the law to practice medicine or prescribe medications. Their role remains within the bounds of chiropractic care, focusing on addressing and managing mechanical disorders of the musculoskeletal system, particularly the spine.

Registration and Licensing

In Singapore, chiropractic services fall under the category of complementary and alternative treatments and thus are not governed by the Private Hospital and Medical Clinic Act (PHMCA). This legislative position underscores the importance of self-regulation within the chiropractic community. 

However, chiropractors are licensed under chiropractic boards in countries such as the United States of America, Australia, and New Zealand following successful completion of chiropractic courses and examinations. Moreover, to maintain their licenses and keep abreast of current techniques and research, these chiropractors must attend seminars, talks, and courses on a yearly basis.

In addition, chiropractors in Singapore are encouraged to adhere to the high standards of practice and ethics set forth by the Chiropractic Association (Singapore). This professional body plays a pivotal role in shaping the practice by developing comprehensive codes of practice, ethical guidelines, and advertising standards that help maintain professionalism and safeguard public trust in chiropractic care.

Qualifications and Education

According to the Alliance of Chiropractic Singapore, becoming a chiropractor involves proper education and training. For instance, prospective chiropractors must complete a rigorous 5-year full-time course leading to a Masters in Chiropractic or a Doctorate in Chiropractic, depending on the institution and country of study. This academic path, although thorough, does not equate to a medical or dental degree.

Moreover, in Singapore, to practice as a resident chiropractor, it is mandatory for practitioners to be affiliated with recognised professional boards like the General Chiropractic Council (UK), the American Chiropractic Association (USA) and the New Zealand Chiropractors’ Association (New Zealand), depending on where they have graduated. And to ensure they stay current with the latest developments in the field, chiropractors must fulfill Continuing Professional Development (CPD) requirements through participation in relevant activities.

Role in Healthcare

As mentioned, chiropractic care offers a non-invasive approach to managing health issues, focusing significantly on maintaining the nervous system’s integrity through proper spinal alignment. This type of care supports the body’s natural healing capabilities, similar to how a balanced diet supports overall health. By optimising spinal health, chiropractic treatments can facilitate better communication between the brain and various body parts, ensuring a harmonious function across different systems.

Chiropractors use adjustments to support the biomechanics of the spine and alleviate pressure on neurological structures. These adjustments are usually performed by hand but can also involve the use of various instruments. The idea is to restore proper alignment and movement to the spinal joints, which can often be compromised by everyday activities and poor posture.

This method of care is akin to correcting a misaligned joint that, if left unchecked, could lead to complications like nerve irritation or musculoskeletal pain. Correcting these issues helps to alleviate discomfort and enhances the body’s ability to perform optimally. 

Whether it’s a sports therapy chiropractor managing joint pain or a prenatal chiro providing pelvic pain relief experienced by pregnant women, chiropractic care aims to restore and maintain proper nerve function, which is crucial for overall health and well-being.

Is Chiropractic Care Safe?

Now, to address a commonly asked question: Is chiropractic care safe?

Despite the scepticism some might express regarding the scientific backing of chiropractic care, it is generally recognised as safe and effective, especially when conducted by a licensed and experienced practitioner.

However, although chiropractic adjustments are well-tolerated, as with any medical treatment, they are not completely devoid of risk. Some patients might experience temporary discomfort, mild soreness, or a bit of stiffness after an adjustment, but these symptoms usually resolve over time without any need for further intervention.

Ensuring the safety of chiropractic treatments also involves selecting a qualified chiropractor who adheres to the highest standards of practice. One key factor is ensuring your chiropractor conducts a detailed examination and analysis rather than going straight to treatment. Additionally, patients should feel encouraged to discuss their full medical history and any concerns they may have with their chiropractor. This open communication helps tailor the care to individual needs and minimises any potential risks.

If you’re considering chiropractic care and want to discuss how it can be safely integrated into your healthcare regimen, don’t hesitate to contact us at Chiro Time. Our team is committed to providing safe, personalised chiropractic care to support your health and well-being.

We’ve all been told by teachers or parents to “sit up straight” at some point. Yet, for many, maintaining proper posture doesn’t come naturally and can lead to discomfort when forced. Add to this the hours spent peering down at our mobile phones or desktops, and you have a recipe for what’s colloquially known as “text neck”—a perpetual slouch that can impact your posture permanently.

Why is this an issue, you ask?

Maintaining good posture is crucial for balance: standing straight aligns your weight over your feet, aiding proper form during exercises and reducing injury risks. It also boosts performance in almost any physical activity, from tennis to skiing. More fundamentally, an optimal posture—considered the neutral alignment of your musculoskeletal system—ensures that vital body functions, like nerve and organ operations, proceed unhindered. It also stabilises your body, reducing the likelihood of fall-induced injuries. Conversely, poor posture can cause certain muscles to overstretch while others weaken, leading to pain and other debilitating symptoms.

Amidst these challenges, posture correctors have soared in popularity. These devices act as reminders to straighten up our back, providing the external cue needed to keep your spine aligned. 

But do they really deliver on their promises?

How Posture Correctors Work

Posture correctors are diverse devices designed to aid in maintaining proper posture. These gadgets come in various forms, but there are generally two forms: wearable harnesses that align the muscles into the ideal posture and electronic gadgets that notify you through vibrations or sounds when you start to slouch or hunch. These tools are especially useful for preventing the muscle strain associated with poor posture habits, particularly in our tech-driven lives where many of us are glued to screens. This is in addition to its ability to prevent the overcorrection of posture, which can potentially cause more harm than good. 

Whether it’s a physical harness that encourages your shoulders to retract or an electronic reminder to straighten up, these correctors work by retraining your body. 

The human body tends to conserve energy by adopting the easiest posture, often leading to slouching if you sit for prolonged periods. A posture corrector interrupts this habit by ensuring you maintain an optimal alignment. When used regularly, it is thought to train your muscles to recognise and maintain better posture without the device. This is made possible because correctors are thought to employ proprioception—our body’s ability to perceive its position in space—to enhance this awareness. This sensory feedback is crucial for building the muscle memory needed to hold a healthier stance naturally.

So, what does this mean for you? 

While posture correctors can guide your body towards better alignment and relieve minor discomforts, they are not a cure-all solution. For lasting change, understanding and addressing the habits that contribute to poor posture is crucial. Plus, these devices are most effective when used as part of a broader approach to posture improvement, including physical activity and ergonomic adjustments. Beyond that, individuals with severe back or posture issues, like scoliosis, should consult healthcare professionals before relying solely on these tools.

How to Choose a Posture Corrector

Say you’ve decided to invest in a posture corrector to manage those nagging pains from slouching over your desk or phone. Choosing the right one isn’t just about grabbing any device off the shelf; it’s about understanding your specific needs and ensuring the corrector is tailored to them.

This is especially so since it is common to see individuals who’ve experienced neck and back injuries, and in severe cases, even rib fractures, from using poorly fitted posture correctors that exert too much pressure on the spine and ribs. This underscores the importance of selecting the right type of posture corrector.

Consider the following types of posture correctors:

• Cross-Back Elastic Braces: These basic braces are designed for comfort and support. They work by pulling your shoulders back to align your clavicle, chest, and back properly. Often equipped with adjustable straps, these braces can help support spinal alignment.
• Moulded Upper Back Posture Correctors: Similar in design to the cross-back braces, these correctors include a rigid plastic or metal piece along the back that rests between your shoulder blades for added support. While they offer support for your upper back, they can be less comfortable and more cumbersome, potentially making them difficult to conceal under clothing.
• Longline Back Braces: For more severe posture problems or chronic back pain, longline back braces provide support, covering areas from your hips to the base of your neck. These braces are more rigid but are less versatile under clothing due to their size and coverage.
• Electronic Posture Reminders: These modern devices offer a tech-savvy approach to posture correction. Placed on the upper back, they vibrate to alert you when you’re slouching. Many models sync with a smartphone app, allowing you to track your posture habits and progress over time. While they don’t provide physical support, they are great for building awareness and encouraging active correction of your posture throughout the day.

How to Use a Posture Corrector

Integrating a posture corrector into your daily routine should be done with care to ensure it benefits rather than hinders your posture improvement efforts.

Here’s how to use one effectively:

• Start Gradually: Initially, wear your posture corrector for short periods, about 20 to 30 minutes per day, as your body becomes accustomed to the new alignment, but be sure not to use it all day.
• Combine with Exercises: To truly benefit from a posture corrector, pair it with specific exercises like a posture-strengthening exercise routine. This combination helps ensure that once the corrector is off, your body can maintain posture on its own.
• Monitor Progress: Keep an eye on your posture even when not wearing the device. The goal is to develop strength and muscle memory for good posture as you rely on your body’s natural posture that lasts beyond the periods you use the corrector. Plus, if you experience excessive pressure or discomfort while using the posture corrector, discontinue its use immediately and consult a chiropractor or health practitioner. Despite the numerous benefits advertised, it’s crucial to be aware of the potential side effects if the correctors are not used correctly. Always prioritise your comfort and safety when incorporating any new tool into your health regimen.

However, as mentioned, do remember that the primary function of a posture corrector is to remind you to maintain good posture. It’s not a permanent fix but a tool to teach your body the correct alignment without stooping. And be mindful of long-term use, as it could lead to muscles becoming over-reliant on the corrector, potentially resulting in muscle weakness.

Ways to Improve Your Posture Without a Corrector

As mentioned, improving posture goes beyond simply using corrective devices. So, start with foundational ergonomic adjustments, such as investing in an adjustable chair and ensuring your computer monitor is positioned at eye level. This can help reduce the strain on your neck and back. In addition, throughout the day, remember to vary your position frequently to prevent stiffness and encourage healthy posture habits.

Strengthening your core muscles is also key for improving posture. Exercises like planks and abdominal crunches help support upper body alignment and enhance overall posture. Activities like yoga and Pilates offer the added benefit of increased flexibility alongside strength, contributing to better posture naturally.

If posture issues persist, consider getting professional help, like seeking the advice of a neck chiropractor. Chiropractic services, for instance, with their focus on spinal and neck alignment and health, can provide tailored strategies for effective posture improvement. And at Chiro Time, our team is dedicated to helping you achieve optimal health through personalised care and support. 

Contact us today for more information or to schedule an appointment.

In today’s digital age, a modern ailment known as Turtle Neck Syndrome, or “Text Neck,” is becoming increasingly common due to the pervasive use of mobile devices. This syndrome arises from the forward neck posture many adopt while using devices, leading to substantial strain. This is because although our heads typically weigh around 4 kilograms, leaning forward just a few centimetres to peer at a screen can triple this weight, exerting immense pressure on the neck. This modern-day ailment is prevalent among all age groups, with even young children habitually using smartphones and tablets. 

But that’s not all. Research, including a 2021 study from Singapore published in the Spine Medical Journal, underscores the widespread nature of neck pain and its impact on quality of life. And with neck pain becoming more common, could your discomfort be stemming from “Text Neck”? If so, what are its causes, and how can you mitigate the risk of developing chronic neck pain and musculoskeletal disorders?

What is Turtle Neck Syndrome

But first, what exactly is Turtle Neck Syndrome? 

As mentioned, this condition, also known as Text Neck, emerges from the repetitive strain and discomfort in the neck caused by habitually hunching over smartphones and similar devices. 

Typically, a neutral head position places about 4 kilograms of force on the neck muscles. However, as the head tilts forward, the force dramatically increases—a 15-degree tilt subjects the neck to the equivalent of carrying a large eight-year-old child, or roughly 12 kilograms. As the angle increases, so does the strain: 18 kilograms at 30 degrees, 22 kilograms at 45 degrees, and a hefty 27 kilograms at 60 degrees. According to ScienceDirect, this exacerbated strain is especially concerning for children, who not only have larger heads in proportion to their bodies but are also frequent users of mobile devices, placing them at a higher risk for developing Turtle Neck Syndrome.

Symptoms of Turtle Neck Syndrome

According to a comprehensive study published in the National Library of Medicine, titled “Text Neck Syndrome in Children and Adolescents,” the phenomenon of Turtle Neck Syndrome encompasses a broad spectrum of symptoms that can affect various aspects of health. 

These symptoms extend from musculoskeletal issues to neurological and psychological effects, impacting individuals from childhood through adulthood.

• Musculoskeletal Pain: The primary complaint is cervical neck pain that may radiate to the back and the shoulders. This pain often persists for more than six months without being linked to any sensory or motor deficits. In many cases, the pain is associated with chronic tension-type headaches, common in adolescents. Plus, the perpetuation of this pain from early adolescence could evolve into chronic musculoskeletal problems, such as early spinal degeneration, later in life.
• Visual Impairments: Extended periods of neck flexion during device usage could potentially lead to eye strain, dry eyes, and even nearsightedness. The focus required for small screens exacerbates these symptoms, with some studies noting significant percentages of eye strain and dry eye symptoms among users. This strain is often compounded by the association between eye muscle tension and upper cervical stress, which can also impact the nerves around the cranium, leading to various headaches and migraines. Additionally, cervical osteophytic stress may stimulate sympathetic nerves, resulting in symptoms like eye pain, blurred vision, and fatigue.
• Electromagnetic Exposure: The proliferation of technology brings with it concerns about electromagnetic radiation exposure. This is because devices like smartphones and tablets emit low-frequency electromagnetic fields, which may induce symptoms such as sleep disturbances, headaches, dizziness, and even more severe conditions like electro-sensitivity and attention deficits. Children are particularly susceptible due to their higher absorption rates of this radiation.
• Behavioural and Psychological Impacts: The constant forward posture adopted during device use affects not just physical health but also social behaviours and interactions. Over time, muscle memory also reinforces this poor posture, especially when using devices without ergonomic support. This fixation on poor posture leads to accumulated tension, embedding these unhealthy positions more deeply into our daily habits.
• Further Comorbidities: Recent studies have underscored that habitual forward postures could also lead to cardiovascular issues and pulmonary diseases by restricting rib muscle movement and alignment, making it challenging to achieve full breaths. The extended and frequent neck flexion linked to device use has also been associated with increased body weight, largely due to reduced physical activity levels. Moreover, a notable correlation exists between prolonged neck flexion and the prevalence of headaches, particularly migraines. Research indicates that these types of headaches are increasingly prevalent among adolescents, with varying rates dependent on age and gender. Additionally, analysis outside of the study from the National Library of Medicine titled ‘Text Neck Syndrome in Children and Adolescents’ shows that such postures can compress nearby organs, exacerbating issues like digestion and acid reflux and affecting sleep quality. The ingrained forward neck posture can also make it difficult to find a comfortable sleeping position or a suitable pillow. 

What Happens if Turtle Neck Syndrome is Untreated

Now, what if Turtle Neck Syndrome is left unchecked? 

Ignoring this condition and its associated symptoms may lead to a cascade of more severe musculoskeletal issues. For instance, chronic neglect may lead to the development of arthritis and significant spinal curvature, conditions that could severely limit mobility and quality of life. 

Over time, continued stress on the cervical spine could even result in disc compression and muscle weakening. This can manifest as an upper thoracic postural abnormality, commonly known as dowager’s hump, which permanently alters the silhouette of the back.

How to Alleviate Turtle Neck Syndrome

So, how can you fix Turtle Neck Syndrome effectively and find neck pain relief? 

With some key adjustments in your daily habits, it’s possible to manage and potentially reverse the effects of this modern ailment. Consider the following: 

Preventative Measures 

Here’s how to reduce strain and prevent the condition from worsening:

• Limit Screen Time: Reducing your daily screen time can greatly minimise neck strain. Decreasing your engagement with these devices helps maintain a neutral head position, alleviating pressure on your cervical spine.
• Incorporate Breaks: Make it a habit to take regular breaks from screens. Standing up and moving around every 30 minutes can help reduce neck tension and promote better posture.
• Neck/Shoulder Stretches: Incorporate neck and shoulder stretches throughout the day to relax the muscles and promote blood flow. Tensed muscles can restrict oxygen flow to the brain, spine, and organs, making these stretches crucial for maintaining overall health.
• Optimise Ergonomics: Arrange your workspace so that screens are at eye level and devices are easy to use without strain. An ergonomic setup can prevent the need to bend or twist the neck unnaturally.
• Varied Physical Activity: Engage in diverse physical activities that don’t exacerbate neck strain. This includes switching between sitting and standing at your desk, avoiding prolonged static postures, and using hands-free devices when possible.

Neck Exercises

To address neck pain and improve the condition, incorporate these exercises into your daily routine:

• Cervical Rotations: Slowly turn your head to the left and right, keeping your chin level. This exercise enhances neck flexibility and circulation, easing the build-up of tension.
• Chin Tucks: Pull your chin backwards, creating a “double chin” to strengthen posterior neck muscles and realign cervical vertebrae. This can help reset your posture and reduce forward head lean.
• Gentle Neck Stretches: Practise gentle stretches by tilting your head towards each shoulder and rotating your neck. These movements help loosen tight muscles and increase mobility in the cervical region.

Can a Chiropractor Help Me With My Posture?

Taking proactive measures to manage and improve posture is crucial, especially when dealing with conditions like Turtle Neck Syndrome. 

This is where chiropractic care, through spinal adjustments, can potentially help in improving overall posture and function. When your spine is aligned properly, your body naturally adopts a more optimal posture, mitigating the strain on your neck and back. Additionally, proper spinal alignment often leads to better energy and concentration levels. Individuals may experience less cloudy thinking and fewer headaches, as well as lighter feelings in the neck, shoulders, and head. This improvement in physical well-being can enhance overall efficiency and productivity, benefiting working adults, university students, and even hyperactive children.

As such, for those experiencing persistent symptoms or severe cases of posture-related discomfort, engaging in chiropractic services, especially that of a chiropractor for neck pain, could help with managing the associated symptoms. 

When considering how to alleviate persistent aches and pains, many people may not understand the distinct roles and benefits of physiotherapy versus chiropractic care. As a matter of fact, although these two practices are often utilised interchangeably in conversations about pain management and rehabilitation, they are fundamentally different approaches and leverage varying methodologies. 

So, how do you know when to choose one over the other, and how do you ensure your decision aligns with your health needs? Whether it’s a chronic pain in the neck, a twinge in the lower back, or a desire for a holistic approach to discomfort, consider these differences.

What Does a Physiotherapist Do?

The role of a physiotherapist, often referred to as a physical therapist (PT), is to support patient mobility and overall well-being through therapeutic rehabilitation, injury prevention, and health promotion. 

In order to facilitate this, PTs conduct evaluations and utilise various techniques, including personalised exercises, hands-on manipulation, and educational sessions to help individuals address movement restrictions and manage pain stemming from diverse causes such as injuries, surgeries, or chronic conditions. 

In addition, a typical physiotherapy programme may incorporate mobility aids and advice on lifestyle adjustments to foster an active and healthy life. With this patient-centred approach, each individual receives focused attention tailored to their specific needs.

What Does a Chiropractor Do?

Chiropractors, on the other hand, are trained healthcare professionals who focus on the care of the nervous system and musculoskeletal system, particularly the spine.

They focus on addressing spinal problems and how these issues can have an impact on the nervous system and overall well-being. After all, chiropractic care is grounded in the philosophy that proper alignment of the body’s musculoskeletal structure, especially the spine, will help the body to heal itself. This holistic approach to patient care is non-invasive and often involves educating patients on lifestyle changes, ergonomics, and exercises to help maintain spinal health and prevent future discomfort. 

Beyond that, people often turn to chiropractic care for relief from common ailments such as back and neck pain, joint problems, and headaches.

What Are the Key Differences Between a Physiotherapist and a Chiropractor?

Physiotherapists and chiropractors both play integral roles in the non-surgical intervention landscape, yet they deploy distinct methodologies tailored to their specific training. While both aim to enhance patient well-being, their core practices, educational backgrounds, and strategies reveal essential contrasts that cater to a diverse range of patient needs.

Education and Training

In Singapore, physiotherapy education is accessible after attaining GCE ‘A’ levels or its equivalent, with local opportunities available through programmes such as the four-year Honours Degree programme at the Singapore Institute of Technology. The Allied Health Professions Council further validates various international physiotherapy qualifications for practice within the region.

Contrastingly, according to the Ministry of Health, chiropractic professionals often pursue their education abroad, engaging in four or more years of university or postgraduate study to gain their qualifications. 

In general, chiropractic professionals begin their education with a one-year pre-chiropractic Diploma or university-level studies in basic Health Sciences, which are entry requirements. Their education journey also typically includes various facets such as neuroscience, anatomy, pathology, extensive diagnostic imaging, radiology, biomechanics, and chiropractic specialities in gerontology, paediatrics, and even psychology, encompassing over two years of internship with over 500 patient interactions.

This extensive training is essential for mastering the techniques required for effective chiropractic care. Additionally, the Chiropractic Board validates the qualifications of chiropractic graduates for practice, and chiropractors in Singapore must receive approval from the Ministry of Health to practice.

Techniques and Approaches

Physiotherapists employ a holistic approach, incorporating a mix of techniques tailored to individual needs. Their strategies encompass educational guidance, therapeutic exercise regimes, and manual therapies to facilitate rehabilitation and enhance physical functionality. Educational strategies provide patients with insights and practices to integrate into daily life, enhancing long-term physical health. The movement and exercise component involves personalised routines, from muscle-strengthening to flexibility-enhancing exercises. And manual therapy includes hands-on techniques to alleviate discomfort and mobilise joints, significantly aiding recovery and mobility.

Chiropractic care, in contrast, concentrates predominantly on the musculoskeletal system, with spinal adjustments at its core. Techniques include the flexion-distraction method, which addresses spinal motion and alignment issues, and the Gonstead adjustment, focusing on addressing misalignment in the lower back and pelvis. 

Additionally, the Sacro-Occipital Technique (SOT) enhances cerebrospinal fluid flow and cranial adjustments to reduce pressure on the skull, neck, and shoulders—beneficial for alleviating headaches, migraines, dizziness, eye tension and improving concentration and energy levels. SOT is widely utilised in chiropractic care to mitigate pain or disorders in the craniospinal axis, TMJ, head, neck, back, pelvis, and extremities, potentially enhancing organ function.

Furthermore, Diversified techniques take a comprehensive approach by performing manual adjustments across various spinal areas including the neck, mid-back, and lower back, as well as other joints. This approach seeks to realign and enhance function efficiently, often without the need for in-depth diagnostic testing prior to each adjustment, providing a comprehensive solution for misalignment problems.

Chiropractors may also utilise tools for targeted, gentle interventions. Other methods include extremity manipulation and spinal mobilisation, enhancing joint functionality and pain relief. 

Conditions Addressed

As mentioned, both physiotherapists and chiropractors can help address a broad spectrum of conditions, each leveraging their unique therapeutic techniques to support recovery and enhance life quality.

Physiotherapists can use various techniques to help people with a wide range of needs:

• Athletes: Enhancing performance and aiding injury recovery.
• Cardiac Patients: Improving cardiovascular health after surgery or illness.
• Pulmonary Patients: Managing respiratory conditions and improving lung function.
• Neurological Patients: Regaining mobility and function after neurological events like stroke.
• Post-Surgical Rehab: Recovery after surgeries like joint replacements.
• Musculoskeletal Issues: Treating conditions like arthritis and back pain.
• Paediatric Care: Supporting children with developmental conditions, such as developmental delays.
• Geriatric Care: Maintaining independence and mobility in older adults.
• Oncology and Burn Care: Managing pain and improving function.
• Weight Management: Developing personalised exercise and lifestyle plans.

Chiropractors, focusing primarily on neuromusculoskeletal complaints, may be able to help address:

• Spinal Disorders: Such as scoliosis and disc misalignments.
• Joint Pain: Including conditions like TMJ disorders and hip bursitis.
• Repetitive Stress Injuries: Such as tennis elbow. It can also encompass common sports injuries such as knee discomfort in runners, frozen shoulders, and recurring ankle sprains from both competitive sports and recreational activities.
• Postural Issues: Affecting overall mobility and comfort. Their techniques, including manipulations and adjustments, aim to improve joint mobility and nerve function, often complementing other treatments to provide comprehensive care.
• Neurological Concerns: Assisting in regaining mobility and function post-stroke or after other neurological incidents.
• Musculoskeletal Issues: Addressing conditions such as arthritis and general back pain.
• Paediatric Care: Supporting the development and addressing of common childhood conditions like gait abnormalities, colic, and bedwetting.
• Geriatric Care: Focused on enhancing the quality of life for older adults through maintaining mobility and independence.
• Additional Care Areas: Offering support for individuals with psychological conditions such as depression, ADHD, and autism, as well as physical recovery from car accidents, including whiplash injuries.
• Preventive Care and Lifestyle Advice: Chiropractic care also places emphasis on preventive measures to avoid re-injuries and offers guidance on best practices for daily activities. This includes exercise routines, ergonomic tips for desk work, and correct sleep postures, all aimed at fostering overall wellness and enhancing physical performance.

What Are the Similarities Between Physical Therapy and Chiropractic Care?

Despite the aforementioned distinct approaches, physical therapy and chiropractic care share several core objectives that underscore their roles in health and wellness. 

For instance, both disciplines strive to alleviate pain and enhance mobility through non-invasive approaches, reflecting a foundational commitment to improving patient quality of life without surgical intervention. Each practice also employs manual therapies and personalised plans aimed at long-term wellness rather than just temporary relief. 

Additionally, both physical therapists and chiropractors conduct thorough assessments—including health histories and physical examinations—to tailor their interventions effectively, ensuring they meet each patient’s unique needs. 

Chiropractic Care vs Physiotherapy: Which Should You Choose

So, how do you decide whether chiropractic care or physiotherapy is the right approach for you? 

This decision hinges on the nature of your condition and your specific health needs. While some situations may benefit from one type of care, other circumstances might warrant a combination of chiropractic and physiotherapy to optimise health outcomes. 

Either way, it’s crucial to consult a healthcare professional who can provide insights tailored to your situation and guide you toward the most effective approach. At Chiro Time, some of our chiropractors collaborate with physiotherapists, combining expertise to enhance patients’ conditions effectively and swiftly. This integrated approach not only improves alignment but also optimises nerve function and blood flow, significantly boosting the rehabilitation and strengthening processes.

Why Go for Physical Therapy

Physical therapy may be advantageous for conditions involving muscular rehabilitation or recovery from joint and soft tissue injuries. If you’re dealing with an issue that affects your limbs—such as a strained muscle or tendon—physical therapy offers a structured approach to regain strength and mobility. Additionally, physiotherapists excel in aiding recovery from surgical procedures, ensuring that rehabilitation is both safe and effective. 

Why See a Chiropractor

Chiropractic care, safe and gentle for all ages, from newborns to older adults, may be beneficial for addressing issues related to the alignment of the spine and overall nervous system health. This includes not just pain relief but also enhancements in organ function, such as digestion and urinary efficiency. As such, if you’re experiencing pain due to conditions like sciatica, herniated discs, or chronic back issues stemming from poor posture or even pregnancy, a chiropractor may provide the relief you need. 

Chiropractors, including pregnancy chiropractors, use techniques like the Webster Technique to optimise pelvic alignment, benefiting foetal positioning and supporting a smoother natural birth process. Their spinal adjustments also manage pain and improve bodily functions by supporting proper spinal alignment. Their approach not only alleviates discomfort but also aids in correcting underlying imbalances that could lead to long-term issues.

For more information or to schedule an appointment, feel free to contact us at Chiro Time.

Chronic back pain is a prevalent issue that can stem from various sources, such as disc problems, sacroiliac joint dysfunction, or facet joint osteoarthritis. For many women, pregnancy introduces additional physical changes that place considerable strain on the back as well. These changes, combined with the demands of childbirth, often lead to lingering discomfort.

However, know that if you find yourself grappling with persistent stiffness and soreness in your lower back after delivery, you are not alone. 

Postpartum back pain is a common affliction among new mothers. The same physical and hormonal shifts that may have caused backaches during pregnancy can continue to affect you postpartum. Moreover, new factors such as altered posture from carrying your baby and other day-to-day parenting activities can exacerbate this condition. 

What is Postpartum Back Pain?

Postpartum back pain refers to the discomfort that continues in the back, or even extends to the front hip joint and groin area, after childbirth. This type of pain can manifest in various forms, from tailbone discomfort to upper back strain. 

New mothers often experience this pain due to multiple factors, including carrying and caring for their newborn. Activities like lifting your newborn, bending over the crib, navigating bulky baby gear, or even the posture you maintain during breastfeeding could all lead to persistent back pain postpartum.

Duration of Postpartum Back Pain

Postpartum back pain can last up to six months for many new mothers, though some may experience discomfort for longer. Various factors like the number of pregnancies, the mode of delivery (natural birth or C-section), and the physical demands post-childbirth can extend this duration.

Additionally, the use of an epidural during labour can sometimes contribute to temporary back pain or tenderness at the injection site. While this discomfort typically subsides within a few days, it’s important to be aware of this potential side effect.

Exploring the Causes of Postpartum Back Pain

Experiencing lower back pain after giving birth and even mothers asking, “Why does my back hurt a year after having a baby?” is a common and often frustrating experience.

Here are some factors that could be contributing to this lingering discomfort:

• Weakened Abdominal Muscles: During pregnancy, your abdominal muscles naturally stretch and weaken to accommodate your growing baby. This can impact your core strength and stability, putting extra strain on your back.
• Shifted Centre of Gravity: As your belly expands, your centre of gravity shifts forward, causing you to lean back to maintain balance. This change in posture can put excessive stress on your lower back muscles.
• Hormonal Changes: Pregnancy hormones like relaxin loosen ligaments and joints in preparation for childbirth. While this is beneficial during labour, it can also lead to instability in your spine and pelvis, contributing to back pain.
• Posture and Body Mechanics: The physical demands of caring for a newborn, such as lifting, bending, carrying, and alterations in sleeping posture to accommodate breastfeeding or infant care, can exacerbate existing back problems or create new ones if not done with proper form.
• Underlying Spinal Conditions: Pre-existing conditions like scoliosis or past injuries to the tailbone (coccyx) can make individuals more susceptible to back pain after childbirth.
• Pregnancy-Related Changes: In some cases, pregnancy itself can exacerbate underlying spinal conditions. For example, pregnant women with scoliosis may experience increased back pain, pubic pain, and rib pain as the baby grows and shifts position. This can even lead to breech presentations (where the baby is positioned feet-first) as the baby seeks a more comfortable position within the womb.

Even a year postpartum, the effects of these changes can linger, especially if you haven’t actively worked to regain core strength and improve your posture.

Strategies for Supporting Recovery from Postpartum Back Pain

Navigating the postpartum period, whether it’s 3 months after giving birth or immediately after childbirth, requires attention to your body’s new needs, particularly when it comes to managing lower back pain. 

Here are a few tailored strategies to help new mothers manage their back pain:

• Gentle Exercise Routines: Engaging in low-impact activities like walking can be beneficial almost immediately after childbirth. As your recovery progresses, introduce pelvic tilts and gentle stretching exercises such as yoga, customised to support your postpartum recovery. Gradually building up your back and abdominal muscles can help stabilise your spine and address any discomfort.
• Proper Body Mechanics: Good posture is crucial, especially during daily activities like feeding your baby. Use ergonomic chairs with armrests and supportive pillows to minimise strain. When breastfeeding, bring your baby to your breast rather than leaning over.
• Self-Care Practices: Prioritise your well-being with regular self-care routines. This might include using heat or cold packs on sore areas and receiving massages to ease muscle tension. 

Potential Benefits of Chiropractic Care for Postpartum Mothers

If you’re looking for alternative methods to complement traditional medical approaches that could help you get rid of the back pain you’re experiencing after pregnancy, consider exploring the services of a pregnancy chiropractor in Singapore. 

Chiropractic care can potentially offer several benefits that can be particularly valuable for new mothers navigating the postpartum period. Here’s how chiropractic care could support your recovery:

• Supporting Spinal Alignment: Chiropractic adjustments aim to maintain and support spinal alignment, which can be particularly beneficial after the physical stresses of pregnancy and childbirth.
• Facilitating Pelvic Alignment: Adjustments could potentially help you realign the pelvic area, which often shifts during pregnancy and may not return to its pre-pregnancy state on its own. This can help manage discomfort and support overall body mechanics.
• Enhancing Posture: Regular chiropractic care could assist in improving your posture, which often deteriorates during pregnancy due to the extra weight.
• Natural, Drug-Free Approach: For mothers, especially those breastfeeding, a non-invasive approach that avoids medication is often preferable. Chiropractic care provides a natural method to support the body’s ability to heal and manage discomfort effectively.

Recognising When to Consult a Healthcare Provider

A chiropractor for lower back pain might be able to assist in addressing some of these issues you’re experiencing postpartum, but it’s important to be vigilant about symptoms that may require professional intervention. Consulting a healthcare provider is crucial if you experience any of the following, as they could be indicators of more serious conditions, and you would not want your pregnancy to be the cause of long-term back problems:

• Severe or Escalating Pain: If your back pain is intense, persistent, or worsening, it’s important to seek medical advice to rule out underlying issues.
• Symptoms Post-Trauma or with Fever: Any back pain following an injury or accompanied by a fever could suggest an infection or significant injury that needs immediate attention.
• Neurological Symptoms: Loss of sensation or coordination in the legs or sudden weakness could indicate neurological involvement. Similarly, any changes such as tingling numbness in the buttocks, groin, or genital areas, impacting bladder or bowel control, are critical symptoms that require prompt medical evaluation.

These signs can sometimes suggest long-term complications related to pregnancy, and addressing them promptly can help manage potential long-term back problems effectively.

Neck pain and headaches frequently go hand-in-hand, leading many to question if there is a causal relationship between the two. Often, the nerves in the neck may be irritated or strained by factors such as poor posture, neck injuries, or conditions like herniated cervical discs or pinched nerves. This irritation can trigger headaches, highlighting a significant connection where neck discomfort could directly contribute to head pain.

So, is your headache something that has been triggered by neck pain?

Exploring the Connection Between Neck Pain and Headaches

It is a given that headaches are a common ailment, with many people routinely reaching for painkillers to manage the discomfort. 

However, what if the real trigger and cause of these persistent headaches are not being addressed? Irritation, a crick or strain in the nerves of the neck, resulting from various factors like poor posture or injury, could be a contributing factor that painkillers alone cannot resolve. 

Why Does My Neck Pain Cause Headaches?

The connection between your neck and your head is intricate, with nerves running from the spine to the brain. Pain in the neck can, therefore, potentially lead to headaches due to issues within the cervical spine, which comprises seven vertebrae responsible for supporting the head and facilitating nerve communication. When any part of this area is compromised, whether by injury or strain, it can result in pain that is felt in the head.

What Causes Neck Pain?

Neck pain can stem from numerous activities and conditions that stress the delicate cervical region. Here’s a look at some common culprits:

• Poor posture: Slouching or hunching over, common postural habits, can put unnecessary pressure on the neck and contribute to discomfort.
• Spending Excessive Time on Devices: Spending hours hunched over smartphones and computers in poorly designed workspaces can result in a painful condition known as “tech neck.”
• Injury: Accidents like whiplash, where the neck is suddenly jerked, falls, head injuries or fainting spells can cause lasting pain as well.
• Degenerative diseases: Conditions like arthritis can deteriorate the cervical discs, possibly leading to pain.
• Improper sleep positions: Sleeping in a position that does not support the neck properly could lead to stiffness and pain.
• Physical strain: Activities involving repetitive movements or heavy lifting can increase the risk of neck injuries by overexerting the muscles and ligaments in the area.
• Emotional Stress: Heightened levels of anxiety and depression can exacerbate neck pain, with studies indicating that reduced emotional support and increased psychological stress contribute significantly to the severity and frequency of neck discomfort.

How Headaches and Neck Pain Are Interlinked

Now that you’re aware of the common causes of neck pain and headaches, the next question that many contemplate is: how exactly does this pain in my neck lead to throbbing headaches?

The physiological link between neck pain and headaches lies in the network of nerves and muscles extending from the cervical spine to the skull. Neck issues can trigger headaches by causing muscle tension and nerve compression, which in turn can lead to pain perceived in the head. Conversely, the stress of enduring a headache can cause one to tense the neck muscles, creating a cycle of pain that can be challenging to break without addressing both the head and the neck.

Identifying Types of Headaches Linked to Neck Pain

How do you know if your headache is from neck pain? 

Understanding the types of headaches that stem from neck discomfort can help determine if neck pain is the root cause of your symptoms. 

Two prevalent types linked to neck issues include:

1. Cervicogenic Headache

A cervicogenic headache is typically a secondary headache, meaning it stems from another physical issue—often within the neck. This type of headache may arise from conditions like arthritis, a neck sprain, neck bone misalignments, or more severe situations such as a neck fracture, tumours, and more. 

Common triggers include poor sleeping posture or strain from prolonged desk work.

Symptoms are usually unilateral, starting at the back of the skull and moving towards the front. Along with this specific pain pattern, individuals might also experience a stiff neck that becomes more uncomfortable with movement. Eye pain on the same side as the headache is another possible symptom, which can be more severe, leading to migraines.

2. Occipital Neuralgia

Occipital neuralgia involves intense, sharp, stabbing pain that can mimic the sensation of an electric shock traversing the path of the occipital nerves. It often results from a pinched nerve caused by muscle tightness, injury, or conditions like arthritis in the neck. 

Besides the electric shock-like pain, symptoms include a shooting pain across the scalp, pain at the skull’s base, and significant discomfort with neck movements or even when lying down. Due to its similarity to migraines, occipital neuralgia requires careful diagnosis by a healthcare professional to ensure appropriate management. 

Recognising Headaches That May Contribute to Neck Pain

On the flip side, just as neck discomfort can trigger headaches, certain types of headaches can also intensify neck pain. The types of headaches that can cause neck pain include:

Tension Headaches

Tension headaches can cause a band-like pressure that extends from the forehead, around the temples, and down to the neck. The root causes of these headaches are often linked to stress and muscle tension. Symptoms typically include:

• A feeling of pressure or constriction that wraps around your forehead.
• Pain that radiates from the head to the neck and shoulders.
• Inflammation and tenderness in the suboccipital muscles at the base of the skull, which can result in neck pain.

Migraines

Migraines are intense, throbbing headaches that can cause significant discomfort in the head and neck areas. These often prolonged and frequent attacks can lead to:

• Severe pain that might start in the neck and move to one side of the head.
• Nausea, vomiting and general body aches.
• Increased sensitivity to various sensory stimuli, including smell, touch, light or sound. This sensory overload may also involve ringing in the ears and can significantly disrupt sleep and concentration.
• In more severe cases, migraines can also lead to muscle weakness, numbness, and tingling sensation.

Effective Management of Neck Pain and Associated Headaches

Effective treatment for neck pain and associated headaches varies widely, depending on factors like the underlying cause, severity, and specific symptoms experienced.

Approaches to Treating Headaches

Managing headaches may involve a combination of medications and lifestyle modifications. Common strategies include:

• Using over-the-counter pain relievers.
• Enhancing sleep quality through improved sleep positions and ensuring adequate sleep duration.
• Adjusting posture to reduce strain on the neck, such as maintaining a neutral spine alignment while sitting or standing.
• Modifying workplace ergonomics, like adjusting the height of computer monitors to reduce neck strain.
• Practising stress management techniques like relaxation exercises, mindfulness, and meditation to reduce tension.
• Identifying and avoiding potential dietary triggers, such as alcohol, caffeine, or processed foods.
• Incorporate regular exercise into your routine to boost your well-being and manage stress levels.

Addressing a Pinched Nerve in the Neck

Treatment for a pinched nerve may include:

• Engaging in targeted physical therapy exercises to support the neck muscles and potentially improve flexibility.
• Taking oral medications or receiving steroid injections to help reduce inflammation and manage pain.
• Considering surgery as a last resort if conservative treatments do not alleviate symptoms.

Managing a Herniated Cervical Disc

For a herniated cervical disc, conservative treatments are often the first line of action:

• Over-the-counter or prescription pain medications to manage the discomfort and address inflammation.
• Muscle relaxants or specific medications to manage nerve pain.
• Physical therapy to support the neck muscles and posture.
• Surgery might be considered if conservative treatments fail to provide relief and the condition significantly impacts the quality of life.

Preventative Strategies for Stiff Necks and Headaches

To mitigate the risk of developing stiff necks and related headaches, consider implementing the following practical changes in your daily routines:

• Maintain good posture: Maintain a neutral spine by consciously aligning your shoulders over your hips and keeping your ears in line with your shoulders.
• Adjust your sleep position: Aim for a sleeping posture that keeps your head and neck in line with your body. Sleeping on your back with a pillow under your thighs can help relax your spinal muscles.
• Get enough sleep: Aim for 7-9 hours of quality sleep each night to allow your body to rest and repair.
• Customise your workspace: Adjust your workstation to promote a comfortable and neutral sitting position where your knees are slightly below your hips and your monitor is directly in front of you at eye level.
• Take regular breaks: Stand up, stretch, and move around regularly, especially if you spend long hours at a desk or behind the wheel.
• Optimise how you carry items: Avoid using a single shoulder strap for heavy bags; evenly distribute weight to reduce strain on your neck.
• Ensure adequate hydration by consuming fluids consistently throughout the day.

Recognising Seriousness of Neck Pain and Headache Symptoms

Say you’ve taken the necessary steps to alleviate your neck pain and headaches — tried improving your posture, adjusting your workspace, or even incorporating gentle stretches. Yet, the discomfort persists or, worse, intensifies. When should you be concerned?

While stiff necks and headaches are common, certain symptoms warrant immediate professional evaluation:

• Persistent discomfort: Consult a healthcare provider if your neck stiffness and headaches persist for more than a couple of weeks.
• Neurological signs: Symptoms like numbness in the arms, blurry vision, or slurred speech alongside neck pain require urgent medical attention.
• Severe and sudden symptoms: If you experience intense headaches that abruptly start or worsen, known as “thunderclap” headaches, seek immediate care.
• Associated symptoms: High fever, confusion, eye pain, or headaches that disrupt sleep are serious signs that should not be ignored.
• Unresponsive to usual care: Headaches that do not improve with standard treatments need to be assessed by a professional to ensure appropriate management.
• Unresponsive to medication: If your neck pain or headaches do not respond to over-the-counter or prescribed medication, it’s essential to seek medical advice to identify any underlying causes.

Evaluating Chiropractic Care as an Option to Address Migraines

When conventional treatments for migraines don’t provide sufficient relief, some individuals seek alternative therapies to manage their pain. Chiropractic care emerges as one such option worth considering, offering a non-invasive, drug-free approach to managing health issues like migraines. By focusing on manual adjustments and a holistic understanding of the body, chiropractic care aims to lessen the impact and occurrence of migraines.

Potential Benefits of Chiropractic Care for Migraine

Chiropractic care may help manage migraine symptoms through spinal manipulations that aim to address misalignments and potentially reduce nerve pressure. This type of therapy can potentially:

• Reduce nerve irritation: Proper alignment of the spine can take off unnecessary pressure on nerves that may contribute to migraine pain.
• Relax muscle tension: Chiropractors often use techniques like massage, trigger pressure point release, cranial bone release, and stretching to help relax muscles around the neck and head, addressing one of the common contributors to migraine pain.
• Decrease migraine frequency and intensity: By managing spinal alignment and muscle tension, chiropractic care could help lessen the occurrence and severity of migraines.

Possible Risks and Side Effects of Chiropractic Care

However, it is worth noting that while seeking chiropractic care from a migraine chiropractor or chiropractor for neck stiffness is generally considered safe, there might be potential risks and side effects associated with them. Some of these might include:

• Temporary discomfort: It’s not uncommon to feel some temporary soreness or stiffness in muscles or joints after a chiropractic session. This is similar to the muscle soreness you might feel after a workout and typically subsides within 2-3 days.
• Headaches and fatigue: Initial therapy sessions can sometimes trigger headaches or feelings of tiredness or even lead to a temporary change in energy levels, which typically resolve within a short period.
• Numbness or tingling: Rarely, patients might experience tingling or numbness in the limbs, which usually subsides quickly.

Is Chiropractic Care Appropriate for Children?

Chiropractic therapy might be appropriate for children experiencing headaches and migraines, but it requires careful consideration. It’s essential to consult with a paediatrician before beginning any chiropractic therapy to confirm that it is a safe option for your child. This is especially so if your child has experienced frequent headaches or neck pain from a young age and the pain is above the usual threshold. In such cases, the symptoms should be assessed by a healthcare professional to determine the underlying cause. Additionally, choosing a chiropractor who is experienced in paediatric care is crucial to ensure the therapy is safe.

Can Chiropractic Care Address Other Types of Headaches?

Chiropractic care might also be beneficial for other types of headaches, such as cervicogenic and tension headaches:

• Cervicogenic Headaches: These headaches, which originate from the neck or base of the skull, may respond well to spinal manipulation, helping to address the direct cause of pain.
• Tension Headaches: Chiropractic care may help manage tension headaches by addressing muscle tightness and supporting spinal alignment, often combined with lifestyle advice and stress management techniques.
• Sinus Headaches: While often overlooked, chiropractic care can also provide relief for sinus headaches. Techniques, such as sinus cranial adjustments, can help to improve drainage and reduce pressure in the sinuses, alleviating headache and pain.

When to See a Doctor for Migraine

Now, while chiropractic care might be able to help with headaches and tension headaches and can support and complement traditional medical approaches to managing migraines, certain symptoms and patterns should prompt you to seek medical advice. If you find that your headaches significantly disrupt your daily activities or occur more frequently—more than one severe headache per month or week—it’s advisable to consult a doctor.