Headache Pain Archives - Health Tips From The Professor

Relief From Headaches And Shoulder Pain

June 18, 2024 by Dr. Steve Chaney

Treating Your Levator Scapulae Muscle

Author: Julie Donnelly, LMT – The Pain Relief Expert

Editor: Dr. Steve Chaney

This newsletter is moving into the 21st century! Everyone has been pushing me to get into videos, but I’m often a dinosaur and I could relate to just text and photos, so I pushed back. And finally, I saw the benefit to everyone of using videos.

Last month I included just the self-treatment video, and this month I’m moving even further ahead. I’ve filmed at least 40 videos explaining all kinds of info about muscles and pain. Each month the newsletter will have one of those explanatory videos, and 1-2 self-treatment videos that relate to the topic being discussed.

I’d really appreciate your feedback on this new way of presenting my info about why muscles cause pain and what you can do about it. I also appreciate your patience while I learn this new method as I’m sure I’ll be making some technical mistakes. 😊

A BIG shout-out to three people who are making this possible:

Pat White, Carla Sellers,

and Sherri Proctor

I’m also a dinosaur when it comes to creating the videos that are necessary to make all of this happen in the first place. So, I called an expert! I spent many hours with my good friend, Sherri, creating videos of just about everything. Sherri is a fantastic photographer and videographer. Aside from doing all the videos I’ll be sharing with you, Sherri is responsible for almost all the videos I use when I teach massage therapists, and now the self-treatment videos that are being shared with everyone. (If you need a GREAT photographer or videographer, call Sherri at 941-345-5135)

Pat is my webmaster. I can’t begin to list all the work he is doing with the newsletter to make these videos presentable so you can have the best experience watching them. He is also in charge of all my websites, teaching programs for massage therapists, and so much more. Pat also has great patience (or he hides frustration well!) as I move kicking & screaming into this new electronic world!

Thanks to Pat there will be many articles added to the website, each explaining another piece of the puzzle that makes up our body and how it works. The articles have all been tucked away in my computer as I didn’t know what to do with them. It’s fun working on the project of sharing them with everyone.

Plus, Pat is working on a major project that I’ll share with you when it’s ready to come out. I’m so excited!

Carla runs all the social media sites: Facebook, LinkedIn, YouTube, and Instagram. It all started with her just putting SEO and descriptions, and new thumbnail pictures, on each of the videos. She told me that as she watched the videos, she knew she had to do something to help me. That grew from a smallish project to a HUGE project! I’m incredibly grateful for all she has done, and is still doing, to bring my work to the world!

On To The June Newsletter

The body is a symphony of muscles, each playing its own part in our ability to move, and each a key player with a group of other muscles in just about everything we do.

I can’t possibly give you every treatment that needs to be done to get relief, but I will always give you information on the key muscles that need to be treated.

Relief From Headaches And Shoulder Pain

This month I want to share a video that explains a muscle that causes shoulder pain and headaches. The name of the muscle is Levator Scapulae.

The levator scapulae muscle originates on the first four cervical vertebrae and inserts into the medial border of your shoulder blade (scapula).

When the muscle contracts normally it lifts your shoulder blade, hence the nickname, “the shrug muscle.”

Click Here to watch the video explaining this muscle and why it causes headaches and shoulder pain

JulstroMethod Self-Treatment For The Levator Scapular Muscle

You’ll need a ball to do this self-treatment. If you’ve been in to see me, you have the Perfect Ball, which really is perfect to do this treatment correctly.

Click Here to watch how to quickly and easily release the tension in your shoulder muscle.

Snowbirds And Clients Around The World –

Zoom Consultations Are Available

I’ve successfully worked with people around the world for many years.

I also love working with Snowbirds who are in Sarasota all winter, and then head north when it gets hot here. It’s so nice to see you, and to help you stop aches and pains.

The way we work together is simple:

You go to https://julstromethod.com/product/one-on-one-zoom-consultation/ and order a private consultation.

You send me an email explaining what is wrong, where you feel the pain, what you’ve done to treat it so far, etc., etc. Don’t tell me about medications because that is far out of my scope of practice so I can’t give any advice about them.

We meet on Zoom and work together to find and eliminate the source of your pain.

You receive the Zoom recording so you can watch it again later to refresh your memory about the treatments.

All this for only $147.

Have a beautiful summer!

Wishing you well,

Julie Donnelly

www.FlexibleAthlete.com

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease.

About The Author

Julie Donnelly has been a licensed massage therapist since 1989, specializing in the treatment of chronic pain and sports injuries. The author of several books including Treat Yourself to Pain-Free Living, The Pain-Free Athlete, and The 15 Minute Back Pain Solution.

Julie has also developed a proven self-treatment program for the symptoms of carpal tunnel syndrome.

She has a therapy practice in Sarasota, Florida, and she travels around the USA to teach massage and physical therapists how to do the Julstro Method, and she also teaches self-treatment clinics to anyone interested in taking charge of their own health and flexibility.

She may be reached at her office: 919-886-1861, or through her website: www.FlexibleAthlete.com

About The Editor

Dr. Chaney won numerous teaching awards at UNC, including the Academy of Educators “Excellence in Teaching Lifetime Achievement Award”. Dr Chaney also ran an active cancer research program at UNC and published over 100 scientific articles and reviews in peer-reviewed scientific journals. In addition, he authored two chapters on nutrition in one of the leading biochemistry text books for medical students.

Since retiring from the University of North Carolina, he has been writing a weekly health blog called “Health Tips From the Professor”. He has also written two best-selling books, “Slaying the Food Myths” and “Slaying the Supplement Myths”. And most recently he has created an online lifestyle change course, “Create Your Personal Health Zone”. For more information visit https://chaneyhealth.com.

For the past 45 years Dr. Chaney and his wife Suzanne have been helping people improve their health holistically through a combination of good diet, exercise, weight control and appropriate supplementation.

Does EPA Reduce Migraine Frequency?

June 11, 2024 by Dr. Steve Chaney

What Causes Migraines And The Role Of Omega-3s In Prevention

Author: Dr. Stephen Chaney

Migraines can be debilitating. And they affect millions of Americans. According to a recent survey 17.1% of women and 5.6% of men in the United States suffer migraine symptoms.

Symptoms range from frequent headaches to visual disturbances, nausea and vomiting, extreme light and sound sensitivity, brain fog, and debilitating pain. Sometimes all a migraine sufferer can do is retreat to a dark, quiet room and wait out the symptoms. This makes it virtually impossible to work, socialize, and interact with family.

For example, work absenteeism due to migraines is thought to cost US businesses up to $13 billion dollars annually. And, of course, there is no way to estimate the psychological cost of lost interactions with family and friends. And people who experience frequent migraines are more likely to suffer from depression, anxiety, and sleep disorders.

Medications can provide some relief from migraine symptoms, but they all have side effects. Various natural approaches for migraine relief have been proposed, but none of them are proven.

What Causes Migraines And The Role Of Omega-3s In Prevention

Our understanding of migraines is complicated by the fact there appear to be multiple causes of migraines. It’s almost as if what we call “migraines” are really a variety of diseases with different causes but similar symptoms.

Migraines can be triggered by:

Hormonal fluctuations.
Weather changes.
Foods
- The top 3 food triggers of migraines are caffeine, red wine, and chocolate.
- Other common food triggers are artificial sweeteners, foods containing MSG, cured meats, aged cheeses, pickled and fermented foods, frozen foods, and salty foods.
Stress
Lack of sleep.
Certain drugs.
Missed meals.

Migraine triggers vary from person to person. And multiple neurophysiological pathways have been proposed to explain how each of these triggers progresses to a full-blown migraine.

To simplify a very complex subject, there are three main factors that influence each of these proposed pathways:

Susceptibility to migraines clearly runs in families.

75% of migraine sufferers are women.

Inflammation.

Because inflammation plays a strong role in progression and severity of migraines, there has been a strong interest in the use of long-chain omega-3s like EPA and DHA as nutraceuticals to reduce the frequency and severity of migraines.

However, previous studies have had mixed results. Some have suggested that omega-3s reduce the risk of migraines while others have come up empty.

The authors of the current study (H-F Wang, et al, Brain, Behavior, and Immunity 118, 459-467, 2024) postulated that some previous studies failed to find a benefit of omega-3 supplementation because they were too short in duration, used a mixture of omega-3s, or were poorly designed.

They noted that high dose EPA alone had proven to be effective in reducing the risk of heart disease and depression. So, they performed a 12-week randomized, double-blind, placebo-controlled clinical trial with migraine sufferers using 1.8 grams of EPA per day.

How Was This Study Done?

This was a double-blind, placebo-controlled clinical trial, the gold standard for clinical studies. The investigators recruited 70 patients (15 men and 55 women) with episodic migraines (defined as migraines with or without aura occurring fewer than 15 days per month) from the neurology clinic of Kuang Tien General Hospital in Taiwan. The average age of the patients was 39 years old.

The subjects were randomly assigned to use either 1.8 gm/day of EPA or a soybean oil placebo for 12 weeks. Both were formulated with an orange flavoring to hide the taste difference. Neither the patients nor the physicians conducting the study knew who got the EPA and who got the placebo.

The patients filled out an extensive questionnaire about their migraines and related issues at entry into the study and at the end of 12 weeks. They were also asked to maintain headache diaries for at least 4 weeks prior to the study and for every 4 weeks of the 12-week study. They received training from the study coordinator on how to fill out the diaries and were encouraged to contact the coordinator if they had any questions about how to accurately fill out the diary.

The primary outcome of the study was the decrease in migraine frequency from baseline to 12 weeks. The study also assessed changes in:

Headache severity.

The need to use headache medicines.

Migraine-specific disability (The extent to which migraines resulted in disability).

Migraine-specific quality of life index (The extent to which migraines affected the quality of life).

Anxiety and depression (These are often side effects of chronic migraines).

While some of those outcomes appear to be overlapping, they are all well-established assessments used in migraine research. The questionnaire the doctors used was designed to provide a numerical rating for each of these outcomes.

Does EPA Reduce Migraine Frequency?

As expected, there were no significant changes in the placebo group. But in the group taking 1.8 gm/day of EPA:

Migraine frequency decreased by 60%.

Frequency that headache medication was needed decreased by 45%.

Headache severity decreased by 14%.

Sleep quality increased by 17%, but that increase was not statistically significant.

Migraine-related disability decreased by 73%.

Migraine-related quality of life improved by 31%.

Anxiety and depression decreased by 53%.

These differences were statistically significant for the women in the study, but not for men – probably because of the small number of men in the study.

The study also assessed side effects from EPA supplementation in this group. Side effects were minimal and were not different from the placebo group.

The authors concluded, “High-dose EPA significantly reduced migraine frequency and severity. Improved psychological symptoms and quality of life in migraine patients, and showed no adverse events [effects], suggesting its potential for prophylactic use for migraine patients.”

They went on to say, “The results of this study may not only serve as a valuable reference for future large-scale randomized clinical trials to investigate the optimal dosing and components of omega-3 fatty acids for migraine prevention but also underscore the need for replication of these findings in adequately powered and controlled studies.”

In other words, this study needs to be confirmed by additional studies. And future studies need to determine the optimal dose of EPA and the optimal ratio of EPA to DHA.

What This Study Means For Us And For You

The topic of omega-3s and migraines is of special significance for us. About 40 years ago my wife and I started taking a high purity omega-3 supplement containing both EPA and DHA to control inflammation. We didn’t have noticeable inflammation at the time, but we both had parents who suffered from rheumatoid arthritis and wished to avoid their suffering later in life.

In just a few weeks the migraines my wife had been experiencing for years disappeared. That piqued my interest, so I searched the literature and found several studies showing that omega-3 fatty acids reduce migraine symptoms. I have followed the twists and turns of omega-3 – migraine research ever since, which is how I came across this study.

As for our original purpose in taking an omega-3 supplement, all I can say is that we are now in our 80s, and neither of us suffer from the rheumatoid arthritis that plagued our parents.

And for my wife the disappearance of her migraines was an unexpected side benefit.

This study is a strong validation of the effect of omega-3s on reducing migraine symptoms. However, it is not the end of the story. As the authors said:

It needs to be confirmed by larger, well controlled studies.

The optimal dose of omega-3s needs to be determined.

The optimal ratio of EPA to DHA and possibly other long chain omega-3s needs to be determined.

This study used 1.8 grams/day of pure EPA. My wife takes 3 grams of EPA and 2 grams of DHA each day. But we don’t know whether she would experience the same benefit from a lower dose or whether that is the optimal ratio of EPA to DHA. We do know that EPA and DHA have different health benefits, so we plan to continue taking a supplement that contains both.

And finally, as I said above, it is almost as if what we call migraines are really a cluster of diseases with similar symptoms. There are multiple migraine triggers and multiple proposed explanations of how these triggers lead to full-blown migraines.

So, we shouldn’t think of omega-3s as a magic bullet. Rather, we should think of them as one of many approaches that may provide you with some migraine relief.

The Bottom Line

A recent double-blind, placebo controlled clinical study with migraine sufferers reported that when they were given 1.8 gm/day of EPA for 12 weeks:

Migraine frequency decreased by 60%.

Frequency that headache medication was needed decreased by 45%.

Headache severity decreased by 14%.

Migraine-related disability decreased by 73%.

Migraine-related quality of life improved by 31%.

Anxiety and depression decreased by 53%.

In other words, this study needs to be confirmed by additional studies. And future studies need to determine the optimal dose of EPA and the optimal ratio of EPA to DHA.

For more details about this study and what it means for you read the article above.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease.

______________________________________________________________________________

My posts and “Health Tips From the Professor” articles carefully avoid claims about any brand of supplement or manufacturer of supplements. However, I am often asked by representatives of supplement companies if they can share them with their customers.

My answer is, “Yes, as long as you share only the article without any additions or alterations. In particular, you should avoid adding any mention of your company or your company’s products. If you were to do that, you could be making what the FTC and FDA consider a “misleading health claim” that could result in legal action against you and the company you represent.

For more detail about FTC regulations for health claims, see this link.

https://www.ftc.gov/business-guidance/resources/health-products-compliance-guidance

____________________________________________________________________________

About The Author

Dr. Chaney has a BS in Chemistry from Duke University and a PhD in Biochemistry from UCLA. He is Professor Emeritus from the University of North Carolina where he taught biochemistry and nutrition to medical and dental students for 40 years. Dr. Chaney won numerous teaching awards at UNC, including the Academy of Educators “Excellence in Teaching Lifetime Achievement Award”. Dr Chaney also ran an active cancer research program at UNC and published over 100 scientific articles and reviews in peer-reviewed scientific journals. In addition, he authored two chapters on nutrition in one of the leading biochemistry text books for medical students.

Treating Tension Headaches Naturally

August 15, 2023 by Dr. Steve Chaney

Which Muscles Cause Tension Headaches?

Author: Julie Donnelly, LMT – The Pain Relief Expert

Editor: Dr. Steve Chaney

The snowbirds are long gone! The plus is that it’s easier to get into restaurants, and the roads aren’t as crowded. Of course, the minus is the weather. August is the hottest month of the year.

August is definitely a s-l-o-w month in Florida. The temperature is in the mid-upper 90’s, which isn’t really too bad for a Floridian, but the humidity feels like it’s 120°!

You walk out of your cool house, and it hits you like a wet washcloth, immediately making you sweat from your hair to your toes.

So, it’s time to just relax, enjoy the beach and read a good book. And thank heaven for air-conditioning!

Topic Of The Month – Tension Headaches

Lately a lot of people have been coming to my office complaining of headaches that have plagued them for a long time…in one case for years!

This woman has been everywhere and had every test that the medical world could offer. Nothing showed why she had these terrible headaches. At one point she told me the pain was a 10 on a scale of 1-10. Imagine how terrible it was for her to suffer every day from such a crippling condition. My heart went out to her!

Fortunately, her problem was caused by muscles, the one thing that most of the medical world doesn’t consider when looking for a solution to pain.

In fact, if you watched my TED talk: The Pain Question No One is Asking, you may have already heard me talk about this missing link. (If you haven’t heard my TED talk, go to YouTube and enter: Julie Donnelly, Pain and I’ll pop up.)

Let’s talk about muscles and why they will cause headaches (and a whole lot more!).

Which Muscles Cause Tension Headaches?

While there are many causes for headaches, such as stress, anxiety, depression, head injury, or anxiety, and life-threatening causes we won’t go into here, one type of headache that is caused by muscular tension is known as a muscle contraction tension headache.

As shown in the graphics above, muscle spasms (colored circles) will refer pain to your head, even when you don’t feel any discomfort where the spasm is actually occurring (as seen in the graphic on the bottom, the Sternocleidomastoid muscle).

(Please don’t get confused with the Posterior Deltoid showing in the right graphic, or the jaw muscles on the left graphic…I just didn’t know how to delete them from the graphic)

Muscles in the neck and scalp can become tense or contract in response to stress, depression, or anxiety, leading to tension headaches. Fortunately, in many cases, simply pressing on the trigger points (the colored circles) will release the tension being felt in your head.

To prevent tension headaches, it is important to maintain good posture, practice relaxation techniques, and use a pillow that keeps your head, neck, and spine in a horizontal plane while you sleep.

Treating Tension Headaches Naturally

There are too many treatments for headaches to include all of them in this newsletter. If you want to know them, I suggest you get one of my books, especially Pain-Free Living or The Pain-Free Athlete.

Meanwhile, I want to share an important Julstro self-treatment that you may find works well for tension headaches:

Place a ball such as the Perfect Ball (shown in picture) or a tennis ball, on the top of your shoulder.

Lean into the corner of a wall, as shown.

Keep your head close to the wall to prevent the ball from slipping and landing on the floor.

Bend at your hips so your upper body goes up and down, causing the ball to roll along the top of your shoulder. This will treat both the levator scapulae and trapezius muscles – both are key muscles for tension headaches.

Be gentle with this treatment as it will cause pain to be felt in your head as you are doing the treatment. Only use enough pressure that it “hurts so good.”

Do 5-6 passes on each side. It can be repeated often during the day but give a little time between each session to allow the muscle to relax.

Drink a LOT of water so the acid that you’re pressing out of the muscle will get flushed out of your body.

This may look a bit confusing, but it’s simple when you follow the directions. And the best part is, IT WORKS!

How to Learn the Other Treatments for Headaches

If you go to www.FlexibleAthlete.com you can read a lot more about muscles and pain. You will also find my books and other self-treatment tools by pressing on Shop.

Have a Happy Summer! Please remember to drink a lot of water to keep yourself hydrated. 😊

Wishing you well,

Julie Donnelly

www.FlexibleAthlete.com

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease.

Relief From Stress Headaches

November 29, 2022 by Dr. Steve Chaney

Treatment For Pain In Your Temples

Author: Julie Donnelly, LMT –The Pain Relief Expert

Editor: Dr. Steve Chaney

Happy Thanksgiving. A Time To Count Our Blessings

It’s hard to believe that the holidays are upon us, this year just flew by!

Thanksgiving has come and gone. But this is still a great time of year to recap what has happened and be grateful for all the good that has come your way. It’s the perfect opportunity before the real hectic season that December brings our way. I hope you will enjoy revisiting your year and looking forward to the upcoming holiday season.

Relief From Stress Headaches

There is bad stress and good stress. There has been a lot of bad stress this year-inflation, worries about recession, a heated political season, just to name a few.

And then there is “good” stress. It’s wonderful to have the holiday season before us, so many fun events to attend, time with family and friends, and delicious foods that are special for this time of year.

On the other hand, the holidays can also bring stress … and headaches!

You can read what seems like hundreds of articles about handling holiday stress, so we won’t go into that here. What we will focus on is a quick treatment you can do for yourself when you are having a headache.

In my book, Treat Yourself to Pain-Free Living I share several techniques to stop headache pain, and I’d like to share one with you right now. This is one of my favorite techniques because it brings relief quickly.

Treatment For Pain In Your Temples

If your headache pain is in your temples, it is likely that your temporalis muscles are the culprits. The temporalis muscle is the cause of the throbbing you get in your temples when you have a headache. Fortunately, it’s easy to find, and easy to self-treat.

Place your fingers as shown in this picture. If you clench your teeth, you will feel the muscle “pop out.” Then move your fingers up a little bit toward the top of your head and repeat the clenching movement.

To treat the muscle, just press your finger into a painful point and stay there without moving. After a minute or so, continue pressing on the spot but move your fingers up and down on the same point.

To find other points, simply move your fingers and clench your teeth. If you feel the muscle bulge, that’s a point to treat.

Coming In December

Foot pain can stop you in your tracks, regardless of whether you are a runner, or you just like to stroll along a garden path.

The discussion in December will be about foot pain that is diagnosed as plantar fasciitis.

Wishing you well,

Julie Donnelly

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease.

What Pillow Is Best For You?

March 15, 2022 by Dr. Steve Chaney

Wake Up Each Morning Pain Free

Author: Julie Donnelly, LMT – The Pain Relief Expert

Editor: Dr. Steve Chaney

What Pillow Is Best For You?

The way you sleep is often a key to discovering the cause of headaches and more. If you wake up with neck pain, a headache, or you suffer from ringing in your ears, dizziness, or ear pain, there is a good possibility that it may be caused by the way you are sleeping.

Your pillow may be the culprit, but it’s easy to find the best pillow for you, it just takes a little “investigation.” And the best pillow for you depends on how you sleep.

The Best Pillow If You Sleep On Your Side

Your head, neck, and spine need to always stay in a nice straight line, just as it is when you are standing up, but that takes a little thought and understanding of the way you sleep. So, get comfy in your bed and then notice how your head is resting.

If you sleep on your side, your pillow needs to be just the right size, so your head doesn’t point down toward the mattress (your pillow is too soft) or up to the ceiling (your pillow is too thick). Either of these positions will make the muscles on the side of your neck stay in the contracted position for hours and pull your vertebrae in that direction, especially when you try to turn over to your other side

Your SCM Muscle May Cause Serious Problems

You also need to notice if you turn your head a bit, especially if you are turning into your pillow or turning your head up toward away from your pillow. In either of these two cases you will be causing your sternocleidomastoid (SCM for short) to be held shortened for hours.

Your SCM originates on your collarbone and inserts into the bone behind your ear, and when it contracts you turn your head to the opposite side. However, if the muscle is tight (for example, when you’ve held your head turned toward one side for an extended period of time) and then you bring your head back, so you are facing forward, the tight muscle will pull on the bone behind your ear and cause havoc.

The symptoms for a tight SCM are tinnitus (ringing in the ear), dizziness, loss of equilibrium, ear pain, headaches, pain in the eye and around the skull, pain at the top of the head, and even pain in the throat. Amazing! What’s even more amazing is that it’s rare that this muscle is considered when a medical professional is searching for the cause of your symptoms.

The Best Pillow If You Sleep On Your Back

If you sleep on your back, your head should be on the mattress (not propped up with a pillow) and you should have a tiny support (like a folded washcloth) under your neck, or you can have a wedge pillow that starts at your mid-back and gently raises your entire trunk and head up while still allowing your head and back to be in a straight line.

It’s always a challenge for people who toss and turn during the night, sometimes on their side and sometimes on their back. The best thing I’ve found for this situation is to have the pillow below shoulder level so when you turn on your side your shoulder will automatically slide to the edge of the pillow while still supporting your head properly, and when you turn onto your back, the pillow will start at shoulder level so your head and neck are supported, but your head is being pushed in a way that causes your chin to move down to your chest.

It’s tricky, but I can personally attest to the fact that it will work. I can always tell when I’ve had my head tilted (I toss and turn during the night) because I will wake with a headache. When that happens I’m grateful that I know how to self-treat the muscles of my neck and shoulders, so the headache is eliminated quickly. If you already have Treat Yourself to Pain Free Living you can self-treat all your neck and shoulder muscles to release the tension.

What If You Sleep On Your Stomach?

If you sleep on your stomach, this is the one position that is so bad that it behooves you to force yourself to change your position. Your head is turned to the side and held still for hours, putting a severe strain on all your cervical and upper thoracic vertebrae. Not only will this cause headaches, tinnitus, and a list of other pains, but it can cause problems down your entire spine. It can also impinge on the nerves that pass through the vertebrae on their way to your organs.

If you do sleep that way, let me know and I’ll give you some suggestions that work to change your habit of sleeping. It takes time and energy, but the results are worth the effort.

In every case, the way you sleep may cause neck pain that won’t go away until the pillow situation is resolved.

Wishing you well,

Julie Donnelly

www.FlexibleAthlete.com

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease.

Relief From Holiday Stress Headaches

November 16, 2021 by Dr. Steve Chaney

Treatment For Pain In Your Temples

Author: Julie Donnelly, LMT –The Pain Relief Expert

Editor: Dr. Steve Chaney

Happy Thanksgiving. A Time To Count Our Blessings

It’s hard to believe that the holidays are upon us, this year just flew by! I imagine we have all had ups and downs this year. COVID is still here, albeit changing form and intensity.

Fortunately, many of us are vaccinated and the stats are showing that these people are having a milder case of the new variant.

I like to keep my vision on the idea that ultimately this will end, and we’ll be back to a semblance of normality again. Let’s pray it’s happening sooner, rather than later!

2021 – A Year Of Vision And Determination For Me

For me, this time of COVID gave me the opportunity to focus more time on creating a course to teach my techniques to licensed massage therapists (LMTs). It’s something I’ve been wanting to do for many years, but I was so busy with therapy clients that I only dabbled in teaching. Now I’m moving full speed ahead, with a goal of teaching nationwide to as many LMT’s as are willing to learn.

I’m also working with a golfer-client to edit a book I wrote several years ago. If it wasn’t for his curiosity about the book, and his excellent suggestions, this book would have lived it life out in my computer. The title is “The Secret to Your Best Golf Game EVER!” If you aren’t flexible, your golf game will suffer. But, if you release the knots in your joints, you’ll enjoy the game more, and your score will improve. What a double-headed benefit!

There are other incredible projects that are in various stages of creation. I know they will all materialize eventually. While 2021 has been a very trying year, it is also looking like an extremely productive and creative year!

What Do You Have To Be Grateful For This Year?

November is a great time of year to start to recap what has happened and be grateful for all the good that has come your way. It’s the perfect opportunity before the real hectic season that December brings our way. I hope you will enjoy revisiting your year, even if the primary gratitude you have is that it’s almost over!

Relief From Holiday Stress Headaches

It’s wonderful to have the holiday season before us, so many fun events to attend, time with family and friends, and delicious foods that are special for this time of year.

On the other hand, the holidays can also bring stress … and headaches!

Treatment For Pain In Your Temples

To find other points, simply move your fingers and clench your teeth. If you feel the muscle bulge, that’s a point to treat.

Wishing you well,

Julie Donnelly

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease.

Do Calcium And Magnesium Reduce Migraines?

May 11, 2021 by Dr. Steve Chaney

Avoiding Migraines

Author: Dr. Stephen Chaney

Migraines can be agonizing. They can upend your life. Drugs provide some relief, but they have side effects. I am often asked about natural approaches for preventing migraines.

My simple answer is that there is no single thing that can eliminate migraines. As the saying goes, “It takes a village”. There is no “magic” supplement or herb you can take. It requires a holistic approach to defeat migraines.

I will discuss the holistic approach for migraines in more detail below. But first I would like to describe a recent study (SH Meng et al, Frontiers in Nutrition, doi.org/10.3389/fnut.2021.653765) that suggests calcium and magnesium should be part of that holistic approach.

How Was This Study Done?

This study used data from the CDC’s most recent National Health and Nutrition Examination Survey (NHANES). The CDC has been doing these surveys since 1960, but the most recent NHANES study began in 1999.

Briefly, data collection for the current NHANES began in early 1999 and remains a continuous annual survey. Each year approximately 7,000 randomly selected residents across the United States are given the opportunity to participate in the NHANES survey.

The NHANES survey provides information on demographics, physical examinations, laboratory tests, diet surveys, and other health-related questions.

This study used data from 10,798 NHANES participants between 1999 and 2004 who completed a questionnaire asking if they suffered from severe headaches or migraines.

[Based on previous studies they considered self-reported severe headaches as likely migraines and grouped the two together. Accordingly, I will simply refer to them as migraines in this review.]

Here are a few important characteristics of the participants:

Gender was 51% male and 49% female.

Average age was 51.

Average intake was low for both calcium (70% of the RDA) and magnesium (62% of the RDA).

Only 20% suffered from migraines. However, the gender discrepancy was significant.

- Women (64%) were much more likely to suffer from migraines than men (36%). This is consistent with previous studies.

Do Calcium And Magnesium Reduce Migraines?

The investigators divided intake of both calcium and magnesium into quintiles and compared the frequency of migraines of those in the highest quintile with those in the lowest quintile.

For calcium, the highest quintile was ≥1,149 mg/day, and the lowest quintile was ≤378 mg/day.

- For comparison, the RDA for calcium is 1,200 mg/day for women between 50 and 70 and 1,000 mg/day for men between 50 and 70.

For magnesium, the highest quintile was ≥371 mg/day, and the lowest quintile was ≤161 mg/day.

- For comparison, the RDA for magnesium is 320 mg/day for women over 30 and 420 mg/day for men over 30.

For women:

Those with the highest intake of calcium were 28% less likely to suffer from migraines than those with the lowest intake of calcium.

Those with the highest intake of magnesium were 38% less likely to suffer from migraines than those with the lowest intake of magnesium.

For men:

Those with the highest intake of calcium were 29% less likely to suffer from migraines than those with the lowest intake of calcium.

Those with the highest intake of magnesium were 20% less likely to suffer from migraines than those with the lowest intake of magnesium, but this result was not statistically significant.

The authors concluded, “Our study found that high dietary intake of calcium and magnesium…were inversely associated with migraines in women. For men, high dietary calcium intake was inversely associated with migraines. People should pay more attention to dietary calcium and magnesium, which may be an effective way to prevent migraines.”

Avoiding Migraines

This study showed that RDA levels of both calcium and magnesium are effective at reducing the risk of developing migraines. However, if you suffer from migraines, you are probably looking for more than a 28-38% reduction in migraines. You want them to be gone. That is why a holistic approach is best.

What does a holistic approach for migraines look like? In fact, it is very individualistic. Different things work for different people. Here are a few suggestions.

In addition to calcium and magnesium, make sure you are getting enough omega-3 fatty acids, vitamin D, coenzyme Q10, riboflavin, and vitamin B12 in your diet.

Avoid “trigger foods”. Different foods trigger migraines in different people, but here are a few of the most common.

- Nitrate-containing processed meats.

- Cheeses containing tyramine such as blue, feta, cheddar, Parmesan, and Swiss.

- Alcohol, especially red wine.

- Chocolate and foods containing caffeine.

- Processed foods.

Some evidence suggests that a plant-based diet may reduce migraines, but only if it includes adequate amounts of the nutrients listed above.

Stay hydrated. Drink pure water rather than other beverages.

If overweight, shed some pounds. Obesity is linked to migraines.

Get adequate rest.

Try stress reduction techniques like yoga or meditation.

This is not a comprehensive list. If you have migraines, I probably left some of your favorite approaches off my list. The bottom line is that there are many natural approaches for reducing migraines. None is a “magic bullet” by itself but keep searching for the ones that help you the most.

What Does This Study Mean For You?

Getting back to magnesium and calcium, this study shows that RDA levels of both calcium and magnesium are sufficient to significantly reduce your risk of migraines. The problem is that many Americans are not getting RDA levels of calcium and magnesium from their diets. Why is that?

Dairy foods are the biggest source of calcium in the American diet. However, many Americans don’t get enough dairy foods in their diet because:

- Restrictive diets like Vegan and Paleo exclude dairy foods.

- They are trying to avoid saturated fats.

- They are lactose intolerant or have milk allergies.

- They have a malabsorption disease or have undergone gastric bypass surgery.

Magnesium is found in lots of whole foods. The problem is that most Americans are eating highly processed foods instead of whole foods.

If you are not getting enough calcium and magnesium in your diet, supplementation is a viable option. However, you don’t want megadoses of either one. You just want to reach RDA levels. Here are some tips:

Calcium:

Start by estimating how much calcium you are getting from your diet. My rule of thumb is to estimate 250 mg of calcium from each serving of dairy and an additional 200 mg of calcium from a typical diet. Subtract that from 1,200 mg, and you have the amount of supplemental calcium you need to match the highest quintile of calcium intake in this study.

The calcium supplement should also contain vitamin D because vitamin D is needed for calcium absorption.

Take no more than 500 mg of supplemental calcium at a time. Higher amounts are absorbed less efficiently.

It is generally better to take calcium supplements between meals than with meals. That is because many components of the typical diet interfere with calcium absorption. For example,

- Phytates in some high fiber foods.

- Oxalic acid in spinach and some other leafy greens.

- Saturated fats.

Magnesium:

The amount of magnesium in your diet is more difficult to calculate. However, 200 mg of magnesium will take you from the lowest quintile to the highest quintile in this study. And if you are already at the highest quintile, an extra 200 mg will not be excessive.

Magnesium can cause diarrhea, so I suggest a slow-release magnesium supplement.

The Bottom Line

Migraines can be agonizing. They can upend your life. Drugs provide some relief, but they have side effects. I am often asked about natural approaches for preventing migraines.

A recent study reported that calcium and magnesium should be part of a holistic approach to reduce migraines.

The study found that:

For women:

Those with the highest intake of calcium were 28% less likely to suffer from migraines than those with the lowest intake of calcium.

Those with the highest intake of magnesium were 38% less likely to suffer from migraines than those with the lowest intake of magnesium.

For men:

Those with the highest intake of calcium were 29% less likely to suffer from migraines than those with the lowest intake of calcium.

Those with the highest intake of magnesium were 20% less likely to suffer from migraines than those with the lowest intake of magnesium, but this result was not statistically significant.

For more details about other components of a holistic approach and my recommendations for calcium and magnesium supplementation read the article above.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease.

Relief From Headache Pain

November 17, 2020 by Dr. Steve Chaney

Could A Tight Muscle Cause Your Headaches?

Author: Julie Donnelly, LMT –The Pain Relief Expert

Editor: Dr. Steve Chaney

Happy Thanksgiving!

November is one of my favorite months because it’s the beginning of the holiday season. There are so many holidays during these next two months, all of them joyful. The colors of the season are vibrant, the smells of delicious foods cooking are embedded in our minds, and spending time with our loved ones warms our hearts.

I come from New York and I love the beautiful changing of the leaves that happens in October, and then the way winter starts to ease into our days. If you come from any of the northern states, you probably have these same memories. Children jumping into huge piles of leaves and finally getting to wear my favorite sweaters and jackets again.

I can still smell the smoke lingering in the air as homes were warmed with fireplaces and cast-iron stoves. Shopping for that special gift for our family and friends, the Salvation Army bell-ringing volunteers, hot apple cider…the memories go on and on.

If you grew up in a warm weather State, you have different memories that bring joy to your heart. It is exciting to have this beautiful season starting again!

2020 is different than years before, challenging us to redesign the holidays. We all have our stories of how we’re being impacted by COVID19. I think this is a perfect time to focus our minds on all the things for which we are grateful. Show kindness and appreciation to everyone around us, people need it more than ever before. Count your blessings!

My prayer is that however you may be affected by all that is happening in the USA, that you will have a beautiful, happy, and healthy holiday season.

I Have A TEDx Talk Coming Up

If you have been to the office lately, you probably know I was chosen to do a TEDx talk. My title is “The Pain Question No One is Asking.”

People are suffering, yet a huge cause of pain is constantly overlooked!

The principle thought is, why isn’t anyone looking at muscles as a cause of pain during the diagnosis process. My TEDx talk is only 9 minutes long, short and to the point.

I am most excited that my talk will bring this information to the awareness of people who are searching for answers to the cause of their pain.

It was originally scheduled for May 15^th (which was also my birthday, so what a present!), but COVID19 prevented that from happening. Then it was scheduled for November 20^th, and it was still going to be live. Oh well…COVID19 prevented that too!

So, it was finally decided to have each presenter do a video and submit it to the Team. There is going to be a two-day private presentation for everyone who has bought a ticket to the event. Ticket prices start at $17 for general admission, or $77 to be able to enter the VIP room and meet with each presenter. There are 20 presenters, with topics that range from muscles to health, from animal rights to the environment, and lots of other interesting topics.

If you would be interested in joining us, it will be held on Dec. 5th & 6th, on a Zoom “stage.” Just contact me (Phone: (919) 886-1861; Email: info@JulstroMethod.com) and I will make the arrangements for you to receive a ticket to the event.

The Muscle Of The Day

Back when I worked on the cruise ship, which was my first job after getting my massage license in 1989, I studied what I called “the muscle of the day.” Every day I would pick one muscle to really study. Before the passengers would start coming in, I would list the name, location, action, origin point and insertion point of just one muscle.

I would give what I call “fluff and buff” to the entire body, except for the muscle of the day. On that muscle I would go slow, a bit deeper, and when I found something that didn’t feel like the rest of the muscle, I would ask my clients for feedback. They would tell me if it hurt or not, and where they were feeling it.

I worked on over 3000 people while I was on the ship (in just one year!) and by the time I got off the ship I was really confident that I knew what “hurt” feels like, and what “doesn’t hurt” feels like. It is the foundation of my therapy practice.

My clients always are interested when I explain why a particular muscle is causing their pain.

With that said, I want to share a “muscle of the month” with you. Each month I will take one muscle and we will talk about it for a few minutes. I’m not trying to make you a muscular therapist, just give you a little info that will make sense when you have a painful condition.

Could A Tight Muscle Cause Your Headaches?

This month I want to share the #1 muscle that causes headache pain. When this muscle is tight it can cause headaches that are so severe that they are sometimes called migraines, and some people end up on strong medications to mask the pain.

The Levator Scapulae originates on your first four cervical vertebrae and inserts into the inside/top of your shoulder blade.

As you see in the graphic the first two vertebrae have a special setup and it’s these two vertebrae that are causing the problem.

C₁is called “the Atlas” because Atlas held up the world. C₁holds up your skull.

C₂is called “the Axis” because a piece of bone (called the Dens) pokes up through the center of C₁. Your skull sits on this point and is the reason you can tip your head forward and back, as well as side to side.

Your brain goes into your spinal cord and the nerves travel through the center of the vertebrae and then go out to innervate every cell in the body from your head to your feet.

The problem is, when the Levator Scapulae gets tight (usually from a repetitive movement, such as holding your shoulders up when you are stressed) it pulls your cervical vertebrae to the side and down. This causes the opposite side of the bone to press into your spinal cord, right at the base of your brain.

When someone comes into my office and says they get right-sided pain, the odds are the muscle tension is coming from the left side of the body. As you release the tight muscle fibers, the vertebrae frequently realign by themselves (or you can go to a chiropractor) and the pressure is off your spinal cord.

Relief From Headache Pain

I have already shown you one method for treating this muscle by putting a ball on your shoulder and then leaving forward and pressing into the corner of a wall.

Here is another method. Put your opposite thumb into the hollow in the front of your shoulder, as shown in this picture

Flip your four fingers over your shoulder. Be sure to go back far enough that you can grip a thick piece of muscle in between your thumb and fingers.

Have your elbow raised so it is horizontal to the floor. It helps if you put your opposite hand under your elbow to hold it up.

Next, squeeze hard, really gripping the thick muscle.

Bring your elbow down close to your body. Hold for 15-30 seconds.

At the end, continue squeezing and drop your head in the opposite direction so you are stretching the muscle.

Last Thoughts…

I really love helping my clients get better, so I would appreciate it if you would tell others about my work, and about my books/DVD’s etc. My goal with everyone is to stop the pain that brought to me in the first place, and have you return each month for a tune-up until you are permanently pain free. Depending on your situation this could take one session or multiple sessions, but I believe we can accomplish this goal.

If you have family or friends who aren’t local to Sarasota, please let them know that I do Zoom consultations for the same price as an office visit. We talk about what is happening and then I can show them how to self-treat. With the both of us on Zoom, I can watch and make sure they are doing the techniques correctly. It works really well. To date I have worked with people all over the world, including Australia, Switzerland, Canada, Egypt, and lots of other places.

To book a virtual Zoom consultation, just go to https://julstromethod.com/product/pain-relief-training-zoom-us/.

If you have anything you’d like me to discuss, please email me at Julie@JulieDonnelly.com

Wishing you well,

Julie Donnelly

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

Which Muscles Are Affected By Stress?

August 18, 2020 by Dr. Steve Chaney

It’s Time For The Beach

This is a perfect time to go to the beach – August is hot and humid, and the water feels so refreshing. Of course, we now need to socially distance ourselves from each other, but for those of us in Florida that is possible when we have so many beautiful beaches close to our homes.

Most of us are sticking close to home, and summer sure isn’t what it has been in years past. The baseball season was on – then off – and as of right now, who knows! Most of the people I know are getting through this okay, I hope you are too!

Which Muscles Are Affected By Stress?

We are living in stressful times, and chronic stress can cause your muscles to tighten. When that happens, it can lead to pain in unexpected places. When you visit your doctor, they may recommend drugs or aggressive treatments.

Unfortunately, many doctors are unaware tight muscles can be the real cause of your pain. They don’t know that there are simple treatments that can release your tight muscles and relieve the pain – without resorting to drugs.

This week I will address the top 3 muscles that are affected by chronic stress and how to treat those muscles when they cause you pain.

Levator Scapulae: This is, in my opinion, the #1 muscle that gets involved when we are under stress. The nickname for the Levator Scapulae is “the shrug muscle” because when it contracts normally you lift your shoulders up….you shrug.

The problem is, the muscle originates on your first four cervical vertebrae, and inserts into your shoulder blade. When you are under stress it is common for your shoulders to lift up. The muscle is held tightly, and a phenomenon called “muscle memory” keeps the muscle in the shortened position. Once the levator scapulae is “stuck” in a shortened position, when you either bend your neck to the side (bringing your ear closer to your shoulder), or you lift something heavy with your arm, pulling your shoulder down, it pulls on your cervical vertebrae.

This causes your cervical vertebrae to move and puts pressure on your spinal cord right at the base of your brain. The Levator Scapulae has been proven, in my clinical practice, to be the #1 reason for severe headaches. When it gets tight it will pull the insertions at your neck and pull them to the side and down. This causes the bones to press into your spinal cord, right at the base of your brain, and you get a severe headache!

Last month I shared self-treatment techniques to release the tightness in your Levator Scapulae muscles and relieve your tension headaches. If you are suffering from tension headaches, these techniques can work wonders.

Intercostals: The Intercostal muscles are between each rib. When you breath in, they expand, and when they contract, you breath out. The problem is, when you are under stress you may hold your breath longer than normal, and muscle memory sets in, and they stay in the shortened position.

As this happens you lose the ability to take a good, deep breath. This lessens the amount of oxygen that is in your blood and that goes out to your cells. This can cause problems all over your body.

The solution to this problem is deep breathing exercises. A friend of mine, Tara Clancy, is an expert on breathing and how it affects your entire body. You can check her out at http://www.o2tara.org.

Masseter: Do you clench your teeth when you are under stress? The muscle that causes you to clench your teeth is called the masseter muscle. If you put your fingertips onto your cheeks, pressing into your back teeth you are on your masseter muscle. Clench your teeth, you will feel the muscle bulge as it contracts.

The masseter muscle (circled on graphic) is the muscle that contracts to enable you to chew your food. Normally, as you chew the muscle shortens, and then lengthens as you put more food into your mouth. However, if you are under chronic stress, and your teeth stay clenched, your masseter will shorten from muscle memory and put a strain on your jaw joint. This is the cause of a condition called TMJ.

TMJ is a condition where your jawbone rubs, or “clicks,” over the bone that is just in front of your ear. It is painful, and over time it will damage the bones. When you are under stress and constantly clenching your teeth, you are shortening your masseter muscle. The now-shorter muscle prevents you from opening your jaw completely, for example, when you yawn. As you are trying to yawn your jaw flips over the bone, and it hurts.

Self-Treatment For TMJ

Several years ago, I had a client who had such tight masseter muscles that a dental surgeon was going to sever them so she could open her mouth. This is a terrible solution because it would mean her mouth would hang open for the rest of her life. Fortunately for this client she had to get medical approval before she could have the surgery. When Dr. Cohen (the doctor I worked with) felt her masseter muscles, he refused to sign the permission form. He told her that she had to see me first, and fortunately I was there at the time. It took just 30 minutes for me to release the spasms and teach her how to do the treatment. At the end of the session she was pressing into both masseter muscles and opening her mouth. She did it easily and without pain! She started to cry because she came within one day of having this unnecessary surgery. Her life was changed by just a simple self-treatment!

Place your fingers as shown in the picture to the left. Clench your teeth so you can feel the muscles bulge.

Apply deep pressure on just one side for 5 seconds. Then release that pressure and apply deep pressure to the opposite side for 5 seconds. Go back and forth until it doesn’t hurt anymore. Then find a different “hot spot,” and repeat. Continue doing this until you can’t find any more tender points on your muscle and jaw.

To stretch the masseter muscle just press deeply into the original point on the muscle and slowly open your mouth wide.

Wishing you well,

Julie Donnelly

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

Is Stress Causing My Headaches?

July 21, 2020 by Dr. Steve Chaney

“It’s Summertime, and the Living Is…Stressful”

It’s hot out, the birds are chirping, the air is pretty still, and the rains are often torrential. It’s summer and under normal circumstances things slow down as people take vacations or just go to sit at the beach or pool. Normally, we would be singing that old favorite, “It’s summertime and the living is easy”.

But this year is different! This summer’s song could be, “It’s summertime and the living is stressful.

We’ve all been affected by COVID19 in some manner, life is more complicated for most of us, and stress-levels have increased for a lot of people. Since stress often causes headache pain, today’s newsletter is going to focus on relieving stress headaches.

Stress Can Tighten Your Muscles

Constant stress can tie your muscles into knots. It is important to do things to relieve the stress that the current events are placing on your body. Maybe you aren’t going to the gym, but you can go out for a long, fast walk. You could even bring some light hand weights and be pumping your arms as you walk. If you have access to a pool, swimming is a great way to get exercise without stressing the body – with social distancing, of course.

There are several muscles that cause headaches. Unfortunately, it’s rare that anyone in the medical field will check out muscles while looking for the source of headache pain.

Is Stress Causing My Headaches?

As I said above, chronic stress can cause your muscles to tighten, and tight muscles can cause headaches. I will discuss two of the main offenders today.

One muscle that causes headaches is called the Temporalis. This muscle is the shape of a fan and is at the temples of your skull, behind your eyes and above your ears. It not only causes headaches. It also causes pain into your top teeth!

To treat your Temporalis muscle, take your three middle fingers and press on the muscle as shown in the picture to the left.

Find the tender point, only pressing enough to feel it, but not so much that you want to faint. Hold the pressure for a minute and then move your fingers slightly up and down, without sliding on your skin.

Release the pressure for about 15 seconds and repeat this sequence until the pain is gone.

Do this treatment on both sides of your skull. Stay still on any “hot spots” as they are the actual spasm that is causing the problem. You’ll be surprised at how the pain and tenderness will diminish as you continue to do the whole treatment for just a few minutes.

Another key headache muscle is the Levator Scapulae, a muscle that originates on your cervical vertebrae and inserts into your shoulder blade. When this muscle is in spasm it will pull your cervical vertebrae to the side and down and press the bone into your spinal cord at the base of your brain.

Looking at how the levator scapulae muscle attaches to the vertebrae in your neck will explain why it is an important cause of stress headaches.

The levator scapulae originates on the top four cervical vertebrae (see small box) and inserts into the top of your shoulder blade. When the muscle contracts normally you lift up your shoulders. The nickname for this muscle is “the shrug muscle” because of its action.

However, when it gets tight it will pull the insertions at your neck to the side and down. This causes the bones to press into your spinal cord, right at the base of your brain, and you get a severe headache!

Fortunately, you can treat the levator scapulae muscle, release the tension on the cervical vertebrae, and by treating the muscles in the back of your neck that become involved as the vertebrae move, you can stop the headache. It usually takes a while, maybe even two days. I wish I could tell you it’s immediate, but the important thing is you can stop the pain.

If you have suffered from headaches and your doctor has tested you to be sure it isn’t something more serious, then you’ll be pleased with the results of the Julstro™ self-treatments.

Relief From Stress Headaches Caused By A Tight Levator Scapula Muscle

Let me take you through the treatment step by step.

Step 1: Relaxing the Spasms in Your Shoulders

You start by relaxing the spasms in your shoulders. While it can be awkward at first, you can very effectively treat your levator scapulae muscle by using a ball and pressing into the corner of a wall.

Put the Julstro Perfect ball directly on the top of your shoulder. Then lean straight into the corner of a wall.

Move slightly until you feel the pressure being focused on the knot at the top of your shoulder.

This treatment is for both your levator scapulae muscle and your trapezius muscle.

Step 2: Treating Your Levator Scapulae Muscle.

Once you have loosened up the spasms in your shoulders, continue working on the levator scapulae muscle. You can also treat both by squeezing them with your fingers. We’ll demonstrate by treating your right shoulder. Naturally, you can do the same treatment on the opposite shoulder.

Bend your left arm and support you elbow with your right hand. Put your left three middle fingers on your right shoulder at the point where the shoulder and neck meet. It helps if you place it so your thumb and pointer finger are close to your neck with the middle finger being the working finger right on the junction, just a bit toward the back. Your four fingers should be crooked at each joint of the hand and your palm should be flat against your body.

Staying in the same spot, relax your arm with your elbow close to the middle of your chest. In this position you will probably have your middle finger directly on the spasm point. All the strength from this move is coming from your upper arm, not from your fingers. To do that you will simply make sure that your middle finger is on the sore spot and then pull your elbow down toward the floor. Your finger will be like a hook that presses into the spasm.

If you feel your fingers getting tired, you are using your hand to give strength and not your arm. Once you feel the difference, it will be easy to do again. After you have found the trigger point and you are adding pressure to it, continue pressing into the knot.

Next, keep your hand in the same spot, still pressing on the knot. Take your thumb, flip over onto the front of your shoulder, and push it straight into the muscle. This will move your thumb to a place that will now cause you to be pinching the knot.

You’ll feel if you have it right. You should have a fairly thick piece of muscle between the middle finger and the thumb. You can inch your three middle fingers back a bit if you find you aren’t gripping the entire thickness of the muscle.

If all you are feeling is skin between your fingertips, go back and try again. When you know you have a thick piece of muscle, grip tightly and release. Do this four times for 15 seconds each time.

Step 3: Stretching the Muscles in Your Shoulder

Now that you have worked out the knots, you are ready to stretch your shoulder muscles. Rotate your head a bit so your ear is angled toward the front of your chest. By doing this you will be adding additional stretch to the trigger point and releasing it at the same time.

Finally, continue holding the muscle and move your head as shown. Hold this for 15 seconds and release the pressure. When you finish, release your grip and shake out your shoulders. Then do it again, three more times, holding each stretch for 15 seconds.

You will really feel a great deal of relief when you ease the tension in this muscle. This process will become easy after you play with it for a while and get the hang of squeezing the ball of knots that are on the top of your shoulder.

Wishing you well,

Julie Donnelly

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.