According to a study by the US Army, approximately one out of ten people have an actual leg length difference. Additionally, about one out of one hundred people have pelvic bones which are smaller on one side than the other side.

According to myofascial (muscle and soft tissue) pain experts Drs. Travell and Simons, a leg length difference of 1/8 inch or more puts you at risk for pain and dysfunction.  Why?  Because your body does things automatically to try to correct or adapt or accommodate that difference such as tilt, twist or rotate.

There are two types of “short legs.”  Both can cause migraines.

One is an actual anatomical difference which could be caused by severe injury or polio or nature and is measurable on x-rays.  It could be either the upper or the lower leg bone.

The other type is a functional leg length difference.  That means the bones are all the same length but muscles in the body cause one hip to lift.  Your hips can move independently of each other so it is possible to have one hip that is higher or more forward than the other.

People with an anatomical leg length difference often have migraines because walking with a tilt puts a lot of strain on the muscles at the base of the skull.   It causes a rotation (slight turning) of the head.  That can affect the nerves and blood vessels which play a part in migraines.  Those people can have other pain, too, such as hip pain on the short leg side or low back pain pain or TMJ dysfunction.

What’s the fix?

Good news!  There is a relatively easy fix so you don’t have to go through life “out of balance” and with migraines.

Anatomical short leg: Lifting your entire foot on the short leg side enough to level your hips will go a long way in helping you feel better, have fewer migraines, and fewer problems with your neck and muscles.

This requires that you only wear certain shoes.  They must have a solid, thick hard rubber sole.  A shoemaker can split a firm rubber sole and add a layer of neoprene rubber to lift the short leg. This doesn’t work with air or gel type shoes.

Also, if you have a really skilled shoemaker or cobbler, he might be able to remove your whole sole and replace it with a new, thicker sole.

It may seem like a lot of work or you might not want to give up your stylish shoes but the benefits to your body are huge.

Functional short leg: A skilled massage therapist can help relax and release the tight out-of-balance muscles that are pulling your bones out of neutral.

How do you know if you have a leg length difference?

Perhaps one pant leg is always longer than the other.  That was the clue for my 91 year old client who had back pain and migraines for over 70 years.  His doctors never looked for or told him he had a leg length difference but he told me, “My tailor always told me I did!”  His anatomical leg length difference was about 2 inches.

Maybe when you look in the mirror you can see that one shoulder is higher than the other or that your head sits off the side instead of dead in the middle of your body.  That’s a clue, too.

Or, as you look in the mirror, does your belt line drop to one side?

How do you know how much lift you need?

A doctor can take x-rays of your legs and hips and measure for you.  Or, you can “guestimate” by placing notebooks or magazines under your short leg and adding or removing pages until you feel level and look level in the mirror.  Many neuromuscular massage therapists are trained in measuring leg length differences also.

When you get rid of an actual leg length difference and stop the tilting and twisting that your body does to try to make corrections, you can have fewer migraines.

What else can I do?

Until I get my own migraine self-help program completed, I will refer you to this program, Jaw Pain Natural Relief.

What is the tie-in between migraines and jaw pain?  Many of the causes come from the same tight muscles and distortions in posture.  TMJ pain–pain in the jaw–also comes from the muscles around the shoulders, back, neck and head just as migraines do.

There can be multiple causes for migraines but the more causes you can get rid of, the less pain you will have.

PLEASE NOTE: Always whenever you do movements for your neck, do them carefully, slowly and thoughtfully.  Pay close attention to what’s going on so you don’t aggravate your touchy neck and cause a migraine.

What can cause your TMJ to stop moving smoothly?

• An injury or trauma that causes the joint to dislocate.
• Overuse of the powerful jaw muscles in certain positions.
• Sleeping always on the same side which may cause your jaw to “drop” to one side.
• Having a “forward head” posture which puts a lot of strain on your neck and jaw muscles.
• Dental work which mis-aligns your jaw by not lining up your teeth correctly.
• Scoliosis or curvature of the spine.

And, of course, there can be other causes but very often the cause turns out to be muscular.  Everything on the list, above, except for the dental work, involves your muscles.

So, if the powerful chewing muscles become tighter on one side than the other, they can “pull” your jaw out of alignment.

But how can you get your smooth movement back?

That’s the good news!  Muscles do get tight but they can be relaxed (released.)  If you can help those jaw muscles relax, your TMJ can usually move back into its neutral position where it moved smoothly.

According to my training, an interesting thing about the disk in the TMJ is that it can regenerate itself.  No other disk in the body can do that.  How cool!

If you have a jaw that “clicks” being able to relax the muscles around the joint can help it realign itself and may get rid of your click.  Sometimes you might need someone to help you correct your posture in order to eliminate the click.

In fact, your body is really smart and wants to be well.  Sometimes it just needs you to learn a little more so you can help it get out of pain.  But you can’t just learn–you also have to take action.

One way to take action is do-it-yourself.  I like the program my friend, Christian, put together to help you get rid of your TMJ pain.  You can learn more at Jaw Pain Natural Relief.com He understands how the whole body is involved when your jaw hurts.  (Why?  Because it’s all attached!)

Christian also developed very simple movements that you can do to help the muscles around your head, face, throat and neck relax.   When an area of your body lets go of tension, you will feel more relaxed all over.

The really good thing is that when all of those muscles are more in alignment and balanced, you will have fewer headaches, less neck pain–you’ll feel better in lots of ways.

Another way to take action is to find and go to a skilled massage therapist who can help you get rid of your TMJ pain.  Since muscles are usually the culprit, someone who can help those muscles release or relax can give you a lot of relief.  If your muscles are really, really tight, there may be some discomfort but if your therapist is well trained, you will benefit.

There are two actions you can take today.

• Make an appointment with a well-trained massage therapist or neuromuscular massage therapist.  Check out the “Massage” Category here at Simple Pain Relief for an article on how to find a massage therapist who can help you.
• Learn more about a do-it-yourself program at home.  For this I invite you to discover more at Jaw Pain Natural Relief.

You can learn how to stop suffering with TMJ pain and that’s a very good thing because you deserve to feel better!

1. It relaxes the muscles around your chest, ribs, shoulders and neck.  These are the same muscles that get tight and cause headache symptoms.
2. Yoga helps reduce your stress.  When you’re feeling all stressed, your muscles “clamp down” on nerves that go to your head.
3. It helps strengthen the muscles of your backside, and makes you long and strong; it creates muscular balance.  A strong back and a long, strong body helps you have good posture.  Good posture, with your head over your body instead of out in front, reduces headaches.
4. Yoga gets your circulation moving and that helps move the metabolic (body) wastes out of your body.  It reduces swelling which can also be a cause for head pain.
5. It helps you become more “in tune” with your body.  When your muscles start to complain or your head starts to hurt, you will be able to figure out the cause and correct it.
6. Yoga can help reduce your blood pressure, but if you are having high blood pressure headaches, you’d better get to a doctor immediately!

Yoga is a full-body stretching and strengthening movement program with a lot of benefits.

If you take a class, always remember:  It’s your body.  If a move doesn’t feel appropriate to you, or feels like it will make your head hurt or your headache feel worse, DON’T DO IT.  Instead, practice a different movement (pose) or breathing.

So, yoga helps take the pressure off the muscles around your head and neck, and helps you relax, and reduces stress, and improves your breathing (shallow breathing could also be a cause of your headaches by not giving you enough oxygen.)

That’s how yoga can help you get rid of your headaches.

I was recently at a high school symphony band concert and was struck by the extremely poor posture and “forward head posture” of many of the musicians.  Even though a lot of young people have “forward heads,” it was much more so with the musicians than with the general student population.

Why would this be?

Most of us hold our arms and heads in front of us most of the day, but musicians–musical athletes–hold their instruments for extended periods without the opportunity to stretch or relax the muscles that support their instruments.

What could help?

The muscles in the front of the body support the instrument.  The are the ones that are contracted and shortened simply due to the work they do.

Strengthening your back will help and so will stretching the muscles in the front of your body.  Massage therapy would also help but which muscles should be massaged?

The muscles that would need the most pre- and post-event treatment would mostly be the ones that SHORTEN during practice and performance.  This does NOT mean the areas of complaint.  The complaining areas of muscle  are most often SYMPTOMS and not the cause of the pain.  The shortened, front-of-body muscles would need the most massage to help them get back to normal resting length.

Before a performance, a general full body “warm up” should work well.  But, many massage therapists do a “full body” warming massage while avoiding working on the front of the neck, chest, abdomen, front of thighs and inside of thighs.  Those areas need warming too–those are the shortened muscles–and shouldn’t be avoided.

After a performance, I would suggest again that the muscles that were shortened (usually the muscles in the front of the body) get the most massage even though the back muscles may be the ones complaining.

Rather than just work where the pain (symptom) is, a massage therapist or musician should ask:

• Okay, what’s attached to the wrist?
• What’s attached to the neck?
• Which part of the leg gets the most worked when performing?  Front, back, gluteal muscles (butt)?  Upper, lower?
• Which muscles pull the head forward?

A massage therapist who is really good will thoughtfully assess the client and their activities  and work on the CAUSES of pain and not just SYMPTOMS.  That’s when you will have the most pain relief in your neck and back.

And now I’d like to invite you to visit http://SimpleBackPainRelief.com (<–click here.)  While you are there you can request a copy of a free report about getting rid of the knots in your back.

1. It relaxes the muscles around your chest, ribs, shoulders and neck.  These are the same muscles that get tight and cause headache symptoms.
2. Yoga helps reduce your stress.  When you’re feeling all stressed, your muscles “clamp down” on nerves that go to your head.
3. It helps strengthen the muscles of your backside, and makes you long and strong; it creates muscular balance.  A strong back and a long, strong body helps you have good posture.  Good posture, with your head over your body instead of out in front, reduces headaches.
4. Yoga gets your circulation moving and that helps move the metabolic (body) wastes out of your body.  It reduces swelling which can also be a cause for head pain.
5. It helps you become more “in tune” with your body.  When your muscles start to complain or your head starts to hurt, you will be able to figure out the cause and correct it.
6. Yoga can help reduce your blood pressure, but if you are having high blood pressure headaches, you’d better get to a doctor immediately!

Yoga is a full-body stretching and strengthening movement program with a lot of benefits.

If you take a class, always remember:  It’s your body.  If a move doesn’t feel appropriate to you, or feels like it will make your head hurt or your headache feel worse, DON’T DO IT.  Instead, practice a different movement (pose) or breathing.

So, yoga helps take the pressure off the muscles around your head and neck, and helps you relax, and reduces stress, and improves your breathing (shallow breathing could also be a cause of your headaches by not giving you enough oxygen.)

That’s how yoga can help you get rid of your headaches.

Chiropractor Greg Fors has written “A Complete Physical & Spiritual Guide To Healing Your Chronic Pain WHY WE HURT Your Total Self-Care Guide for Backaches, Headaches, Shoulder Pain, Arthritis and Fibromyalgia.”

Yes, that is a very long title, but perhaps that’s okay because it’s a very thick book.  Dr. Fors explains that pain can be healed.  He tells us the causes of pain, which he believes are 3:  physical, biochemical and spiritual.

Dr. Fors goes into the causes of pain, too.  Some of the causes may never have occurred to you.  He’ll tell you where the toxic chemicals that affect your health come from, and much, much more.

Why We Hurt is a logical, well-written, pretty easy to read pain relief book.

Why?  Because muscles are responsible for most of our pain.

Tight muscles pull on bones.  Tight muscles cause bone spurs (arthritis.)  Tight muscles press on nerves and blood vessels.  Overstretched muscles get trigger points which “fire” pain into other parts of your body, sometimes quite far away.

To be fair, there are a few doctors who do look at posture.  When they don’t, it’s because they haven’t been trained in “muscular medicine” or because they simply don’t have time.

But, poor posture is responsible for most pain and dysfunction, including headaches.

You can see that there are a lot of ways for your muscles to cause head pain because muscles have many roles.  Bones act as our structure: they are our framework and support.  The role of muscles is to help us move.  Muscles move bones.  Muscles move us.

Sometimes we start using our muscles as bones.  We expect our poor muscles to hold us upright, because our posture is failing, but that’s not their job.  When our posture fails, it puts a lot of strain on our muscles.  Our muscles become unhappy.  They cause symptoms like headaches.  They cause pain in our heads and elsewhere.

How can you correct your posture?

It took a while for you to get into poor posture, and it’ll take a while for your body to remember how to be tall again.  But, you can do it!

The muscles in the front of your body have shortened.  Maybe your shoulders are rolled forward.  Those muscles need to be relaxed, or lengthened.

The muscles in your back–and the whole backside of your body, except your calves–need to be strengthened.

When you start letting your muscles do their job again, instead of trying to act like bones and support you,  you will be on the road to getting rid of your headaches.

People with poor posture look like they are leaning or collapsing forward.  Often their head is way forward in front of their body (“forward head posture.”)  The curve in their neck is either too much or too flat, and so is the curve behind their waist. Their shoulders round forward.

Poor posture impacts a LOT of your body!  Almost every part of your body is affected by collapsed posture.

Here are several things you can check so you will know whether your posture is good or not-so-good.

1.  Stand up and hold your arms at your sides in their usual position.  Look down.  If your thumbs are pointing to each other, your shoulders are rounded forward.  Your chest muscles are tight and shortened.  They are pulling your shoulders forward.  But, if your thumbs point straight ahead, your shoulders aren’t rounded forward.

2.  Are you constantly straightening up and constantly collapsing forward again? That’s a clue that the muscles in the front of your body are short and pulling your forward.

3.  Are your feet flat or do you have nice arches?  Flat feet will cause your posture to collapse because flat arches move your weight forward.

4.  Does the front of your neckline choke you or always slide backward?

5.  Do you get a lot of headaches, pain in your neck or back?  Those are symptoms caused by poor posture.

If you discover that your posture isn’t so good, there’s a lot you can do.  There are articles at Simple Strengthening that will help you get straight and strong.

And, I have good news for you!

Bodies want to be well and you can correct your posture.  When your posture is better, you will have less pain in your head, back, arms…all over!

I really can’t think of anything worse than a really bad migraine. A broken leg may keep you from moving, but a migraine headache keeps you from being!

Migraines come in variations. Some are worse than others and some are merely horrible. They affect every system in your body.

Some people believe that headaches and migraines are closely related. I’m one of those people. For years and years, I never had “just a headache.” Each time I started with a headache, I ended up with a migraine.

The best way to avoid migraines is to have perfect posture. For those of us who are prone to headaches and migraines, any little strain on the muscles around our neck or head can, and will, cause pain.

Keeping a strong back, including the muscles in the back of your neck, helps hugely.

Learning how to have perfect posture will make a big difference in the frequency and severity of your head pain. It’s really important that you have good posture when you sit, when you stand, and you even need your neck and head propped correctly when you sleep.

Avoiding the foods that cause migraine pain for you helps, too. I had a friend who would get instant migraine when she ate an orange. After a while, she started avoiding oranges. Other times, it is not an instant reaction.

A varied and healthy diet with lots of fruits and vegetables helps for many reasons. One of the reasons is that constipation can create conditions for a migraine. It may be the pressure from the packed intestines on the blood vessels in the abdomen that causes a migraine, because migraines are vascular headaches. That means they are related to what is happening with blood vessels.

“Keeping things moving” through your intestines with a good diet helps prevent migraine. You might consider taking additional fiber from a bottle to avoid constipation. Also, many headache and other medicines cause constipation.

Avoiding a migraine in the first place is a much better strategy than trying to get rid of it after you are already hurting.

But, when a migraine sneaks up, or flat out attacks, despite your best efforts, here are a few tips to help ward off or lessen your pain.

* Ice. Ice the base of your skull. Use a cold pack and put yourself in the most comfortable position you can. Use a thin towel between your skin and the cold pack. You can ice and use the next tip at the same time.

* Cold. Place a cold, almost dripping wet, cloth on your forehead and eyes. You can flip it over as it warms up from your heat. You can keep a pan of ice water next to the bed to re-wet and re-chill the cloth. You can use put a plastic bag under a towel behind your head. That will keep your bed dry.

* Compress. Wrap your head in a long towel so that it is like a turban. Cover your eyes and ears with the turban, too. The idea is to compress your head, to squeeze it. This is comforting, blocking out noise and light, and helps reduce the pain.

* Alka Seltzer. Aspirin does not touch a migraine, but…two tablets of Alka Seltzer, if taken at the beginning of a migraine attack, often knocks out the migraine. I suspect that this happens because it is a large dose of aspirin all at once, rather than gradual.

Check out my web site for help to fix your posture. Good posture will help reduce your headaches.

“Because you deserve to feel better!”

All of our lives we make choices. More than we would like to make. So many!

Some of our choices have been excellent, and some, well…maybe not so good. But we keep on going.

Jerry L. Old MD is a geriatric physician. I figure, with a name like that, how could he be anything else? But, he didn’t intend to be a doctor with an elderly patient practice. It just worked out that way.

I loved reading his really cool book called Vintage People. Vintage People are elderly people who have aged well. Dr. Old calls them vintage because they are like fine wine. They are people who have become better over time.

Do they have aches and pains? Lots of them do. It’s kind of hard to get older without something twinging somewhere at least occasionally.

Have they made choices? You bet. Were they all good choices? Not necessarily, but they kept on going, correcting the course as they went.

Dr. Old interviewed his vintage patients. Every one of them responded! In many areas, there was no common agreement. For instance, eating habits. They were all over the place! Some people ate very healthy, some not, some ate a very specific diet. But, they had all made choices and they all had opinions about why their eating habits were the best for them.

I found that I kept smiling as I read. Dr. Old told lots of interesting stories, good stories. He shared his own opinions and sometimes tells a joke on himself, too. His chapters cover such things as attitude, humor, religion, marriage. Often these are the words of his wise, vintage patients. You can imagine them talking directly to you.

Choosing to read a good book like this, or any good book that engages your mind, and that makes you smile or laugh is good medicine!

Laughing is like having a massage from the inside out. It creates feel-good hormones. It boosts our immune system!

Compare that to watching the evening news. Do you suppose that boosts your immune system? Did you realize that you can choose to watch the evening news…or not? Even when I had a television, I did not watch the news. I read the Sunday paper selectively, starting with the funnies. I prefer the local newspaper to the big city paper because the local news has good news, not just argumentive, depressing stuff.

Back to the Vintage People. Vintage people are active, as much as they are able. They are young for their age. They have friends of all ages, and even regard acquaintances as friends. They enjoy little pleasures, like the sunset or a flower brushed with dew, sparkling like diamonds. They find ways to help themselves feel better.

When we become absorbed with something beautiful or interesting, we forget about the aches and pain. Sometimes we forget about a great deal of pain. And, often, when we forget to focus on pain, it actually goes away.

My father lived in Missouri. We hadn’t seen him in a few years. So, when we were traveling through Missouri, we decided to surprise him. His wife knew we were coming, but he had a migraine. When we walked in the door, my dad was laying in a recliner with a cold cloth over his eyes.

He was so surprised and pleased that we were there, that in about ten minutes he realized that his migraine headache was gone! We altered his vascular system.

Will your migraine or pain go complete away if you have a pleasant surprise? Maybe, or maybe not. But, when we focus on something other than the pain, often the pain does lessen or go completely away.

And sometimes pain goes away when we focus on it. Does that seem to be a contradiction?

Let’s use head pain as an example. Sometimes it feels as if our whole head hurts. It’s killing us. Where is the pain? Everywhere! It hurts all over.

But what if we pay attention to the pain? What if we direct all of our attention to the pain? Is it here? There? Where is it, really? You may even find that there are very specific areas where it hurts the most. When you pay attention to them, you may even find that the specific areas move. They are not constant. There is some ebb and flow. The most painful area changes location.

So, it’s not your whole head, after all.

What if you breath into the pain? Does that change anything? What if you tilt your chin up, or down? What if you take deep breaths, moving your whole chest?

Paying attention is a choice. Breathing into the pain is a choice. Changing position to see if that helps is another choice. Focusing on something other than our pain is also a choice.

In my mind, there is nothing like a migraine headache. Not only does it hurt really bad, it reduces your ability to think. It reduces your ability to interact with others. It can strip away days of your life.

If migraines or bad headaches are a problem for you, there are choices you can make. No one but you can help you. Try the little suggestions above.

Pay attention to your posture. Not only does poor posture cause head pain, it causes us to be old before our time and to look old.

Watch your diet. Do certain foods cause your head to hurt? Do you still eat them? Why?

The more you understand about why you hurt, the more choices you can make to feel better.

We can choose to be Vintage People. Active, happy, healthy.

We can choose well.