neck pain self management

Energy Management for Persistent Neck Pain and Headaches (Part 1)

Energy Management for Persistent Neck Pain and Headaches (Part 1)

Think of energy as a wave that naturally rises and falls throughout the day.

For ideal health, the goal is to maintain a balance between the "up" and "down" phases.

During movement or exercise, energy peaks (the wave rises), while during rest and sleep, energy dips (the wave falls).

Striking a balance between these states promotes physical, mental, and emotional wellbeing.

However, the problem arises when we stay too long in one state.

Short bursts of high or low energy are normal and healthy, but prolonged imbalance can disrupt the body’s systems and lead to pain, fatigue, and dysfunction.

Energy Out of Balance: Too Much “Up” or “Down”

  • Too Much Up (Over-activation)

    • Symptoms: Racing heart, elevated cortisol and adrenaline, shallow breathing, muscle tightness, headaches, poor sleep, irritability, anxiety.

    • Triggers: Caffeine, sugar, social media, perfectionism, constant rushing, work stress, intense exercise, conflict, fear, and adrenaline-driven habits.

    • Personality Types: Type A, high achievers, perfectionists, adrenaline junkies.

  • Too Much Down (Under-activation)

    • Symptoms: Fatigue, lethargy, brain fog, constipation, stiffness, low mood, and apathy.

    • Triggers: Processed foods, alcohol, binge-watching, lack of movement, isolation, and emotional avoidance.

    • Personality Types: People prone to procrastination, burnout, or emotional withdrawal.

How Energy Imbalance Drives Pain and Tension

If you’re stuck too much "up," your muscles remain tense, leading to tightness in the neck, jaw, and shoulders, as well as headaches.

On the flip side, being stuck too far "down" leads to stagnation—your body may feel stiff, sluggish, and achy.

Traditional physiotherapy often prescribes stretches or exercises without recognizing that the underlying driving force of muscle tightness or fatigue is poor energy management.

Breaking the Reliance on Substances and Habits for Energy Regulation

We all have a natural weak spot—a tendency to rely on external substances or habits to help us feel energized or relaxed.

Whether it’s caffeine to boost energy or alcohol to unwind, these shortcuts don’t address the deeper issue. They create a cycle of dependence that can worsen energy imbalances over time.

Instead of relying on artificial solutions, we can tap into nature and our own bodies to restore balance.

Aligning with your body’s needs—through rest, movement, nourishing food, and emotional regulation—can replace these substances with more sustainable habits.

Practical Ways to Restore Balance Using the Energy Wave

  • When You’re Too “Up”:

    • Movement: Walk, stretch, or do light yoga to bring the wave down gently.

    • Breathing Practices: Diaphragmatic breathing, meditation, or mindfulness.

    • Diet: Eat complex carbs, reduce caffeine, and hydrate well.

    • Connection: Engage in supportive social interactions or journaling to unwind.

  • When You’re Too “Down”:

    • Movement: Short bursts of exercise like a brisk walk or dancing can raise the wave.

    • Hydration: Drink water, herbal teas, or electrolyte-rich fluids to replenish energy.

    • Diet: Eat nourishing whole foods, especially healthy fats and proteins.

    • Connection: Engage in activities that bring joy and purpose (e.g., time in nature or hobbies).

Energy Management vs. Traditional Physiotherapy

This approach goes beyond conventional physiotherapy, where exercises are prescribed daily without considering the root causes of muscle tightness and pain.

In our Program, we recognize that the key to unlocking tension and pain lies in energy balance.

Exercises alone are not the answer unless we address the energy patterns driving muscle tension.

When energy is managed well—by staying in rhythm with your natural wave—the body functions optimally.

Pain, tightness, and headaches resolve as the nervous system learns to relax and regulate itself without being forced by exercises that treat the symptoms but not the root cause.

By learning how to balance your energy wave, you become empowered to manage your pain naturally, using your body’s own rhythm and resources.

It’s not about doing more or less—it’s about doing what your body needs in the moment.

This sustainable approach transforms the way you manage pain, helping you align with your body’s signals and live with greater ease.

Expanding Your Perspective: The Power of Aerobic Exercise in Alleviating Neck Pain

Introduction

Imagine you're faced with a classic puzzle known as the "9-dot problem” (see below).

The challenge is to connect nine dots arranged in 4 straight lines without lifting your pen.

Give up? See the solution below…

Most people struggle with this task because they attempt to solve it within the confined boundaries of the grid.

But here's the twist: the solution requires you to think outside the box, literally!

Thinking Outside the Box

This concept of "thinking outside the box" translates beautifully to another common problem: persistent neck pain.

Instead of merely zooming in on the neck itself, we'll explore a groundbreaking study that shows how incorporating aerobic exercise – a step outside the box – can lead to significant relief.

The Neck Pain Conundrum

Neck pain affects a substantial portion of the population, and the quest for a solution is often met with frustration.

Individuals dealing with neck pain might find themselves in a never-ending loop of shot term quick fixes that, at best, offer temporary relief.

However, the key to solving this puzzle for good might actually be to stop focusing exclusively on the "pain area."

The Study Setup

In March 2020, a study was conducted to assess the impact of aerobic exercise in conjunction with neck-specific exercises for individuals suffering from neck pain.

This prospective double-blind randomized controlled trial was carried out in physiotherapy outpatient clinics, involving patients with nonspecific neck pain.

The Intervention: Inside and Outside the Box

Participants were randomly divided into two groups:

  1. The first group underwent a six-week regimen of neck-specific exercises. This represents the conventional "inside the box" approach.

  2. The second group received the same neck-specific exercises, but with an intriguing twist – they also incorporated aerobic exercise (AE). This represents the "outside the box" thinking, looking beyond the neck alone.

    The Aerobic Exercise (AE) program consisted of a moderate cycling exercise x 2 per week (60% of the age-predicted maximum heart rate) for 20 min during the first week, 30 min during the second week, and 45 min during the third to sixth weeks

Measuring Success: Multiple Angles

To evaluate the effectiveness of these treatments, an array of outcome measures was used, including the Visual Analogue Scale (VAS) to assess pain intensity, the Neck Disability Index (NDI) to evaluate how neck pain affects daily activities, the Fear Avoidance Beliefs Questionnaire (FABQ) to assess the impact of fear on pain-related behaviors and beliefs, and an evaluation of cervicogenic headaches.

These assessments were conducted at three crucial time points: at six weeks, then at three months, and again at six months post-interventions.

Astounding Outcomes

The results? They're nothing short of astounding!

  • The group that performed Aerobic Exercise achieved a whopping 77.4% success rate at the six-month follow-up, in stark contrast to just 40% in the control group.

  • A substantial reduction in VAS scores was observed in the AE group, plummeting from 6.73 to 1.89, while the control group's improvement was less pronounced, with scores moving from 6.65 to 3.32.

  • The AE group showcased remarkable improvements in NDI and FABQ scores within the first six weeks. For NDI, scores decreased from 16.10 to 7.78 in the AE group, compared to 17.01 to 11.09 in the control group.

  • FABQ scores exhibited a similar trend, dropping from 33.53 to 20.94 in the AE group and from 33.45 to 26.83 in the control group within the same timeframe.

  • Cervicogenic headaches, a common issue among those with neck pain, also saw a significant reduction in the AE group from baseline to six months.

The Game-Changing Conclusion

This groundbreaking study concludes that adding aerobic exercise to long-term neck-specific exercises is an effective and promising treatment for reducing neck pain and related headaches in patients with nonspecific neck pain.

The key takeaway here is the power of thinking beyond the immediate problem area and embracing a holistic approach to solving the puzzle of neck pain.

Zooming Out for a Holistic Solution

Much like the "9-dot problem," which demands expanding your perspective to find the solution, neck pain requires a broader approach.

Instead of focusing solely on the neck, a combination of neck-specific exercises and aerobic exercise yields outstanding results, offering hope for those grappling with neck pain.

Whilst this study the participants all used cycling as a form of aerobic exercise - the beauty is you could choose any form of exercise you enjoy - whether it’s jogging, walking, swimming, lawn bowls, hiking, gardening or pickleball.

The key is trying to get your body into a low to moderate intensity - around the Zone 2 mark.

You can measure this with a heart rate, RPE or use the ‘talk test’ as a guide.

The goal is to challenge the heart and lungs to continue to feed muscles with nutrients for longer periods of time (20 minutes to an hour or longer).

By considering a more holistic approach, we can finally connect the dots and find relief beyond the box we've been stuck in.

Always consult a healthcare professional before starting any exercise program, especially when dealing with pain or injury.



Wanting to get started on your journey to find relief from neck pain?

#NeckPainRelief #AerobicExercise #HolisticApproach



Research Link

The effectiveness of an aerobic exercise training on patients with neck pain during a short- and long-term follow-up: a prospective double-blind randomized controlled trial



**Solution - ONE of the possible solutions to the 9 dot puzzle: