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    <loc>https://denverheadache.com/referring-physicians</loc>
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    <lastmod>2021-04-30</lastmod>
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      <image:title>Referring Physicians - Physicians</image:title>
      <image:caption>Thank you for taking time to visit our site. We are committed to excellence in non-invasive, non manipulative treatment of the craniocervical junction. Often times headaches and cervical spine pain are the result of irritation of suboccipital anatomy, specifically the OA- AA articulation and the first three cervical nerves. This irritation is due to displacement of C1 from its normal position. This displacement is a result of ligament damage and disruption due to trauma involving the cervical spine. Because the atlanto-axial articulation is a diarthrodial joint, the craniocervical junction is particularly susceptible to injury. Displacement of C1 can be corrected using an instrument that delivers a highly specific, reproducible, mechanical impulse to C1. This reduction allows the suboccipital musculature to relax, effectively decreasing the irritation of the first three cervical nerves, especially the greater and lesser occipital nerves. This reduction also decreases periarticular inflammation. Because we do not use conventional manipulation, the risk for vertebrobasilar dissection and further damage to upper cervical ligaments is almost non existent. We realize that not every headache complaint will respond to this type of treatment and do our best to exclude those cases. Unless there is a clear indication a patients complaint is structural in nature we simply will not put these people under care. Our goal is to be efficient and make appropriate referrals. For those that meet our inclusion criteria, they will usually notice benefit in terms of decreased intensity, frequency, and duration of their complaint in the first three weeks of treatment. As a rule we expect 50% improvement in four weeks or we discontinue treatment. Most patients we see have already undergone advanced imaging to rule out pathology. Although we are happy to order imaging studies we encourage them to discuss imaging with their primary physician or neurologist. In addition most patients have experienced only modest benefit from drug therapy or the side effects outweigh benefit. Since we do not manipulate the neck, patients that have undergone cervical fusion below C2 are safe to treat if they are not responding to conventional therapy. Patients that have been diagnosed with cerebellar ectopia or any grade of Chiari malformation respond to treatment especially well. Our conservative, realistic, and goal oriented approach to patient care generally fairs well with the medical community. If you have any questions concerning this procedure please call 303-795-7530.</image:caption>
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  <url>
    <loc>https://denverheadache.com/about/dr-randy-james</loc>
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    <lastmod>2022-05-03</lastmod>
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      <image:title>About Dr. Randy James</image:title>
      <image:caption>Dr. Randy James</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/607ef0ef3a284109d8f56c20/1618957364807-2BC945M5N7NJQ5DUI73Y/skatlas1.jpeg</image:loc>
      <image:title>About Dr. Randy James</image:title>
      <image:caption>Inferior View of the CCJ</image:caption>
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    <image:image>
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      <image:title>About Dr. Randy James</image:title>
      <image:caption>Posterior View of the CCJ</image:caption>
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  <url>
    <loc>https://denverheadache.com/tmj-dental</loc>
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    <lastmod>2021-06-09</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/607ef0ef3a284109d8f56c20/1618960079051-HGYA3ZASRWRVAZEU5MZB/smile1.jpg</image:loc>
      <image:title>TMJ / Dental - TMJ / Dental</image:title>
      <image:caption>For nearly a decade, Dr. Randy James has enjoyed working alongside the dental community treating temporomandibular dysfunction (TMD) and obstructive sleep apnea (sleep disordered breathing). He has extensive knowledge of the upper neck/ jaw/ airway and has become the preferred resource for dentists along the front range. From straightforward to complex, the Denver Headache and Spine Center can help. In addition to co-treating dental cases, Dr. James has lectured extensively to dental professionals both locally and nationally. He is actively teaching courses on craniocervical anatomy and the functional airway. Dr. James serves as a liaison to the dental and upper cervical communities. Even if you don’t suffer from head pain, dysfunction in your neck can have a tremendous influence on your jaw and airway treatment. If you have been referred by your dental professional, rest assured you are in very capable and experienced hands.</image:caption>
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    <loc>https://denverheadache.com/work</loc>
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    <lastmod>2025-07-12</lastmod>
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      <image:title>Home</image:title>
      <image:caption>Dr. Randy James</image:caption>
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      <image:title>Home</image:title>
      <image:caption>Atlas Orthogonal Table</image:caption>
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    <loc>https://denverheadache.com/new-patients-form</loc>
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    <loc>https://denverheadache.com/testimonials-jimmie-bales</loc>
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    <lastmod>2021-05-06</lastmod>
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      <image:title>Jimmie Bales Story</image:title>
      <image:caption>Before first visit</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/607ef0ef3a284109d8f56c20/2f61859a-cdc3-40de-bf47-d20c9ddc126d/JimmeBales5.jpg</image:loc>
      <image:title>Jimmie Bales Story</image:title>
      <image:caption>July 2006</image:caption>
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      <image:title>Jimmie Bales Story</image:title>
      <image:caption>July 2007</image:caption>
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      <image:title>Jimmie Bales Story</image:title>
      <image:caption>July 2007</image:caption>
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      <image:title>Jimmie Bales Story</image:title>
      <image:caption>July 2008</image:caption>
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      <image:title>Jimmie Bales Story</image:title>
      <image:caption>July 2008</image:caption>
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