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Opiates Ineffective for Chronic Back or Hip Pain

Opiates Ineffective for Chronic Back or Hip Pain

A new study just published in the Journal of the American Medical Association finds that opioids are not an effective solution for chronic pain.

In this article, researchers from the University of Minnesota studied 240 patients who had chronic back, hip, or knee arthritis pain. Half of the study subjects received opiates; the other half received non-opiate pain medications. Patient progress was evaluated at 3-months, 6-months, 9-months, and one year.

The study found:

  • There was no difference in pain-related function between the two groups.
  • At 12 months, the nonopioid patients had less pain than did those who received opiates.
  • “The opioid group had significantly more medication-related symptoms over 12 months than the nonopioid group”

The study authors write:

“Among patients with chronic back pain or hip or knee osteoarthritis pain, treatment with opioids compared with nonopioid medications did not result in significantly better pain-related function over 12 months. Nonopioid treatment was associated with significantly better pain intensity, but the clinical importance of this finding is unclear.”

Previous research has found that about 20% of patients with musculoskeletal pain are prescribed narcotic pain medications for their symptoms, and another recent study found that 36% of people who overdosed from opiates had their first opioid prescription for back pain.

Another recent study found that chiropractic patients are less likely to use opiates for their pain than are medical patients.

From this research, it seems clear that it’s risky to prescribe opiates for musculoskeletal pain. Chiropractic care is a proven safe and effective approach for both chronic and acute back pain.

Krebs EE, Gravely A, Nugent S, Jensen AC, DeRonne B, Goldsmith ES, Kroenke K, Bair MJ, Noorbaloochi S. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. JAMA. 2018 Mar 6;319(9):872-882. doi: 10.1001/jama.2018.0899.

Today’s article was written by Michael Melton and is shared from the following website: https://www.chironexus.net/2018/03/opiates-ineffective-for-chronic-back-or-hip-pain/

Pumpkin Muffins

Pumpkin Muffins

Pumpkin Muffins

Category: Baked Goods

Yield: 12 muffins

Pumpkin Muffins

Ingredients

  • 1 cup whole wheat pastry flour
  • 1 cup quick rolled oats, ground into flour (use blender)
  • 1/2 teaspoon salt
  • 1 1/4 teaspoon baking powder
  • 1/2 teaspoon each of cloves, cinnamon, and nutmeg
  • 1/2 cup honey
  • 1/4 cup butter
  • 2 eggs
  • 4 Tablespoons protein powder
  • 1 cup pumpkin, canned

Instructions

  1. Combine, honey, butter eggs and pumpkin in a large bowl. In a separate bowl combine dry ingredients and mix well. Add dry ingredients to pumpkin mixture and blend together. Be careful not to over mix. Pour into muffin pans, which have been sprayed with a nonstick spray. Bake at 375 degrees for approximately 30 minutes.

Notes

Today's recipe is shared from the book Real Food, Real Fast by Rico Caveglia

http://chiroaddict.com/pumpkin-muffins/

Playground Safety Checklist: Basic Design and Maintenance

Playground Safety Checklist: Basic Design and Maintenance

If you’re a parent, you may have noticed that hard asphalt and sharp edges are on their way out at playgrounds around the country. In large part, these changes are due to concerns over injuries and law suits. Over 200,000 children in the US are treated each year in hospital emergency rooms for playground-related injuries. That’s a lot of opportunity for enterprising attorneys, especially in cases where parents or guardians lack health insurance.  

Accident and litigation concerns aside, it is important for children to get outside in the fresh air and exercise. This is particularly true considering the increasing rate of childhood obesity. Playgrounds can be ideal areas for kids to socialize while getting the exercise they need. By checking the playground for safety hazards and following some simple guidelines, there is no reason why your kids can’t take advantage of all a playground has to offer. 

The most important element to playground safety is adult supervision. Kids need to be supervised whenever they are using playground equipment so an adult can intervene when a child is not using the equipment properly or is acting in a dangerous fashion. Kids like to test their limits, and sometimes young children cannot properly judge distances and may try something that is likely to cause injury. 

The playground surface is important in reducing the number of injuries from falls. Asphalt and concrete are obvious surfaces to avoid, but so are grass and packed soil surfaces. None of these are able to cushion a child’s fall appropriately. Instead, look for playgrounds that have safety-tested rubber surfacing mats or areas of loose fill 12 inches deep made from wood chips, shredded rubber, mulch, sand or pea gravel. The cushioned surfacing should extend at least 6 feet from any equipment, and sometime farther, depending on the particular piece of equipment (such as a high slide or a long swing). 

Children should always play in areas of the playground that are age-appropriate. Playgrounds should have three different clearly designated areas for different age ranges of children: those younger than 2 years old, children 2 to 5, and children 5 to 12 years of age. Children under 2 should have spaces where they can crawl, stand and walk, and can safely explore. Kids age 2-5 should use equipment such as low platforms reached by ramps and ladders, flexible spring rockers, sand areas and low slides no higher than 4 feet. Kids age 5 to 12 can use rope climbers, horizontal bars, swings and slides, in addition to having open spaces to run around and play ball. 

Following are a few basic guidelines to ensure playground equipment safety: 

  • Seesaws, swings and any equipment with moving parts should be located separately from the rest of the playground. 
  • There should be no openings on equipment between 3.5 inches and 9 inches where parts of a child’s body may become trapped (such as rungs on a ladder). 
  • The top of a slide should have no open areas where strings on clothing can get caught and cause strangulation. 
  • There should be only two swings per bay, and should be placed 24 inches apart and 30 inches from any support. 
  • Equipment should not be cracked, splintered or rusty, and hardware should be secure. 
  • Sandboxes should be checked for loose debris such as broken glass and sharp sticks and should be covered overnight to prevent animals soiling it. 
Chiropractic Care Can Improve Respiratory Function

Chiropractic Care Can Improve Respiratory Function

Chiropractic Can Help Asthma, COPD and More…

The World Health Organization reports that some of the most common chronic respiratory diseases include asthma, chronic obstructive pulmonary disease (COPD), and pulmonary hypertension, the last of which is high blood pressure in the arteries connecting the heart and lungs.

Though some of these conditions can be passed down through genetics, lifestyle factors play a role as well, with risks rising with increased exposure to cigarette smoke, high levels of air pollution, and chemicals and other toxins found in various work or home environments. Obviously, your genes are your genes and removing these types of environmental toxins can go a long way to avoiding the development of lung-based diseases. Find out how Chiropractic care plays a positive roll.

A Study Shows Regular Chiropractic Visits Can Help!

One study has discovered that another way to keep your lungs breathing easier is with regular chiropractic visits. In September of 2016, the Journal of Physical Therapy Science published a study involving 30 subjects between the ages of 20 and 38 who were not currently being treated for any type of respiratory issue, nor were they experiencing any pain in their thoracic region. One-half were randomly assigned to an experimental group, which is the group that received actual spinal manipulation therapy. The remainders were assigned to the control, receiving sham treatments instead.

Procedure:

At the onset of the study, each subject’s respiratory function was tested and recorded. Approximately ten minutes later, depending on which group they were in, they either received high-velocity, low-amplitude manipulation directed to the thoracic area of the spine or sham chiropractic. Follow-up respiratory testing occurred immediately following the actual or sham treatment session.

After studying the lung-function data collected, researchers noted that the experimental group, which is the group that received actual chiropractic, had “significantly increased” their forced vital capacity and forced expiratory volume in one second. The group that received the sham treatments experienced no difference in their respiratory function at all.

Findings:

These findings suggests that chiropractic care likely plays a more important role in healthy lung function than most people realize. This information may be helpful to patients who are already experiencing chronic respiratory issues and looking for relief, but it may also work to reduce the likelihood of lung-related diseases in the first place.

As the COPD Foundation states, generally speaking, “once lung function is gone, it is gone for good.” That’s why they recommend engaging in activities which can maximize lung capacity. These include: getting some type of regular exercise, performing physically demanding exercises during the times when it’s easier to breathe, and staying indoors when extreme temperatures are expected or pollution is high.

 

Reference

Shin, DC, Lee, YW.. The immediate effects of spinal thoracic manipulation on respiratory functions. Journal of Physical Therapy Science; 28(9):2547-2549. doi:10.1589/jpts.28.2547

 

 

Granny’s Vegetable Soup

Granny’s Vegetable Soup

Granny's Vegetable Soup

Granny's Vegetable Soup

Ingredients

  • 2 medium potatoes, diced
  • 2 celery stalks with leaves, diced
  • 1 small zucchini, cut in cubes
  • 1/2 large onion, chopped
  • 1/2 green bell pepper, diced
  • a small wedge go cabbage, shredded
  • 4 cups chopped tomatoes (fresh or frozen)
  • 3/4 cup cut green beans (fresh or frozen)
  • 1/2 cup corn (fresh or frozen)
  • 4 cups soup stock or water
  • 1 teaspoon sea salt (optional)
  • 2 tablespoons uncooked millet
  • minced fresh parsley
  • freshly ground pepper

Instructions

  1. Prepare the vegetables and set them aside.
  2. In a large stockpot, bring water and sea salt to a boil; add millet. Add the prepared vegetables. Reduce heat, cover and simmer until the vegetables are crisp-tender and still retain their bright colors. Stir in parsley and pepper to taste.
http://chiroaddict.com/grannys-vegetable-soup/

Does Posture Really Affect Breathing and Lung Capacity?

Does Posture Really Affect Breathing and Lung Capacity?

Have you ever tried to blow up a balloon while someone was sitting on it? Obviously, this would not be an easy task. If you sit down and lean over, stretching your hands toward the floor in front of your feet, your breathing is far more difficult, because the two balloons in your chest—your lungs—cannot be filled as easily with air.

What does this extreme example tell us? Quite simply, the more restrictions you place on your breathing, the harder it becomes. Leaning over squeezes your lungs, making them smaller, and decreasing your breathing volume. Shallow breathing means less oxygen into your system. Less oxygen means less energy.

A 2006 report by the American Academy of Physical Medicine and Rehabilitation showed some striking results based on posture. Using 70 able-bodied participants in wheelchairs, the study found that bad posture does indeed affect breathing and lung capacity. They tested slumped seating, normal seating, standing and a special posture that imitates standing spinal alignment (WO-BPS). This special posture involves tilting the bottom of a seat with lumbar support—with the spine “against the back part of the seat without ischial [sitting bone] support.”

They found that slumping produced the worst lung capacity and expiratory flow (LC-EF). No surprise there. Normal sitting was better. WO-BPS was even better—in some cases as good as standing posture in both lung capacity and flow.

Slumping in a chair produces bad results, but so can slouching or rounding your shoulders while standing. Sitting or standing straight for a few minutes after slouching most of your life is not good enough. Your muscles, tendons and ligaments become trained by constant slouching. You need to train them with an entirely new habit. You need to create a new “upright” lifestyle.

Tips to help maintain good posture

  • Sleep on a good bed. Too soft a mattress can be bad for your back. You want the mattress to support your spine so that it’s not misshapen by poor support.
  • Normal weight. If you have excess weight, particularly across the abdomen, your body has to work harder to stay upright. A big belly weakens the stomach muscles, pulls the back muscles and makes them work extra hard to keep you erect. Left too long, this can result in back pain and even agonizing spasms. Leg lifts while laying on your back can help strengthen your stomach muscles and give your back a break.
  • Regular exercise. This not only helps to keep the weight down, but it tones your muscles and helps to keep you flexible so that correct posture is easier.
  • Keep a healthy spine. See your chiropractor regularly for spinal adjustments to address misalignments and keep your spine limber. Any pain that develops here will make it very difficult to maintain correct posture.
  • Good vision. If you have problems seeing, it might cause you to hunch over in order to see more clearly. Be sure to have your eyes checked regularly.
  • Good environment. Make certain everything fits you properly. Properly fitting clothes can help with posture—nothing too tight. Also, make certain your chair at work is at the right height. If your legs dangle, get a footrest to keep the excess pressure off your legs.
Auto Injuries Increase Risk of Future Back Pain

Auto Injuries Increase Risk of Future Back Pain

The National Highway Traffic Safety Administrations reports that more than two million people are injured every year in auto-related accidents involving either a passenger vehicle, large truck, or motorcycle. Furthermore, that number appears to be climbing at an alarming rate, increasing more than five percent between 2014 and 2015 alone.

Certainly, being involved in this type of incident can have long-lasting effects. For instance, one study published in the journal Psychosomatic Medicine found that “a substantial minority” of subjects questioned reported experiencing anxiety when traveling in a motor vehicle post-accident, with 10 percent developing post-traumatic stress disorder (PTSD), a condition that, in some cases, plagued them for years.

Well, another recently published study has found that being in a car crash can also result in long-term physical ramifications as well. Specifically, it discovered that back pain can linger or appear long after the vehicle has been fixed and the debris has been cleaned out of the roadway.

In April of 2017, the European Spine Journal presented a study involving 789 adults, all of whom reported experiencing mild low back pain or no pain at all. Upon entering the study, each person was asked whether or not he or she had been in a motor vehicle accident resulting in low back pain, making note of whether their level of pain increased, decreased, or stayed the same six and 12 months down the road.

Approximately 74.8 percent of the participants responded at the six month mark, with 64.5 percent providing input at 12 months. Of those who did respond, researchers noticed a positive correlation between those who had previously been involved in an auto accident and the incidences of low back pain at a later date. In other words, having a car crash in your past may increase your risk of back pain in the future.

This is partially why being assessed right after a car wreck is so critical. While this is relatively standard when it comes to auto injuries that can be seen or easily felt, damage done to the musculoskeletal system isn’t quite so visible or easy to pinpoint, which also makes it easier to ignore.

Educating patients is the first step to helping them resolve any subsequent back issues. The second step is to regularly ask them whether they’ve been involved in a crash, no matter how small. If they have, addressing that issue first and foremost can keep their quality of life from being compromised months, years, or even decades later.

References

  • Mayou R, Tyndel S, Bryant B. Long-term outcome of motor vehicle accident injury. Psychosomatic Medicine 1997;59(6):578-84.
  • Nolet PS, Kristman VL, Côté P, Carroll LJ, Cassidy JD. The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain: a population-based cohort study. European Spine Journal 2017;doi:10.1007/s00586-017-5090-y
  • Traffic Safety Facts. (August 2016). 2015 Motor Vehicle Crashes: Overview. National Highway Traffic Safety Administration. 
Do You Know the Top Foods for Healthy Joints?

Do You Know the Top Foods for Healthy Joints?

Keeping our joints healthy is one of the most important things we can do to remain independent and active as we age. Life can become quite challenging for individuals who are immobilized by joint pain, since it can result in reduced physical and social activity as well as a higher risk of psychological and emotional problems.

When it comes to joint health, exercise is very important, but what you EAT also plays a significant part. Here are some of our favorite joint-friendly foods:

Water — Perhaps the single-most important “food” is water. This liquid is essential for maintaining every system within the body. Water helps in the elimination of toxins, including those poisons that can create joint pain. Water also helps in the delivery of nutrients to the various parts of the body and—like the oil in your car—is essential for joint lubrication. Drink plenty of water every day!

Fish — Cold water fish, such as salmon, mackerel, sardines, white tuna, halibut and trout can deliver healthy doses of omega-3 from the fish oil in each serving. Omega-3 fatty acid is known to reduce inflammation that can cause or increase joint pain. Fish oil can also slow down cartilage degeneration. Cartilage is the rubbery substance between bones that allows for smooth movement. When this wears out, movement becomes extremely painful.

Dairy products — In addition to contributing to bone health, dairy products (and particularly low-fat ones) such as cottage cheese, yogurt and milk can also help eliminate painful gout symptoms.

Flax Seeds — Flax is another source of omega-3 and omega-6 fatty acids for great joint health. Flax seeds and flax seed oil are high in antioxidants, which help to prevent or delay some effects of aging. Flax also contains lots of fiber, which can help you feel fuller for a longer time, reducing the likelihood of snacking. Frequent snacking can lead to obesity—a condition frequently associated with joint pain.

Spices —Curry, ginger and cinnamon also have anti-inflammatory properties that can help your joints. Turmeric has been shown to be particularly effective in reducing the symptoms of osteoarthritis. With these spices in the mix, a joint-friendly diet certainly doesn’t have to taste bad or be bland.

Papaya —The Annals of Rheumatic Diseases published a 2004 study showing a strong correlation between low vitamin C intake and rheumatoid arthritis. Those with the lowest vitamin C consumption were 3 times more likely to develop the disease. Though orange juice has a good dose of vitamin C, papaya has nearly twice as much. Not only that, papaya also includes a good dose of beta carotene for even more anti-oxidant joint support.

Tart cherry juice — The anthocyanins contained in this juice are powerful anti-inflammatories that have been shown to reduce arthritis-related inflammation even better than aspirin. In addition, cherry juice is effective in reducing the painful symptoms of gout.

Do You Know all of the Health Benefits of Onions?!!

Do You Know all of the Health Benefits of Onions?!!

10 Health Benefits of Onions

Onions are considered one of the world’s healthiest foods and given that there are  varieties of onions, how you use them could be different each time! Grown all over the world, the first record of using onion for health purposes and healing was in the 17th century. The truth is, onions are therapeutic, which is lucky, seeing as Americans eat over 20 pounds of onion per capita, per year. Want to know what is so good about them? Read on!

1. Improved Immunity

Onions contain powerful antioxidants. Antioxidants are flavonoid compounds, which delay or help repair oxidative damage to different cells and tissues in the body. Eating onion regularly can also protect the body and help regenerate the powerful antioxidant vitamin E, which the body needs as a fat-soluble nutrient. Plus, onion contains allicin. Allicin, a plant derived nutrient, is a killer of various viruses and bacteria, which means it’s a good thing if you eat some raw onion when you feel the onset of a cold or flu, this way the immune effect will be the strongest.

2. Reduce inflammation

When inflammation in the body is working properly, it fights against the disease or protect a wound, gets rid of the virus and then leaves the body, It’s when it goes a bit wrong and doesn’t leave the body, that your immunity is compromised. Naturally anti-inflammatory, onions can help fight inflammation, when the inflammation is the problem. Quercetin, found in onion, has proven to inhibit inflammation-causing leukotrienes and the prostaglandins and histamines that are in rheumatoid arthritis, and osteoarthritis. So it can help inflamed joints and chronic inflammation pain.

3. Regulate blood sugar

There has been extensive research into how onions affect blood sugar. This is good news for the 29 million people in the United States who have diabetes. The tests showed that people, who were diagnosed with type 1, and those with type 2 diabetes, had a lower blood sugar level (glucose reading) after eating onions, and it remained low for up to four hours after eating. This means onion could be very helpful in the management of diabetes. This is because of the sulfur compounds in onions that work to increase insulin production and, therefore, lower glucose levels.

4. Cancer preventer

Onions are the richest natural sources of Quercetin you can find. Quercetin is a powerful antioxidant flavonoid that has been linked to inhibiting certain kinds of cancers. Research and clinical trials have been undertaken to learn more about the effect of the quercetin in onions have on cancer, and it is not considered a drug to combat cancer. Eating onions will simply give you many good benefits that could lead to preventing cancer, because of the dietary source of quercetin it contains.

5. Healthy heart

These antioxidants such as quercetin, work to thin the blood and ward off blood clots. This is particularly the case if you eat raw onion. Raw onion lowers the chanced of bad cholesterol (LDL) which keeps hearts healthy. Not just for lowering your cholesterol, eating onions regularly can also lower blood pressure, and keeps the risk of heart attack and heart diseases or heart risks low. Heart risks including arterial hardening and gallstones. Any foods that support heart health are usually recommended by any heart foundation and are part of a balanced diet.

6. Vitamins and minerals

Onions are considered one of the world’s healthiest foods, not surprising as they contain multiple vitamins and minerals. First up there is a rather decent amount of vitamin C in onions, and we all know vitamin C is good for you. Onions also contain vitamin B6. B6 is great for red blood cell formation, Potassium, which is important for low blood pressure, and general heart health and Folate B vitamin bodies need for metabolism and cell growth. Not only the above but they are also a good source of dietary fiber, calcium, iron, low sodium and have no fat.

7. Free radical killer

Free radicals are molecules that attack healthy cells in the body. These free radicals want to steal all the good stuff from healthy cells, like electrons and rebalance, which cause damage to the good cells, this, in turn, affects the body in regards to aging and deterioration. And if your body is overrun with free radicals, oxidative stress is created. You can combat free radicals by eating foods that are high in antioxidants. Onions do this by eliminating free radicals, they even search them out and kill them, and therefore, reducing the aging process and your risk of developing other related diseases.

8. Onion cough syrup

You can make your cough syrup at home from onions, and it does, in fact, taste better than it sounds, and some may say, better than over the counter cough syrups. Using a red or yellow onion, slice it evenly and place at the bottom of a jar. Pour a layer of honey over it, then repeat layering onion slices, and honey until you are out of the onion. (You can use raw or brown sugar instead of honey if you like but it will be much sweeter) Cover the jar tightly and let it sit overnight. After up to 12 hours the liquid in the jar becomes your cough syrup. Take one spoonful, three times an hour. This concoction will begin to break up and mucus, its natural antibiotic properties begin to take effect and the honey works to soothe the throat.

9. Bee stings

The soothing properties of applying a freshly cut slice of onion directly onto a wasp or bee sting can immediately begin to take effect. The enzymes in onions can help break down the compounds found in the venom of a bee or wasp sting. This is what causes the inflammation and subsequent pain and even swelling. Applying onion can reduce all of these things initially. It also helps in the length of time the sting takes to heal. This ‘home remedy’ was once thought to be an old wives tale. Now it is commonly known to be correct, and more importantly, actually work!

10. The healthiest onions

Western yellow onions and shallots are considered the healthiest because of their phenolic and flavonoid content. In general, consuming these versatile vegetables is only ever a good thing, no matter what kind of onion. These two kinds of onions are both from the allium family, and they can be pretty easily interchanged in recipes. They have a slightly different taste in regards to pronounced sweet flavor (shallot) and bite (yellow onion). That does not make them unusable. If anything, it makes them more desirable to the palate, and to the health system.

Today’s article was written by Charmaine and is shared from the following website: http://health.facty.com/food/nutrition/10-health-benefits-of-onions/?utm_source=bing&utm_medium=c-search&utm_term=health%20benefits%20of%20onions&utm_campaign=f-h-10-health-benefits-of-onions&msclkid=57e38f7f3d051891d8f5d5c259ba940f

Chiropractic Effective for Cervicogenic Headache

Chiropractic Effective for Cervicogenic Headache

According to the World Health Organization (WHO), headache pain is “extremely common,” with headache disorders—which are characterized as head pain that is repeated in nature—afflicting as many as one in 20 individuals on a daily or almost-daily basis. An additional one in seven people deal with the king of all headaches: migraines.

Another type of headache which can create an amazing amount of throbbing discomfort is a cervicogenic headache. Defined by the American Migraine Foundation as a “secondary headache” whose cause originates somewhere in the neck area even though it presents itself in the head, some research studies have found that these particular headaches tend to respond rather well to chiropractic treatment sessions.

For instance, BMC Research Notes published the results of a single-blinded randomized control trial conducted in Norway which involved 19 individuals between the ages of 18 and 70 who suffered from cervicogenic headaches. Each subject was assigned to one of three groups for a length of 17 months. The first group received actual chiropractic spinal manipulative therapy utilizing the Gonstead Method. The second group received sham chiropractic manipulations, and the third group served as a control and was simply asked to continue with their current treatment regimen, which did not include any type of manual intervention whatsoever.

Upon conclusion of the study, only 12 of the original 19 participants remained, due to either drop outs or the subject being excluded once randomization occurred. However, of these remaining individuals, those assigned to receive actual spinal manipulation reported a reduction in the number of headaches experienced both during the treatment regimen and at follow-ups conducted six months and one year post-treatment. This was particularly notable when compared to individuals assigned to the control group who reported no change in their cervicogenic headache frequency during or post-study.

While this is a rather small sample size, highlighting the need for more research to be conducted in this area, the study’s findings suggest that, for patients struggling with cervicogenic headaches, chiropractic treatment is definitely better than no treatment at all. This is true both short and long term as positive effects are likely to remain long after the sessions have ceased.

Additionally, although headache pain is among one of the most common pains experienced by adults worldwide, that doesn’t mean that people must simply manage their way through it. By engaging in regular chiropractic care, some headaches can be effectively treated at the source. Cervicogenic headaches are one of them, making this treatment method beneficial for patients seeking a reduction in head pain, and an increase in life satisfaction.

  • Cervicogenic Headache. (October 24, 2016). American Migraine Foundation.

  • Chaibi A, Knackstedt H, Tuchin PJ, Russell MB. Chiropractic spinal manipulative therapy for cervicogenic headache: a single-blinded, placebo, randomized controlled trial. BMC Research Notes 2017;10:310.doi:10.1186/s13104-017-2651-4

Today’s article was written by Michael Melton and is shared from the following website: https://www.chironexus.net/2018/03/chiropractic-effective-cervicogenic-headache/

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