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The Opioid Crisis’ Latest Victims: Addicted Babies

The Opioid Crisis’ Latest Victims: Addicted Babies

(NU) – And now the nation’s opioid crisis is putting newborn babies at risk.
The use of prescription painkillers like OxyContin by women during pregnancy has resulted in what’s being called “an explosion” of infants as addicted to the drugs as their mothers. Newly published data in JAMA Pediatrics shows the number of cases of neonatal abstinence syndrome (NAS) has risen five-fold in the U.S. from 2000 to 2012 – that’s nearly 22,000 affected inf ants in that last year alone – and the reality behind those stats is heart-wrenching. “The babies, they really suffer,
just like adults do when they withdraw from narcotics,” Dr. Terrie Inder, chair of pediatric new born medicine at Boston’s Brigham and Women’s Hospital, told CBS News. “The babies are very irritable and sometimes have high heart rates, sweating, flushing, diarrhea. They cry a lot.”

Heightening experts’ concern: The crucial early “bonding” between mother and child is disrupted, given the babies’ average hospital stay of 24 days. The mothers, often unaware of the potential collateral damage from the painkillers they’ve been taking, experience what Inder calls “anxiety and guilt.”

Back and neck discomfort is especially common during pregnancy since women’s postural changes can result in spine and pelvic pain.

The open question is whether this latest development, combined with the Centers for Disease Control and Prevention’s call last year for physicians to dramatically curtail prescribing opioids will encourage more women to seek alternatives like drug-free chiropractic care. “All chiropractors are trained to work with women who are pregnant,”, The American Pregnancy Association says, lauding their expertise in “establishing pelvic balance and alignment.”

If you are expecting a baby or know someone who is, Dr. Oblander is well-trained in taking care of women during their pregnancies. Be sure to take good care of yourself and give our office a call if you experience back or hip pain during your pregnancy!

(Article shared from News USA)

The Positive Effects of Chiropractic Care!

The Positive Effects of Chiropractic Care!

We know that our patients who get adjusted regularly see the wonderful side effects! Their backs are not the only beneficiary of their adjustments! Here is a study that confirms that keeping the spine adjusted has more positive effects than just your back or neck feeling better!:

A retrospective study conducted in Sweden [1] has determined that about one in four chiropractic patients experiences some form of “positive nonmusculoskeletal side effect” after spinal manipulative therapy (SMT).

In addition, the percentage of patients who experience positive side effects increases with the number of spinal regions adjusted. The Swedish researchers asked all members of the Swedish Chiropractors Association (SCA) to participate in the study. Eighty-one percent of the SCA membership complied. Each doctor of chiropractic gathered data from 20 patients over a three-week period for a total of 1,504 valid patient questionnaires. Patients were included if they had been previously adjusted within the last two weeks for musculoskeletal complaints. The patients were asked if after their previous visit they ìexperienced any positive changes that do not seem to have anything to do with your back problem?

At least one positive side effect or reaction was reported by 23 percent of the respondents. The more spinal areas that were adjusted, the better their chances of experiencing at least one positive reaction:

The positive, nonmusculoskeletal reactions appear to cluster into a number of system/organ-related classifications. Of those patients who experienced them, here is the breakdown by percentage:

 

  • Respiratory System: 26%

  • Digestive System: 25%

  • Circulatory System/Heart: 14%

 

  • Eyes/Vision: 14%

The benefits experienced can also be broken down into subcategories:

 

  • Easier to Breathe: 21%

  • Improved Digestive Function: 20%

  • Clearer/Better/Sharper Vision: 11%

  • Better Circulation: 7%

  • Changes in Heart Rhythm/Blood Pressure: 5%

 

  • Less Ringing in the Ears/Improved Hearing: 4%


The authors, as is typical in research papers, are careful to point out the limitations of extrapolating the findings. They note that the study does not demonstrate whether the statistical link between treatment and reaction is causal. They assert that ìthe absence of an untreated control group makes it impossible to say whether these reactions are treatment-specific, or if they simply represent normal fluctuations of common symptoms of physiologic function. While these results are very exciting, it is clear that additional research is needed.

Reference:

The Types of Improved Nonmusculoskeletal Symptoms Reported After Chiropractic Spinal Manipulative Therapy
J Manipulative Physiol Ther 1999 (Nov);   22 (9):   559–564

The Abstract

OBJECTIVE:   To investigate the frequency and types of improved nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy.

DESIGN:   Retrospective information obtained by chiropractors through standardized interview of patients on return visit within 2 weeks of previous treatment.

SETTING:   The private practice of 87 Swedish chiropractors (response rate 81%).

SUBJECTS:   Twenty consecutive (presumably naive) patients per chiropractor (1504 valid questionnaires returned, 86% of optimal number of replies).

INTERVENTION:   Spinal manipulation with or without additional therapy provided by chiropractors.

MAIN OUTCOME MEASURES:   Self-reported improved nonmusculoskeletal symptoms (reactions).

RESULTS:   At least I reaction was reported after the previous treatment in 21% to 25% of cases. Of these responses, 26% were related to the airway passages (usually reported as “easier to breathe”), 25% were related to the digestive system (mostly reported as “improved function”), 14% were classified under eyes/vision (usually reported as “improved vision”), and 14% under heart/ circulation (about half of these reported as “improved circulation”). The number of spinal areas treated was positively associated with the number of reactions.

CONCLUSION:   A minority of chiropractic patients report having positive nonmusculoskeletal reactions after spinal manipulative therapy but such reports cluster predominantly around specific symptoms. It would be interesting to find out if these can be verified objectively and, if so, to investigate if they are caused by the treatment or if they are signs of natural variations in human physiology.

 

How Chiropractic Care Has Helped Me: Introducing Brigadier General Becky Halstead

How Chiropractic Care Has Helped Me: Introducing Brigadier General Becky Halstead

How Chiropractic Care Has Helped Me: Introducing Brigadier General Becky HalsteadRetired Brigadier General Becky Halstead is no stranger to pain. She spent her entire adult life in the military, and was the first female graduate from West Point to become a general officer. She has seen battle all over the world, including in Iraq. But she has also fought her own personal battle—with fibromyalgia.

Fibromyalgia is a condition that is still not fully understood, but it involves symptoms that include headaches, fatigue, muscle pain, anxiety and depression. “It’s as if your whole body is a bruise … You hurt everywhere,” Halstead says. Even something as simple as showering was painful. “The water hitting your skin, it would feel like it was tearing.”

The conventional treatment for fibromyalgia involves pharmaceuticals, which Halstead took for a number of years. However, the drugs have only limited effectiveness, and she did not want them to affect her job. She said “I knew it wasn’t going to kill me—I was just in pain, so I took myself off all prescription drugs when I went into combat. I was in charge of 20,000 soldiers. That’s a huge command, a huge responsibility. I wasn’t going to have someone doubt or wonder whether the prescriptions influenced me or my decisions.”

However, it became impossible to continue in the military while dealing with debilitating pain, so she retired from the army in 2008. It was then that she began semi-monthly visits to a chiropractor, and that’s when her health began to turn around. Within a year of beginning chiropractic treatment, she was able to discontinue taking pharmaceuticals entirely by combining regular chiropractic spinal adjustments with nutritional supplements.

Halstead says of chiropractic care and how it has helped her, “It’s not like you’re cured, but you feel so much better. They set me on a path of getting well. I’m the healthiest I’ve been in 10 years. I was taking eight or 10 prescription drugs in 2008. The more I went to the chiropractor, the less prescriptions I needed.” She continued, “When I retired, my pain was easily a 9 or 10 (on a 10-point scale) every single day. My pain now is a 2 or 3, and maybe even sometimes a 1. I don’t think I’ve hit a 10 since I started regularly seeing a chiropractor.”

“If I had known how much chiropractic care would help me when I was a commander in Iraq and in the United States, I could have taken better care of my soldiers.” Although chiropractic care for military personnel was approved by congress, there are still many treatment facilities that do not have a chiropractor on staff, which Halstead would like to see changed.

“Until we’ve done that we have not fulfilled our leadership responsibility,” Halstead said. “If you want to help them, see a congressman and ask ‘aren’t our men and women getting these benefits?’ I’m not a chiropractor I’m a satisfied patient, a beneficiary of their talented hands, minds, and hearts. Go find yourself a chiropractor and change your life!”

As a side note: Dr. Oblander sees many veterans in his practice. However, it can be difficult for veterans to get coverage for chiropractic care.  If you want to help veterans and/or you willing to champion chiropractic coverage for all of our military – please let our congressional representatives know that you support chiropractic care for our veterans and military personnel!

http://www.omaha.com/article/20130316/LIVEWELL01/703179900

http://www.youtube.com/watch?v=t22AVZ44z3A (first of a 4-part series)

 

Good News About the Cost of Chiropractic Care

Good News About the Cost of Chiropractic Care

woman-paying-for-care
woman-paying-for-care

A recent evidence-based report on the effectiveness of chiropractic treatment for people dealing with low back and neck pain contains some very good news. And it’s good news for three important groups of people—patients who benefit from chiropractic, employers who sponsor health care plans, and insurance companies who manage the costs.

The report is called “Do Chiropractic Physician Services for Treatment of Low Back and Neck Pain Improve the Value of Health Benefit Plans?”. It was prepared for the Foundation for Chiropractic Progress by a panel of esteemed medical authors who were tasked with investigating the clinical effectiveness and economic efficiency of today’s chiropractic care.

In their summary, the authors concluded that chiropractic care is “more effective than other modalities in treating low back pain and neck pain.” In terms of cost, they determined that chiropractic care for low back pain, compared with medical physician care, increased annual spending per patient by only $75 per year. For neck pain, there was actually a cost savings – the cost of chiropractic care compared with medical physician care was reduced by $302 per year.

In terms of overall cost-effectiveness, the authors of the report concluded: “When considering effectiveness and cost together, chiropractic physician care for low back and neck pain is highly cost-effective, represents a good value in comparison to medical physician care and to widely accepted cost-effectiveness thresholds.” They also concluded that their cost-savings estimates were likely to be “understated” since their analysis didn’t capture reduced spending on over-the-counter and prescription medications that would have been associated with conventional treatment.

This should indeed be seen as good news by the many Americans who already use chiropractic care to treat their back and neck pain. It should also be considered good news for American employers and health care providers concerned about providing the best value for every dollar in their health benefit plans. But the good news isn’t limited to the US—the researchers found the effectiveness and cost figures also applied in the European Union.

The report authors concluded with an even stronger statement in favor of chiropractic care: “Our findings in combination with existing US studies published in peer-reviewed scientific journals suggest that chiropractic care for the treatment of low back and neck pain is likely to achieve equal or better health outcomes at a cost that compares very favorably to most therapies that are routinely covered in US health benefit plans. As a result, the addition of chiropractic coverage for the treatment of low back and neck pain at prices typically payable in US employer-sponsored health benefit plans will likely increase value-for-dollar by improving clinical outcomes and either reducing total spending (neck pain) or increasing total spending (low back pain) by a smaller percentage than clinical outcomes improve.”

 

Head-to-Head: Chiropractic Adjustments or NSAIDs for Acute Lower Back Pain?

Head-to-Head: Chiropractic Adjustments or NSAIDs for Acute Lower Back Pain?

???????????????????????Lower back pain (LBP) is so widespread that it was listed in the 2010 Global Burden of Disease report as being the single leading cause of disability worldwide. Over half of all working Americans have lower back pain symptoms each year, resulting in lost work time and enormous expense – Americans spend over $50 billion each year to treat their back pain.

So it’s not surprising that a great deal of research is being conducted to determine the most effective methods for treating acute LBP. Much of this research has sought to compare the effectiveness of spinal manipulation (the sort of adjustments performed by Doctors of Chiropractic) with nonsteroidal anti-inflammatory drugs (NSAIDs). While these studies have generally not produced definitive findings one way or the other, they have served to highlight potential safety concerns related to NSAIDs. For example, investigators in one study found that diclofenac (an NSAID commonly used to treat LBP) increased the risk of gastrointestinal complications by 54% and posed other risks to the kidneys.

Given the added concern about NSAID side effects, researchers and clinicians have had a renewed interest in learning whether drug-free manual therapies—chiropractic care, in particular—can really be just as effective, but safer. According to a recent study published in the April 2013 edition of the journal Spine, the answer is YES! In fact, the research team that conducted the study found that chiropractic adjustments were both safer and FAR MORE EFFECTIVE.

In this study, investigators divided a total of 101 patients suffering from acute lower back pain into three groups. One group received chiropractic spinal manipulation plus a placebo (sham) version of the NSAID diclofenac (meaning that the only treatment actually being offered was chiropractic care). A second group received sham spinal manipulation and real diclofenac (meaning that the NSAID was the only treatment being employed). And a third group received the same sham spinal manipulation plus placebo diclofenac (meaning that no treatment was actually being offered – this was the “control group”). All treatments were “blinded,” meaning that the patients did not know whether they were receiving real or sham spinal manipulation or real or placebo diclofenac. Outcomes were measured based on a combination of patient self-reporting, physical examination, missed work time, and the amount of rescue medication (paracetamol tablets) participants required over a 12-week period.

Perhaps unsurprisingly, about half of the participants in the “control” group receiving no treatment dropped out of the study because of intolerable pain. Comparing the remaining no-intervention subjects and the two remaining intervention groups, researchers found that the group receiving chiropractic high-velocity low-amplitude (HVLA) manipulation fared significantly better than the group being treated with diclofenac and the control group.

Researchers reported a clear difference between the two intervention groups: “The groups receiving spinal manipulation showed a faster and more distinct reduction in the RMS [root mean square, a standardized test of flexibility and mobility]. Subjects also noted a faster and quantitatively more distinct reduction in their subjective estimation of pain after manipulation.” They also found that the group treated only with the NSAID diclofenac required more rescue medication (paracetamol) than the spinal manipulation group, taking 3 times as many tablets and for twice the number of days. No negative effects were reported from the spinal manipulation group, but several negative effects were reported from the diclofenac group.

So, overall, this study indicates a clear “win” for chiropractic in the treatment of acute lower back pain. Not only does HVLA spinal manipulation avoid the potential safety concerns of NSAID medications such as diclofenac, it has been found to be far more effective. Remember this the next time you experience lower back pain, and consider seeing your chiropractor first. This one simple decision may help you recover more quickly and more completely while also helping you avoid the negative side effects of NSAIDs.

 

How Chiropractic Care Has Helped Me: Introducing Allison Jones

How Chiropractic Care Has Helped Me: Introducing Allison Jones

allison-jones-collage-200-300Competitive cycling is a sport that taxes the body in a major way. Competitions often last for days, with little time in between courses to recover. Skiing is another competitive sport that requires large amounts of endurance. Now imagine competing in these sports using only one leg! Allison Jones was born with a deformed femur and wears a prosthetic leg, but it has not stopped her from becoming one of the top female athletes in these two fields. Jones has competed in six Paralympic Games and won over a dozen medals in both in cycling and skiing, and she continues to leave her competitors in the dust.

“My parents started me skiing when I was five years old … by age six I was cycling around the neighborhood with all my friends,” Jones said. Her parents made sure that her lack of a limb did not get in the way of her being a kid. “This could have set me up for a life of lower expectations and lower activity levels but not with my parents. My mother and father were very active and I was to take part in everything. I learned to ride a bike, skate board, rock climb, white water raft, hike, ski, and to just be a kid. I only knew to be a kid and not someone with a disability.”

Jones is a strong believer in the benefits of chiropractic care. She said, “I was born without my right leg, and have met life’s challenges with the attitude that quitting is not an option. Chiropractic care has been essential to my good health and success – including earning multiple gold medals in international competitions over the past 10 years.”

Jones credits her chiropractor, Dr. Mindy Mar, with helping her to achieve the most her body can accomplish. Mar says, “Professional athletes have the same issues as everyone else when it comes to stress, aches, pains, lack of mobility – it’s just much more pronounced. Chiropractic care allows everyone to live their lives to the fullest.”

According to Jones, “I always push my body to the limit. The precise muscle releasing techniques and joint alignment that chiropractic care provides allows me to race day after day at peak performance.”
In 2011, Jones was nominated by ESPN for an Excellence in Sports Performance Yearly award (ESPY) for the best female athlete with a physical disability. During the Olympic Games in Beijing, she was the only American to have competed in both the summer and winter Olympics. She is currently training for the 2014 Winter Paralympics in Sochi, Russia. As Jones says, “Anything is possible if you put your mind to it.”

Chiropractic and Professional Soccer

Chiropractic and Professional Soccer

traumaProfessional soccer (or football, as it is called in parts of the world outside the U.S.) is a sport that is rough on the musculoskeletal system. It’s not uncommon to see a player suddenly drop to the ground holding his leg in apparent pain. Sometimes this is just a way of slowing down the game or trying to draw a penalty. However, it can also be a sign that the player has sustained a real injury.

Soccer involves movements that are particularly hard on the lower body. Players must often change direction very suddenly when running down the field. This means that they twist the upper body quickly in one direction while their feet are still planted in another. When this occurs, it places a great deal of stress on the tendons and ligaments in the knees, potentially resulting in injuries. Leg injuries can also occur when players are kicked repeatedly or are shoved or tackled when in vulnerable or awkward positions.

The legs aren’t the only part of a soccer player’s body that takes a beating. Their heads are often used to redirect a ball flying through the air at 60 or 70 mph, putting a strain on the entire spinal column. With all the twisting that soccer players do, it is easy for their spines to become misaligned, putting pressure on nerves and causing pain not only in the back, but in the limbs as well.

With all this abuse, many professional soccer players have found that chiropractic care helps keep them on the field and performing at their best. Dr. Mike Foudy, who was the team chiropractor for the Women’s World Cup Championship team said, “all but one member of the team received regular chiropractic care during their training and on the days of their matches. Chiropractic adjustments balanced their spine, removed nerve pressure and optimized the function of their bodies. All the players felt like they healed quicker from injuries and that the care gave them a competitive edge.”

A former World Cup champion from Brazil, Carlos Alberto Torres, credits chiropractic with resolving chronic disabling back pain that had kept him relying on crutches to walk. Traditional medical treatments had not helped, and finally someone referred him to a chiropractor. The chiropractic care he received enabled him to have a quick and full recovery so he could walk again without crutches and free of pain.

 
With the 2014 FIFA World Cup coming up in Brazil, professional soccer players will no doubt be lining up for chiropractic services. As Dr. Erik Plasker, the team chiropractor for one of the top US youth soccer teams noted, “while the other teams are scrambling to change their lineups due to injuries, our team bounces back fast and brings an energetic advantage to championship games. The players and coach agree that chiropractic care helps them compete at the highest level and avoid injuries.”

How Well Does Chiropractic Care Relieve Back and Neck Pain?

How Well Does Chiropractic Care Relieve Back and Neck Pain?

???????????????????????If you have never considered going to a chiropractor to treat the pain in your neck or back, maybe you should.  There are an increasing number of studies that confirm the effectiveness of chiropractic care in the treatment of back and neck pain, particularly in comparison with pain-relieving drugs.

According to a report published in the September 2011 issue of Consumer Reports, chiropractic treatment outperformed all other methods for treating back pain, including prescription medication.  Of those reporting that a treatment “helped a lot” in the management of their back pain, 65% listed chiropractic (the highest rated treatment) as the most effective, as opposed to 53% for prescription medication.  Other natural therapies were also useful (e.g. deep tissue massage helped 51% of patient a lot, yoga/pilates–49%, acupuncture–41%), but none approached the effectiveness of chiropractic care.  Similar results were found for the treatment of neck pain (chiropractic–64%, prescription medication–49%).  Results were based on the Consumer Reports National Research Center’s 2010 Annual Questionnaire, analyzed by researchers from the Natural Medicines Comprehensive Database.

In a study performed by researchers at Minnesota’s Northwestern Health Sciences University, chiropractic care was more effective for treating neck pain than medications such as aspirin, ibuprofen or narcotic pain relievers.  The study, published in The Annals of Internal Medicine, followed over 270 people with neck pain for about three months.  These people were divided into three different treatment groups.  The first group received chiropractic care, the second group was prescribed exercises to do at home and the third group was prescribed painkillers or muscle relaxers.  Approximately 57% of the chiropractic group reported experiencing a reduction in pain of at least 75%, compared with 33% of those in the medication group.

Author of the study, Dr. Gert Bronfort, a research professor at the university, said that of the positive changes that had resulted from chiropractic treatment, “These changes were diminished over time, but they were still present.  Even a year later, there were differences between the spinal manipulation and medication groups.”

Another downside that the medication group experienced was that it was necessary to keep taking the painkillers.  Dr. Bronfort said, “The people in the medication group kept on using a higher amount of medication more frequently throughout the follow-up period, up to a year later.”  One of the great benefits of chiropractic care is that it treats the source of the problem, leading to long-term pain relief, in comparison with painkillers that just mask the symptoms.
Research has found that the most benefit in the relief of neck and back pain comes from a combination of chiropractic care and exercises you do at home.  Your chiropractor can suggest effective exercises that you can do at home in between adjustments that will work synergistically with your chiropractic care so that you can experience long-term relief from your back and neck pain.