Happy Labor Day!
We hope you have a happy and safe Labor Day!
Chiropractic Patients Recover Faster, Spend Less Money
Back pain is an expensive health problem for both patients and businesses. A 2012 study reported that we spend about $635 billion on pain every year, with a significant amount of that spent on back pain. Over the years, quite a few studies have shown that chiropractic care is more effective for back pain than medical care, plus chiropractic patients spend less money on their care than medical patients do.
Because back pain is such a common problem, a group of Canadian researchers recently investigated the role that the type of primary caregiver has on financial compensation.
This was a large study of 5,511 patients who experienced a work-related back injury in Ontario, Canada. The patients saw the following providers for their first visit:
- 85.3% saw a medical doctor
- 11.4% saw a chiropractor
- 3.2% saw a physical therapist
The authors set out to “compare the duration of financial compensation for back pain” among patients from each care group.
The study found that chiropractic patients had the shortest amount of time receiving compensation for their pain and also were less likely to have a recurrence.
In addition, chiropractic patients didn’t need to see other healthcare providers for their pain. 75% of chiropractic patients saw no other provider, while 58.6% of physical therapy patients also saw a medical doctor.
The authors conclude:
“The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest.”
Blanchette M, Rivard M, Dionne CE, et al. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. Journal of Occupational Rehabilitation 2016 Sep 17.
Today’s chiropractic news shared from the following website: https://www.chironexus.net/2016/09/chiropractic-patients-recover-faster-spend-less-money/
The Side Effects from Drugs/Pharmaceuticals is NOT Funny Business
We know that many people feel that it is easier to take a pill than to take care of themselves. It may seem easier in the short term but in the long run, it is never the solution for maximizing your health and longevity. It is now estimated that 95% of all cancers are life-style related. Other health such as heart disease. diabetes, and arthritis are most often related to a person’s lifestyle as well. If you want to be healthy and to age gracefully, the best way is to start improving your lifestyle choices today! If you have any questions on how you might do that, be sure to contact our office!
Today, we are sharing a great article from the Sparman Clinic Blog!:
THE NEGATIVE SIDE-EFFECTS OF PRESCRIPTION MEDICATION
Many side-effects associated with prescription medication can be more detrimental than the condition they are treating. The best way to avoid having to take prescription medication is to take care of yourself through diet, exercise, and natural preventative supplements.
Why the Push For Prescription Medication?:
The pharmaceutical industry is a booming business. Americans spend over $200 billion per year on prescription medication. While many of these medications have helped people recover and live healthy lives, there is a potentially dangerous situation that can result from over-medication (taking an excessive amount of prescription drugs) or using drugs that come with a high-risk of hazardous side-effects. These side-effects can be overlooked when it is seen as a solution to a painful or life-threatening health condition.
What are Some Potential Side-Effects?:
Depending on the type of medication you are choosing, many may only mask or slow the symptoms of a condition, rather than heal. In the process, some negative side-effects can emerge, causing discomfort or health risks. Depending on other medications or a person’s physical make-up, there can be different reactions with different people.
How Can You Reduce Your Risks?:
The best way to reduce your risk of negative side-effects with prescription medication is not taking any! While there are some conditions where this is not an option, many health conditions and diseases can be prevented through diet, exercise, and the use of natural supplements. Preventative care is essential to a long and healthy life free from reliance on prescription medication. Make sure your diet is full of raw, organic fruits and vegetables that provide the essential vitamins and minerals needed for healthy body functions. Exercise should be a regular part of your routine; this keeps your heart pumping.
Why Choose Natural Supplements?”:
If you are looking for additional ways to keep your heart healthy as you age, a good choice can be a natural supplement. These supplements may supply vitamins, minerals, and antioxidants to help you meet your nutrient needs. Using a natural supplement in conjunction with a healthy lifestyle can greatly reduce your risk of heart disease and improve your quality of life.
Overall, your health is in your hands. There is a lot of controversy in the pharmaceutical industry and what works for someone else, may not work for you. Reduce your risk of dependence on medication which could come with some serious side-effects by taking care of your health through diet, exercise, and natural vitamin supplements for a well-rounded lifestyle.
What Are Blood Clots and When Are They Dangerous?
The ability for blood to clot is a mechanism for keeping us from bleeding to death when we receive minor injuries. People with the genetic condition hemophilia lack the substance in their blood that spurs it to clot. This can lead to death at a young age due to hemorrhage. When we first receive a cut, platelets in our blood collect at the site to form a temporary barrier. Then these platelets send out chemical signals that cause the blood’s clotting factors to replace the platelets with fibrin, which is tougher and more durable than the platelet barrier. When the bleeding is sufficiently stopped, anti-clotting proteins are then released that stop the clot from growing larger and spreading.
However, sometimes blood clots develop in an abnormal fashion or break off and travel to other parts of the body where they can cause serious medical problems, such as a stroke or heart attack. More than one in every thousand people develops a venous thrombosis (blood clot in a vein), which may prove fatal. The aging population and increased immobility due to lack of exercise and obesity have served to contribute to ever increasing rates of venous thrombosis. A study reported in the American Journal of Hematology predicts rates of venous thrombosis to more than double by 2050.
Clots are most likely to form when the flow of blood through the veins is slowed, such as when sitting in a chair for long periods of time, or when confined to bed. Those at greater risk for developing blood clots are the elderly, smokers, those who have recently had surgery to the hips or knees, pregnant women, women who use oral contraceptives or HRT, and those who are immobile due to illness, travel or surgery. Long plane flights are a well-known contributor to episodes of deep vein thrombosis (DVT), due to the extended periods of immobility imposed on passengers.
Symptoms of a clot are relatively obvious. Because a clot in a limb blocks the drainage of blood, the limb becomes swollen and reddish or purple and the skin becomes tight and shiny in appearance. If the clot is not dealt with in a speedy fashion, part of it can break off and travel through the circulatory system, where it can block a blood vessel in the lungs, causing a pulmonary embolism (PE). Symptoms of a PE include chest pain and shortness of breath, although some people do not exhibit these symptoms.
In order to help prevent blood clots, there are a few precautions you can take. If you will be traveling or immobile for long periods of time, be sure to increase your intake of water. This has been shown to help keep blood flowing. Take frequent breaks for exercise, if possible. Even if confined to a chair, you can practice some simple leg exercises such as flexes and stretches. Finally, you can invest in specially-designed compression stockings that can help to support the flow of blood through the veins.
Bursitis Causes and Treatment Options
Bodily movement is assisted by over 150 fluid-filled sacs called bursae. Bursae help to cushion your bones, ligaments, and tendons as they move against each other. When in good health these bursae ensure that your joins have a full range of motion. However, these sacs can become swollen and irritated, creating a condition known as bursitis.
The most common cause of bursitis is overuse of the joint. Repetitive movements can irritate the bursae, leading to pain, swelling, and tenderness. Common movements that may lead to bursitis are extensive kneeling (scrubbing the floor or laying carpet, for example), lifting heavy objects (lifting a bag of groceries into the car), and athletic injuries (an aggressive tennis swing). These movements cause the sac to fill with fluids. The resulting swelling puts pressure on the tissue around the sac, causing pain and tenderness.
Other less-common causes of bursitis include gout and infection. Gout crystals can form in the elbow, causing pain and inflammation. Bursae in the knee and elbow lie just below the skin. This leaves them vulnerable to puncture injuries, which can lead to infection.
People become more susceptible to bursitis as they age. Because the shoulder is the most used joint in the body, it is the place where it is most likely to be felt. People over the age of 65 should be especially cautious when carrying out activities that put stress on the shoulder joint.
Treating bursitis begins with conservative measures. Because bursitis due to injury and repetitive movement often goes away on its own, these treatments focus on relieving pain and making the sufferer more comfortable. Treatments for this situation include ice packs, rest, and over the counter anti-inflammatory pain relievers (such as Aleve or Advil).
In more severe cases, a physician may inject a corticosteroid into the inflamed sac. He or she may also use a needle to draw fluid out of the bursae, relieving pressure and quickly reducing pain. In very rare cases of persistent bursitis, surgical intervention may be necessary to remove the problematic bursa.
Part of bursitis treatment is giving the body enough rest to heal the inflamed bursae. Patients should be careful not to overuse the affected area. Immobilization is best, as is getting plenty of rest. After the swelling and pain have receded, patients should be careful in how they treat the problematic area to reduce the chances of the problem recurring.
Bursitis can be painful, but for most people the discomfort will fade with time and rest. If the pain lasts for more than a week or two, or if it becomes so intense that you cannot carry out your daily activities, consult with your doctor.
Spinal Health at the Gym—Form Matters!
Whether you are an athlete training for competition or someone who visits the gym regularly just to keep fit, protecting your back and spine from injuries during workouts is important. A large-scale University of Arkansas study found that after injuries to the hand, injuries to areas ranging from the neck to the lower back were the most common type of gym-related injuries.
Back injuries at the gym are more common today due to the large amounts of time we spend sitting at a desk or hunched over a computer. According to personal trainer Justin Price, a specialist in functional fitness and corrective exercise, “If someone is rounded throughout the day in their upper back, and then they go to the gym and do an overhead shoulder lift standing, their upper back cannot extend properly. They straighten and arch upward from their lower back, which has a nervous breakdown because it’s getting all the stress.”
Price suggests that in order to avoid injury you consider getting a personal trainer who can show you the proper way of performing exercises and using equipment. The most important way to maintain good spinal health is to strengthen your core muscles. These are the muscles that lend strength and support to the spine, and which tend to become weakened with long periods of sitting. Following are a few tips on how to use proper form when exercising or lifting weights in the gym.
Tighten your gluteus muscles – When performing a squat, deadlift, or during pushups, be sure to squeeze your glutes. This ensures that the muscles connecting your lumbar and sacral areas are locked so your hips and lower back move as a single unit. Otherwise there is a tendency for the lower back to curve, with the vertebral discs being exposed to more stress than they are designed to handle.
Tighten your abs – So as to keep your spine from arching too much in either direction, tighten your abdominal muscles like you are preparing to be punched in the stomach. This will provide stability to the spine as you bend and lift.
Pull your shoulders down and back – A rounded upper back is one of the leading causes of back injury. It increases pressure on the front side of the vertebral disks, increasing the risk of disc herniation.
Keep hips and shoulders aligned – Back injuries happen more often when twisting and bending. Ensure that your hips and shoulders move as one unit. If you need to change direction, lead with the hips and the shoulders will follow. If you lead first with the shoulders, the hips tend to fall behind, too late to keep from overstraining the low back muscles.
How Do Chiropractors Know If Your Spine is Out of Alignment?
Having a misaligned spine (also called a spinal subluxation) can negatively affect your daily life in a number of ways. It can not only cause pain in the back and neck, but can also cause pain in the rest of the body because of the pressure that the misaligned vertebrae place on nerves in the spinal column. For example, many people suffer from sciatica (a condition in which pain can be felt shooting down the leg as far as the foot) due to a misaligned vertebral disc putting pressure on the spinal nerve roots. A chiropractor can diagnose if your pain is due to your spine being misaligned and can perform a spinal adjustment to restore proper alignment and range of movement, relieving pain.
Spinal subluxations are very common. They occur when one or more of your 24 bony vertebrae (most people actually have 33 vertebrae counting the nine that are fused to form the sacrum and coccyx) are pulled out of alignment with one another. This can happen for a variety of reasons. Among the most frequent contributors to spinal misalignment are an injury, a sudden jar, fall or trauma, bad posture, stress, inactivity, obesity, repetitive motions and lifting something improperly. When your spine becomes misaligned, your range of motion can become more restricted, with or without accompanying pain. Although spinal misalignments can happen quickly (usually in the case of an accident or acute injury), they can also occur over time due to weak postural muscles. This is often the case with those who sit at a desk for hours each day.
A chiropractor may use a variety of different diagnostic techniques to determine if your spine is out of alignment. Most chiropractors can easily spot a subluxation, as body posture reflects any misalignment. For example, when lying down, one leg will appear shorter than the other. When standing up, the body may lean to one side, or the head may tilt to the left or right. Also, one shoulder or hip may appear higher than the other, and the distribution of body weight may favor one foot or the other.
Other things that your chiropractor may do to determine if your spine is out of alignment are to check your range of motion (reduced range of motion usually indicates a misalignment), press along your spine (called palpation) to evaluate joint function, perform strength testing and look for changes in muscle tone. He or she may also order x-rays of the spine to be taken, so as to have a visual confirmation of your spinal subluxation.
Once the misalignment has been pinpointed, your chiropractor will perform a spinal adjustment that will move your vertebrae back into alignment, restoring correct posture and alleviating pain that may have been caused by the misalignment.
Neck Pain Causes
Most Common Neck Pain Causes: Strains and Sprains
The most common causes of neck pain—strains and sprains—heal within a few days or weeks. A strain is when a muscle or tendon has been irritated by overuse or overextension. Similarly, a sprain is when a ligament has been irritated by overuse or overextension.
Common causes of neck strains and sprains include:
-
- Sleeping in wrong position. Often referred to as a “crick” in the neck, a person might wake up in the morning with neck pain due to sleeping in an awkward or atypical position that overextended the neck.
- Sports injury. A person could move the neck suddenly and/or in an unusual way in a new sport, or a player could have a collision or fall. A common sports collision injury is a stinger, which happens when nerves in the neck/shoulder are impacted and pain, numbness, and weakness can radiate down the shoulder, arm, and hand.
-
- Poor posture. Whether it’s at work, home, and/or commuting, poor posture can lead to neck problems. If a person’s head is often tilted forward for long periods of time, then the neck’s muscles, tendons, and ligaments need to work harder. Poor posture can be problematic during any number of activities, including working at a computer, watching TV, riding the train, reading a book, gardening, and more. Text neck, for example, is an increasingly common problem that develops in anyone who spends hours looking down at the phone while texting.
-
- Repetitive motions. Turning the head in a repetitive manner, such as side to side while dancing or swimming, may lead to overuse of the neck’s muscles, tendons, and ligaments.
- Holding the head in unusual position. Anything that requires holding the head in an unusual way for long periods of time could cause neck strains and sprains. Some examples include having a long conversation while cradling a phone between the head and shoulder, or spending an afternoon looking up at an air show.
- Whiplash. In a whiplash injury, the head and neck are forced suddenly backward and immediately forward with a great deal of force. The soft tissues along and near the cervical spine can be torn or ruptured as a result. This type of injury commonly occurs in an auto accident that involves a rear-end collision.
Causes of Chronic Neck Pain
Neck pain is considered chronic when it persists for more than 3 months. These conditions tend to stem from problems in the cervical spine either with a facet joint or disc. Common causes include:
- Cervical degenerative disc disease.
Everyone experiences wear and tear on the cervical spine over time. It’s natural for the discs to gradually lose hydration and the ability to cushion the spine’s vertebrae. If a disc degenerates enough, it can lead to painful irritation of a cervical nerve in various ways, such as a herniated disc, pinched nerve, or changes in the facet joints that can cause arthritis.- Cervical herniated disc A cervical disc is herniated when its jelly-like inner layer, the nucleus pulposus, leaks out through a tear in the disc’s protective outer layer. This could result from an injury or aging. A herniated disc may press against or pinch a cervical nerve, or the inflammatory proteins of the nucleus pulposus may come close enough to a nerve to cause irritation.
- Cervical osteoarthritis
When the cartilage in a cervical facet joint wears down enough, it can lead to cervical osteoarthritis, also known as cervical spondylosis. Rather than having the facet joints move smoothly along cartilage as intended, they might grind bone on bone. The joint could become enlarged from inflammation and bone spur growth, causing a nearby nerve to become pinched or pressed- Cervical spinal stenosis with myelopathy Spinal stenosis occurs when the spine’s degeneration leads to a narrowing of the spinal canal, such as from a herniated disc that pushes into the spinal canal or bone spurs that grow into the canal. When the spinal canal narrows enough to compress the spinal cord—a large bundle of nerves that runs inside the spinal canal—myelopathy can result. Myelopathy is when compression of the spinal cord starts causing symptoms, such as weakness or problems with coordination in the arms, hands, legs, or feet.
- Cervical foraminal stenosis This condition occurs when the foramina—the holes in the vertebral construct through which nerve roots that branch off from the spinal cord can exit the spinal canal—become narrowed. This narrowing of the hole can cause irritation for the nerve root that runs through it. Foraminal stenosis is associated with radiating pains in a pattern specific to the nerve that is pinched by the narrowing. In some situations, there is a combination of the cervical stenosis causing myelopathy, as well as the specific nerve pattern associated with a cervical foramen being narrowed.
Other Causes of Neck Pain
While not the most common causes of acute or chronic neck pain, other causes of neck pain could include:
-
- Emotional stress. Sometimes muscles in the neck can tighten up and ache in response to stress, anxiety, or depression.
- Infection. If part of the cervical spine becomes infected, then inflammation could cause neck pain. One example would be meningitis.
-
- Myofascial pain. This chronic condition has trigger points, which result from achy muscles and surrounding connective tissues, typically in the upper back or neck. Trigger points can be chronically painful or only painful to the touch. The pain might stay in one spot or it can be referred pain that spreads to/from another area in the body.
- Fibromyalgia. Fibromyalgia is hard to diagnose, but it typically involves pain in the muscles, tendons, and ligaments in several areas of the body, including in the neck.
-
- Spinal tumor. A tumor, such as from cancer, could develop in the cervical spine and press against a nerve. These types of tumors more commonly occur as cancer that has started in another part of the body metastasizes.
-
- Spondylolisthesis. This condition occurs when one vertebra slips over the one below it. It can be due to a tiny fracture in the vertebra, or possibly from advanced disc degeneration, or ligament laxity.
-
- Ankylosing spondylitis. This progressive arthritis of the spine and pelvis can cause widespread inflammation, pain and stiffness throughout the spine, including the neck.
Risk Factors for Developing Neck Pain
Some research indicates that getting unhealthy amounts of sleep, being inactive, and smoking can all raise the risk of developing neck pain.2 In addition, working longer hours or being in a labor-intensive occupation, such as the military, health care support, or installation and maintenance, may increase the risk for neck pain.3
References
- Croft PR, Lewis M, Papageorgiou AC, et al. Risk factors for neck pain: a longitudinal study in the general population. Pain. 2001; 93(3):317-25.
- Yang, Haiou PhD; Haldeman, Scott DC, MD, PhD; Nakata, Akinori PhD; Choi, BongKyoo ScD, MPH; Delp, Linda PhD, MPH; Baker, Dean MD, MPH. Work-related risk factors for neck pain in the US working population. Spine. 2015. 40(3):184-192.
Happy 4th of July! Happy Birthday America!
Endurance Sports Provide a Boost to the Body’s Nervous System
It’s well known that training in certain sports can improve a person’s endurance. If you’re a runner, for example, you know that as you continue to run every day or according to whatever training schedule you follow, you gradually develop the ability to run further, faster, and for longer periods of time. But did you know modern science doesn’t have a complete understanding of why or how this actually happens? Experts still have a lot of unanswered questions about the exact mechanisms at work when an endurance sport triggers these kinds of performance improvements.
When it comes to muscle strength, there’s certainly an element of adaptation at work—it’s clear that the phrase “use it and strengthen it” is every bit as true as “use it or lose it”. But muscle strength isn’t the whole story. Many long-distance runners would probably tell you that their coordination and ability to deal with rough surfaces and obstacles also seem to increase with practice. To them, it seems as if their muscle-brain communication has improved along with their muscle strength.
According to a study conducted at the Biozentrum of the University of Basel, not only may the runners’ perception be correct, but researchers may also have found one of the mechanisms that cause the improvements the runners are noticing. Their research suggests that endurance sports not only change the condition and fitness of your muscles, they also improve the neuronal connections to individual muscle fibers, based on a type of muscle-induced feedback, all accomplished through increased levels of a blood protein called PGC1α.
PGC1α seems to play a major role in muscle adaptation because it regulates the genes that cause muscle cells to change to keep up with the greater demands being placed on them. When your muscles are inactive (or diseased), they contain a low concentration of PGC1α. When the muscles are more challenged, however – for example when running for long distances – PGC1α levels increase. Professor Christoph Handschin and his colleagues in Basel have been able to show that this increase in PGC1α not only increases muscle size and strength, it also improves upstream synaptic nerve connections to and from the muscles.
The presence of more PGC1α improves the health of the synapses that link the muscles to the brain, allowing the muscles to change and develop new activation patterns, based on changing requirements placed upon them by the exercise. In effect, the more you train, the more PGC1α is in your muscles, and the more quickly they are able to “learn” how to become stronger and more adaptable to challenges.
However, the most surprising part of this study, published in the journal Nature Communication may be that Professor Handschin and his colleagues were able to induce this same improvement in synaptic communication by introducing higher concentrations of PGC1α into the muscles artificially. As the researchers increased PGC1α levels, the muscles became stronger and the neuronal connections became stronger, just as if the subjects had been performing endurance training.
These findings are seen as possibly having therapeutic applications in the treatment of diseases such as muscle wasting and amyotrophic lateral sclerosis (ALS or Lou Gehrig’s Disease). As Handschin explains, “In patients, whose muscles due to their illness are too weak to move on their own, an increase in PGC1α levels could strengthen muscles and nerves until the patients can move enough to finally do some physical therapy and to further improve their mobility.” Then after some improvement to their muscles as the result of pharmacological treatment, the patients could continue to improve their muscle strength through practicing endurance sports.
But for healthy people, there’s a much simpler message—certain types of sports normally associated with endurance-building also build muscle coordination and adaptability. Not only is this type of exercise good for cardiovascular and musculoskeletal health, it also seems to pay big “fitness dividends” for your body’s nervous system.