You might think chiropractors are only able to help with back aches, stiff necks, slipped discs and whiplash injuries. If so, you’re not alone – but you’re missing out.
While the degree of discomfort reported by a patient is an important guide, the subjective experience of pain means that each person will have a different level at which they call pain mild, moderate or extreme. Likewise, patients will all have varying degrees of verbal and physical reactions to different levels of soreness. Taken together, however, self-reporting and examination provide a combination of evidence which can be used to determine pain levels with a reasonable degree of accuracy.
Most chiropractors treating a patient will use an assessment form that asks about the kind of problem that the patient is currently experiencing and the amount of pain it is causing. A basic diagram of the body may also be used to mark locations and levels of pain. Further questions, either in the form of a questionnaire or through a patient interview, may be asked to ascertain the frequency of pain and the nature of movements and activities that may trigger pain or worsen it.
The level of perceived discomfort is often assessed using a pain scale in which the patient is asked to assign a figure to their experience such as from 0 (no pain) to 10 (extreme pain). Although such a scale will be subjective, most patients demonstrate a good deal of internal consistency when it comes to reporting relative pain levels. This means that patient-reporting using this type of pain scale can be useful in determining whether a condition is responding to treatment over time or getting worse, as well as in determining how pain levels fluctuate over the course of a day or in response to certain kinds of activity. In addition to the simple pain scale, there are several specially designed questionnaires that are also used to assess the degree of pain and disability associated with spinal injuries, such as the Quebec Back Pain Disability Scale.
Chiropractic assessment of a patient actually begins the moment the patient walks in the door. A skilled chiropractor can tell much about a condition and how much pain someone is in by their overall posture, how they walk, facial expressions of discomfort and involuntary verbalization. While being examined, palpation and movement of problem areas will often give rise to further articulation and tensing against painful movement, which provide further clues both to the location and degree of soreness. A chiropractor may use pain scales during the examination so that patients can communicate in a more focused way how much a certain movement or palpation hurts. Marking these pain levels on a chart provides a baseline measurement that a chiropractor can use to judge the effectiveness of treatment over time.
Although pain measurement is only one method of assessing both the degree of injury and success of treatment, it is an important one. Pain is both a clear sign that something is wrong and an impediment to normal daily activity. In contrast, a reduction in pain following chiropractic therapy increases feelings of wellbeing and provides subjective evidence of improvement. For the chiropractor too, this is an essential indication that they are doing something right. Together with other signs such as increased strength, range of movement and endurance, reduced pain is a welcome indicator that a patient is making progress.
]]>(NaturalNews) A recent case study reported in the Annals of Vertebral Subluxation Research suggests that chiropractic adjustments can help reverse and prevent autism and issues related to the autism spectrum. The patient was an adopted three-year-old girl who was born at 28 weeks weighing 2 pounds, 5 ounces by a woman who had a history of prior drug abuse. After two years of abnormal behavior and receiving multiple “autism” diagnoses from medical doctors, her parents decided to take her in for a thorough developmental evaluation. Five critical items were failed: social/emotional, communication, cognitive, adaptive/self-help and sensory.
The child’s parents brought her to a local chiropractor, presenting with a cocktail of horrible symptoms including common neurological autism manifestations, unrelenting headaches, acid reflux, vomiting, sleeplessness and seizures. Subluxation-based specific chiropractic care was performed on the patient, which resulted in complete resolution of her headaches, acid reflux, vomiting and sleeplessness within one month. Significant improvements in autism-related issues were also noted, including calm behavior, increased eye contact, happier demeanor, improved attitude, increased focus and attention, and an initiation to sound out words. The study reports that the girl continues to progress as evidenced by a significantly increased vocabulary, continued improvement in attention and focus, and complete lack of epileptic episodes.
According to her mother, the patient from this case study has been “off all of her medications, she’s making improvements with her occupational therapists, speech therapists, even her pre-school teachers are noticing a big difference. I’m getting my little girl back – look, she’s making eye contact with me, and even starting to say a few words! She’ll use her hands to do the motions to the Itsy Bitsy Spider song!” Her mother cannot stress enough the impact that chiropractic care has had on her daughter.
According to Dr. Matthew McCoy, a chiropractor, public health researcher and editor of the journal that published the study, “If you damage or compress or otherwise interfere with the neurological structures in the spine this can have far reaching implications on the functioning of the body. Through research reports like this we are finding that correcting the misalignments or abnormal motion associated with these spinal problems reduces the nerve interference and people experience improvement.”
The authors of the study stated, “We believe that working together, chiropractors, MDs, occupational therapists, and other health care provides will see results by managing the root cause(s) and not just the various symptoms presented by ASD children.”
“Finding the cause of autism, and not simply masking the symptoms, is the most effective way of managing the disease,” one author of the study says. One such risk is thought to be spinal misalignments and/or abnormal motion of the spine, termed “vertebral subluxations” by chiropractors, which result in structural and neurological interference to the spine and nervous system. It is this interference that may cause a cascade of neuroendocrine events that lead to abnormal cholesterol metabolism. The theory is that, once those spinal distortions are corrected, the body is better able to balance its physiology.
Not surprisingly, other researchers have found similar results in regard to diseases in the autism spectrum being managed by chiropractic adjustments, and this case is one of several emerging studies describing this phenomena.
The authors call for further study in a controlled environment.
Sources:
Amalu WC. Autism, asthma, irritable bowel syndrome, strabismus and illness susceptibility: a case study in chiropractic management. Todays Chiropr 1998;27(5):32-47.
Marini NSC, Marini SC. Improvement in autism in a child coupled with reduction in vertebral subluxations; a case study and selective review of the literature: case report; review. J Pediatr Matern & Fam Health Chiropr 2010; 3:107-115.
Cleave J, Alcantara J, Holt K. Improvement in autistic behaviors following chiropractic care: a case series. J Pediatr Matern & Fam Health Chiropr 2011; 4:12-13.
Hoffman N, Russel D. Improvement in a 3 1/2-year-old autistic child following chiropractic intervention to reduce vertebral subluxation. J Vert Sublux Res 2008; 7:1-4.
Cohn A. Improvement in autism spectrum disorder following vertebral subluxation reduction: a case study. J Pediatr Matern & Fam Health 2011; 4:87-91.
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About the author:
Eric L. Zielinski, DC (c), MPH (c) has devoted his life to natural health and wellness for over a decade. Inspired by the timeless principles in the Bible, Eric’s mission is to seek out ways to provide people with simple, evidenced-based tools that they need to achieve the Abundant Life. Formally trained as a chiropractor, Eric’s primary approach is to serve his patients and clients through natural health care, nutrition counseling, spiritual mentorship, and empowering life strategies!
You may think going to the chiropractor is only for adjustments and to relieve pain, but it’s more than that. Chiropractic care may actually increase your overall performance by giving you better range of motion and even improving your balance. It can also assist in helping you heal quicker.
Chiropractors can help your body stay aligned and flexible to reduce injury. They can also assist you when you’re dealing with neck pain, back pain, or injuries.
If you’re committed to putting your body to the test and keeping yourself in top notch shape, don’t disregard chiropractic care. Crossfit can push you to excel and to perform at a high level. However, as you’re pushing yourself to your limit, it can also lead to injury.
Just by practicing Crossfit, you’re showing how committed you are to staying healthy and fit. Just make sure you’re taking it a step further and taking care of your current and future health by practicing proper form and immediately addressing any issues with your chiropractor.
If you need to schedule an appointment with Dr. Oblander, please call 406-652-3553.
This article was shared from the following website: https://www.chirohealthusa.com/patients/why-is-chiropractic-care-essential-for-crossfit-2/
]]>They know the nervous system is the one system in the body that directly affects every other system. This is because nerves conduct sensory information from every part of the body and then delivers this information to the brain. Once there, the brain analyzes the information to determine what the body needs to maintain a healthy state. So the health of this system is paramount to the good health of the rest of the body.
Chiropractors recognize that misalignment in the spine can interfere with proper nervous system function. More specifically, chiropractors study the effects of vertebral subluxations – conditions of the spine where align- ment and/or movement patterns of the vertebrae are abnormal. When this occurs, imbalances cause irritation and inflammation. In turn this can cause interference with information that is transmitted along nerves and spinal cord. Chiropractors are the only health care professionals specifically trained to locate and correct spinal subluxations.
This is the principal reason why chiropractors should be called wellness doctors. Every time a chiropractor corrects a vertebral subluxation, the positive effects are felt in multiple systems simultaneously.
Where’s the Proof?
For decades, scientific research has focused on the use of chiropractic adjustments for low back pain, neck pain and headaches. In fact, there is now clear evidence to recommend chiropractors as the go-to professionals for spinal pain syndromes. However, with the rising popularity of wellness-based philosophies focused on non-traditional approaches to health, chiropractors are being asked to justify their role.
The traditional medical model of symptom-based healthcare is rapidly waning. We no longer feel we have to be sick to call upon a health professional for advice. Instead, we are focusing more on the detrimental effects stress has on our bodies, and the therapies that address the mind-body connection are getting much more attention.
In a recent report from the Center for Disease Control, the four most popular forms of alternative and complementary medicine were listed as: natural products, deep breathing, meditation and chiropractic!
People are casting their votes with their healthcare dollars and chiropractors are taking a leadership role in this new wellness model. As a profession whose core philosophy is about the optimization of the brain-body communication network, chiropractic can be viewed as a therapy with an emphasis on whole body health and wellness
Research is catching up to what chiropractors have known for years. In a recent study that reviewed all the available research to date, investigators found that “chiropractic adjustments, often for the purpose of correcting vertebral subluxation, confer measurable health benefits to people regardless of the presence or absence of symptoms.” More people are seeking what chiropractic offers: optimization of health and an improved quality of life, with a spine free of vertebral subluxations!
In a multi-nation study involving hundreds of chiropractors and thousands of chiropractic patients, researchers sought to measure the incidence of non-musculoskeletal responses to chiropractic therapy. What they found was that a number of patients experienced systemic benefits from their chiropractic treatments whether or not they mentioned any symptoms in these areas at the onset of care. The most common benefits reported in this study were breathing (27%), digestion (26%) and circulation (21%).
In yet another ground-breaking study, chiropractic adjustments were shown to actually decrease blood pressure, one of the leading causes for preventable death in North America (in relation to the incidence of heart-attacks and strokes). The study stood up to medical scrutiny and showed unequivocally that vertebral subluxations – of the upper cervical vertebra in this case – can be detrimental to the health of the individual, and not just a pain in the neck.
From these research results, chiropractors clearly have a greater role in your health and wellness than just treating sore backs. Chiropractic care should be considered an invaluable tool for you to not only help you feel well, but to also help you be well.
References and sources:
1. Dagenais S, Gay RE, Tricco AC, Freeman MD & Mayer JM. NASS Contemporary Concepts in Spine Care: Spinal Manipulation Therapy for Acute Low Back Pain. Spine Journal 2010 (Oct.); 10(10): 918-940.
2. Bronfort G, Assendelft WJJ, Evans R, Haas M & Bouter L. Efficacy of Spinal Manipulation for Chronic Headache: A Systematic Review. J Manipulative Physiol Ther 2001 (Sept.); 24(7): 457-466
3. Thiel HW & Bolton JE. Predic- tors For Immediate and Global Responses to Chiropractic Manipulation of the Cervical Spine. J Manipulative Physiol Ther 2008 (Mar.); 31(3): 172-183.
4. Barnes PM, Bloom B, Nahin R. Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007. CDC National Health Statistics Report #12. December 10, 2008.
5. Hannon SM. Objective Physiologic Changes and Associated Health Benefits of Chiro- practic Adjustments in Asymptom- atic Subjects: A Review of the Literature. J Vertebral Subluxation Research 2004 (Apr.): 1-9.
6. Leboeuf-Yde C, Pedersen EN, Bryner P, Cosman D, Hayek R, Meeker WC, Shaik J, Terrazas O, Tucker J & Walsh M. Self-reported Nonmusculoskeletal Responses to Chiropractic Intervention: A Multi- nation Survey. J Manipulative Physiol Ther 2005 (Jun.); 28(5): 294-302.
7. Bakris G, Dickholtz M, Meyer PM, Kravitz G, Avery E, Miller M, Brown J, Woodfield C & Bell B. Atlas Vertebra Realignment and Achievement of Arterial Pressure Goal in Hypertensive Patients: A Pilot Study. Journal of Human Hypertension 2007 (May); 21(5): 347-352.
]]>If you have experienced chronic neck pain yourself, you may know that traditional medical doctors offer relatively few treatment options. You may also know that most of these options are intended only to manage the pain, not to address the underlying cause. However, recent research published in the Journal of Manipulative and Physiological Therapeuticsis hopeful, suggesting that chiropractic spinal manipulation significantly improves patients’ neck pain in a short amount of time.
In the study, 60 patients with chronic non-specific neck pain received spinal manipulation delivered by chiropractors in a double-blind, randomized trial. Two groups of 30 patients were created, and two different techniques of spinal manipulation were employed to adjust the thoracic vertebrae in the upper back. One technique had the patient lying prone (face down), and the other had the patient supine (face up). Measurements were taken before manipulation, immediately afterwards, and twenty minutes later. Little or no difference was found in the relative effectiveness of the two techniques, but both groups reported significantly reduced neck pain, while objective measurements showed significantly improved mobility (cervical range of motion) and a reduced sensitivity to pressure pain.
This study‘s findings correspond with an earlier study that compared the effectiveness of manual therapies provided by a chiropractor, a medical doctor, and a physical therapist to relieve neck pain. In that study, the success rate of the chiropractic groups at the seven-week mark was two times better (68.3%) than the other two groups. Patients in the study were able to use far less medication to treat their pain and reported far fewer work absences.
The recent findings also correspond to a survey of alternative health care treatments conducted by Consumer Reports, polling 45,601 of their subscribers. One in four respondents felt that they received better care from their chiropractors than from their medical doctors. More importantly, in this survey, chiropractic care outperformed all other treatments for both back pain (65% reporting that it “helped a lot”) and neck pain (64% similarly reporting that it “helped a lot”). In contrast, the respondents reported that prescription medications only helped 49% of the time.
It is gratifying to see that science is confirming what chiropractors and their patients have known for some time—that chiropractic spinal manipulation may be the most effective method for treating chronic neck pain. Whether your neck pain is acute or chronic, perhaps you should put your chiropractor at the top of the list of medical specialists to consult. Chiropractic care is safe, gentle, and—above all—it works.
If you are experiencing chronic neck pain, be sure to call Oblander Chiropractic and schedule an appointment with Dr. Greg Oblander! Our phone number is 406-652-3553.
]]>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:
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 article was written by Michael Melton and is shared from the following website: https://www.chironexus.net/2016/09/chiropractic-patients-recover-faster-spend-less-money/
]]>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.
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/
]]>You might think chiropractors are only able to help with back aches, stiff necks, slipped discs and whiplash injuries. If so, you’re not alone – but you’re missing out.
Chiropractic care – which is based on the understanding that, given the opportunity, the mind and body can heal itself – can treat many issues that might surprise you.
Here’s a look at the top five most surprising conditions a chiropractor can treat:
1. Migraines and tension headaches
Nine out of 10 Americans suffer from headaches. Some are occasional. Some are persistent. Some are dull and nagging, while others cause debilitating pain and nausea. Taking a painkiller and hoping your headache goes away is one option. But there’s a better one.
Research shows that spinal manipulation – the primary form of care provided by chiropractic doctors – is an effective way to treat tension headaches and headaches that begin in the neck.
In a clinical trial conducted at Macquarie University, 72 percent of migraine sufferers experienced either “substantial” or “noticeable” improvement after a period of chiropractic treatment.
In fact, most headaches are related to muscle tension in the neck, which is an increasingly common condition among Americans who spend hours in the same position or posture (such as in front of a computer or television), leading to joint irritation and tension in the upper back and scalp that cause headaches.
What Can a Doctor of Chiropractic Do?
2. Stress and anxiety
We perceive stress from three basic sources: our environment, our body and our emotions.
Environmental stress includes noise, weather, physical threats, time pressures and performance standards. Body stress includes disease processes, organ malfunction, poor nutrition, poor sleep and physical injury. And emotional stress is more difficult to define, but it encompasses our reactions, in both thought and emotion, to environmental and physical stressors.
Jobs today are increasingly complex as the business world becomes more and more competitive. Physical stresses such as sound, air and water pollution have also grown worse over the last century – especially in the United States – and so have emotional and psychological stresses caused by an increasing awareness of troubles and tragedies around the globe, brought to our attention every hour by the Internet and its 24/7 news cycle.
Many illnesses are caused or worsened by stress, which activates our “fight or flight” reaction. This systemic reaction affects almost every part of the body, as the hypothalamus in the brain stimulates the sympathetic nervous system, which causes an increase in heart rate, blood volume and blood pressure, redirecting blood away from our digestive system and extremities.
When prolonged, the long-term effects of this state can be disastrous to good health and cause high blood pressure, muscle tissue damage, diabetes, infertility, damage to the immune system and slowed healing from disease and injury.
Chiropractors work primarily with the spine – the root of the nervous system through which nerve impulses travel between the brain and the rest of the body – and can help the body manage and process this stress in a healthier way.
What Can a Doctor of Chiropractic Do?
3. Fibromyalgia
Fibromyalgia is a chronic disorder involving widespread pain and sensitivity throughout the entire musculoskeletal system. To be diagnosed with FM, a patient typically has a minimum of 11 out of 18 specific tender points on the body. In addition to pain, patients also report long-term fatigue and/or disturbed sleep and mood. Other disorders commonly associated with FM include irritable bowel syndrome, TMJ pain and dysfunction, psychological conditions and some autoimmune diseases.
Fibromyalgia is a widespread condition that affects about 2 percent of the United States, and medical science has yet to discover the cause of this condition.
Since those with FM often experience an altered mood, like depression, many experts focus on the psychological aspect of the disease. Others feel that FM is more physiological and has its origins in physical trauma or chronic postural alterations. Still others suggest that FM is a central nervous system disorder rooted in neurochemical imbalances, since those with FM are hypersensitive to even the slightest stimuli and often have a pain response to normally non-painful pressure or activity. Since all information from the outside world is collected and analyzed by the nervous system, it’s logical to assume that if a person with FM is sensitive to a stimulus that others are not, there may be something wrong with this system.
It’s often difficult for patients to find solutions for all of their symptoms, but recent studies show that chiropractic adjustments combined with a soft tissue technique called ischemic compression can help FM patients.
In one study, 60 percent of the subjects treated by a chiropractor experienced a significant improvement: reduced pain, improved sleep and decreased fatigue.
What Can a Doctor of Chiropractic Do?
4. Weak immune systems
The nervous system, endocrine system and immune system are inextricably linked. Together they share tiny messenger molecules that mediate communication between them, creating optimal responses for the body to adapt and heal appropriately.
Until recently, one of these messenger molecules, IL-2, was thought of as an immune system molecule. But recent studies have clearly shown its presence and activity in the nervous system, leading researchers to believe that neural dysfunctions due to spinal misalignments are stressful to the body and can cause abnormal changes that lead to a poorly coordinated immune response.
Subluxation is the term for misalignments of the spine that cause compression and irritation of nerve pathways, affecting the body’s organs. Subluxations are an example of physical nerve stress that affects neuronal control. According to researchers, such stressful conditions lead to altered measures of immune function and an increased susceptibility to a variety of diseases.
It’s important to note here how the endocrine system also impacts the immune system by producing cortisol in the adrenal glands – endocrine glands that are directly connected to the nervous system through the sympathetic nervous system – a stress hormone that inhibits the immune system.
If the sympathetic nervous system is too “switched on” due to stress and subluxation, it can increase the adrenal glands’ synthesis of cortisol, in turn affecting the immune system.
What Can a Doctor of Chiropractic Do?
5. Flexibility
When we’re younger, it’s easy to take our extensive range of motion and flexibility for granted. As we age, a number of health conditions – and the cumulative effects of wear and tear – can affect our ability to move the way we used to.
But a decrease in range of motion and flexibility can result in a downward spiral of disability.
For example, an injury or degenerative condition that causes pain, swelling and stiffness, may limit our flexibility and range of motion. When this happens, we may avoid activities that involve the affected body parts, either consciously or unconsciously.
This then becomes a classic case of “use it or lose it.” Without regular exercise, the muscles and joints stiffen, adhesions and scar tissue can form, and mobility may be further reduced. Eventually, a person can become completely incapacitated, and ordinary tasks such as picking up something off the floor or tying your shoes can become extremely challenging or painful.
Regular chiropractic can help increase both range of motion and flexibility.
A study performed by researchers at the Phillip Chiropractic Research Centre of RMIT University in Melbourne, Australia, and published in the Journal of Manipulative and Physiological Therapeutics found that chiropractic adjustments increased range of motion in the 105 patients who participated in the study. There were three phases of this study, in which each of the participants was given no adjustments, fake adjustments or true adjustments. In each phase, the patients who were given the true adjustments showed a significant improvement in range of motion, which was not the case for the other two groups.
What Can a Doctor of Chiropractic Do?
Today’s article was written by Dr. David L. Starr is the founder of Starr Physical Therapy, Chiropractic and Acupuncture in New York City, where he has successfully practiced chiropractic for the past 18 years. A native New Yorker, Starr graduated from Life College in Atlanta, Georgia and donated his skills to Flying Doctors of American in the Dominican Republic before returning to New York City and establishing a successful, multidisciplinary office in Union Square.
Today’s article is shared from the following website: https://health.usnews.com/health-news/patient-advice/articles/2015/11/30/surprise-chiropractors-can-treat-these-5-conditions
Table 1
Intervention | Quality of evidence | Odds ratio of 50% decrease in frequency |
Adverse effects |
Divalproex | A | 2.74 | Frequent at higher dosages |
Gabapentin | B | 4.51 | Occasional |
Topirmate | A | 2.44 | Frequent |
Amitriptyline | B | 2.41 | Occasional |
Propranolol | B | 1.94 | Infrequent |
Riboflavin (400 mg/day) | A | 5.60 | Infrequent |
Butterbur (50 mg B.I.D) | A | 2.24 | Infrequent |
Pharmaceutical interventions are obviously favored by the medical community even when, at least according to this review, riboflavin and butterbur demonstrate equal or superior effectiveness in A graded studies yet report infrequent adverse effects.
Butterbur: A 2006 systematic review reported on 2 randomized trials (RCT) of butterbur extract (Petasities hybridus) which totaled 293 patients. In these studies a 150 mg dose of butterbur was more effective than a 100 mg dose over a period of 3 to 4 months. Overall butterbur demonstrated a decreased frequency of migraine in over 50% of patients. The brand name of the form of butterbur used in this study was Petadolex (2). In an open label study of 109 children and adolescents the authors found 77% of all patients reported at least a 63% reduction in the frequency of migraine (3). Although no significant adverse effects have been reported in the studies mentioned above, concerns relating to hepatotoxicity have been reported in the literature. A recent study utilizing Petadolex found it to be “free of signals for drug induced liver injury” (3). Several authors have suggested butterbur may be a valuable tool in the prevention of migraine (4-7).
Feverfew: Feverfew is herb that has demonstrated effectiveness in the prevention of migraine in some studies and conflicting results in other studies. Three Cochrane reviews have been published relating to feverfew. The original review could not demonstrate efficacy for feverfew (8) but an update published the same year reported “feverfew is likely to be effective in the prevention of migraine (9). The third review returned to the original position stating “there is insufficient evidence” to suggest an effect (10). A separate article suggested the reason for lack of efficacy reported in the most recent Cochrane review was the 400% variation in the active ingredient in the studies evaluated (5). One RCT published after the Cochrane reviews showed migraine attacks decreased from 4.76 attacks per month to 1.9 when using MIG-99 after 3 months. A dosage of 6.25 mg t.i.d. were used (11). All studies reported a favorable safety profile.
Coenzyme Q10: Coenzyme Q10 has demonstrated efficacy in 1 RCT and several open trial design studies. The RCT was a study of 42 patients. The dosage was 100 mg t.i.d. There was a 50% decrease in headache frequency in 42.6% of the patients in the active treatment group compared to 14.4% in the placebo group after 3 months. The number needed to treat was 3 (12). Another case series found similar benefits using 150mg daily (13). None of the studies on coenzyme Q10 reported adverse effects.
Riboflavin: A RCT compared a combination of riboflavin (400 mg), magnesium (300 mg) and feverfew (100 mg) to 25 mg of riboflavin. Both groups achieved statistically significant improvements over baseline. The authors noted both groups exceeded the normal placebo response reported in other migraine prevention studies. This study suggests a small dose of riboflavin may be an effective prophylaxis for migraine (14). Another RCT using 400 mg daily reported statistically significant improvements in headache frequency and headache days after 3 months. The number needed to treat in this study was 2.3 (15). Unfortunately 2 studies of riboflavin in children did not demonstrate improvement (16;17).
Magnesium: A 2008 RCT examined the prophylactic effect of 600 mg of magnesium citrate daily for 3 months compared to a placebo. Statistically significant improvements in frequency and severity were found in the treatment group. Additionally cortical blood flow increased significantly in the treatment group (18). A second RCT also found a statistically significant decrease in migraine frequency after 3 months using 360/mg per day (19). Not all RCTs have shown magnesium to be of effective. A 1996 RCT found no benefit when using magnesium (20). Soft stools and diarrhea were a common mild adverse event occurring in 18.6% (19) to 47.7% (20) in the magnesium groups.
Several other interventions have limited evidence demonstrating effectiveness. They include ginkgolide B (21), lipoic acid ( 600 mg/day) (22) and fish oil or olive oil (23).
It should be noted that time frame of treatment almost all prevention studies is 3 months. Treatment success or failure should not be assessed prior to completion of 3 months of the intervention.
Article is shared from www.chiroaccess.com
]]>With these types of numbers floating around, chiropractic patients may feel as if their back pain is inevitable, making the seeking of treatment futile. However, one recently released study review says otherwise, that is, as long as the treatment plan includes chiropractic.
The Journal of the American Medical Association (JAMA) published a systematic review and meta-analysis conducted by 10 medical professionals from medical centers, universities, and healthcare systems across the U.S. The main question this group set out to answer was, “Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function?”
After taking a more in-depth look at 26 different randomized clinical trials occurring between January of 2011 and February of 2017, all of which involved spinal manipulative therapy (SMT), this set of researchers found that, in 15 of the studies, this particular treatment option provided “statistically significant benefits” for the 1,711 patient subjects when it came to lowering their levels of pain. In this same group of studies, almost half of the cases (12) also found major positive effects in regard to the level of function of the 1,381 participants when compared to sham chiropractic or other treatment methods.
It should also be noted that, while 50 to 67 percent of the participants in these studies reported experiencing headaches, muscle stiffness, or even increased pain after SMT, no serious adverse events occurred. This helps confirm chiropractic’s safety, making it a viable method of treating acute back pain episodes quickly and effectively.
These findings are extremely important as another statistic offered by the ACA is that approximately 50 percent of the working population has struggled with some type of back-pain issue in the previous 12 months. Thus, one very effective way to keep them earning an income and supporting their families in a manner that treats the symptoms and cause of their pain is regular and consistent chiropractic care.
This saves them both time off work and money due to unnecessary (and usually costly) medical bills, enabling them to spend both on the things they enjoy instead.