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Category: Oblander Chiropractic

How Are Bones Made and How Do They Grow?

How Are Bones Made and How Do They Grow?

bone-diagram-200-300Each of the 206 bones in your body is constantly undergoing a process of breakdown and renewal, even if you have never suffered a broken bone in your life. Your entire skeleton is completely replaced approximately every 10 years. The construction of bone tissue begins when we are a fetus in the womb, and continues until we die. Our genetics and both the nutrients we receive before we are born and those we get through our diet in our youth have a major influence on the strength and endurance of our skeletal system.

Fetal cartilage is the precursor to bone growth, and is transformed into bone in a process called ossification. The fetal cartilage attracts the minerals calcium and phosphorus, which cover the cartilage cells. The fetal cartilage cells soon die off, leaving small holes through which blood vessels can grow. Osteoblasts, the specialized cells responsible for bone growth, travel to the developing bone via these tiny blood vessels. There they produce the collagen fibers that are the structure over which bone is formed, and attract the calcium with which the fibers are covered. Osteoblasts eventually transform into osteocytes, which become part of the calcium mix that helps to reinforce the collagen fibers and strengthen the bone.

Osteoclasts are the cells responsible for breaking down and removing old bone tissue, leaving small chambers that allow marrow to form. The small holes osteoclasts create are why this particular part of the bone is called spongy bone. Although it is hard, spongy bone resembles a common kitchen sponge. In our youth, the osteoblasts outnumber the osteoclasts, so we have a net gain of bone growth. This is when the growth of bone is referred to as modeling. Bone continues to grow until approximately our mid-20s, at which point we have reached our greatest bone density.

From our mid-20s on, our bones are in a constant process of remodeling. At this point, the osteoblasts can no longer keep up with the osteoclasts.  While bone is continually being rebuilt, no supplemental bone is being added, so we can begin to lose bone density. Even though our bodies no longer add to our stock of spongy bone tissue after our mid-20s, we can still continue to add bone to the outer layer of our bones, called compact bone. Compact bone accounts for about 80 percent of our bone mass and protects the more fragile spongy bone inside. Although compact bone is considerably denser than spongy bone, it still has tiny channels for blood vessels and nerves to pass through.

Our spongy bone is filled with two types of marrow, red and yellow. Red bone marrow is responsible for the creation of our red and white blood cells and the platelets that are necessary for clotting in order to stop bleeding when we are injured. Yellow bone marrow consists mostly of fat cells and is more common in our long bones, such as the femur.

A healthy diet with adequate amounts of calcium, magnesium, phosphorus and vitamin K, along with a little regular weight-bearing exercise, will help ensure that you maintain the greatest bone density possible as you age, and will help protect against the danger of fractures due to osteoporosis.

Why Lose Weight?

Why Lose Weight?

man-and-children-200-300It almost seems like a silly question, but it’s worth answering nonetheless. Why? Because it’s too important not to—a great many people could avoid the potentially serious health problems associated with being overweight or obese by losing the extra pounds. And the sooner the better.

Obesity and related conditions take an enormous toll in terms of reduced quality of life and lost productivity for individuals. They’re also extraordinarily expensive for society at large, accounting. The US alone spends an estimated $168 billion annually to treat chronic diseases like Type 2 diabetes, heart disease, cancer, high blood pressure, metabolic syndrome, polycystic ovary syndrome (PCOS), high cholesterol, gallstones, osteoarthritis and more.

  • Type 2 diabetes is a disease most commonly caused by obesity. Though it used to develop primarily in adults, it is now quite common in children as well, with the recent increase in the rate of childhood obesity. Blood sugar levels become elevated due to the insulin resistance caused by obesity and greatly increase the risk of developing diabetes.
  • Heart disease can develop as a result of fatty deposits building up in the arteries, and hardening of the arteries (atherosclerosis) is 10 times more common among the obese than in the population with normal body weight. Fat tissue also requires blood to survive, so more blood vessels are created, putting greater strain on the circulatory system, increasing blood pressure and making the heart work harder to circulate that extra blood.
  • Those who are obese have an increased risk of cancer, especially cancer of the colon, breast, prostate, gallbladder and uterus.
  • Obesity adversely affects both the metabolism and endocrine system, often resulting in metabolic syndrome, the fastest-growing obesity-related health problem. This refers to a group of risk factors that increase your risk of more serious diseases, such as coronary heart disease, stroke and diabetes. Symptoms include excess weight particularly located around the middle of the body, insulin resistance, low HDL (“good”) cholesterol and high triglycerides.
  • Women who are obese can suffer from a number of reproductive health problems, including infertility, uterine cancer and PCOS. Because obesity causes disruption in the menstrual cycle and the endocrine system that is responsible for the delicate balance of hormones necessary for successful ovulation, studies have found that even a modest reduction in body fat of between 5 and 10 percent is often enough to restore ovulation and fertility.
  • Osteoarthritis has grown increasingly common as the rate of obesity has increased. The excess weight adds to increased wear and tear on the joints, particularly on the knees and hips. Obese women are nine times more likely to suffer from osteoarthritis of the knee, often leading to the need for a total joint replacement. However, researchers have found that losing as little as 11 pounds can reduce the risk of knee osteoarthritis by half.

Collectively, these are sometimes referred to as “lifestyle diseases” because they are—to a very high degree—the result of day-to-day decisions people make about their own nutrition, exercise, sleep and stress management. This means that they are preventable! Losing weight NOW can reduce the risk of these six diseases. Even losing just a few pounds has been shown to have a positive effect on your health.

Need more incentive? Carrying lots of extra weight is also very hard on your back, hips and knees. Losing it can reduce the cumulative wear and tear on your musculoskeletal system—the bones, muscles and joints that you count on to remain mobile throughout your life.

If you or someone you care about is struggling with weight loss, call or visit our office today. As chiropractic physicians, we have a unique, holistic approach to health and healthcare. We can help!

Auto Accident Folklore—Being Thrown Clear and Bracing for Impact

Auto Accident Folklore—Being Thrown Clear and Bracing for Impact

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OLYMPUS DIGITAL CAMERA

You have no doubt overheard someone at work or at a party telling his friends that he never wears a seat belt—and that he has some really good reasons.  The story usually goes something like this:  He heard from a buddy he knows that a friend of a friend who was not wearing a seat belt had a bad car accident and walked away from it because he was thrown clear of the car.  This is one of the most pervasive car safety myths out there. And if you believe this myth, you could be setting yourself up for serious injury or death.

Although there are a small handful of cases in which someone has survived a car accident after being thrown from the car, this is a very rare occurrence.  In fact, you actually have a 25 percent greater chance of being killed if thrown from the car.  Just consider the physics of the situation.  The force applied to your body when a collision occurs can be strong enough to propel you 150 feet, which is equivalent to about 15 car lengths.  And you would not just be flying gracefully through the air either.  First, your body may go crashing through the windshield, it may scrape along the rough asphalt for yards, and then you could end up getting crushed by your own car or someone else’s.  This is not to mention the other objects you may be hurled into when flung from the car.  Statistics from a study performed by researchers at James Madison University show that the proper use of a seat belt reduces serious injuries from traffic accidents by 50 percent and fatalities by 60 to 70 percent.  It’s a simple thing that can protect your health and save your life—wear seat belts.

Another common myth is that bracing for impact causes more damage to your body, and that it’s best to remain relaxed.  Of course, actually having the ability to choose one way or another about bracing has a lot to do with how much time you have before impact.   Many accidents occur in the blink of an eye, so suggesting that someone should “stay relaxed” has really limited practical value.  However, the most current science indicates that if you have time, bracing for impact will likely reduce the amount of injury, particularly to tendons and ligaments.

One of the most common types of injury from an auto accident is whiplash, which occurs in about a third of all collisions.  If you see a car approaching in your rear view mirror that you believe is going to collide with yours, the best thing to do is to press your body against the seatback, with your head pressed firmly against the head rest. This way you are less likely to suffer injuries to the ligaments in your neck, as your head will not be slammed back against the head rest, then flung forward.

Auto accidents are never pleasant, but by knowing the facts about auto safety you can help reduce your chances of sustaining a serious injury.  If you do end up in an accident, it’s always a good idea to get a medical evaluation promptly, even if you think you haven’t suffered any significant injuries.  Many auto injuries take time for their symptoms to become apparent or significant enough for victims to recognize how badly they may have been hurt.  By the time the symptoms are obvious, the victim and his or her doctor may have lost a valuable opportunity to treat the underlying injuries.  Please call or visit the office if you or someone in your family has recently been involved in an auto accident.

Auto Accidents Can Spell Trouble at Any Speed

Auto Accidents Can Spell Trouble at Any Speed

speedometer-200-300When we hear the words “car accident,” many of us probably think about dramatic multi-vehicle, highway-speed collisions that involve lots of victims and first responders—firefighters, police officers, EMTs and perhaps even helicopter pilots.  These are the types of automobile-related accidents that can snarl traffic for miles and make the evening news.  However, these are NOT necessarily the types of accidents that cause the largest numbers of injuries.  To understand these, you’d have to look at the other end of the spectrum—high-frequency, low-intensity accidents.  Here’s what we’re talking about:

Stationary or Parked Car Accidents.  Perhaps the most frequent injury involving automobiles comes from closing the door. Nearly 150,000 times a year, someone is injured in this fashion, and the car isn’t even moving.  This includes doors closing on fingers. Another 10,000 are injured while using a jack and 74,000 are injured by a car or car part falling on them.

Vehicle-on-Pedestrian or Vehicle-on-Bicyclist Accidents.  Roughly one-third of auto-related injuries occur due to an automobile striking someone, particularly pedestrians and bicyclists. The damage can include anything from simple scrapes and bruises to multiple broken bones or internal injuries.

Non-Traffic Crashes and Non-Crash Incidents.  A Forbes magazine article noted that researchers from the US Department of Transportation “estimated an annual total of 1,747 fatalities and 841,000 injuries due to non-traffic crashes and non-crash incidents.” These included back-overs and single-car collisions that don’t happen on a highway.

Perhaps one of the most important things to understand about auto accidents is that you don’t need to be traveling fast to be hurt.  In fact, even low-speed accidents can cause musculoskeletal injuries.  This is especially true in cases where the vehicle’s body doesn’t flex or crumple to absorb the energy of the impact and that energy is instead transmitted to the occupants inside.  And—while modern safety equipment certainly helps prevent many serious or fatal injuries—minor to moderate injuries are still very, very common.

It’s all about physics.  During a collision, the driver and passengers can be thrown about within the vehicle, potentially causing significant injuries from rapid acceleration and deceleration as well as impacts.  Head, neck and back injuries are among the most common.  However, low-speed accidents can be particularly problematic because victims often don’t immediately recognize that they’ve been hurt.  After these sorts of collisions, many simply walk away from the event without going to a qualified healthcare provider for a prompt medical evaluation.  And since it is very common for symptoms to appear days, weeks or even months afterward, diagnosis and treatment of musculoskeletal injuries can be significantly delayed, potentially complicating—and lengthening—the recovery process.

Have you or someone you care about been involved in an auto accident?  If so, your chiropractic physician is specially trained to recognize the kinds of spinal and soft tissue injuries associated with automobile accidents of all types.  Based on a careful assessment, he or she can design a treatment plan to help you recover as quickly and completely as possible.  As experts in diagnosing and treating injuries that affect the musculoskeletal and nervous systems, chiropractors can offer a broad range of treatment options to relieve pain and restore function.  These include chiropractic manipulation and mobilization, traction, massage, low-level laser and hot and cold pack therapies as well as structured exercise and stretching programs.

Auto accidents can be challenging for victims in many different ways—physically, emotionally and financially.  The goal of our clinic is to accelerate the body’s healing process so that you can return to a productive, active lifestyle.  We’re here to help—call or visit our office to learn more.

Summer Fun and Water Safety

Summer Fun and Water Safety

inner-tube-boy-200-300Summertime’s here and for many children around the country that means fun in the water!

But here’s the catch… Whether it happens to be a neighborhood pool, a lake near a favorite camping spot or the ocean right across the beach from a vacation rental, playing in and around the water comes with certain risks. And while the rate of accidental death by drowning has been dropping over the years, it is still the leading cause of accidental deaths for children between the ages of one and four.

We believe that parents should pay special attention to these risks—especially at this time of the year. Here are some safety tips for parents whose kids will be spending time around the water during the next few months.

Tip #1. Teach your child to swim.

This is one of the best things you can do for your child, and the earlier the better. You can start familiarizing your child with water as an infant so they do not develop a fear of it. Ensuring that your child receives swimming lessons is especially important if he or she comes from a family of non-swimmers, as children from these households are eight times more likely to drown than children who come from swimming households. If your child can’t swim, be sure he or she wears a life jacket at all times around open water. Children should be taught never to swim alone and not to play around unattended pools or drains.

Tip #2. Remove drowning hazards.

Children—especially young ones—can drown not only in a pool, but also in a tub, toilet, or even a bucket with only a few inches of water at the bottom. Keep bathroom and laundry room doors shut and keep toilet seat lids closed. It’s also a good idea to install a child safety lock on the seat. Keep buckets drained of liquid and store them upside-down when they’re not in use. Remove water from the tub or any kind of wading pool immediately after use.

Tip #3. Be nearby at all times.

Always remain within arm’s reach of your young child in any setting where there is water, including pools, tubs, ponds and buckets. Never leave your child unattended in the tub, even for a minute. Two thirds of home deaths from drowning (apart from pools) occur in the bathtub!

Tip #4. Watch your child constantly.

Children playing in or near the water need to be supervised at all times, even if they know how to swim. It is important not to be distracted by talking on the phone, sending text messages or reading a book, as children can drown very quickly and quietly. Most deaths from drowning occurred just after an adult was watching them. If you find your child is missing, check the water first.

Tip #5. Put up safety barriers.

If you have a pool or spa at home, be sure it is surrounded on all sides by a fence that is at least four feet high. The fence should have a gate that locks automatically, and alarms to both the gate and pool area should be installed. Remember to cover and lock the pool or spa when you are not using it.

Tip #6 Learn CPR.

Children who are rescued from drowning need to receive CPR as soon as possible to decrease the likelihood of death or brain damage. Don’t wait for the paramedics to arrive. Learn CPR and do something!

Family Road Trips and Your Health

Family Road Trips and Your Health

desert-roadway-200-300A family road trip can be a wonderful experience that creates life-long memories for parents and children alike. In fact, a recent survey by Jiffy Lube International suggests that road trips remain an American favorite, with 78% of those polled agreeing that they make the best vacations. However, spending long periods of time sitting in a car on the open road can have its drawbacks, too. This is especially true if you already spend a lot of time commuting or if you already have back or neck problems.

If you already spend many of your waking hours in a motor vehicle—either commuting to and from work or as part of your job—it’s fair to wonder whether a family road trip is really a good idea at all. After all, just the act of sitting for long periods of time has been called “the new smoking”. But if you do decide that a road trip is right for you and your family, there are some things that you can do safeguard your musculoskeletal health and to be more comfortable.

Tip #1:  Be sure that seats, seatbelts and head restraints are all properly adjusted. Remember that even the best safety equipment won’t provide as much protection as it should if it’s not positioned correctly.

Tip #2:  Get comfortable as early as possible in your trip. Little things that would only annoy or irritate you in the course of a 10-minute drive to the dry cleaner can translate into major aches and pains during a much longer trip. Avoid sitting on wallets or mobile phones and consider specialized supports or cushions that provide additional support for your lower back, neck or buttocks.

Tip #3:  Keep on moving. Sitting still for extended periods of time—even in well-designed car seats that have been properly adjusted—is bad for your back and for your health more generally. For this reason, it’s important to change the position of your seat and shift your weight slightly every 15-20 minutes. Plus, be sure to get out of the car to stretch your legs and back at least twice each day. Once every 60 to 90 minutes is even better. A little bit of exercise at rest stops is a very good idea, since regular movement helps to keep vertebral discs, muscles and ligaments healthy.

Tip #4: Keep hot and cold options on hand. If you’re already experiencing back pain, alternating between hot and cold can often provide relief. Preparation is the key—it’s important to have compresses or hot/cold water bottles and warm/cold packs on hand if you intend to use this strategy. It can also be handy to bring along an ice chest as well as a heating pad (with cigarette lighter adapter).

Tip #5: Get your chiropractic treatment before you hit the road and schedule a follow-up for the week you return. If you’re like most people, it’s easy to forget (or put off) important details in the hectic run-up to a vacation. With lots to accomplish at work and at home before you can leave, doctor’s appointments sometimes fall through the cracks. Don’t let it happen to you! Getting adjusted before you hit the road can improve your chances of having a pain-free, fun-filled experience.

While the prospect of taking long road trips might seem daunting for people who already have back or neck pain, a little bit of planning and a flexible itinerary can make all the difference. If you and your family are considering a summer road trip and would like some advice about how to get the most out of it, please call or visit our office today! We’re here to help!

Insect Repellant 101

Insect Repellant 101

mosquito-bite-200-300With warm summer weather in the forecast, many people take the opportunity to spend more time in the great outdoors. Camping, hiking and boating are all on the agenda! But beware—being outside means sharing the wilderness with all of the creatures that live there. This includes the insects!

A weekend getaway out in the woods by the lake can become a lot less relaxing if you’re spending your time constantly swatting at mosquitoes and other flying bugs. And it’s not just your weekend that’s at stake. Your health is at risk too! Many insects still spread diseases that can cause a great deal of harm. For example, mosquitoes can be carriers of encephalitis and West Nile virus and ticks can spread Lyme disease.

An ounce of prevention is worth a pound of cure (or even more) when it comes to insects. Common sense and a little advance planning can go a long way in protecting you from their bites and the serious health problems they can cause. If you’re hiking and the weather permits, consider wearing long pants and long-sleeved shirts to keep the bugs off of your exposed skin. And wear a hat to keep them out of your hair. If you’re hiking through areas with tall grass, remember to tuck your pants into your socks to keep ticks from being able to leap onto your legs. Wearing light-colored clothing can help as well, since you’ll be able to see any tagalong insects more easily and remove them when you return home or to your campsite. Some specialty outdoor clothing has been treated with permethrin, which is an insecticide that has been rated safe for humans. If possible, always take a shower after your hike and check carefully for ticks. You should also avoid hiking or being outdoors near sunset, when many types of insects (especially mosquitoes) tend to swarm the most.

When it comes to insect repellents themselves, the clear winners in terms of effectiveness are commercial preparations that contain DEET (diethyltoluamide). Although it is chemical-based, it has been in use since 1957 and studies show that in concentrations ranging from 5% to 30% it can effectively keep insects away for up to five or six hours. Both the U.S. Environmental Protection Agency and the U.S. Centers for Disease Control rate it as safe for adults and for children over the age of two months. However, it is worth mentioning that some health-conscious consumers have worries about its long-term effects since it does come in contact with the skin and may enter the bloodstream.

A more “natural” alternative to DEET that has appeared in recent years is picaridin, which is sold in strengths ranging from 7% to 20%. Some fans believe it even has a few advantages over DEET, including the fact that it doesn’t adversely affect clothing made from plastics (DEET does). Some also think that it smells better.

Oil of lemon eucalyptus is another more “natural” insect repellent that may be safer than DEET and compares favorably in head-to-head tests. It has also received very favorable consumer reviews for its effectiveness. One commercial formula called Repel Lemon Eucalyptus was recently tested by Consumer Reports and found to be effective, but its manufacturer advises against its use on children under the age of three years.

Some “completely natural” outdoorsmen even make their own insect repellents out of lavender and vodka. Seriously. However, many popular products that contain plant oils like citronella, lemongrass and rosemary don’t seem to work.

Whichever insect repellent you choose, be sure to apply it to all areas of exposed skin before you go outdoors, including your wrists and ankles if you’re wearing long pants and shirts. When using spray repellents, it’s important to avoid getting any into your eyes, nose and mouth. The best way to do this is to spray a little into your palm and use your hands to rub the repellent onto exposed areas of your face.

Remember—a bit of common sense and a little planning are all it takes to make sure your weekend in the woods is relatively insect free! Get out there and enjoy!

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

chiro_counseling-whiteboard-200-300According to the National Institutes of Health and Dr. Michael S. Wilkes of the Western Journal of Medicine, “Despite a plethora of research intended to guide physicians in their management of back pain, physicians still hold strong non-evidence based beliefs dating back to the 19th century.”  What beliefs is Dr. Wilkes referring to?  He’s talking about the long-held conventional wisdom that says bed rest is one of the best ways to treat back pain.

And it turns out that physicians aren’t the only ones who hold “strong non-evidence based beliefs” about how back pain should be treated.  One study, according to the Daily Mail, found that 35% of people thought bed rest is the best way to handle such aches and pains. The study included 1,000 people from 25–65 years of age.

So why are many doctors so quick to prescribe bed rest?  And why are so many patients inclined to comply?  Simple—pain avoidance.  Certainly our minds are part of the feedback loop in any therapy, especially where intense pain is involved. Dr. Michael Vagg, Clinical Senior Lecturer at Deakin University School of Medicine has pointed out that the mind’s expectation of pain “can itself cause protective movements to persist for longer than necessary.”  Thus, the tendency to use bed rest as a solution.

The Evidence Against Bed Rest

For most types of back pain, there is powerful evidence that extended bed rest does not help. One study showed that when comparing routine care, bed rest and exercise, bed rest seemed to result in greater intensity of pain, greater disability and more work days lost. Exercise had the most favorable outcome. According to Wilkes, “14 of 18 controlled studies do report that active exercise can improve outcomes.”

Short-term bed rest can be helpful to reduce painful muscle spasms when such spasms are an attempt for the body to limit movement in an injured part of the body.  However, bed rest restricts the spine’s motion and, unlike other body parts, spines require motion in order to get nutrients to stay healthy.  Restricted movement can result in lost strength and can make it harder for the spine to recover.  When the patient is experiencing their most acute back pain, they may need to temporarily change their routine, but the majority of such patients should minimize bed rest and return to their normal routine as soon as possible. Exercise can help produce better results and quicken the healing process.

Part of a Broader Pattern

Unfortunately, the outdated (and ill-advised) bed rest recommendation is part of a broader pattern that some healthcare observers believe they see in the treatment of back pain.  Dr. Bruce Landon, a professor of health care policy at Harvard Medical School, and a team of researchers have found that many medical doctors ignore expert clinical guidelines when it comes to treating back pain.  And the results aren’t limited to inappropriate guidance about bed rest.  They include unnecessary medical imaging, needless exposure to addictive painkillers and surgeries that are often risky, expensive and ultimately ineffective.

Interestingly, a study published in the September 2014 edition of the Journal of the Canadian Chiropractic Association found that chiropractors, physical therapists and medical doctors have very different rates of adherence to current evidence-based practice guidelines as they relate to treating nonspecific back pain.  Their analysis found that medical doctors follow such guidelines only 52% of the time, compared with 62% for physical therapists and 73% for chiropractic physicians.

Whether you’re suffering from acute or chronic back pain, it’s important to seek out the best evidence-based treatment you can find.  Chiropractors are experts in diagnosing and treating health conditions that affect the musculoskeletal and nervous systems, especially those that involve the back and the neck.  Chiropractic treatment has been shown in studies to be both safe and effective.  Plus, chiropractic patients have consistently reported high levels of satisfaction with the results as well as the experience.

If you or someone you care about is suffering from back pain, there’s help available.  Remember—you have options!  We encourage you to call or visit our office today!

Golfers Swing into Summer with Chiropractic Care

Golfers Swing into Summer with Chiropractic Care

afternoon golfing
afternoon golfing

PGA golfers Tiger Woods and Padraig Harrington have relied on chiropractic care for years to stay healthy and to improve their performance over the course of their professional careers. Fred Funk and Suzann Pettersen have too. So have a great many others. So there’s really little doubt that elite golfers (and their coaches and trainers) recognize the value of chiropractic care. But what about the weekend warrior? Can chiropractic care help the average golfer play better, longer and with fewer injuries?

If you’re a golfer, you might already know first-hand that your musculoskeletal health plays a huge role in your enjoyment of the sport as well as your performance.

One of the most important things to understand is that the biomechanics of your golf swing can affect your health (back, hips, neck, elbows, etc.) and vice-versa—that your health can affect your swing.  It’s really a feedback loop that can have either a positive or negative effect on your game over time.

Many professionals around the broader golf community—from instructors and trainers to healthcare providers who specialize in sports medicine—are becoming increasingly interested in this feedback loop.  The Titleist Performance Institute (TPI) is one very good example:

“…TPI has analyzed how physical limitations in a player’s body can adversely affect the golf swing and potentially lead to injury.”

“TPI’s mission is to educate golfers and industry professionals on the body/swing connection…”

Let’s talk health first.

The very nature of golf and the biomechanics associated with swinging a club make chiropractic care a great fit for golfers. Golfing can involve considerable strain on the spine as a result of the need to generate club head speed. This requires good swing mechanics—posture, balance and timing. Poor swing mechanics have the potential to create exaggerated or flattened spinal curves that can seriously affect performance. In fact, Tom Ward, PGA Golf Instructor, says, “Over 50% of all golfers will experience some sort of pain due to poor posture and the problems that arise from loss of proper curves in the spine.”

By helping to improve your spine’s stability and range of motion, chiropractic care can help prevent injuries and enhance swing performance. An individualized treatment plan including chiropractic adjustments combined with structured stretching and exercise programs may make a significant difference in how well you golf and how much you enjoy it—as well as in how long you’re able to play the game.

Now what about performance?

Recent research suggests that chiropractic care can indeed lead to improved golf performance. A recent study published in the Journal of Chiropractic Medicine demonstrated that the combination of chiropractic care and stretching are associated with greater improvements in golfers’ swings when compared to stretching alone.

Two groups of golfers participated in the study. One group received a program of stretching only, and the second received both stretching and spinal manipulation. The stretching program was the same for both groups, and both groups had similar average ages, handicaps, and initial swings. All 43 participants initially performed three full swing maneuvers, and the average distances were recorded. Over a 4-week period, all participants hit 3 balls before and after treatment.

After 4 weeks, the stretching only group showed no improvement in swing performance.  However the stretching and manipulation group did improve their swing performance and there was greater driving distance right after treatment each week. So it appears that yes, chiropractic care can help not only top golfers such as Woods and Harrington, but it can help you improve your golf game too.

A good golf swing is the result of a complex combination of balance, flexibility and strength.  And doing it repeatedly over the course of 18 holes (or even more in tournament play) takes a high degree of conditioning as well. If you’re serious about golf, chiropractic care can help you play better, play longer and avoid injuries while you’re doing it!

Call or visit our office today to learn more!

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

chiro_counseling-whiteboard-200-300According to the National Institutes of Health and Dr. Michael S. Wilkes of the Western Journal of Medicine, “Despite a plethora of research intended to guide physicians in their management of back pain, physicians still hold strong non-evidence based beliefs dating back to the 19th century.”  What beliefs is Dr. Wilkes referring to?  He’s talking about the long-held conventional wisdom that says bed rest is one of the best ways to treat back pain.

And it turns out that physicians aren’t the only ones who hold “strong non-evidence based beliefs” about how back pain should be treated.  One study, according to the Daily Mail, found that 35% of people thought bed rest is the best way to handle such aches and pains. The study included 1,000 people from 25–65 years of age.

So why are many doctors so quick to prescribe bed rest?  And why are so many patients inclined to comply?  Simple—pain avoidance.  Certainly our minds are part of the feedback loop in any therapy, especially where intense pain is involved. Dr. Michael Vagg, Clinical Senior Lecturer at Deakin University School of Medicine has pointed out that the mind’s expectation of pain “can itself cause protective movements to persist for longer than necessary.”  Thus, the tendency to use bed rest as a solution.

The Evidence Against Bed Rest

For most types of back pain, there is powerful evidence that extended bed rest does not help. One study showed that when comparing routine care, bed rest and exercise, bed rest seemed to result in greater intensity of pain, greater disability and more work days lost. Exercise had the most favorable outcome. According to Wilkes, “14 of 18 controlled studies do report that active exercise can improve outcomes.”

Short-term bed rest can be helpful to reduce painful muscle spasms when such spasms are an attempt for the body to limit movement in an injured part of the body.  However, bed rest restricts the spine’s motion and, unlike other body parts, spines require motion in order to get nutrients to stay healthy.  Restricted movement can result in lost strength and can make it harder for the spine to recover.  When the patient is experiencing their most acute back pain, they may need to temporarily change their routine, but the majority of such patients should minimize bed rest and return to their normal routine as soon as possible. Exercise can help produce better results and quicken the healing process.

Part of a Broader Pattern

Unfortunately, the outdated (and ill-advised) bed rest recommendation is part of a broader pattern that some healthcare observers believe they see in the treatment of back pain.  Dr. Bruce Landon, a professor of health care policy at Harvard Medical School, and a team of researchers have found that many medical doctors ignore expert clinical guidelines when it comes to treating back pain.  And the results aren’t limited to inappropriate guidance about bed rest.  They include unnecessary medical imaging, needless exposure to addictive painkillers and surgeries that are often risky, expensive and ultimately ineffective.

Interestingly, a study published in the September 2014 edition of the Journal of the Canadian Chiropractic Association found that chiropractors, physical therapists and medical doctors have very different rates of adherence to current evidence-based practice guidelines as they relate to treating nonspecific back pain.  Their analysis found that medical doctors follow such guidelines only 52% of the time, compared with 62% for physical therapists and 73% for chiropractic physicians.

Whether you’re suffering from acute or chronic back pain, it’s important to seek out the best evidence-based treatment you can find.  Chiropractors are experts in diagnosing and treating health conditions that affect the musculoskeletal and nervous systems, especially those that involve the back and the neck.  Chiropractic treatment has been shown in studies to be both safe and effective.  Plus, chiropractic patients have consistently reported high levels of satisfaction with the results as well as the experience.

If you or someone you care about is suffering from back pain, there’s help available.  Remember—you have options!  We encourage you to call or visit our office today!