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Tag: back care

Why Chiropractic is Superior for Musculoskeletal Pain

Why Chiropractic is Superior for Musculoskeletal Pain

Countless studies have demonstrated that chiropractic care is a safe and effective way to treat musculoskeletal complaints like back pain, neck pain, or sciatica. Now a new study from Switzerland has looked at the relative benefits of chiropractic compared to medical care for the most common types of pain issues.

In this study, the authors examined data from people who reported spinal, hip, or shoulder pain. 403 patients saw a medical doctor for relief; 316 people saw a chiropractor. Four months after treatment, the patients were asked to fill out a survey reporting on their recovery.

The authors found that:

  • “Patients initially consulting MDs had significantly less reduction in their numerical pain rating score…”
  • Patients who saw MDs  were significantly less satisfied with the care they received and the outcome of that care.
  • Patients who saw a chiropractor had significantly lower healthcare costs for their treatment.

The authors conclude that patients should first be sent to a chiropractor for musculoskeletal problems, rather than a medical doctor:

“The findings of this study support first-contact care provided by DCs as an alternative to first-contact care provided by MDs for a select number of musculoskeletal conditions. Restrictive models of care in which patients are required to contact a medical provider before consulting a chiropractic provider may be counterproductive for patients experiencing the musculoskeletal conditions investigated and possibly others. In addition to potentially reducing health care costs, direct access to chiropractic care may ease the workload on MDs, particularly in areas with poor medical coverage and hence enabling them to focus on complex cases. The minority of patients with complex health problems initially consulting a chiropractic provider would be referred to, or comanaged with, a medical provider to provide optimal care.”

Houweling TAW, Braga AV, Hausheer T, et al. First-Contact Care With a Medical vs Chiropractic Provider After Consultation With a Swiss Telemedicine Provider: Comparison of Outcomes, Patient Satisfaction, and Health Care Costs in Spinal, Hip, and Shoulder Pain Patients. Journal of Manipulative and Physiological Therapeutics 2015;38(7):477-83.

Written by: Michael Melton and shared from ChiroNexus.net
Why Chiropractic is the Best Solution for Sciatica Pain

Why Chiropractic is the Best Solution for Sciatica Pain

Sciatica pain is often so debilitating that it forces people to miss work and other normal activities.  Of all patients with low-back pain, sciatica patients have the highest level of disability (1).  In fact, patients with sciatica are disabled for an average of 72 days according to Norwegian public-health records.

Fortunately, a recent study offers hope to sciatica patients: chiropractic care can speed the recovery from sciatica flare ups and allow patients to return to work sooner (2). The study evaluated 44 Norwegian workers after they came to the hospital with severe sciatica pain. Most of those patients had been experiencing pain for three or more weeks prior to their hospital visit.

The hospital chiropractor examined each patient to evaluate his/her posture and gait, range of motion, and palpation of the lumbar spine. The chiropractic then performed various joint adjustments to the spine and other limbs that had been injured through patients compensating for pain. Ice treatment was also used to relieve soft tissue soreness.Patients were treated daily in the hospital and later three times a week for the first two weeks. Some patients needed additional follow-up treatment but typically did not exceed 14 treatments.

In matter of 21 days, 91% of patients returned to work full-time. Two patients returned to work part time. Researchers concluded this study demonstrates the potent benefits of collaboration between chiropractors and orthopedic surgeons. Chiropractic care can put an end to your sciatica pain so you can begin living your life fully again.

  1. Arana E, Marti-Bonmati L, Vega M, et al. Relationship between low back pain, disability, MR imaging findings and health care provider. Skeletal Radiology 2006;35(9):641-7.
  2. Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30:135-139.
Written by: Michael Melton 
The preceding article was shared from www.chironexus.net
Chiropractic Patients Recover Faster, Spend Less Money

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.

Written by: Michael Melton on September 19, 2016.
Today’s chiropractic news shared from the following website: https://www.chironexus.net/2016/09/chiropractic-patients-recover-faster-spend-less-money/
Spinal Health at the Gym—Form Matters!

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.

 

The Opioid Crisis’ Latest Victims: Addicted Babies

The Opioid Crisis’ Latest Victims: Addicted Babies

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

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

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

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

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

(Article shared from News USA)

I Trust Chiropractic Care

I Trust Chiropractic Care

Clinton Romesha

“When I first consulted a doctor of chiropractic for back pain, it was discovered that my pelvis was imbalanced – little surprise after many years of carrying military gear in all kinds of terrain. Aligning my hips and lower back, along with stretching and healthy living advice, made all the difference for me. Chiropractic is a natural alternative, and I am grateful for this car that has kept me away from having to mask my pain with addictive painkillers and their harmful side-effects. I encourage my brother and sister Veterans to consider chiropractic for healthier living.”   –  Clinton Romesha

 

In a 2013 ceremony, U.S.Army Staff sergeant Clinton Romesha received the Medal of Honor for acts of gallantry on 10/3/2009, during Operation Enduring Freedom in Afghanistan.

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Neck Cracking and Grinding: What Does It Mean?

Neck Cracking and Grinding: What Does It Mean?

Most people at some point have heard cracking or grinding noises in their neck upon movement. These sounds, also called crepitus, are usually painless and typically do not represent anything serious.

However, if the neck cracking noise is accompanied by pain, swelling, or some other concerning symptoms, then it may represent a problem that should be checked by a qualified health professional.

Possible Causes of Neck Cracking

Crepitus, sometimes called crepitation or cavitation, refers to any type of noise or sensation such as a cracking, popping, snapping, or grinding sound that is heard during neck movement. For example, feeling a cracking sensation in the neck when turning the head to back up the car.

Crepitus can occur in any moveable joint in the body, and there are many moveable joints in the neck. The neck joints are bathed in an oily-like substance call synovial fluid, which allows motion to freely occur in between the bones.

The underlying cause of crepitus in the neck is still not yet fully understood.

Some likely causes of the neck cracking sound include:

Synovial joint fluid pressure changes
Various studies have been performed purposely cracking the synovial joints of the fingers, but the conclusions in medical literature as to what is actually making the noise have been mixed. In particular, a study published in 1971 indicated that the cracking sound of a joint was caused by the bursting of a gaseous bubble in the joint’s synovial fluid.1 However, a study published in 2015 reported that the cracking sound was actually from the bubble being created.2

Ligament or tendon moving around bone
Another possible factor in neck cracking could be the snapping sound of ligaments and/or tendons as they move over bones or other muscles or tendons located in the neck region.

Bone on bone grinding
While an uncommon cause of neck cracking, it’s possible for bone to grind against bone if the cartilage has worn down. This condition is called osteoarthritis. It occurs gradually with the normal aging process, or it can be accelerated if there has been a traumatic injury such as whiplash or a sports-related injury

This type of crepitation is typically accompanied by pain, limited neck motion, and the cracking sound is usually repeated over and over with each movement. This experience is in contrast to the typical gas bubble formation crack, where it typically takes about 20 minutes before cavitation, or the cracking, can again occur.

Chiropractic Care and Professional Baseball: The Philadelphia Phillies and Dr. Michael Tancredi

Chiropractic Care and Professional Baseball: The Philadelphia Phillies and Dr. Michael Tancredi

When it comes to helping elite athletes prevent and recover from injuries—as well as achieve peak performance—chiropractic care can offer many advantages. That’s why large numbers of professional and college sports teams throughout the U.S. have turned to chiropractors over the past decade. The Philadelphia Phillies is one such team, and Dr. Michael Tancredi is one such chiropractor. As a Doctor of Chiropractic, a Certified Chiropractic Sports Physician, an Active Release Technique Instructor and Practitioner, and a certified athletic trainer, Dr. Tancredi clearly understands the valuable role that chiropractic care can play in keeping teams healthy and performing at their best.

By almost any measure, Dr. Tancredi has had a long and successful career in sports medicine. He has worked extensively with the Philadelphia Eagles, Philadelphia Phillies, and Villanova University. While Dr. Tancredi has accomplished a great deal in his professional life (and he continues to work with patients through his practice in Broomall, Pennsylvania), he is perhaps best known as the chiropractor who went all the way to the 2008 World Series as a consultant with the Philadelphia Phillies. From 2008 through 2010, he was a chiropractor and Active Release Technique provider for the team.

Cole Hamels, a member of the 2008 Phillies team, has been very vocal about the difference chiropractic care has made for him. “Being introduced to chiropractic care has definitely helped my game. When you add it with a lot of the physical therapy exercises and the in-game exercises, I think it just prevents a lot of injury. I went through a lot of injury in my career, and the first time I actually was introduced to chiropractic care, it pretty much kept me on the field. It’s something that helps me feel much better when I’m on the field and off the field.”

As a pitcher, Hamels is particularly aware of the complex biomechanics involved in throwing a baseball, and recognizes how the larger muscle groups—not just the shoulder and elbow—must work together to perform well. “Your body starts from the ground up, and in order to pitch, you have to use everything. You have to have a good back in order to get the good torque. Most of your power comes from your core.”

It’s a challenge staying healthy through a 162-game regular season, and players at the elite major-league level do what they can to avoid injuries. Hamels recalls how chiropractic care became popular among his teammates and coaches. “It’s another way to help us get out on the field… We’ve seen more and more players start to go in to get adjustments, to get the ART. And I think that’s good for our whole team because you want them to be able to go out on the field every day because we’re very good at what we do, but you’re not going to help the team out when you’re not playing.”

In a brief interview published in ACA Today, Dr. Tancredi described his own experience with the Phillies and explained why chiropractic care is such a good fit for professional baseball. “It was a dream job and a dream season. The whole sports medicine staff was phenomenal. They were all really open to the benefits of chiropractic care. Athletes at this level rarely have an acute injury. However, a little hamstring pull can turn into a major problem when they have no time off. Baseball’s schedule is grueling in that the players are on the field 28 out of 30 days a month, so we have to do what we can to help them heal while keeping in mind the long-term consequences. Chiropractic has cut the injury rate; the players love it, the athletic trainers see how effective it is and the orthopedic surgeon is totally open to my suggestions—it’s a win-win situation.”

Whether you’re playing professionally or at an amateur level, baseball puts unique demands on the body’s musculoskeletal system, from asymmetrical movements (throwing and hitting) and extreme acceleration and deceleration to sudden impacts. Take it from the Phillies and Dr. Michael Tancredi, chiropractic care can help players stay healthy and perform at their best.

If you need to make chiropractic a part of your success protocol, be sure to give our office a call at 406-652-3553 to schedule your appointment with Dr. Oblander!

 

Want Stronger Bones? Weight Training Can Help!

Want Stronger Bones? Weight Training Can Help!

health club: guy in a gym doing weight lifting

As we age, we normally lose a certain amount of bone density. This is a particular problem for postmenopausal women due to the loss of estrogen, which protects against bone loss. Although men are less likely to suffer from osteoporosis (because their bones are generally larger and more dense), they can also be subject to bone loss if they do not get a sufficient amount of exercise. So what can be done to avoid it? Along with a healthy diet, studies have shown that weight-bearing exercise can help to maintain bone density as we age.

Professor of exercise science at California Lutheran University, Dr. Steven Hawkins, says “Exercise stimulates bone formation, because bone put under moderate stress responds by building density, and, depending on your age and workout regimen, it can either increase or maintain bone-mass density.”

Weight training (also referred to as strength training) increases bone mass, particularly that of the spine. A study performed by researchers at McMaster University in Ontario, Canada, showed that postmenopausal women who do not participate in strength training lose bone mass. However, those women who participated in a year-long strength training program increased their spinal bone mass by nine percent.

Strength training does not mean you have to go to the gym every day and train to Olympian standards. It only requires regularly performing a variety of simple, weight-bearing exercises. Much as a muscle becomes larger and stronger the more you use it, bones become stronger and denser the more stress that is placed upon them.

Gary Null, in his book Power Aging notes “Weight lifting, including curls and bench presses, is a beneficial activity.” And for those who’d rather not spend any time around a gym, “Dancing, stair-climbing and brisk walking are all weight-bearing exercises, which promote (good) mechanical stress in the skeletal system, contributing to the placement of calcium in bones.” But what about aerobic exercises? While they are very good for your cardiovascular system, Aerobic exercises such as biking, rowing and swimming do not strengthen the bones” as they do not place enough stress on the skeletal system to stimulate bone growth.

You only need about 15-30 minutes of weight training two or three times a week to help maintain your bone density. You can use weight machines at the gym, or consider attaching some light weights to your arms and legs as you do a regular workout to increase the stress on your skeletal system. Even gardening can be a good way to help preserve bone mass, as it involves such bone-strengthening activities as pulling weeds, pushing a lawnmower or wheelbarrow, turning over soil, etc. Even something as simple as carrying groceries to and from the car can help.

So consider adding a little weight training to your daily routine so you can maintain your bone health and (with a bit of luck) remain fracture-free far into your later years.

If you need more ideas on how to improve your bone health, be sure to schedule an appointment with Dr. Oblander by calling our office at 406-652-3553!

 

Healthy Feet: Why They Matter for the Rest of Your Body

Healthy Feet: Why They Matter for the Rest of Your Body

Did you know that fully a quarter of your body’s bones are in your feet? These complex marvels of engineering by Mother Nature provide your body with a firm foundation, and are constantly in demand to help move the body from one place to another. With 19 muscles and 26 bones each, your feet are important for the balance and health of the entire body.

Dr. Brian Jensen, a chiropractor, offers this perspective: “By age 20, an estimated 80 percent of people develop some type of foot imbalance. By age 40, foot imbalances plague virtually everyone.” If the foundation is out of balance, then the rest of the structure (the body) is thrown out of balance. Invariably, this means the ankles, knees, hips and spine are adversely affected. A misaligned spine can cause chronic pain and can increase the risk of other musculoskeletal problems.

One key way the feet can cause spinal problems is by causing an imbalance in your gait—the way you walk. If your stride is off a little, it can eventually cause the supporting structures of your spine to be subject to stress in the wrong places, eventually pulling your spine out of alignment. According to Dr. Jenson, collapsed arches (“over-pronation”) are the most common source of problems with the feet, causing them to roll inward as an individual walks. Excessive supination (“under-pronation” or the foot rolling to the outside) is the opposite problem.

Both over-pronation and under-pronation often leave telltale signs in the uneven way a person’s shoes wear over time. Typically, a shoe’s heel or sole will become noticeably more worn on either the inside or outside edge. Some pronation is normal, but when both feet pronate too much and for too long a period, then your musculoskeletal health is at risk.

The U.S. Centers for Disease Control and Prevention (CDC) warns of two other health problems involving the feet—obesity and diabetes. Carrying lots of extra weight obviously increases the wear and tear on your body’s joints and is particularly hard on the feet. Diabetes can affect circulation as well as the peripheral nervous system—especially in the extremities—making it more difficult to walk and more difficult to heal after injuries. Both of these conditions set up a vicious cycle where pain and dysfunction often lead to reduced mobility, which in turn often leads to additional weight gain and diabetic symptoms.

Depending on your particular situation, your chiropractor can assist you in finding the proper orthotics for your feet to help correct these kinds of mechanical issues and increase the amount of healthy cushion for absorbing the shock of walking.

And remember—the condition of each foot can change over time, so visit your chiropractor regularly to see if you need special insoles to protect your feet, ankles, knees, hips and spine.