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What Are “Manual Therapies” and How Are They Used?

What Are “Manual Therapies” and How Are They Used?

Manual therapies have been used to treat musculoskeletal disorders for thousands of years. Practitioners around the world—in countries with many different cultural influences and diverse medical traditions—have used their hands to manipulate various parts of the body to stimulate healing. “Manual” literally means “by hand.” Thus, manual therapies consist of healing techniques that use the hands. There are more than two dozen techniques used worldwide. Among the most commonly known are acupressure, chiropractic, massage therapy, physiotherapy, reflexology, Rolfing and shiatsu.

There are also dozens of other, lesser-known manual therapies, including the Bowen technique, cranio-sacral therapy, the Dorn method, manual lymphatic drainage, muscle energy technique, myofascial release, myotherapy, naprapathy and zero balancing. We examine the most common therapies here:

Acupressure

Using the hand, the elbow or various devices, an acupressure practitioner applies a light force on various parts of the body following the patterns found in traditional Chinese medicine and acupuncture. More than half of the scientific studies on acupressure showed that this technique was effective, but some critics have claimed “a significant likelihood of bias.”

Chiropractic

Most chiropractic work involves manipulation of the spine to achieve better vertebral alignment. Lower back pain is perhaps the primary complaint which leads patients to a chiropractor. Chiropractors are expert at treating musculoskeletal conditions without the use of drugs or surgery. Among others, many top athletes swear by their chiropractor’s hands to keep them performing at their best and help them avoid injuries.

Massage Therapy

This is perhaps the oldest of the manual therapies. Massage was (and still is) used in ancient Egypt, China, Mesopotamia, and other parts of the world that gave rise to early civilizations. Massage practitioners chiefly use their hands, but also other parts of their body to apply pressure, rolling motions and other techniques to muscles and joints, to stimulate circulation and relax the patient. In today’s high-stress world, massage is proving ever more popular.

Physiotherapy

Physiotherapy has been used for years as standard treatment for patients suffering from musculoskeletal conditions. A physical therapist uses a variety of techniques to help their patients regain function—particularly mobility. Repetitive, assisted motion can help the patient strengthen muscles that have been damaged through injury or disease. Assisting the patient in the performance of targeted exercises can help a patient regain greater range of motion.

Reflexology

A trained reflexologist applies pressure to various parts of the feet, hands or ears to stimulate organs within the body associated with the part to which pressure is being applied. It is a Chinese therapy with a philosophy that is similar to acupuncture—using points on the body to restore energy flow. Although there is not yet much scientific evidence to support its effectiveness, anecdotal evidence shows that patients are happier and more relaxed after treatment.

Rolfing Structural Integration

Rolfing specifically targets the body’s connective tissue to release tension, realign and balance the body. Rolfing techniques involve deep-tissue massage to achieve therapeutic benefits such as better posture and greater freedom of movement, including reducing stress and relieving pain.

Shiatsu

A traditional Japanese therapy, the term Shiatsu means “finger pressure,” but can include palm pressure and other approaches to massage. A Shiatsu practitioner uses touch, comfortable pressure and manipulative techniques on specific points of the body (similar to the meridians of Traditional Chinese Medicine) to adjust the body’s physical structure and balance its energy flow. Anecdotal evidence shows it to relieve patients of stress, nausea, muscle pain, depression and anxiety.

 

What is a “Pinched Nerve”?

What is a “Pinched Nerve”?

‘Tearing her hair out’ Metaphor or bad hair day

A “pinched nerve” refers to a condition in which a nerve is compressed by surrounding tissue, such as ligament, cartilage, tendon or bone. The term “pinched nerve” is not a standard medical expression, but it’s an intuitive expression that almost anyone will understand.

Nerves radiate from your brain, down your spine and to all other parts of the body. Signals are sent from and to the brain along the nerves, and if a nerve is compressed (“pinched”), it will interfere with proper signal transmission. Usually, this will manifest as pain, not only at the site of compression, but sometimes radiating from that point to surrounding parts of the body. Misalignment of the spine can result in pinched nerves that can give you back pain and even a deadening ache or sensitivity along your arms (cervical radiculopathy) or legs (sciatica).

Any pain of this sort is a warning signal that there is a problem that should be treated right away. Left untreated, pinched nerves can lead to a loss of the protective barrier around the nerves which could generate fluid buildup. And this fluid would create swelling, more pressure, more pain, and possibly scarring. When nerves have been scarred, they may no longer function properly.

Pain isn’t the only indication of a pinched nerve. Sometimes a compressed nerve will generate numbness or tingling, a burning or “pins and needles” sensation, or even weakness during certain activities.

Pinched nerves can occur more often when the following risk factors are involved:

  • Overuse—Repetitive actions such as movements during work or while involved in a hobby or sport.
  • Posture—Bad posture creates more pressure on the spine and the nerves traveling through it.
  • Gender—Women’s carpal tunnels are smaller and are at greater risk for carpal tunnel syndrome.
  • Rheumatoid arthritis—Inflammation of any kind can compress nerves, especially at the joints.
  • Obesity—Increased body weight can increase pressure on nerves throughout the body.
  • Bone spurs—Bone thickening (from conditions such as osteoarthritis) or trauma can lead to bone spurs that stiffen the spine and narrow the space through which the nerves pass.

Mainstream medicine frequently recommends drugs, including NSAIDs, oral corticosteroids, narcotics (for emergency, short-term pain relief) and steroid injections to treat the symptoms of a pinched nerve. The Mayo Clinic suggests that patients can sometimes recover within a few days or weeks from pinched nerves with rest and additional “conservative treatments.” Other mainstream medical treatments may include physical therapy, a splint to immobilize a limb to give it a bit of rest, or surgery.

A chiropractor specializes in nerve health and non-invasive methods of reducing pain and restoring proper function, including spinal adjustments and other treatments that take the pressure off the nerves without the need for drugs or surgery. Sometimes a single adjustment can lead to immediate relief. In other cases, repeat visits may be required for full recovery. If you or someone you care about is suffering from a pinched nerve, you should know that there are alternatives to drugs and surgery and that chiropractic care has proven effective in treating the source of the problem so it is less likely to recur in the future.

If you would like to be seen by Dr. Oblander for treatment of a pinched nerve or any other ailment, please call our office at 406-652-3553 to schedule an appointment.

 

Falls Among Seniors: What You Should Know

Falls Among Seniors: What You Should Know

— seen against the afternoon sun

According to the U.S. Centers for Disease Control and Prevention (CDC), one in three adults over the age of 65 has a fall in any given year. Falls are the leading cause of injury-related death for adults in this age range, as well as the most common cause of trauma-related hospital admissions. More than 1.6 million older adults go to the emergency room for fall-related injuries each year in the United States. Whether you are above the age of 65, or you care for someone who is, knowing how to prevent a fall could help you save a life.

There are several risk factors that you can address to help prevent a fall. The first factor is a lack of physical activity. As adults grow older it becomes difficult to exercise on a regular basis. This leads to a decrease in strength and a loss of bone flexibility and mass. All of these factors can make falls more likely and injuries more severe.

Fortunately, there are ways for older adults to stay active. Regular exercise is the best place to start. Fifteen minutes of an exercise designed to increase bone and muscle strength should be done every other day. This can be as simple as taking a walk or going for a swim a few times a week.

The risk of falls increases when seniors do not take adequate time to carry out daily activities. It is important to stay safe and to take your time when bending over and when lifting things. Be sure to recover your balance first before taking a step when getting out of bed or a chair.

Seniors on medications may find that their balance is impaired and their mental alertness is reduced. Some medications can cause a drop in blood pressure while you are standing up, throwing you off balance. Be sure to understand all of the side effects of your medications, and be clear with your doctor about any fears you have about your balance. He or she may be able to reduce your dosage to help keep the side effects under control.

Environmental hazards are one of the biggest risk factors for senior falls. These hazards can include items on the floor that are easy to trip on, loose rugs, unsteady furniture, and poor lighting.

To reduce the risk of environmental factors causing a fall, take time to walk through the house to locate any potential hazards. Rugs can be secured with nonskid tape and throw rugs can be removed altogether. Furniture should be kept in good repair and clutter should be kept to a minimum. Finally, consider having grab bars installed to help you get up and down securely.

Falls among seniors can be frightening, but there are steps that you can take to help prevent them. By being cautious and staying in good health, seniors can increase their chances of avoiding harmful falls.

How To Choose a Chiropractor

How To Choose a Chiropractor

We are sharing an article today that was first run in the Billings Gazette in 2014. We think it has some good information and we have added a few tips of our own at the conclusion of the article:

Chiropractors are a great resource for people with back, head or neck pain. These professionals believe that realigning your spine will help relieve pain and discomfort in the body.

People often find relief by seeking help from a chiropractor. They report having improvements in their muscles, joints, bones and ligaments.

It will often improve your general health as well. Headaches and sinus pain can also be healed with treatments.

Whether you are experiencing pain or simply want to enhance your overall well-being, you may benefit from seeing a chiropractor.

Thinking about the following factors can help you find the right chiropractor for your needs.

Quality

Chiropractors have some of the most stringent educational requirements in the health care industry. According to the American Chiropractic Association, accredited chiropractors go through at total of at least 4,200 hours of classroom, laboratory and clinical training time combined.

Students must spend four years in a pre-medical program, in addition to four or five years of professional training.

It is vital that the student understand different aspects of the body.

Prior to selecting a chiropractor, inquire about training and credentials. Make sure he or she is properly qualified.

Insurance Coverage

Many insurance carriers include chiropractic care as part of their regular coverage.

Verify that your care will be covered. You might be offered a discount for choosing an “in-network” professional.

But if you don’t have insurance, many chiropractors offer low cash rates or affordable plans to help patients. Even without health insurance, you can still find chiropractor offering quality, cost-effective care.

Get Referrals

Someone in your social or professional network has likely received excellent care from a chiropractor. Ask family, friends and co-workers for referrals.

Inquire specifically about his or her demeanor and schedule. Is it easy to make an appointment? You should also find out about the chiropractor’s philosophy about health and other wellness issues. Some practitioners will suggest complementary forms of care, including massage.

Given the results it can provide, chiropractic care is still affordable and well worth the money. With time and effort, you are likely to find a quality chiropractor in your area.

Our Own Comments:

We believe that it is a good idea to find a chiropractor that will listen to you. The doctor should be interested in understanding what issues you are seeking treatment for and resolving those issues. A doctor that is interested in getting you in and out of the adjusting room as quickly as possible is often more interested in his/her pocketbook than in your care. Also, a doctor that educates his/her patients is invaluable.

We are grateful that Dr. Oblander is the kind of doctor that genuinely cares for his patients and who seeks to give his patients the care they need, want and deserve!

For our current patients who read this, we would appreciate your online reviews for our office and Dr. Oblander. We have provided links below to make it easier for you!:

https://www.yelp.com/biz/oblander-chiropractic-billings-2

https://drive.google.com/open?id=1vTNoEI3dW-g4oqa_ifZLJmFhZL0&usp=sharing

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

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

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

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

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

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

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

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

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

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

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

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

 

Car Accidents and Delayed Symptoms: What You Need to Know

Car Accidents and Delayed Symptoms: What You Need to Know

Even if your recent fender bender didn’t seem too serious, there’s still a very real chance that you or your passengers may have been hurt. That’s because even the most minor car accidents can cause hidden injuries and delayed symptoms. And while damage to your car is likely obvious and easy to assess, evaluating damage to your body may be far more difficult. In fact, it’s not unusual for a driver or passenger to walk away from a collision with potentially serious musculoskeletal injuries (such as a concussion or whiplash), without knowing it.

Because of the stress response, right after an accident the body’s defenses are on high alert. Any pain may be masked by endorphins produced by the body during and shortly after this kind of traumatic event. Endorphins help the body manage pain and stress and can create a temporary euphoria or “high” feeling. When the threat of the accident is gone, endorphin production slowly disappears, allowing you to feel pain that may have remained hidden earlier.

Perhaps the most common delayed symptom is that of whiplash. Whiplash consists of soft tissue damage in the neck from the sudden acceleration and deceleration of the head, creating hyperflexion and hyperextension of the neck. This can not only cause damage to the muscles, tendons and ligaments of your neck, it can also occasionally fracture or dislocate vertebrae and cause any of the following symptoms to show up later:

  • Headaches
  • Reduced range of motion or difficulty moving
  • Slowed reflexes
  • Vertigo
  • Muscle spasms
  • Localized weakness or numbness
  • Stiffness in shoulders and arms

 

Every bit as serious as any broken bones or lacerations, a concussion can prove to be a grave threat to your health. Quite simply, a concussion is the result of the brain colliding with the inside of the skull from a rapid acceleration or deceleration. Not all concussions occur because of bumping the head. If the head is restrained in any way and the restraint suddenly stops or suddenly jerks into motion, a concussion may occur. Symptoms of concussion include the following:

  • Headaches
  • Bad temper
  • Nausea
  • Spasms
  • Loss of balance
  • Blurred or double vision
  • Disorientation
  • Confusion
  • Amnesia
  • Ringing in the ears
  • Difficulty concentrating or reasoning
  • Anxiety or depression
  • Tiredness, sleeplessness, or other problems with your ability to sleep

 

The key point with any of these symptoms is to know whether or not you had them before the accident. Someone who knows you or lives with you can help identify any changes in your behavior that may indicate a possible concussion. If you didn’t have a symptom that you’re now experiencing, see your doctor right away.

In addition to the health consequences of car accidents with delayed symptoms, there is also the insurance aspect to consider. Because many accident-related injuries don’t show up immediately, you may have to pay out-of-pocket for the medical expenses from any delayed symptoms if you settle with your insurance company right away. Therefore, consider waiting a few days before signing any release of liability so that any delayed symptoms have an opportunity to reveal themselves. Seeing a chiropractor for a medical evaluation as soon as possible after an accident is also a good idea, since he or she can help identify injuries and start treatment promptly. In many cases, seeking appropriate medical care soon after an accident can improve your chances of a more complete and more rapid recovery.

If you have been in an accident, you can call Oblander Chiropractic at 406-652-3553 to schedule an exam with Dr. Oblander.

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Spotlight on Food Allergy Trends. What’s the Best Advice?

Spotlight on Food Allergy Trends. What’s the Best Advice?

auburn-haired girl, young woman wiping her nose

One thing is certain: food allergies are on the rise. According to a 2013 study by the Centers for Disease Control and Prevention, there were 50% more food allergies in 2011 than there were in 1997. An estimated 15 million Americans have food allergies, and the numbers are increasing. Four percent of the population has a food allergy now, as opposed to only one percent ten years ago. What is not so certain is what is causing this increase in food allergies. Experts believe it is likely due to a few different causes, including over-cleanliness, reluctance to feed children certain foods at an early age, and the quality of the foods we eat. It may also be that physicians are becoming more skilled at recognizing the problem and, therefore, that food allergies are diagnosed more frequently.

One interesting thing to note is that American children are more likely to have food allergies than children in other nations. It may be due in part to Americans being better-off than people in other countries. The CDC noted on their website that, “Food and respiratory allergy prevalence increased with income level. Children with family income equal to or greater than 200% of the poverty level had the highest prevalence rates.”

Experts surmise that the immune systems of people in poorer and undeveloped nations get exposed to pathogens far more often than people in nations with higher standards of cleanliness and more access to antibiotics. Exposure to a wide range of microbes at an early age helps to ensure that the immune system is kept busy and learns early to recognize the difference between a dangerous microbe and a harmless one. Many children in the US now grow up in homes so clean that they encounter relatively few germs until they are exposed to them in school.

Another issue is the reluctance of parents to feed their children foods that may possibly cause an allergy. For example, some women avoid eating peanuts during pregnancy and will not feed them to their children until they are older. However, if we look at the rate of peanut allergies in Israel, it is far lower than that in the US. The primary difference between the two countries is that Israeli parents feed their children peanut snacks at a far earlier age than American parents do.

The American diet also consists of far more processed foods and GMOs than the diets of other countries. The side effects of genetically modified foods have still not been thoroughly investigated, but more studies are finding health issues in animals fed genetically modified foods. In addition, conventionally-raised meat in the US is typically fed hormones and antibiotics, which may be wreaking havoc with our own immune systems when we eat meat from these animals.

Extensive pesticide and herbicide use can also increase the risk of food allergies. A study published in the Annals of Allergy, Asthma, and Immunology found that people exposed to chemicals called dichlorophenols (DCPs) were more likely to develop food allergies. These chemicals are created when common pesticides and herbicides break down. People with the highest level of this chemical were more than twice as likely to have a food allergy.

The best thing you can do to help ensure that you and your family do not develop food allergies is to eat whole foods from reliable sources as often as your household budget will allow. Organically-grown foods may be one part of the answer. To be labeled “100% organic,” foods must not have been exposed to pesticides and herbicides, has not received hormones or antibiotics, and cannot be genetically modified. In addition, don’t be afraid of getting dirty! Regular exposure to germs helps keep your immune system exercised and it will be less likely to overreact to harmless microbes.

 

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Playground Safety Checklist: Basic Design and Maintenance

Playground Safety Checklist: Basic Design and Maintenance

IS078-019

If you’re a parent, you may have noticed that hard asphalt and sharp edges are on their way out at playgrounds around the country. In large part, these changes are due to concerns over injuries and law suits. Over 200,000 children in the US are treated each year in hospital emergency rooms for playground-related injuries. That’s a lot of opportunity for enterprising attorneys, especially in cases where parents or guardians lack health insurance.

Accident and litigation concerns aside, it is important for children to get outside in the fresh air and exercise. This is particularly true considering the increasing rate of childhood obesity. Playgrounds can be ideal areas for kids to socialize while getting the exercise they need. By checking the playground for safety hazards and following some simple guidelines, there is no reason why your kids can’t take advantage of all a playground has to offer.

The most important element to playground safety is adult supervision. Kids need to be supervised whenever they are using playground equipment so an adult can intervene when a child is not using the equipment properly or is acting in a dangerous fashion. Kids like to test their limits, and sometimes young children cannot properly judge distances and may try something that is likely to cause injury.

The playground surface is important in reducing the number of injuries from falls. Asphalt and concrete are obvious surfaces to avoid, but so are grass and packed soil surfaces. None of these are able to cushion a child’s fall appropriately. Instead, look for playgrounds that have safety-tested rubber surfacing mats or areas of loose fill 12 inches deep made from wood chips, shredded rubber, mulch, sand or pea gravel. The cushioned surfacing should extend at least 6 feet from any equipment, and sometime farther, depending on the particular piece of equipment (such as a high slide or a long swing).

Children should always play in areas of the playground that are age-appropriate. Playgrounds should have three different clearly designated areas for different age ranges of children: those younger than 2 years old, children 2 to 5, and children 5 to 12 years of age. Children under 2 should have spaces where they can crawl, stand and walk, and can safely explore. Kids age 2-5 should use equipment such as low platforms reached by ramps and ladders, flexible spring rockers, sand areas and low slides no higher than 4 feet. Kids age 5 to 12 can use rope climbers, horizontal bars, swings and slides, in addition to having open spaces to run around and play ball.

Following are a few basic guidelines to ensure playground equipment safety:

  • Seesaws, swings and any equipment with moving parts should be located separately from the rest of the playground.
  • There should be no openings on equipment between 3.5 inches and 9 inches where parts of a child’s body may become trapped (such as rungs on a ladder).
  • The top of a slide should have no open areas where strings on clothing can get caught and cause strangulation.
  • There should be only two swings per bay, and should be placed 24 inches apart and 30 inches from any support.
  • Equipment should not be cracked, splintered or rusty, and hardware should be secure.
  • Sandboxes should be checked for loose debris such as broken glass and sharp sticks and should be covered overnight to prevent animals soiling it.
Massage Therapy: It’s Not Just for Rest and Relaxation!

Massage Therapy: It’s Not Just for Rest and Relaxation!

What do you think about when you hear the word “massage”? If you’re like many people, you associate massage with a day of pampering at an exclusive resort spa in the mountains or at the beach. But if that’s the first picture that comes to mind, you might be missing something very, very important. That something is the therapeutic value of massage—the ways that massage can actually improve your health and well-being.

While it is certainly true that many types of massage do help with relaxation, therapeutic massage also has a variety of important health benefits. For instance, therapeutic massage:

  • Accelerates healing by improving the circulation of blood and lymph to injured areas
  • Promotes flexibility by stretching and loosening muscles and connective tissue
  • Improves muscle tone and helps prevent or delay muscle atrophy cause by prolonged periods of forced inactivity
  • Relieves pain in joints by reducing inflammation and swelling in joints
  • Increases the effectiveness of chiropractic adjustments

Practitioners and patients alike have discussed these types of benefits for many years, but researchers have recently made a great deal of progress collecting and analyzing clinical data to understand the effects of therapeutic massage. Here are some “headlines” from their work as well as a few “notable quotes” from their study findings.

Improved Circulation and Post-Exercise Pain Relief

Investigators at the University of Illinois at Chicago recently conducted a study to determine whether or not massage improves general circulation and relieves soreness after exercise.

  • “Our study validates the value of massage in exercise and injury, which has been previously recognized but based on minimal data,” said Nina Cherie Franklin, UIC postdoctoral fellow in physical therapy and first author of the study. “It also suggests the value of massage outside of the context of exercise.”
  • “We believe that massage is really changing physiology in a positive way,” said Franklin. “This is not just blood flow speeds—this is actually a vascular response.”
  • Because vascular function was changed at a distance from both the site of injury and the massage, the finding suggests a “systemic rather than just a local response,” she said.

Reduced Chronic Low Back Pain and Improved Mobility

There are more than 100 million massage therapy visits in the U.S. each year, and lower back pain accounts for more than one-third of them. Why?  Because massage works!

A study in the Annals of Internal Medicine found that patients receiving massage (whether “structural” massage or “relaxation” massage) had better outcomes than those receiving typical medical care without massage. Measured after 10 weeks and again after 26 weeks, patients who received massage had less pain and better mobility than the control group. At 52 weeks, the results were less clear.

A review in Harvard Health Publications contained some very positive words about the study, which was funded by the National Institutes of Health’s National Center for Complementary and Alternative Medicine:

  • “My interpretation of this well-designed study is that massage appears to be at least as effective as standard treatments for chronic low back pain.  It might even be better.  And it’s likely safer than medicine.  Depending on actual costs and insurance coverage, massage may even cost less than usual care.”
  • “In my opinion, it’s time massage became a more standard option for the treatment of chronic low back pain.”

The Chiropractic Care – Massage Therapy Connection

Massage is often recommended as an integral part of a broader chiropractic treatment plan, either in the form of massage to loosen muscle tightness before an adjustment, or after an adjustment to help the muscles adapt to the newly-repaired spinal structures. Many patients report that the combination of these two therapies works better than either therapy alone. In our experience, this is most noticeable with conditions that cause chronic pain—chiropractic manipulation or mobilization techniques work to relieve the structural problems and therapeutic massage works to resolve the soft tissue problems. This is why many chiropractors work closely with massage therapists to find the most effective treatment regimen for each patient—the one that returns them to a feeling of health and well-being as quickly as possible. In our Grand Avenue office, here in Billings, Dr. Oblander often works hand in hand with our massage therapists to work with patients who have been in car accidents, are worker’s compensation patients, or who have other issues which our experience tells us would be addressed by combining massage therapy with chiropractic care

If you’re interested in learning more about what massage and chiropractic care can do for you, please give Oblander Chiropractic a call at 406-652-3553! We’ll be happy to discuss your situation with you and to explain our approach. We’re here to help!

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The Most Dangerous Jobs: A Chiropractic Perspective

The Most Dangerous Jobs: A Chiropractic Perspective

It’s no secret that some jobs are just more physically demanding and more dangerous than others. Some of the most challenging ones are obvious—combat roles in the military, fire and rescue, heavy construction and deep sea fishing are just a few that come to mind. However, when it comes to non-fatal musculoskeletal injuries, the statistics tell a very different story about occupational health and safety and about who’s most likely to get hurt on the job.

Because chiropractic physicians are experts in treating conditions that involve the musculoskeletal and nervous systems (including many common workplace injuries), we have a unique perspective on why they happen, how they can  be prevented and the best ways to treat them.

Musculoskeletal Disorders by the Numbers

Let’s start with a long-term trend that’s good news for the nation’s workers but that doesn’t get much media attention. The number of reportable occupational injuries and illnesses has declined steadily across the past decade from 50 cases per 1,000 full-time workers in 2003 to 33 cases in 2013. So progress is clearly being made, even if it doesn’t grab the headlines.

That said, musculoskeletal injuries continue to be among the most common on-the-job injuries, and they can require significant recuperation time. The Bureau of Labor Statistics (BLS) says that musculoskeletal disorders (MSD) “are injuries or illnesses affecting the connective tissues of the body such as muscles, nerves, tendons, joints, cartilage, or spinal disks.”

A very high percentage—about one-third—of 2013 workplace injury and illness cases that required days off from work involved the musculoskeletal system.  Plus, workers who sustained musculoskeletal injuries required more time to recover before returning to work—a median of 11 days to recuperate compared with 8 days for all types of workplace injury and illness cases. In 2011:

  • The back was the primary site of MSD injuries in 42% of all cases across all occupations, requiring a median time off of 7 days to recuperate.
  • Although it accounts for only 13% of all MSDs, the shoulder was the area with the most severe injuries, requiring a median of 21 days off of work to recuperate.
  • Injuries and illnesses due to repetitive motion involving “micro-tasks” (such as typing) accounted for only 3% of all occupational injury and illness cases. However, those workers with this kind of injury required nearly 3 times as many days away from work to recover as those with all other types of injuries and illnesses—a median of 23 days.

 

As we mentioned earlier, though, MSDs are not distributed evenly across all industries and occupations.

  • In 2013, the highest MSD incident rates were found in transportation and warehousing (80.3 cases per 10,000 full-time workers), healthcare and social assistance (50.2 cases per 10,000 full-time workers), arts, entertainment and recreation (46.5 cases per 10,000 full-time workers) and construction (41.9 cases per 10,000 full-time workers).
  • In 2011, six occupations accounted for 26% of all MSD cases: nursing assistants, laborers, janitors and cleaners, heavy and tractor-trailer truck drivers, registered nurses and stock clerks.
  • In 2011, those with the greatest number of median days spent off from work in order to recuperate from an MSD were heavy and tractor-trailer truck drivers (21 days).

So it’s clear from the numbers that the dangerous jobs featured on reality TV shows (think about Deadliest Catch and Ice Road Truckers) aren’t necessarily the ones that result in the most MSD-related visits to the chiropractor or general practitioner.

The Role of Chiropractic Care in Prevention and Treatment

Over the past several years, companies of all sizes have become increasingly interested in occupational health and wellness programs. Chiropractic physicians have a special interest in working with employees and business managers alike to help prevent job-related injuries and to encourage a healthy, productive work environment. If you’d like to learn more, we encourage you to call or visit our office today.

Chiropractic care can be one of the most effective ways to treat musculoskeletal pain and accelerate recovery.  Dr. Oblander has the training and experience necessary to successfully diagnose and treat a wide range of workplace injuries, and he’ll be happy to answer any questions you may have! So if you or someone you care about has recently been hurt on the job, please give us a call at 406-652-3553 or stop by either of our Billings chiropractic offices. We have an office located at 3307 Grand Avenue and an office at 410 Wicks Lane in the Heights  and we’re here to help!

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