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What is “Referred Pain”?

What is “Referred Pain”?

Billings Chiropractor“Referred pain” can be a perplexing phenomenon for anyone who experiences it. Referred pain is what happens when you feel pain in an area of your body that is not actually the original source of the pain signals. The most common example of referred pain is when pain is felt in the left arm, neck or jaw of a person suffering a heart attack, while they often have no feelings of pain in the chest area itself.

It’s important to note that referred pain is different from radiating pain, in which the pain felt in one area travels down a nerve, causing pain along the length of the nerve. This is often the case with sciatica, where pain originates in the lower back and radiates down the leg.

Researchers are still not exactly sure what causes referred pain. Some experts believe that it is due to a mix-up in nerve messaging. The central nervous system (CNS) is constantly receiving a barrage of different messages from different parts of the body. These messages may get mixed up somewhere along the path between the place where the irritated nerve is signaling and the spinal cord or brain where pain signals are processed. With an extensive network of interconnected sensory nerves that serve the same region of the body, such as the nerves of the lower back, thighs and hips, it may be more common for signals to get mixed up than you might imagine.

Although referred pain is usually felt as painful, it can also cause feelings of numbness, tingling or the sensation of pins and needles. Another example of referred pain is a tension headache, in which headache pain is due to an irritation of the nerves in the neck.

Referred pain tends not to cross sides of the body. In other words, if the pain signals are originating in the liver or gallbladder (which are on the right side of the body), you may feel pain in your right shoulder. If the signals originate in the pancreas (on the left of the body), you may feel pain in your left shoulder, etc.

Chiropractic adjustments can address the source of the referred pain, leading to long-term pain relief. Nerves in the area of the spinal cord that are irritated due to a spinal misalignment (subluxation) can be a cause of referred pain. When your chiropractor adjusts your spine, he or she removes the source of irritation, thus providing relief. Dr. Oblander is a Billings Chiropractor who is very knowledgeable about which tests can be performed to determine the underlying cause of your pain (whether direct or referred), and can treat it accordingly. If you have questions or want to seek chiropractic treatment, be sure to give us a call at Oblander Chiropractic: 406-652-3553.

Chiropractic for Chronic Back Pain

Chiropractic for Chronic Back Pain

back-pain-office-200-300About a third of the millions of people who make appointments with chiropractors every year seek relief from back pain. Back pain can be acute, meaning it happens suddenly, lasts 6 weeks or less and often clears up on its own; or back pain can be chronic, meaning it comes on gradually and lasts 3 months or more. Chronic back pain can be particularly debilitating and can limit movement and mobility.

Traditional treatments for back pain include medication, physical therapy, surgery or steroid injections. While these treatments may provide symptomatic relief, they do not address the root cause of the pain. They can also be painful and expensive to carry out.

The foundation of chiropractic care for chronic back pain is the understanding that misaligned vertebrae can cause the pain. This misalignment can result in many additional problems, such as headaches, body pains and impaired joint mobility. Chiropractic treatment aims to restore alignment to the vertebrae, returning natural health to the spine and all the body parts the spinal nerves serve.

Chiropractors believe in the body’s natural ability to heal itself. Chiropractic care avoids medications and their possible side effects, and it also avoids surgery. As an example of the differences in treatment, surgeons may remove a herniated disk from the spine in order to relieve pressure on the nerves, while chiropractors use non-invasive spinal manipulation to achieve the same result.

Dr. Oblander can treat your chronic pain based on the vertebral misalignments found in your body. A quick, sudden force is applied to the appropriate vertebrae in order to restore the motion of the joint. Another common treatment for chronic pain is known as the flexion-distraction technique. This treatment involves a special table that stretches the spine. It is particularly effective in treating injuries to the discs that have been the cause of long-term back pain.

Chronic back pain will probably also require additional treatments such as massage, exercise, and perhaps physical therapy. A good chiropractor will work with other health professionals as needed to ensure you get the best possible treatment for your pain. He or she will also look at the entire picture of your life, including your diet, health habits, medical history, family history, and other conditions you may have. This approach is holistic and has a better chance of eliminating the root cause of your chronic back pain than traditional treatments that only work on the symptoms.

Every body is different. If you have questions about this article or whether chiropractic is an appropriate choice for your specific situation, please ask. We are here to help those in the greater Billings area!

 

Good News About the Cost of Chiropractic Care

Good News About the Cost of Chiropractic Care

woman-paying-for-care
woman-paying-for-care

A recent evidence-based report on the effectiveness of chiropractic treatment for people dealing with low back and neck pain contains some very good news. And it’s good news for three important groups of people—patients who benefit from chiropractic, employers who sponsor health care plans, and insurance companies who manage the costs.

The report is called “Do Chiropractic Physician Services for Treatment of Low Back and Neck Pain Improve the Value of Health Benefit Plans?”. It was prepared for the Foundation for Chiropractic Progress by a panel of esteemed medical authors who were tasked with investigating the clinical effectiveness and economic efficiency of today’s chiropractic care.

In their summary, the authors concluded that chiropractic care is “more effective than other modalities in treating low back pain and neck pain.” In terms of cost, they determined that chiropractic care for low back pain, compared with medical physician care, increased annual spending per patient by only $75 per year. For neck pain, there was actually a cost savings – the cost of chiropractic care compared with medical physician care was reduced by $302 per year.

In terms of overall cost-effectiveness, the authors of the report concluded: “When considering effectiveness and cost together, chiropractic physician care for low back and neck pain is highly cost-effective, represents a good value in comparison to medical physician care and to widely accepted cost-effectiveness thresholds.” They also concluded that their cost-savings estimates were likely to be “understated” since their analysis didn’t capture reduced spending on over-the-counter and prescription medications that would have been associated with conventional treatment.

This should indeed be seen as good news by the many Americans who already use chiropractic care to treat their back and neck pain. It should also be considered good news for American employers and health care providers concerned about providing the best value for every dollar in their health benefit plans. But the good news isn’t limited to the US—the researchers found the effectiveness and cost figures also applied in the European Union.

The report authors concluded with an even stronger statement in favor of chiropractic care: “Our findings in combination with existing US studies published in peer-reviewed scientific journals suggest that chiropractic care for the treatment of low back and neck pain is likely to achieve equal or better health outcomes at a cost that compares very favorably to most therapies that are routinely covered in US health benefit plans. As a result, the addition of chiropractic coverage for the treatment of low back and neck pain at prices typically payable in US employer-sponsored health benefit plans will likely increase value-for-dollar by improving clinical outcomes and either reducing total spending (neck pain) or increasing total spending (low back pain) by a smaller percentage than clinical outcomes improve.”

 

Older Adults: Chiropractic Care Protects Your Spine—And Your Active Lifestyle

Older Adults: Chiropractic Care Protects Your Spine—And Your Active Lifestyle

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older-adult-couple

Older adults have long relied on chiropractic care to help keep them healthy and active. However, little scientific data has been gathered about the use of chiropractic by seniors, and few studies have been conducted to evaluate the potential benefits. New research published in the March edition of the Journal of Manipulative and Physiological Therapeutics has helped to fill this important gap. The investigators’ findings confirmed what chiropractors and their older patients have known for some time. Not only does chiropractic care help relieve older adults’ back pain, it also seems to keep them more active and protect them from limitations in their daily activities.

The study analyzed data on 1,057 Medicare recipients gleaned from nationwide research conducted by the Centers for Medicare and Medicaid Services, called the survey on Assets and Health Dynamics among the Oldest Old (AHEAD). In the AHEAD survey, a subset of patients who had been identified as suffering from back pain were asked questions about their overall health as well as their ability to complete activities of daily living (ADL) and their lower body function. ADL was defined as normal activities such as walking up stairs, doing household chores, and going shopping for groceries. The researchers then compared the survey information with medical records indicating which of the older adults had received either medical care or chiropractic care during the 11-year period covered by the study.

After analyzing the data, the researchers found that the chiropractic patients were much less likely to show declines in ADF and lower body function than patients who received only medical care. This indicates that they were more able to maintain an active lifestyle. The chiropractic patients were also less likely to report significant declines in their health.

The researchers thus concluded that chiropractic care appears to have had a protective effect against age-related frailty and disability. As they said in the study, “These results suggest that when chiropractic care is delivered in practice at care levels comparable to those used in clinical trials and relative to the types of services delivered within an episode of medical care only, chiropractic confers significant and substantial benefits to older adult functional ability and self-rated health.”

The findings were considered particularly significant because Medicare patients have a great deal of flexibility with respect to treatment options. They can consult medical doctors, doctors of chiropractic, physical therapists, internists, neurologists, orthopedists, and interventional pain providers. This means that the results attributed to chiropractic care were achieved in a setting where patients had access to a wide variety of therapies rather than in a clinical study format where subjects typically have only one or two options available to them.

This research also added to the existing body of evidence that chiropractic care is safe for seniors with back and neck pain, and that chiropractic can offer substantial relief for spinal conditions such as arthritis and disk herniation. Because aging causes the degeneration of spinal disks, regular chiropractic care may help to make seniors less prone to painful and debilitating back injuries like bulging disks and pinched spinal nerves.

All of this means that older chiropractic patients may be better able to enjoy their “golden years” freer from pain and disability. And it also means that they may be able to maintain a more active and healthier lifestyle.

 

 

Kids and Weight Training: How Young is Too Young?

Kids and Weight Training: How Young is Too Young?

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Weight training has a number of benefits for adults, including increased bone density, muscle strength, and physical work capacity, but can it have the same benefits for kids? Most health and fitness experts say “Absolutely, yes!” However, there are a few important caveats. Strength training for kids can be very beneficial, but certain limitations should be kept in mind.

Weight Training vs. Power Lifting or Bodybuilding

Kids can increase their strength, stamina, coordination and overall health through supervised strength training. By “strength training”, we mean exercises that use controlled movements with proper technique and light resistance to build strength. This should not be confused with powerlifting or bodybuilding, which focus on lifting progressively heavier weights or using weights to “sculp” musculature. When kids lift heavy weights, it places too much strain on their still-developing muscles and joints, and puts them at high risk of injury. Children should stay away from heavy free weights until they hit puberty. Instead, they should focus on strength training with body weight exercises and resistance tubing.

How Young is Too Young for Weight Training?

There is no magical age at which a child is ready for weight training. Instead, it depends on each child’s ability to follow directions and practice enough to achieve proper form. This can happen as early as seven or eight in some kids, but not in all. If your child seems content just running and playing, games like tag and tug of war can be a fun way to build strength and endurance. However, if your child shows an interest in using strength training to grow stronger, and you believe they are mature enough to practice good technique, it can be safe and even beneficial to start an age-appropriate weight training program.

Safe Weight Training for Kids

If your child has a history of medical problems, it is wise to check in with their doctor before starting a program. When you get the okay, take some time to talk with a coach or personal trainer who has some experience in strength training for children to learn which techniques to use and which to avoid. When you and your child are ready to start training, start with body weight exercises and resistance bands. Focus on the importance of proper form rather than working with heavier weights. Be prepared to stick with your child throughout his or her training: supervision helps prevent injuries.

Strength training can help children become better at sports, maintain a healthy weight, and feel good about themselves. When done in the proper manner, it can be a safe and fun activity. If you and your child are interested in starting a weight training program, consider talking with a chiropractor beforehand. Your chiropractor can help you better understand how this sort of training will impact your child’s musculoskeletal growth and development, as well as advise you on the best ways to keep your child safe and injury-free while training. With the right perspective and support, weight training can be a beneficial and fun activity for just about any child!

Want to Upgrade Your Running Routine? Try Cross-Country

Want to Upgrade Your Running Routine? Try Cross-Country

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For many running enthusiasts, it is essential to keep improving the workout technique and to keep things interesting. One way of doing this is it to try out different surfaces such as the treadmill, the street, and the track. However, new information is coming to light about the best way to upgrade your running routine: running cross-country on a trail. Why is trail running so beneficial for runners?

  • Running on trails is better for your body. A trail’s surface is much more forgiving on your joints—the stress of impact is significantly mitigated, making the trail a better place to run, physiologically speaking. Many runners suffer from knee pain, shin splints, ITB syndrome, or other injuries caused by running on a hard surface that puts a lot of pressure on the joints. For these people, trail running can be a life-changer. Trail running is also purported to help prevent most forms of tendonitis (unless you suffer from Achilles tendonitis, in which case, running on a harder surface may actually be better for you).
  •  Trail running works more muscles than hard-surface running does. Trail running involves literally watching your step—roots, rocks, and other small obstructions will compel trail runners to jump, hop, and move around the trail while staying balanced, which uses a wider range of muscles than one would use on, say, a treadmill. In addition, because the trail is softer than paved surfaces, your step depresses a bit each time your foot hits the grounds, requir­ing you to lift your leg and use more mus­cle each time you take a stride.
  •  Trail running requires intense focus. Trail runners not only get a full-body workout, but they also use their powers of concentration much more than treadmill runners. Trail runners find this type of mental workout exhilarating and energizing—and it may even help improve your concentration and memory on a day-to-day basis.
  •  Running in a natural setting is beneficial to your mental health. According to com, “An arti­cle pub­lished by Har­vard Med­ical School states this: ‘Researchers at the Uni­ver­sity of Essex in Eng­land are advanc­ing the notion that exer­cis­ing in the pres­ence of nature has added ben­e­fit, par­tic­u­larly for men­tal health. Their inves­ti­ga­tions into “green exer­cise,” as they are call­ing it, dove­tails with research show­ing ben­e­fits from liv­ing in prox­im­ity to green, open spaces. In 2010 the Eng­lish sci­en­tists reported results from a meta-analysis of their own stud­ies that showed just five min­utes of green exer­cise resulted in improve­ments in self-esteem and mood.’ ”

For trail running beginners, it is important to follow some basic tips, such as:

  • Obtaining the right kind of running shoes for trail running. Use the shoes you feel the most comfortable in. Do a little research if you don’t know exactly what you need.
  • Bringing water. You won’t be finding any drinking fountains out in the woods, so plan ahead and stay hydrated.
  •  Giving yourself plenty of time to complete your run. Don’t push too hard in the beginning—that’s an easy way to burn yourself out on what could be a beloved and effective full-body workout.
  • Maintaining focus. It is essential that you pay close attention to the trail. Remember—you’re not on a smooth treadmill or a predictable, engineered running surface; you’re in the middle of the woods on a trail with rocks and roots. If you lose focus, you may end up inuring yourself, and you truly do not want to be out in the middle of nowhere with a twisted or broken ankle. If you feel like your concentration is beginning to wane, slow down or take a break until you get your focus back.
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.

Chiropractic Care Gets High Marks from Back Pain Patients

Chiropractic Care Gets High Marks from Back Pain Patients

satisfaction-survey-200-300Lower back pain is a very common problem across the US. In fact, experts estimate that as much as 84% of the population will experience it over the course of a lifetime!  For about 23%, this pain will be chronic and for 11%-12% it will be debilitating.

While these are sobering statistics, there is also some good news.  Depending on your condition, chiropractic care can be an effective treatment option—helping to relieve pain and restore mobility.

Patient Satisfaction by the Numbers

In addition to the many clinical studies that demonstrate the effectiveness of chiropractic care, a number of well-known public health and consumer research organizations have also conducted surveys and polls in order to better understand the experience of patients when it comes to treating back pain.  In April and May 2009, the Consumer Reports Health Ratings Center surveyed the magazine’s subscribers.  In particular, the Center was interested in learning about back pain patients’ satisfaction with their healthcare providers and with the different treatment options they provided.

  • Of patients who had visited a chiropractor, 59% were highly satisfied* with the treatment and advice they received.  By comparison, fewer than half were highly satisfied with the treatment and advice provided by their medical specialist (44%) or primary care physician (34%).
  • Of patients who had received chiropractic manipulation, 58% reported that the treatment helped a lot.  Only 45% reported that prescription drugs helped a lot and just 22% said the same thing about over-the-counter medications.

What’s especially interesting about these survey results are the number of people who participated and their backgrounds.

  • The Consumer Reports Health Ratings Center surveyed more than 14,000 participants who had suffered from lower-back pain in the prior year but had never had back surgery.
  • More than half reported that pain severely limited their daily routine for a week or longer.  Many reported that pain interfered with sleep, sex and efforts to maintain a healthy weight.
  • 88% reported that the pain recurred through the year.
  • Most had tried five or six different treatments.

Two years later, the Center published an updated report describing how Americans use alternative approaches to healthcare as well as their experience with various providers and therapies.  Chiropractic care once again was found to be the most popular approach to back pain relief and was ranked most highly in terms of patient satisfaction.

Your chiropractor is specially trained to relieve back pain and restore mobility by using drug-free, hands-on techniques called manipulation, adjustments or mobilization.  He or she may also employ other types of therapy, such as massage and cold laser treatment, depending on the nature and cause of your back pain.  In addition, many chiropractic physicians work closely with their patients to develop new, healthier habits—usually around exercise, nutrition and sleep—that can help prevent some types of injuries and chronic medical conditions.  By focusing on both immediate pain relief and the underlying causes of back pain, your chiropractor can help you return to your active lifestyle as soon as possible!

Remember—every patient’s body is different.  If you’re wondering whether chiropractic care is an appropriate choice for you, please call or visit our office today!  We’ll be happy to help!

 

 

 

*Defined as either Completely Satisfied or Very Satisfied.