Browsed by
Tag: chiropractors

Chiropractic and the Benefits of Conservative Care

Chiropractic and the Benefits of Conservative Care

chiropractic-counseling-200-300It’s been in the headlines for years now—non-specific back pain has become an epidemic in the U.S. According to some estimates, Americans now spend approximately $100 billion per year looking for relief. At the same time, many public health officials, medical researchers and clinicians see a growing gap between the types and amounts of care being delivered and the results being achieved for patients. In particular, the rapidly growing use of advanced diagnostic tools (especially early imaging) and high-tech treatment options (surgeries, medical devices and drugs) appear to be driving up costs as well as risks without producing widespread benefits. So what is to be done?

Surgery as a Last Resort

According to many experts, the right answer for many patients is a conservative approach that emphasizes proven treatment options and resorts to more expensive and riskier alternatives only after these have failed to produce results. This may be particularly true when it comes to surgery. The Mayo Clinic, for example, recommends caution before choosing this option. Their website warns, “Spine surgeons hold differing opinions about when to operate, what type of surgery to perform, and whether—for some spine conditions—surgery is warranted at all.” A 2013 study in Washington State, published in the journal Spine, also highlighted an interesting correlation between the number of back surgeries performed and the type of doctor first visited. The study found that of those injured workers who saw a surgeon first, 42.7% chose surgery (a relatively expensive and risky option) as a solution. Of those injured workers who first saw a chiropractor, the rate of surgeries dropped to 1.5%. In other words, those who visited a chiropractor first found that surgery was less likely to be necessary.

There are of course situations where back surgery may be absolutely necessary. However, study after study has shown that other methods of treating back pain are far less expensive, less risky and frequently more effective. If you have been advised to have back surgery, it’s always good to get a second or even third opinion from different medical professionals to be sure you do not undergo a surgical procedure that may be best treated more conservatively.

The Chiropractic Alternative

Interestingly, most cases of back pain are mechanical, as opposed to being caused by more serious medical conditions such as infection, arthritis, fractures, or cancer. Some are caused by sports injuries or accidents, but others can be triggered by nothing more severe than bending down to pick up a dropped pencil. Still others are caused by misalignments of the spine, neck and joints that have built up over many years, as opposed to being caused by a single trauma.

Most of these conditions can be successfully treated by Doctors of Chiropractic, who are specially trained to use manipulation and mobilization techniques to relieve pain and address the underlying causes. Over time, chiropractors can help to return your spine and whole body to a more normal state of health, in which reoccurrences of back pain are less likely to appear.

Chiropractic care has received high marks in clinical studies as well as in patient satisfaction surveys conducted by governments and leading consumer research organizations. It is also recognized as one of the safest therapies you can use to treat back, neck and joint pain when performed by properly trained and licensed healthcare professionals. Potential side effects are usually limited to a mild aching or short-term soreness in the spinal joints or muscles. Spinal adjustments pose few serious risks, although rare complications include the possibility of a herniated disk or compression of the nerves in the lower spinal column.

During your visit, you should be very specific about your symptoms and about any concerns you have. This will help us offer the safest and most effective treatment for you. Depending on your condition and the specific problems being treated, you and your chiropractor may choose to forego manipulation in favor of joint mobilization, therapeutic exercise, soft-tissue techniques, or other types of therapies.

Chiropractic care is a safe, effective and—above all—conservative approach to the treatment of back pain. It is non-invasive and uses no drugs that may have potential negative side effects. The Agency for Health Care Policy and Research conducted a study of all available care for lower back problems and recommended spinal manipulation as the safest and most effective initial treatment of lower back pain in adults.

If you are one of the four out of five people who will experience back pain during their lifetime, you can do something about it. This is an important thing to know. Unfortunately, many people aren’t aware of their options. A survey conducted by the American Physical Therapy Association found that although two-thirds of Americans experience low back pain, more than a third of them don’t seek professional help for it. So if you’re experiencing back pain, call or visit our office today. All you have to lose is your pain!

Why See a Chiropractor After Symptoms are Gone?

Why See a Chiropractor After Symptoms are Gone?

Chiropractor - Gentle Neck Adjustment
Chiropractor – Gentle Neck Adjustment

At some point in your life, you’ve probably heard an acquaintance, friend or family member say something like this: “Once you start going to a chiropractor, you’ll have to keep going back forever.” Most of the time, this is meant as a caution—a warning that chiropractic care is somehow addictive, cultish or (at worst) ineffective.

As chiropractic physicians, we believe that it’s very important for our patients to understand the nature of what we do and the kind of relationship we work to build with them. We also think it’s important to explain the phenomenon that these acquaintances, friends or family members are referring to.

There are indeed many people who return to our office even after their initial symptoms have disappeared. But they don’t return because they “have to”. They return because they CHOOSE to. And patients make this choice for a variety of different reasons. Sometime the reason has to do with a chronic or recurring condition that requires ongoing or periodic attention. Sometimes it has to do with a different health issue altogether. And still other times it has to do with their overall wellness. But in every case, they return to chiropractic because it helps them feel better than they feel without it.

Whether or not you choose to return to your chiropractor for regular treatment will depend on your own physical condition as well as your broader health and wellness goals. We understand that every patient is different, and we will do our best to work with you to design a treatment plan that meets your specific needs. This is true whether your priority is short-term pain relief, physical rehabilitation or general health and wellness. Our goal is always to provide the right combination of in-office care, exercise and stretching recommendations and lifestyle counseling to help you achieve your objectives.

Of course, you don’t have to keep going back to the chiropractor after your symptoms have been resolved. But the simple truth is that those symptoms are likely to reappear at some point if you don’t address the underlying source of the problem. Over time, pain, poor joint function and other signs of bodily wear can begin to creep up again without regular maintenance.

Why Regular Chiropractic Care is Important

Going to your chiropractor for a regular checkup and any necessary treatment is really no different from visiting your dentist or eye doctor. It’s fundamentally about prevention and early detection. The wear-and-tear of everyday living (not to mention the special demands of athletics or certain professions and workplaces) can take a serious toll on your musculoskeletal system in general. And it can be especially hard on your back and neck if your general posture is compromised. Unfortunately, it can take time for the cumulative effects to become obvious and for to you to begin experiencing pain and reduced function. And by the time you do experience these, whatever problems you have may be more difficult to treat.

The keys to good musculoskeletal health (especially spinal health) are:

  • Regular exercise that maintains or improves your posture, balance, flexibility, strength and stamina. Your chiropractor can recommend a specific program that accomplishes just that.
  • A healthy diet that provides the right nutrients for growth and recovery of bones, muscles and joints.
  • A weight loss or weight management approach that reduces (or prevents) unnecessary stress and strain on your joints.
  • Good ergonomics at work and play.
  • Avoidance of unhealthy habits that have been associated with musculoskeletal problems, including excessive sitting, alcohol and smoking.
  • Regular chiropractic check-ups and treatment.

For many of our patients, chiropractic care has become an important part of their overall wellness lifestyle. It’s simply something they do for themselves and their families to protect their overall health and help them feel (and perform) at their best. If you’re interested in learning more about how we can help you, please call or visit our office today!

Top 5 Low-Impact Aerobic Exercises for Winter Fitness

Top 5 Low-Impact Aerobic Exercises for Winter Fitness

snowboarder-grabbing-air-200-300Everyone knows that exercise is essential to maintaining your health. However, not everyone is able to perform the kinds of high-impact exercises that are hard on the joints. Whether your particular concern relates to aging, injury, or some type of chronic musculoskeletal problem, there are several low-impact aerobic exercises that can help keep you fit throughout the winter.

Walking—This simple activity costs absolutely nothing, requires no additional equipment and can be done in most any weather conditions. If walking seems too boring, then try different routes. Mix it up! If you have hills nearby, include them for greater aerobic challenge. Make certain you have good footwear before taking on anything other than flat terrain. If walking isn’t giving you enough of a challenge, add ankle weights or carry barbells. If you don’t have nearby hills, then take to the stairs. Your local high school or college likely has a stadium with steps that can increase your workout intensity.

Swimming—If you have access to an indoor pool, count your blessings. Swimming is not only one of the lowest impact exercises there is, but it may also be the best full-body workouts around. Swimming involves even less impact than walking, and merely staying afloat (without pool floats) requires far more energy than just standing still. Do laps. Time yourself. There are numerous swimming strokes available, plus aerobic activities and games that you can play in the water. Whether you bring friends or go it alone, swimming can give you just as much aerobic “bang for your buck” time-wise as any other activity, and maybe more.

Cycling—Whether you take to the cycle in your gym or take your bicycle out for a spin, this activity produces virtually zero impact and delivers lots of aerobic benefit. Going nowhere in the gym may seem tedious and even boring to some, so take to the bike lanes or walkways with your bicycle. Once you’ve built up your strength, climbing hills can give your legs a good burn. Inside, no helmet is required. Outside, always protect your head when cycling.

Dancing—This might well be the most fun, low-impact aerobic exercise you can do (at least in public). Of course, many dance routines require a partner, but that’s what makes it all so much fun. Don’t be afraid to go beyond the simple waltz. Try the foxtrot for a little variety. Or try salsa, tango and other more strenuous styles to test your timing, finesse and stamina. A good dance routine can get your heart pumping. Performed well, it can even be downright sexy. And if you don’t like being on the dance floor alone with a partner, there’s always line dancing. It’s a great opportunity to work on your timing and coordination while getting a low-impact workout!

In-Line Skating (Rollerblading)—Protective gear is essential for your safety, as is choosing the best path. Most sidewalks have bumps and imperfections that can prove challenging… or disastrous. An empty parking lot might offer a better alternative for beginners. Some parks also have paths that are perfect for this kind of low-impact activity. Taking to the blades can burn more calories than many other exercises. Until you get your balance perfected, you might want to squat down to keep your center of gravity lower to the ground. Take shorter strides when starting out. Don’t go too fast until you’ve perfected your ability to maneuver, slow down and (yes) stop!

 

Head-to-Head: Chiropractic Adjustments or NSAIDs for Acute Lower Back Pain?

Head-to-Head: Chiropractic Adjustments or NSAIDs for Acute Lower Back Pain?

???????????????????????Lower back pain (LBP) is so widespread that it was listed in the 2010 Global Burden of Disease report as being the single leading cause of disability worldwide. Over half of all working Americans have lower back pain symptoms each year, resulting in lost work time and enormous expense – Americans spend over $50 billion each year to treat their back pain.

So it’s not surprising that a great deal of research is being conducted to determine the most effective methods for treating acute LBP. Much of this research has sought to compare the effectiveness of spinal manipulation (the sort of adjustments performed by Doctors of Chiropractic) with nonsteroidal anti-inflammatory drugs (NSAIDs). While these studies have generally not produced definitive findings one way or the other, they have served to highlight potential safety concerns related to NSAIDs. For example, investigators in one study found that diclofenac (an NSAID commonly used to treat LBP) increased the risk of gastrointestinal complications by 54% and posed other risks to the kidneys.

Given the added concern about NSAID side effects, researchers and clinicians have had a renewed interest in learning whether drug-free manual therapies—chiropractic care, in particular—can really be just as effective, but safer. According to a recent study published in the April 2013 edition of the journal Spine, the answer is YES! In fact, the research team that conducted the study found that chiropractic adjustments were both safer and FAR MORE EFFECTIVE.

In this study, investigators divided a total of 101 patients suffering from acute lower back pain into three groups. One group received chiropractic spinal manipulation plus a placebo (sham) version of the NSAID diclofenac (meaning that the only treatment actually being offered was chiropractic care). A second group received sham spinal manipulation and real diclofenac (meaning that the NSAID was the only treatment being employed). And a third group received the same sham spinal manipulation plus placebo diclofenac (meaning that no treatment was actually being offered – this was the “control group”). All treatments were “blinded,” meaning that the patients did not know whether they were receiving real or sham spinal manipulation or real or placebo diclofenac. Outcomes were measured based on a combination of patient self-reporting, physical examination, missed work time, and the amount of rescue medication (paracetamol tablets) participants required over a 12-week period.

Perhaps unsurprisingly, about half of the participants in the “control” group receiving no treatment dropped out of the study because of intolerable pain. Comparing the remaining no-intervention subjects and the two remaining intervention groups, researchers found that the group receiving chiropractic high-velocity low-amplitude (HVLA) manipulation fared significantly better than the group being treated with diclofenac and the control group.

Researchers reported a clear difference between the two intervention groups: “The groups receiving spinal manipulation showed a faster and more distinct reduction in the RMS [root mean square, a standardized test of flexibility and mobility]. Subjects also noted a faster and quantitatively more distinct reduction in their subjective estimation of pain after manipulation.” They also found that the group treated only with the NSAID diclofenac required more rescue medication (paracetamol) than the spinal manipulation group, taking 3 times as many tablets and for twice the number of days. No negative effects were reported from the spinal manipulation group, but several negative effects were reported from the diclofenac group.

So, overall, this study indicates a clear “win” for chiropractic in the treatment of acute lower back pain. Not only does HVLA spinal manipulation avoid the potential safety concerns of NSAID medications such as diclofenac, it has been found to be far more effective. Remember this the next time you experience lower back pain, and consider seeing your chiropractor first. This one simple decision may help you recover more quickly and more completely while also helping you avoid the negative side effects of NSAIDs.

 

Car Accidents and Delayed Symptoms: What You Need to Know

Car Accidents and Delayed Symptoms: What You Need to Know

rescue # 3Even 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.

What’s the Difference Between an MD and a DC?

What’s the Difference Between an MD and a DC?

md-or-dc-200-300It’s important to know the basic differences between an MD (Medical Doctor) and a DC (Doctor of Chiropractic) so that you understand the unique role that each type of medical professional plays in helping you to maintain or regain your health.

MDs and DCs are both licensed healthcare providers. They examine, diagnose and treat patients. However, most MDs have more hours of training in physiology, whereas DCs typically have more hours of anatomy training. Their methods of practice may help explain this difference in emphasis. DCs are experts in musculoskeletal health and general wellness. Like an MD, a DC will use diagnostic imaging, lab tests, clinical exams and questionnaires to determine a diagnosis, but the course of treatment will be different. MDs tend to prescribe pharmaceuticals and surgery to treat patients, whereas DCs use a more holistic approach involving a variety of hands-on treatments as well as advice on diet and exercise.

Office visits are also often quite different experiences. On a typical visit to an MD, you will likely be asked by a nurse or assistant to fill out paperwork and provide information about your condition. Then the MD will visit you, look at the information, perhaps perform a brief clinical examination, and quickly prescribe a treatment. In the course of doing this, most doctors will take only a small amount of time to understand your overall health picture. And treatment will usually involve drugs and/or medical procedures.

It is not uncommon for patients to have a more personal relationship with their DC than with their MD. Visits to a DC also tend to be more involved. The chiropractor will speak with you at length about not only your physical symptoms, but your lifestyle habits as well. He or she will examine you, perform any necessary tests, discuss possible treatment options, and provide appropriate manual therapies. Together, these treatment methods are sometimes referred to as “physical medicine”.  These may include targeted spinal adjustments, therapeutic massage, disc decompression, laser therapy, electrical stimulation and hot and cold treatments as well as structured exercise and stretching programs. In addition, the chiropractor may also make specific suggestions about your nutrition, day-to-day environment and physical activity.

 
In general, musculoskeletal problems (particularly those related to back, neck and joint pain) are better treated by a DC. However, many chiropractors have also developed specialized expertise in other areas as well. DCs will refer you to an MD if they believe that diagnosing and treating your specific condition is beyond their scope of practice.

How Chiropractic Has Helped Me: Introducing Jerry Rice

How Chiropractic Has Helped Me: Introducing Jerry Rice

Madden 07 release photo #5Few people put their bodies through the sort of punishment that football players endure every week-during practice and at game time. Former National Football League (NFL) wide receiver Jerry Rice says that chiropractic care has been instrumental in keeping him in good condition, both on and off the field. He was named the NFL’s Player of the Year in 1987 and retired 20 years later, having broken almost every wide receiver record in the NFL. Named MVP in Super Bowl XXIII, he attributes his athletic longevity to “vigorous exercise and chiropractic adjustments.”

“I believe in chiropractic and I know that it works. You probably know about my long and successful career in football, and I’m flattered by the testimonials to my durability. Football is a very rough and vigorous sport,” Rice says. “I took some vicious hits from players nearly twice my size. Thankfully, I had the durability to withstand these tackles, or I would never have succeeded or lasted as long as I did. Chiropractic was the key to keeping me in the game.” He continued, “My first experience with chiropractic care was right before the 49ers were to play the Bengals in Super Bowl XXIII. A couple of our players were injured and a chiropractor turned things around. I quickly became a believer, and ever since, I have had the benefit of chiropractic care.” He added, “Chiropractic made football great for me. I was at my best and was always at 100 percent.”
Rice had chiropractic adjustments twice a week while he was training to help him recover from the regular assault his body took on the playing field. “If I had everything in alignment, I knew I could play my best football,” he said.  Seeing how it helped Rice, his teammates were soon convinced that chiropractic was better than traditional care involving drugs. “I wanted to set the standard within football,” he said. “I knew if chiropractic helped me put up outstanding numbers, it could help my teammates do the same.”

After his successful football career, Rice then went on to a new physical challenge: learning to dance like a professional. Rice related what taking on this new adventure was like. “‘Dancing With the Stars’ was every bit as exhausting and challenging. Though not nearly as brutal as football, it required many hours of practice I had aches and pains that I’d never had before. Again, chiropractic made the difference, and kept me dancing and in the competition.”

Rice wants to get the word out to as many people as possible regarding the benefits of chiropractic care. He says, “The game of life requires the edge that chiropractic provides. Chiropractic care allows me to lead a very active lifestyle. I have seen its value, both personally and professionally, among my friends and teammates.”

Jerry Rice Shares Personal Success with Chiropractic Care    http://www.youtube.com/watch?v=_CAsGNlQEnI

Inside the Teenage Brain

Inside the Teenage Brain

Cheerful youthIf you have ever wondered why the teenage years are so difficult for parents (and often the teens themselves) you need look no further than their brain. The brain undergoes rapid and profound development during the teen years, much more so than during most of childhood. It is a time when the areas of the brain involved in the calculation of risk, rewards and decision making go through increasingly major changes. This may explain why late adolescence (between ages 15 and 19) has a six times greater mortality rate than those in late childhood and early adolescence (between ages 10 and 14).

Research conducted by scientists using magnetic resonance imaging (MRI) from early childhood through adulthood has mapped the many changes that the developing brain makes as it matures. They have found that the brain continues to develop into a person’s early 20s, with the frontal lobes that are responsible for reasoning and problem-solving being developed last.

Although the teenage brain is more impulsive and willing to take risks, it is also dynamic, vulnerable and stimulated by positive feedback. The reason for this is that the reward centers in teenage brains are highly responsive, while at the same time, the region of the brain associated with self-control is still not developed fully.

Dr. Jay Giedd, Chief of Brain Imaging at the Child Psychiatry Branch of the National Institute of Mental Health, says “The most surprising thing has been how much the teen brain is changing. By age six, the brain is already 95 percent of its adult size. But the gray matter, or thinking part of the brain, continues to thicken throughout childhood as the brain cells get extra connections, much like a tree growing extra branches, twigs and roots.”
Although the brain grows in gray matter significantly during childhood and early adolescence, the amount of gray matter actually begins to fall in mid-adolescence, which researchers say is a normal process of brain maturation.

Giedd says, “… the pruning-down phase is perhaps even more interesting, because our leading hypothesis for that is the “use it or lose it” principle. Those cells and connections that are used will survive and flourish. Those cells and connections that are not used will wither and die. So if a teen is doing music or sports or academics, those are the cells and connections that will be hard-wired. If they’re lying on the couch or playing video games or MTV, those are the cells and connections that are going [to] survive.”

Studies have shown that experiences early in life have a profound effect on the development of the teenage brain. Researchers at the University of Pennsylvania found that children who received a lot of cognitive stimulation and parental nurturing had a brain with a thicker outer cortex, which is important in thinking and memory. Another long-term study from the Institute of Cognitive Neuroscience in London discovered that there were major structural changes in the areas of the teenage brain that relate to empathy.

Adults should perhaps give teenagers more of a break. As Giedd says, “It’s sort of unfair to expect teens to have adult levels of organizational skills or decision-making before their brains are finished being built.”