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Chiropractic Effective for Cervicogenic Headache

Chiropractic Effective for Cervicogenic Headache

According to the World Health Organization (WHO), headache pain is “extremely common,” with headache disorders—which are characterized as head pain that is repeated in nature—afflicting as many as one in 20 individuals on a daily or almost-daily basis. An additional one in seven people deal with the king of all headaches: migraines.

Another type of headache which can create an amazing amount of throbbing discomfort is a cervicogenic headache. Defined by the American Migraine Foundation as a “secondary headache” whose cause originates somewhere in the neck area even though it presents itself in the head, some research studies have found that these particular headaches tend to respond rather well to chiropractic treatment sessions.

For instance, BMC Research Notes published the results of a single-blinded randomized control trial conducted in Norway which involved 19 individuals between the ages of 18 and 70 who suffered from cervicogenic headaches. Each subject was assigned to one of three groups for a length of 17 months. The first group received actual chiropractic spinal manipulative therapy utilizing the Gonstead Method. The second group received sham chiropractic manipulations, and the third group served as a control and was simply asked to continue with their current treatment regimen, which did not include any type of manual intervention whatsoever.

Upon conclusion of the study, only 12 of the original 19 participants remained, due to either drop outs or the subject being excluded once randomization occurred. However, of these remaining individuals, those assigned to receive actual spinal manipulation reported a reduction in the number of headaches experienced both during the treatment regimen and at follow-ups conducted six months and one year post-treatment. This was particularly notable when compared to individuals assigned to the control group who reported no change in their cervicogenic headache frequency during or post-study.

While this is a rather small sample size, highlighting the need for more research to be conducted in this area, the study’s findings suggest that, for patients struggling with cervicogenic headaches, chiropractic treatment is definitely better than no treatment at all. This is true both short and long term as positive effects are likely to remain long after the sessions have ceased.

Additionally, although headache pain is among one of the most common pains experienced by adults worldwide, that doesn’t mean that people must simply manage their way through it. By engaging in regular chiropractic care, some headaches can be effectively treated at the source. Cervicogenic headaches are one of them, making this treatment method beneficial for patients seeking a reduction in head pain, and an increase in life satisfaction.

  • Cervicogenic Headache. (October 24, 2016). American Migraine Foundation.

  • Chaibi A, Knackstedt H, Tuchin PJ, Russell MB. Chiropractic spinal manipulative therapy for cervicogenic headache: a single-blinded, placebo, randomized controlled trial. BMC Research Notes 2017;10:310.doi:10.1186/s13104-017-2651-4

Today’s article was written by Michael Melton and is shared from the following website: https://www.chironexus.net/2018/03/chiropractic-effective-cervicogenic-headache/

Opiates Ineffective for Chronic Back or Hip Pain

Opiates Ineffective for Chronic Back or Hip Pain

A new study just published in the Journal of the American Medical Association finds that opioids are not an effective solution for chronic pain.

In this article, researchers from the University of Minnesota studied 240 patients who had chronic back, hip, or knee arthritis pain. Half of the study subjects received opiates; the other half received non-opiate pain medications. Patient progress was evaluated at 3-months, 6-months, 9-months, and one year.

The study found:

  • There was no difference in pain-related function between the two groups.
  • At 12 months, the nonopioid patients had less pain than did those who received opiates.
  • “The opioid group had significantly more medication-related symptoms over 12 months than the nonopioid group”

The study authors write:

“Among patients with chronic back pain or hip or knee osteoarthritis pain, treatment with opioids compared with nonopioid medications did not result in significantly better pain-related function over 12 months. Nonopioid treatment was associated with significantly better pain intensity, but the clinical importance of this finding is unclear.”

Previous research has found that about 20% of patients with musculoskeletal pain are prescribed narcotic pain medications for their symptoms, and another recent study found that 36% of people who overdosed from opiates had their first opioid prescription for back pain.

Another recent study found that chiropractic patients are less likely to use opiates for their pain than are medical patients.

From this research, it seems clear that it’s risky to prescribe opiates for musculoskeletal pain. Chiropractic care is a proven safe and effective approach for both chronic and acute back pain.

Krebs EE, Gravely A, Nugent S, Jensen AC, DeRonne B, Goldsmith ES, Kroenke K, Bair MJ, Noorbaloochi S. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. JAMA. 2018 Mar 6;319(9):872-882. doi: 10.1001/jama.2018.0899.

Fitness Standards for Adults: Here’s What They’re Good For

Fitness Standards for Adults: Here’s What They’re Good For

President John F. Kennedy once said, “Physical fitness is not only one of the most important keys to a healthy body, it is the basis of dynamic and creative intellectual activity.” Since July 16, 1955, the American government has shown at least a political interest in the health of Americans. Under President Eisenhower, the President’s Council on Youth Fitness established a beachhead against the lagging health of American youth compared with citizens of other countries. Military officers in World War 2 complained that their recruits were out of shape. Perhaps Eisenhower’s program was meant to help reverse that condition. However, it wasn’t until President Kennedy that the Commander-in-Chief took an active role in promoting standards and committing resources to them.

After nearly 60 years, the presidential council has expanded its role in a number of directions, including sports, nutrition and—most relevant to this article—adult fitness. The president’s council has had an established standard for nominal health since 2008 and benchmarks have been created for regular, moderate and vigorous activity. In addition, the council has established an online Adult Fitness Test that allows you to compare your scores with those of fellow Americans. The test can be found at http://www.adultfitnesstest.org/dataEntry.aspx.

The areas tested include the following:

  • Aerobic fitness—Preparing for the test, you should work up to moderate exercise (e.g. brisk walking) for 30 minutes, 5+ days per week; and vigorous exercise (e.g. running) for 20–30 minutes, 3–4 days per week.
  • Muscular strength and endurance—3+ days per week, work up to 3 sets each of 25 half sit-ups and 10–20 push-ups. Between each set, include a short rest.
  • Flexibility—Static stretches should be taken to the point of tension, but never to pain. Hold each for 10–30 seconds. Repeat 1–2 additional times.
  • Body composition—Your body mass index (BMI) is a measure of height related to weight, with your waist measurement as a health indicator. This should be kept between 18.5–24.9. BMI calculators can be found online.

These sorts of tests can do a lot to raise public awareness and to help focus people on activities that will make a difference. But they will only be effective is they’re used the right way. And using them the right way starts with understanding what these tests are actually measuring and what the results mean. In some ways, measuring your performance in specific exercises relative to a national average may be less helpful than measuring your improvement over time and setting new goals based on your own progress.

When taking on any exercise program or fitness testing, especially when you have not engaged in rigorous physical activity regularly for several years, you should consult with a doctor or physical trainer. Proper preparation, good technique and consistency are the keys to staying healthy and avoiding injury. Regular chiropractic care can also play an important role in helping to speed recovery, prevent future injuries and improve performance. As musculoskeletal system specialists, chiropractors have unique insight into how patients can safely increase their strength, stamina, flexibility and balance. If you want to learn more, just call or visit our office! You can reach us at Oblander Chiropractic at 406-652-3553.

Top Foods for a Healthy Nervous System

Top Foods for a Healthy Nervous System

The health of your nervous system is vital for maintaining all your body’s functions and avoiding a range of potentially serious health problems. But if you’re not getting a sufficient amount of the nutrients needed for good nervous system health, you can experience such as numbness, nervous twitches or even muscle cramps. Fortunately, one of the easiest things you can do to help ensure a healthy nervous system is to eat the right kinds of foods.

Here’s a quick overview of several nutrients that play a key role in keeping your nervous system healthy and working the way it should.

Vitamin B1 (thiamin)

A deficiency of this vitamin can give you that pins-and-needles sensation in the toes or burning feet, especially at night. Good foods for vitamin B1 are beef liver, seafood, brewer’s yeast, beans, eggs and sunflower seeds.

Vitamin B6

Nerve cell communication suffers without this vitamin. Two key neurotransmitters, dopamine and serotonin, depend on vitamin B6 for their production. Bananas, potatoes, and chick peas are good sources.

Vitamin B12

A shortage of this vitamin can result in tingling and numbness in the hands and feet. Clams, fish, eggs, meat and dairy products are key sources of vitamin B12.

Copper

Like vitamin B6, this mineral is essential for the production of neurotransmitters. A severe lack of copper in your diet can lead to spinal cord degeneration and a progressive failure of nerve function. Liver and oysters are the best sources. Add prunes, spinach and kale (as well as other dark, leafy green vegetables), and nuts to your diet for even more copper.

Healthy foods for good nervous system function include the following:

Spinach—In addition to containing a powerhouse stock of nutrients and vitamins, this leafy green vegetable also contains an abundance of antioxidants to boost overall health and slow down the aging of the brain and nervous system.

Whole grains—Brown rice in particular contains high levels of vitamin B6, which helps to protect against mental deterioration caused by high levels of harmful homocysteines. Whole grains also include magnesium, which is important for the health of your nervous system. Stabilized rice bran contains one of the highest levels of antioxidants of all known foods.

Cocoa—This contains a powerful antioxidant that puts the brakes on oxidative stress that can lead to Alzheimer’s and similar neurological ailments. It is also high in magnesium.

Whey—An excellent food for a naturally calming effect. Rich in L-tryptophan, which the body cannot produce, this essential amino acid is vital in the production of serotonin, an essential neurotransmitter. Low levels of serotonin can lead to depression.

Garlic—This not only includes antioxidants, but garlic can help prevent aging of the brain and prevent infections, too.

So try working more of the above foods into your weekly menus, and feel pleased that you are doing something good for the health of your nervous system!

If feel that you need help with improving your eating habits and diet, we are just a phone call away! You can call at Oblander Chiropractic at 406-652-3553. Dr. Oblander is always willing to meet with you to discuss your nutritional needs!

 

Exercise, Chiropractic More Effective Than Medicine

Exercise, Chiropractic More Effective Than Medicine

You may remember your grammar school gym class where the PE teacher would lead you in jumping jacks, push-ups, sit-ups and arm circles. If you’re like a lot of baby boomers, you probably look back and assume it really didn’t do much for the health of the students — just kept the class busy for an hour.

Elementary school days may be way behind you, but exercise carries many benefits now that it couldn’t offer a younger you, especially if you’re battling pain from an injury or chronic condition.

The Journal of Manipulative and Physiological Therapeutics published a report on randomized controlled trials, or RCTs, looking at the result of exercise as treatment for patients experiencing intense pain from soft tissue injuries in the hip, thigh or knee. Success was measured by the following factors:

  • Intensity of pain
  • Recovery
  • Quality of life
  • Psychological outcomes
  • Adverse events

“One RCT found statistically significant improvements in pain and function favoring clinic-based progressive combined exercises over a ‘wait and see’ approach for patellofemoral (anterior knee) pain syndrome,” the study says. “Patients with patellofemoral pain syndrome or groin pain had the best results with clinic-based exercise programs.”

Head to Head to Head

An ABC News blog posted study results comparing the outcome of three different forms of treatment for pain. Results show that patients treated by chiropractic professionals and the individuals who received home exercise advice, referred to as HEA, had higher rates of success than those who turned to medication for relief. Just 13 percent of the patients who took medication reported a satisfactory reduction in pain, whereas, about two-thirds of those who were treated through either chiropractic care (32 percent) or HEA (30 percent) said they were pain-free.

A total of 272 patients, ages 18-65, who were suffering from recent-onset neck pain took part in the study, which the National Institutes of Health spearheaded.

“I always prescribe exercises and/or physical therapy for neck pain,” wrote Dr. John Messmer from Penn State College of Medicine. “I also tell patients that the exercises are the treatment and the drugs are for the symptoms.”

Dr. Lee Green, professor of family medicine at the University of Michigan, also talked to ABC News. “Doesn’t surprise me a bit,” Dr. Green said. “Neck pain is a mechanical problem, and it makes sense that mechanical treatment works better than a chemical one.”

The study, which was published in the Annals of Internal Medicine, singles out the effectiveness of spinal manipulation therapy, or SMT, to provide relief for patients with neck pain. Researchers found that in both the short-term and long-term statistics, SMT had the most effective outcome. The report adds that HEA proved equally effective at some points in the study.

Participants rated their pain at several intervals: 2, 4, 8, 26, and 52 weeks. This enabled scientists to draw specific conclusions, such as the evidence showing that 12 weeks of SMT provided greater pain relief than up to one year of medication.

Chiropractic Benefits

Your chiropractor can not only provide pain releif and preventatiive therapies, they can also guide you in choosing exercises that target the areas you need treating. Chiropractic visits, in addition to home exercise practices, are a way to double down on your odds of successful treatment.

The Mayo Clinic website says there are multiple benefits to using exercise in addition to chiropractic care for your joints, as well as improving general wellness. In combination they serve to:

  • Strengthen the muscles around your joints
  • Help you maintain bone strength
  • Give you more energy to get through the day
  • Make it easier to get a good night’s sleep
  • Improve your balance

We’re not talking about the kind of punishing calisthenics that win you the Presidential Physical Fitness Award, but something to just curb your symptoms and add some range of motion. Consulting with a chiropractor and incorporating some exercise seems to be the best way to get a passing grade in pain relief.

This article was written by Martha Michael and is shared from the following website: exercise-chiropractic-more-effective-than-medicine

Friday Funny

Friday Funny

We thought we would end the week with some Chiropractic humor! We hope you get a giggle out of today’s post! Humor is great for your health! If you have been out shoveling all that snow that we have received recently and your back is not feeling “humorous”, be sure to give us a call and get adjusted by Dr. Oblander before those aches and pains get too out of hand! Our office number is 406-652-3553. Have a wonderful weekend and stay safe and warm!

Why Do Chiropractors Use “Palpation”?

Why Do Chiropractors Use “Palpation”?

Palpation is the most frequently used diagnostic technique in chiropractic care and is a clinical cornerstone of most physicians’ practice. It is a manual, non-invasive method of determining where a patient has structural or functional problems in the body.

In palpation, chiropractors use their hands and their detailed knowledge of anatomy to effectively see what is happening in the spine and its supporting structures, such as the muscles, tendons and ligaments. As your chiropractor palpates your spine, he or she will look for subluxations in your vertebrae, which are misalignments that may be causing pressure on spinal nerves, or other abnormalities that may be causing problems in your musculoskeletal system.

There are essentially two forms of palpation—static and motion. As the name suggests, in static palpation the patient remains still while the chiropractor palpates the spine and tissues to identify any misaligned vertebrae, protruding disks, and areas of pain or inflammation. In motion palpation however, the patients joints are mobilized, bending and flexing under the expert eye and hand of the chiropractor. He or she will move various joints through different planes, observing the patient’s range of motion and where a joint may “lock up.” They will also measure the patient’s amount of flexibility, muscle strength, stiffness, reflexes and general neurological function.

Palpation may be used at every visit to your chiropractor so they can quickly determine whether your condition has improved or not since your last visit and they can see which areas need the most care and attention. Based on what your chiropractor finds during palpation, he or she may then order additional diagnostic tests—an x-ray, MRI or CT scan, for example—to get a more detailed view of your condition.

Your chiropractor will also perform a visual examination to detect any swelling or abnormal curvature of the spine, and will observe your gait to see the coordination of your head, neck and pelvis as you move. They will also take a full medical history and ask about the location, frequency and severity of any present and past conditions.

Based on all these diagnostic tools, your chiropractor can better determine the type and frequency of treatment necessary to resolve your condition in a way that is holistic, drug-free and non-invasive. Palpation is simply another tool in the chiropractor’s arsenal of techniques to keep you moving well and pain-free.

With all of the snowy weather we have had, you may need your back palpated! Be sure to schedule an appointment with Dr. Oblander by calling 406-652-3553.

 

Where Does Good Balance and Coordination Come From? Introduction to Your Proprioceptive System

Where Does Good Balance and Coordination Come From? Introduction to Your Proprioceptive System

balancing-on-fence

Proprioception is a complex system of anatomical checks and balances, neural impulses, and brain functions that controls our sense of balance, coordination, and agility. Put most simply, proprioception is the “sixth sense” that enables you to scratch your head without looking in a mirror or climb a flight of stairs without having to look at each step.

Most of us are so accustomed to proprioception that we take it for granted. Its development starts soon after we are born and is observed in infants as soon as they gain control of their neck muscles. When the infant’s body tilts in any direction, its head also tilts in the opposite direction to level its eyes with the horizon. This “righting reflex” is the beginning of our sense of balance.

More technically, proprioception is your body’s ability to transmit a sense of its position in space, analyze that information, and react—either consciously or unconsciously—to stimuli with the proper movement and force. Proprioceptors are a specialized type of motor and sensory nerve that transmits impulses to the central nervous system (in particular, the area of the brain known as the cerebellum) from stimuli felt by the muscles, tendons, joints, and skin. The impulses transmitted by proprioceptors contain vital information, such as the amount of tension in a particular muscle and the relative position of a body part when it is moving.

, Proprioception is what enables you to reach for a glass and actually find it in space. It is also what allows you to pick up the glass with just the right amount of force, neither dropping it nor breaking it by squeezing too hard. Proprioception is what enables you to keep your balance when walking on uneven surfaces or when riding a bicycle. The impulses from proprioception combine with input received from the vestibular system (the fluid-filled network in the inner ear that enables us to feel the pull of gravity and know which direction is “up”) and with input from the visual system to create our sense of balance.

However, just as our eyes become weaker with age, so can the proprioceptive system, leading to a loss of proper balance. This is one of the reasons that falling is the number one cause of hospital admissions for people over 60. Something has gone wrong with the complex processing of information needed to maintain their balance, so older people are more likely to slip and fall on stairs or on slippery sidewalks and injure themselves.

Fortunately, you can strengthen your proprioceptive system by practicing simple balance exercises, thus keeping keep your sense of balance from weakening as you grow older. There are many forms of inexpensive exercise equipment (such as BOSU or Bongo Boards) that enable you to stand on a platform that is designed to be wobbly. This instability forces your muscles and your proprioceptive system to work more, and thus become stronger. So if you are over the age of 50, you should consider speaking to your chiropractor about exercises to improve your proprioception. They are very simple but can greatly improve your overall sense of balance, therefore significantly reducing your risk of injury from falls as you grow older. To schedule an appointment with Dr. Oblander, call 406-652-3553.