Denver Chiropractic Center- Just Two Treatments.

Nearly 200 adults with spinal pain were separated into two groups. One group received two chiropractic adjustments and the other received two sham adjustments so researchers could differentiate if results were the result of the adjustment itself or the expectation of treatment. Two weeks later, researchers assessed each group and found the adjustment group reported greater improvements in pain, better overall improvement, and higher satisfaction.
Spine, November 2013

Chiropractic and the Common Cold

Chiropractic and the Common Cold

            Chiropractic methods are utilized for many complaints, of which the majority of research-based evidence supports conditions related to the musculoskeletal system – that is, neck, back, upper and lower limb conditions. However, when applied to certain areas of the spine, spinal manipulation can have other beneficial effects that are also supported by research. One of these additional benefits involves the immune system. So, can chiropractic adjustments be of benefit for conditions such as the common cold? Let’s take a look!

The quick response to this question is, “Possibly!” Studies report that regulation of our immune responses (our body’s ability to fight off infections, allergens, and the like) rely on an intimate relationship between our nervous system and immune system. The steps that occur to make this happen include complex interactions between various chemicals including neurotransmitters (chemicals in the nervous system), cytokines (these help “recruit” immune cells to sites of infection), and others. When studying cell cultures taken from healthy humans who received a single chiropractic adjustment to the upper thoracic spine, the production of a key immune system chemical (a cytokine called “interleukin-2”) was found. This study used 74 healthy age-matched subjects who were assigned to one of three groups: upper thoracic manipulation (group 1), sham (fake) manipulation (group 2) or venapuncture only (group 3 – control group). Blood samples were drawn from each participant before (initial base line), 20 minutes after treatment, and two hours following treatment. Blood samples taken from the subjects representing the three groups were placed in separate cultures infected with an agent and analyzed for differences in antibody production (the immune response). They found that ONLY the manipulation group produced protective antibodies (IgG and IgM). Hence, this supports the hypothesis that upper thoracic chiropractic spinal manipulation can stimulate the immune system via the nervous system and result in an increase in antibody production allowing us to better fight off those nasty bugs like the rhinoviruses that result in the common cold. Continued studies will hopefully tell us more about how all this works, but the current science looks very promising! Remember, there are 99 DIFFERENT recognized types of rhinoviruses, each individually unique, thus making it next to impossible to “cure” the common cold since any one or several rhinoviruses may be attacking us at one time.

            Here are some other reported ways to strengthen the immune system:

  1. Probiotics: Supplementing with “friendly” bacteria that NORMALLY live in our GI tract (intestines) which include two types: 1. Lactobacillus acidophilus (LA) and 2. Bifidobacterium bifidum (BB). LA normally resides in the upper GI (small intestine) and BB in the lower GI (large intestine). Studies show that these friendly bacteria strengthen the ability of the immune cells surrounding the GI Tract to defend the body against toxins, (“bad”) bacteria, and allergens.
  2. Exercise: Moderate exercise boosts the immune system function, but intense exercise can have the opposite effect. “Post-exercise immune function dysfunction” is most pronounced when the exercise is continuous, prolonged (>1.5 h), of moderate to high intensity (55-75% VO2 Max), and especially when performed in the absence of eating.
  3. Other vitamins and nutrients: The partial list includes carotenoids, Co-Q10, Echinacea, omega-3 fatty acids, selenium, vitamin C, vitamin E, and zinc.
  4. Reduce stress: There is a great deal of evidence that stress reduces our immune functions.

We realize you have a choice in whom you consider for your health care and we sincerely appreciate your trust in choosing Denver Chiropractic Center for those needs.  If you, a friend, or family member requires care, we would be honored to render our services.

Chiropractic: Asymmetric Hip Mobility and Neck Pain.

Over three hundred freshmen college students underwent an examination of their hip joints and were asked whether or not they suffered from neck pain. The results showed that the young adults with asymmetrical hip mobility were nearly three times more likely to also suffer from neck pain.
Journal of Manipulative and Physiological Therapeutics, July 2013

Low Back Pain “ON-THE-GO” Exercises (Part 1), from Denver Chiropractic Center’s Chiropractors

Low back pain (LBP) is a reality in most of our lives at one point or another. It can range from being a “nag” to being totally disabling. While we use Active Release Techniques and traditional chiropractic adjustments at Denver Chiropractic Center, home exercise is an important part of our protocol.

Let’s look at some exercises for the low back that can be done from a SITTING position so that they can be: 1) Performed in public (without drawing too much attention) and 2) Repeated every one to two hours with the objective to AVOID LBP from gradually getting out of control (STOP the “vicious cycle” so LBP stays “self-managed”).

RULES: 1) DON’T do any exercise that creates SHARP pain; 2) Stay within “reasonable” pain boundaries; 3) DO these multiple times a day WHEN you feel tight, stiff, sore (take 10-30 sec. every hour rather than 15 min. twice a day).

SITTING LOW BACK EXERCISE OPTIONS:

1)    SITTING BEND OVERS: 1) Slowly bend forward from a seated position and attempt to reach the floor; 2) Spread the knees as needed to allow for a full range of motion; 3) Hold for 3-10 seconds or until it feels “loose.” 4) Do the opposite – sit and arch your low back as far back as is comfortable. Repeat frequently for short hold-times – make it “fit” your time limitations/schedule!

2)    SITTING HIP / BACK STRETCH: 1) Cross your leg; 2) Raise the knee to the opposite shoulder; 3) Arch the lower back until you feel an increase stretch in your buttocks; 4) Twist your trunk to the side the knee is raised; 5) Move your knee up/down and around to “feel” for the tightest “knots” and “work” them loose; 6) Modify by bending forward 7) REPEAT on the opposite side.

3)    SITTING TRUNK ROTATIONS: 1) Slowly twist your shoulders and trunk to one side while keeping your knees straight; 2) Reach back and pull for additional stretch if comfortable; 3) Hold for 3-10 seconds or, until it feels “loose;” 4) REPEAT on the opposite side.

 

Remember, DO these MANY times a day (at least once every hour). We have many others as well (ask us)! We realize you have a choice in whom you consider for your health care and we sincerely appreciate your trust in choosing Denver Chiropractic Center for those needs.  If you, a friend, or family member requires care for back pain, we would be honored to render our services.

Chiropractic: Suggested For Low Back Pain by the American Medical Association

An information article published by The Journal of the American Medical Association suggests patients consider chiropractic care as an option to treat low back pain. They also noted that back surgery is usually not indicated and should only be performed if other therapies fail.
JAMA, April 2013

Copyright Denver Chiropractic Center

Denver Chiropractic Center’s 1-Page Health News Jan 22, 2014

We’re back with another edition of the 1-Page Health News. We also want to thank all of who who’ve been distributing the “Gift of Health” referral certificates that we mailed out. It’s our privilege to help your friends and family members.

“Always do right. This will gratify some people and astonish the rest.”
~ Mark Twain
Mental Attitude: The Importance of Self-Worth.
Reflecting on better times can help the downtrodden take steps to escape their poverty. In an experiment conducted in a New Jersey soup kitchen, 150 participants were asked to recount a proud moment or memorable achievement prior to taking a series of problem-solving tests. A control group took the tests without a positive affirmation beforehand. The affirmation group performed dramatically better than the control group with a difference in scores representing roughly a 10-point increase in IQ. Participants in the affirmation group were also more likely to seek out help from local government or charity programs that are used by only a fraction of those eligible.
Psychological Science, December 2013

Health Alert: Inflammatory Proteins?
A recent study shows there is an abnormal amount of an inflammatory protein called PAR2 in the abdominal fat tissue of overweight and obese people. Previous research has shown that PAR2 is also increased on the surface of human immune cells by the excessive consumption of fats and sugars. This finding links obesity and fattening diets with changes in immune cells and inflammation levels within the body.
The FASEB Journal, December 2013

Diet: Facebook and Diet?
“Appearance exposure” on the Internet has been linked to body image disturbances among adolescent girls. A recent study found an association between time spent on Facebook and poor body image among adolescent girls who internalize a thin ideal physique, which may lead to eating disorders.
Cyberpsychology, Behavior, and Social Networking, December 2013

Exercise: Reduces Fatigue in Cancer Patients.
An analysis of 56 studies involving over 4,000 cancer patients discovered that aerobic exercise, such as walking or cycling, reduces fatigue in those undergoing treatment. Fatigue is a common and problematic side-effect of cancer and cancer treatment. This exhaustion may last for months or years and make a patient less inclined to continue any further treatment. Previously, doctors recommended rest to treat cancer-related fatigue; as it turns out, the proper course may be physical activity.
The Cochrane Library, November, 2012

Chiropractic: Pain Affects Quality of Life.
Over half of older adults in the United States have experienced bothersome pain in the previous month, impairing their physical function and underscoring the need for proper health care. Three-quarters of older adults with pain reported having pain in multiple locations, such as in the back, hips, and knees. Additionally, pain was strongly associated with decreased physical capacity.
PAIN, December 2013

Wellness/Prevention: Fight Fat with Heat?
People who live in well-heated homes above 73.4 degrees Fahrenheit (23 degrees Celsius) are less likely to be obese, or have a high body mass index, compared with individuals who keep their dwellings cooler. People may eat less and burn more energy when residing in a warmer indoor environment. At temperatures above 73.4 degrees Fahrenheit, heat must be lost to maintain a constant body temperature and this process (such as sweating) requires energy. Coupled with decreased appetite and food intake, the additional energy expenditure could lead to weight loss.
Obesity, November 2013

Fibromyalgia: Dietary Considerations

In last month’s Health Update, we discussed fibromyalgia (FM) management from a multi-modal approach, which included dietary recommendations to reduce inflammation. We’ll cover this topic in more detail this month…

Anti-inflammatory foods can be broken down into four categories: 1) Fruits and vegetables; 2) Protein Sources; 3) Fats and Oils; and 4) Beverages.

In the fruits and vegetables category, whole fruits, berries, and vegetables in general are rich in good things like vitamins, minerals, fiber, anti-oxidants, and phytochemicals. In particular, green and brightly colored vegetables and whole foods (such as broccoli, chard, strawberries, blueberries, spinach, carrots, and squash) are great choices.

Besides being low in calories, high in fiber, rich in vitamin/minerals and more, berries EVEN taste good! For example, one cup of strawberries contains >100mg of vitamin C (similar to a cup of orange juice), which helps our immune system function. One cup of blueberries includes a little less vitamin C but it has minerals, phytochemicals, and anti-oxidants at only 83 calories per cup. A cup of cranberries has only 44 calories (it can also help with bladder infections), and a cup of raspberries has 64 calories and has vitamin C and potassium. Less common, but equally nutritious, are loganberries, currants, gooseberries, lingonberries, and bilberries. Put these, or a mixture of these, on salads, yogurt, or a whole grain cereal and enjoy a VERY satisfying snack or meal! The health benefits of phytochemicals and flavonoids include cancer prevention, bladder infection treatment, and may even help your eyesight (such as from lutein in blueberries and raspberries).

Protein sources include fish/seafood, especially oily ocean fish like salmon and tuna, as these are rich in omega-3 fatty acids. Soy and soy foods like tofu and tempeh as well as legumes are great plant sources of protein, though some doctors may recommend staying away from soy. Nuts such as walnuts, almonds, pecans, and Brazil nuts are also great protein sources.

Fats and Oils: Omega-3 fatty acids can be found in flax seeds, canola oil, and pumpkin seeds, as well as cold-water oily fish. Other fats that are anti-inflammatory include monounsaturated fatty acids, which are found in olive oil, avocados, and nuts and have been found to be cardiovascular disease “friendly” as well. Other healthy oils include rice bran oil, grape seed oil, and walnut oil.

Beverages: Our bodies need water! Of course, tap, sparkling, or bottled water are great sources of water. So are 100% juices, herbal tea, low-sodium vegetable juice, and if tolerated, low or non-fat milk.

Meal suggestions include: Breakfast – oatmeal with fresh berries and walnuts; Snacks – whole fruits, nuts, seeds, and fresh vegetables; Lunch and Dinner– choose fish and less fatty red meats; cook with olive and canola oil; load up a salad with fresh vegetables and fruit, avoid deep fried foods – rather, bake, broil, poach, or stir-fry instead. Fill up HALF of your dinner plate with dark green or brightly colored vegetables. Avoid the following: junk food, high-fat meats, sugar (sodas, pastries, candy, rich desserts, and sweetened cereals), highly processed foods, trans-fats and saturated fats (i.e., bacon and sausage), and white flour products (get 100% whole grain instead). Some research suggests not eating “nightshade plants” like tomatoes and eggplant.

If you, a friend or family member requires care for Fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing Denver Chiropractic Center. 303.300.0424.

Whiplash – Can We Predict Long-Term Problems?

Whiplash (or the rapid acceleration forwards followed by deceleration or sudden stopping of the moving head during the whiplash event) occurs at a speed that is so fast, we can’t prepare for it. In other words, by the time it takes us to voluntarily contract a muscle to guard ourselves against injury, that rapid forward/backwards “whipping” of the head and neck is already over! When considering the details of the injury event, sometimes we lose focus on what REALLY matters. Is there a way to reduce the chances for a long-term chronic, disabling, neck pain / headache result? Last month, we found out that the long-term use of a cervical collar is NOT a good idea. What are some other ways to prevent long-term disability?

A very interesting study investigated the first 14 days of treatment during the acute stage of whiplash neck sprain injuries following a car accident. The researchers wanted to determine what long-term consequences resulted from two different treatment approaches. In one group (201 patients, 47% of the total group), the patients were encouraged to, “…act as usual,” and continue in their normal daily, pre-injury activities. The patients in the second group were given time off from work and were immobilized in a soft cervical collar during the first 14 days after the car crash. At the end of the 14 days, there was a significant reduction of symptoms between the first visit to the fifteenth day (24 hours after the 14 day initial treatment time frame in both groups). However, when evaluated at the six-month point, the group that continued their normal daily routine, did not take time off work, and did not wear a collar had, “…a significantly better outcome,” compared to the other group. This study supports that over-treatment with a collar and time off from work “sets people up” for adopting a “sick role” where the patient is overly-focused on their problem. This study parallels what we discussed last month and embraces the chiropractic philosophy to staying active, exercise, don’t use a collar, and the use of manipulation which exercises joints and keeps them from stiffening up, thus reducing pain and the fear of doing activity!

Another study looked at different presenting physical factors that might be involved in the development of long-term handicaps after an acute whiplash injury in a group of 688 patients. They measured these physical factors at three, six, and twelve month intervals and found the relative risk for a disability a year after injury increased with the following: 1) A 3.5 times disability increase with initial high pain intensity of neck pain and headaches; 2) A 4.6 times increase with initial reduced neck movement or ranges of motion; and 3) A 4 times greater chance with initial multiple non-painful complaints (such as balance disturbance, dizziness, concentration loss, etc.). In yet another study, both physical and psychological factors were found to predict long-term disability. These included initial high levels of reported pain and poor activity tolerance, older age, cold sensitivity, altered circulation, and moderate post-traumatic stress.

The “bottom line” is that as chiropractors who also use Active Release Techniques, we are in the BEST position to treat and manage whiplash injured patients based on the type of care we perform and offer. We promote exercise of muscles and joints, encourage activity not rest, and minimize dependence on medication, collars, and other negative treatment approaches.

Can Chiropractic Help the Post-Surgical Patient?

Low back pain (LBP) accounts for over 3 million emergency department visits per year in the United States alone. Worldwide, LBP affects approximately 84% of the general population, so eventually almost EVERYONE will have lower back pain that requires treatment! There is evidence dating back to the early Roman and Greek era that indicates back pain was also very prevalent, and that really hasn’t changed. Some feel it’s because we are bipedal (walk on two legs) rather than quadrupedal (walk on four limbs). When comparing the two, degenerative disk disease and spinal osteoarthritis are postponed in the four-legged species by approximately two (equivalent) decades. But regardless of the reason, back pain is “the rule,” NOT the exception when it comes to patient visits to chiropractors and medical doctors. Previously, we looked at the surgical rate of low back pain by comparing patients who initially went to spinal surgeons vs. to chiropractors, and we were amazed! Remember? Approximately 43% of workers who first saw a surgeon had surgery compared to ONLY 1.5% of those who first saw a chiropractor!  So, the questions this month are, how successful IS spinal surgery, and what about all those patients who have had surgery but still have problems – can chiropractic still help them?

A review of the literature published in the Journal of the American Academy of Orthopaedic Surgeons showed that in most cases of degenerative disk disease (DDD), non-surgical approaches are the most effective treatment choice (that includes chiropractic!). They report the success rate of spinal fusions for DDD has been only 50-60%. The advent of artificial disks, which originally proposed to be a “cure” for symptomatic disk disease, has fared no better with possible worse long-term problems that are not yet fully understood. They state, “Surgery should be the last option, but too often patients think of surgery as a cure-all and are eager to embark on it.” They go on to write, “Also, surgeons should pay close attention to the list of contraindications, and recommend surgery only for those patients who are truly likely to benefit from it.” Another study reported that, when followed for 10 years after artificial disk surgery, a similar 40% of the patients treated failed and had a second surgery within three years after the first! Similar findings are reported for post-surgical spinal stenosis as well as other spinal conditions.

So what about the success rate of chiropractic management for patients who have had low back surgery? In a 2012 article, three patients who had prior lumbar spinal fusions at least two years previous were treated with spinal manipulation (three treatments over three consecutive days) followed by rehabilitation for eight weeks. At the completion of care, all three (100%) had clinical improvement that were still maintained a year later. Another study reported 32 cases of post-surgical low back pain patients undergoing chiropractic care resulted in an average drop in pain from 6.4/10 to 2.3/10 (that means pain was reduced by 4.1 points out of 10 or, 64%). An even larger drop was reported when dividing up those who had a combination of spinal surgeries (diskectomy, fusion, and/or laminectomy) with a pain drop of 5.7 out of 10 points!

Typically, spinal surgery SHOULD be the last resort, but we now know that is not always practiced. IF a patient has had more than one surgery and still has pain, the term “failed back syndrome” is applied and carries many symptoms and disability. Again, to NOT utilize chiropractic post-surgically seems almost as foolish as not utilizing it pre-surgically!

GIVE US A CALL 303.300.0424

Broccoli again? This Week’s 1-Page Health News

We hope you have a great Thanksgiving this year! We are here today and tomorrow, with Dr. Hyman’s schedule completely full. Dr. Stripling has availability if you need us.

Should you happen to hurt yourself really badly after tomorrow (be careful!), either contact us through our website- it goes directly to Dr. Hyman- or call the office to get the on-call doctor’s cell phone # from the voicemail.

We’ll be back in the office for a full week next week.

Mental Attitude: Einstein’s Brain.
The left and right hemispheres of Albert Einstein’s brain were unusually well connected to one another, which may have contributed to his brilliance. This study is the first to detail Einstein’s corpus callosum, the brain’s largest bundle of fibers that connects the two cerebral hemispheres and facilitates interhemispheric communication.
Brain, October 2013

Diet: More Reasons to Eat Broccoli and Cauliflower!
Sulforaphane (found in cruciferous vegetables including broccoli, cabbage, cauliflower, kale, and collards) may help reduce the risk of respiratory inflammation that leads to chronic diseases such as asthma and chronic obstructive pulmonary disease. In a study setting, researchers found that those who consumed 200 grams of broccoli had nearly three times as many antioxidant enzymes in their upper airway cells compared to baseline measurements. These protective antioxidant enzymes help fight against common environmental pollutants.
Clinical Immunology, March 2009

Exercise: Better Math, English, and Science Grades!
Research on British school children has found a link between academic performance and daily exercise. English, math, and science scores went up as the number of minutes per day of exercise increased with the greatest gains in female science scores. With boys and girls only exercising 18-29 minutes per day on average, how much could grades improve if physical education hours were increased instead of cut back to save money?
British Journal of Sports Medicine, October 2013

Chiropractic: Decrease Childhood Asthma.
A past study found that 3.5% of children raised under chiropractic care developed asthma, whereas 5% of children raised under medical care developed asthma. The authors of the paper concluded that the immune systems of children receiving chiropractic care may be better able to handle allergens which cause asthmatic conditions.
Journal of Chiropractic Research, May 1989

Wellness/Prevention: Kids Need Regular Bedtimes.
A study of 10,000 children in the United Kingdom found that children with inconsistent bedtimes are more likely to suffer from behavioral and emotional problems than their peers who go to sleep at the same time every night. The good news is that the effects are reversible once children settle into a regular bedtime.
Pediatrics, October 2013