Chiropractic: Neck Pain Relief Faster and Cheaper.
In a randomized study including 183 patients with neck pain, participants were selected to receive spinal mobilization, physiotherapy, or general practitioner care. Clinical outcomes revealed that patients experienced faster recovery with spinal mobilization, with a total cost of care 33% lower than physiotherapy or general practitioner care.
British Medical Journal, April 2003
Fifty patients with neck and arm pain caused by an MRI-confirmed cervical disk herniation received chiropractic adjustments over a 90-day period. After two weeks, 55.3% of patients reported their pain had significantly improved. This number rose to 68.9% after one month and 85.7% after three months of care. No adverse events were reported.
Journal of Manipulative and Physiological Therapeutics, October 2013
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.
Headaches come in MANY different sizes, shapes, and colors. In fact, if you search “headache classification,” you will find the IHS (International Headache Society) 152 page manual (PDF) lists MANY different types of headaches! Last month, we discussed migraine headaches. This month, we’ll talk about the other headache types. So WHY is this important? Very simply, if we know the type of headache you have, we will be able to provide you with the proper treatment. Headaches are classified into two main groups: “primary” and “secondary” headaches. The “Primary” headache list includes: 1) Migraine; 2) Tension-type; 3) Cluster; 4) “Other primary headaches,” of which eight are listed. One might think that with this simple breakdown of the different types of headaches it should be easy to diagnose a type of headache. Unfortunately, that’s NOT true! In fact, a 2004 study published that 80% of people with a recent history of either self or doctor diagnosed sinus headache had NO signs of sinus infection and actually met the criteria for migraine headaches! So, the more we can learn about the different types of headaches, the more likely that we will arrive at an accurate diagnosis.
Tension-Type Headaches: This is the most common type affecting between 30-78% of the general population. It is usually described as a constant ache or pressure either around the head, in the temples, or the back of the head and/or neck. There is typically NO nausea/vomiting, and tension-type headaches rarely stop you from performing normal activities. These headaches usually respond well to chiropractic adjustments and to over-the-counter medications like Advil, aspirin, Aleve, and/or Tylenol, though we’d prefer you first reach for an anti-inflammatory herb like ginger, turmeric, bioflavonoid, and the like as these have less stomach, liver, and/or kidney related side-effects. These headaches are typically caused by contraction of the neck and scalp muscles, which can be result of stress, trauma, lack of sleep, eyestrain, and more.
Cluster Headaches: These are less common, typically affect men more than women, and occur in groups or cycles. These are VERY DISABLING and usually arise suddenly and create severe, debilitating pain usually on only one side of the head. Other characteristics include: a watery eye, sinus congestion, or runny nose on the same side of the face as the headache. An “attack” often includes restlessness and difficulty finding a pain-reducing, comfortable position. There is no known cause of cluster headaches, though a genetic or hereditary link has been proposed. The good news is that chiropractic adjustments can reduce the intensity, frequency, and duration of cluster headaches!
Sinus Headaches: Sinusitis (inflamed sinuses) can be due to allergies or an infection that results in a headache. This may or may not include a fever, but the main distinguishing feature here is pain over the infected sinus. There are four sets of sinuses. Many people know about the frontal (above the eyes on the forehead) and maxillary (under the eyes in our cheeks) but the two sinuses deep in head (ethmoid and sphenoid sinuses) are much less known or talked about. These two deep sinuses refer pain to the back of the head, and when infected, it feels like the back of the head could explode. Lying flat is too painful so sitting up is necessary. Chiropractic adjustments applied to the sinuses, upper neck, and lymphatic drainage techniques work GREAT in these cases!
We will continue next month with the remaining types of headaches!
We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend, or family member requires care for headaches, we would be honored to render our services.
For every inch your head is forward, your upper back and neck muscles have to hold an extra 10 lbs (~4.5 kg), as they have to work harder to keep the head (chin) from dropping to your chest. This also forces the sub-occipital muscles (they raise the chin) to remain in constant contraction, putting pressure on the three sub-occipital nerves. This nerve compression may cause headaches at the base of the skull or mimic sinus (frontal) headaches.
Kapandji, Physiology of the Joints, Volume III
We address this in two ways at Denver Chiropractic Center. We use chiropractic adjustments to realign the spine. We also use Active Release Techniques to release those tight sub-occipital muscles that can cause headaches, neck pain and fatigue.
“The greatest wealth is health.”
~ Virgil
Diet: Chew Your Food.
It is not a surprise that almonds are a great source of healthy fats and extra energy. However, the extent that almonds are chewed can make a difference in how much nutrition is absorbed by the body and how much is expelled. The more you chew, the more your body can use.
Institute of Food Technologists, July 2013
Exercise: Sudden Cardiac Death Risk reduced with Exercise.
Sudden cardiac death (SCD) accounts for 50% of all deaths from coronary heart disease, and is defined as death with cardiac origin within 24 hours after onset of symptoms. A 19-year study looked at the impact of high leisure-time physical activity (LTPA) combined with cardiorespiratory fitness (CRF) on the risk of SCD. The results showed that the risk of SDC was nearly double among men who are inactive (low CRF and low LTPA).
Kuopio Ischemic Heart Disease Risk Factor Study, September 2013
Chiropractic: Drugs vs. Needles vs Adjustments.
In this study, acupuncture, medication, and chiropractic care were compared on a patient population with spinal pain, including neck and back pain. Only spinal manipulation provided both short-term and long-term benefits.
Spine, July 2003
Wellness/Prevention: The Great and Powerful Ginger.
Ginger is an herb that is used as a spice and also has therapeutic qualities. The underground stem (rhizome) can be used fresh, powdered, dried, or as an oil or juice. Ginger is used for treating loss of appetite, nausea/vomiting after surgery, flatulence, upset stomach, colic, morning sickness, motion sickness, upper respiratory tract infection, bronchitis, cough, menstrual cramps, arthritis, and muscle pain.
National Library of Medicine, September 2013
Mental Attitude: With Age Comes Financial Wisdom.
In a study environment, older participants (ages 60-82) performed better than younger participants (ages 18-29) on finance-related topics where life experience and accumulated knowledge were favored. Such areas included temporal discounting, loss aversion, financial literacy, and debt literacy. The study authors believe that younger people would benefit from financial education earlier in life, before they begin making major financial decisions in adulthood.
Psychology and Aging, September 2013
Health Alert: Antibiotic Resistance Warning!
According to the Centers for Disease Control and Prevention (CDC), each year two million people contract either a bacterial or fungal infection that is resistant to at least one class of antibiotics. Antibiotic resistance has increased to the point where the CDC is calling for action to prevent the situation from progressing further. Their recommendations include preventing infections through more organized procedures in hospitals, better food handling, and the smarter use of antibiotics.
Centers for Disease Control and Prevention, September 2013
Diet: Passive Calorie Counting.
A new wearable computer called an eButton is able to autonomously view the food you are eating, identify it, and estimate the food’s nutritional content. Researchers believe passive devices such as the eButton could help people with conditions such as obesity, diabetes, and cardiovascular disease more accurately monitor their total caloric intake.
Measurement Science and Technology, August 2013
Exercise: No Ice Bath Please.
According to researchers, taking an ice bath after a workout does not effectively reduce soreness or strength loss and only mildly reduces inflammation. Lead researcher Dr. Naomi Crystal advises, “Use [ice baths] sparingly. Use them in tournament situations; use them with an athlete who has done something extraordinary. But for day-to-day athletes, I wouldn’t recommend them.”
European Journal of Applied Physiology, August 2013
Chiropractic: Adjustments Validated.
Patients with neck pain, neck dysfunction, and headache showed significant improvement with cervical spine adjustments.
Duke Evidence Report, 2001
Wellness/Prevention: Do You Have High Blood Pressure?
Only 46.5% of people with hypertension are aware of their condition. Of those who are aware they have high blood pressure, only 32.5% are effectively controlling their condition.
Journal of the American Medical Association, September 2013
With all of the unbelievable flooding recently affecting our area, we want you to know that if any of you are affected, we’re here to help in any way we can. If there’s anything we can help with, please let us know.
Weekly Health Update
Week of: Monday, Sept 16, 2013
“It’s so hard to forget pain, but it’s even harder to remember
sweetness. We have no scar to show for happiness.
We learn so little from peace.”
~ Chuck Palahniuk
Diet: Zinc Deficiency and Old Age.
Zinc deficiency may develop with age, leading to low-grade chronic inflammation that has been associated with cancer, heart disease, and diabetes. Low zinc levels have also been associated with a weakened immune system response. In animal studies, older subjects showed signs of zinc deficiency even though their diets should have provided adequate amounts of the nutrient. The researchers believe the aging process alters the body’s ability to efficiently transport zinc to our cells. When the test animals were given more than the recommended daily amount of zinc, biomarkers related to chronic inflammation returned to levels seen in younger subjects.
The Journal of Nutritional Biochemistry, January 2013
Exercise: More Reasons.
Physical fitness helps to maintain an independent lifestyle and reduces the level of abdominal obesity, a significant health-risk factor.
Surgeon General’s Report on Physical Activity and Health, 1996
Chiropractic: Faster Recovery, Less Money!
In a 52-week study of patients with neck pain, manual therapy (spinal mobilization) resulted in faster recovery than physiotherapy (mainly exercise) or general practitioner care (counseling, education, and medication). Costs of the manual therapy were about one-third of the costs of physiotherapy or general practitioner care.
British Medical Journal, April 2003
Wellness/Prevention: Save Your Brain!
50% of Alzheimer’s and dementia cases may be preventable! Preventable or treatable risk factors include smoking, physical inactivity, depression, mid-life high blood pressure, diabetes, and mid-life obesity.
The Lancet Neurology, September 2011
“The results of (a recent) study show that spinal manipulative therapy is an effective treatment for tension headaches… Four weeks after cessation of treatment… the patients who received spinal manipulative therapy experienced a sustained therapeutic benefit in all major outcomes in contrast to the patients that received amitriptyline* therapy, who reverted to baseline values.” *Amitriptyline is an anti-depressant commonly prescribed to treat tension headaches.
Journal of Manipulative and Physiological Therapeutics, March 1995
“Chiropractors, also known as doctors of chiropractic or chiropractic physicians, diagnose and treat patients whose health problems are associated with the body’s muscular, nervous, and skeletal systems, especially the spine. Chiropractors believe that interference with these systems impairs the body’s normal functions and lowers its resistance to disease. They also hold that spinal or vertebral dysfunction alters many important body functions by affecting the nervous system and that skeletal imbalance through joint or articular dysfunction, especially in the spine, can cause pain.”
United States Department of Labor Bureau of Labor Statistics, 2008