Chiropractic and Neck Pain in Children

Children have been treated by chiropractors for spinal problems ever since chiropractic was founded in 1895, and neck pain is no exception. Neck pain is surprisingly common in kids, though not quite as common as it is in adults, reaching a similar occurrence rate by age 18. Studies conducted in the United States and in other countries report similar findings, leaving one to conclude there is a high prevalence of neck pain in kids all over the world. There are many causes of neck pain with a few being unique to children and some that could be a warning sign of something dangerous, such as meningitis. But far more commonly, neck pain in kids is NOT dangerous.
Let’s take a look!Looking at neck and shoulder pain in high-school-aged students, 931 males between 16 and 19 years of age were surveyed. More than two out of five students (44.3%) had recurrent neck and shoulder pain more than once a week with an overall prevalence of 79.1%. THAT’S A LOT! The study reported the student’s average sitting time was 10.2 hours a day, 59% did NOT sit up straight, and 11.9% reported that they stretched their neck and shoulders regularly throughout the day. Students with recurrent neck and shoulder pain also reported frequent fatigue and depressed moods. Looking specifically at 1,122 backpack-using adolescents, 74.4% were classified as having back or neck pain. When compared to non- or low use backpackers, there was nearly a two times greater likelihood of having back/neck pain! Also, females and those with a large body mass index (overweight) were also significantly associated with back/neck pain. Lastly, they found when compared to adolescents with no back/neck pain, those with pain carried significantly heavier backpacks.Another common cause of neck pain in adolescents is a condition called torticollis or, “wry neck.” This is basically a muscle spasm of certain neck muscles that rotate and extend the head from the neutral / normal position, often described as being “stuck” in this position. Though there are several types of torticollis, it can be triggered by almost anything including a change in weather, sleeping in a draft, following an infection like a cold or flu, maintaining a faulty prolonged posture, certain types of medications, and many others. Some studies describe torticollis as usually improving within one to four weeks, but in the hands of a chiropractor, it usually takes two to three days for the acute pain to subside and one week to completely finish the job! Of course, this varies depending on the case. Infants can be born with “congenital torticollis,” which occurs in 0.3 to 2.0% of newborns. Here too, chiropractic is VERY effective.

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 neck pain, we would be honored to render our services.

Content Courtesy of Chiro-Trust.org. All Rights Reserved.

Health Alert: Maternal Use of Acetaminophen Increases Risk of Offspring Behavioral Disorders.

A Danish study suggests that children of mothers who used acetaminophen during their pregnancy are at greater risk of developing behavioral problems such as attention deficit hyperactivity disorder (ADHD). The study involved about 64,000 children and their mothers and revealed that about 50% of mothers used acetaminophen during their pregnancy. Children of those mothers were more likely to be diagnosed with ADHD-like behaviors at age seven and more likely to use medications for the disorder. The authors of the study note that further research is needed to determine the association.
JAMA Pediatrics, February 2014

Does the Order of Cardio and Resistance Training Matter?

Fitness experts and researchers alike have long wondered whether the order of a workout routine matters when it comes to attaining maximum results. New information from an all-male participant study indicates that after six months, both groups (resistance first vs. cardio first) achieved statistically similar outcomes in physical performance and muscle development.
European Journal of Applied Physiology, April 2014

How do chiropractic adjustments work?

Low back pain (LBP) is such a common problem that if you haven’t suffered from it yet, you probably will eventually. Here are a few facts to consider:  1) LBP affects men and women equally; 2) It is most common between ages 30-50; 3) Sedentary (non-active) lifestyles contribute a lot to causation; 4) Too much or too little exercise can result in LBP; 5) A BMI around 25 is “ideal” for weight management, which helps prevent LBP; 6) Causes of LBP include lifestyle (activity level), genetics – including, but not limited to, weight and osteoarthritis; 7) Occupation; 8) Exercise habits, and the list can go on and on. Let’s next look at how an adjustment is done.

When spinal manipulation is performed in the low-back region, the patient is often placed in a side lying position with the upper leg flexed towards the chest and the bottom leg kept straight. The bottom shoulder is pulled forwards and the upper shoulder is rotated backwards at the same time the low back area receives that the manipulation is rotated forwards. This produces a twisting type of motion that is well within the normal range of joint motion. When the adjustment is made, a “high velocity” (or quick), “low amplitude” (a short distance of movement) thrust is delivered often resulting in “cavitation” (the crack or, release of gases). So, WHY do we do this?

Most studies show that when there is back pain, there is inflammation. In fact, inflammation is found in most disease processes that occur both within and outside the musculoskeletal system. We know that when we control inflammation, pain usually subsides. That is why the use of “PRICE” (Protect, Rest, Ice, Compress, Elevate) works well for most muscle/joint painful conditions. We have also learned that IF we can avoid cortisone and non-steroidal drugs (like aspirin, ibuprofen, naproxen, etc.), tissues heal quicker and better, so these SHOULD BE AVOIDED! If you didn’t know that, check out: http://www.benthamscience.com/open/torehj/articles/V006/1TOREHJ.pdf

Please see our prior discussions on the use of anti-inflammatory herbs and diets that are MUCH safer than non-steroidal drugs! But what does spinal manipulation DO in reference to inflammation?

Different things occur physiologically during a spinal adjustment or manipulation. We know that the mechanical receptors located in muscles, muscle tendons, ligaments, and joint capsules are stimulated and this results in muscle relaxation (reduced spasm or tightness), increased measurable range of motion, and a decrease in pain. A recent study also reported that inflammatory markers (CRP and interleukin-6) measured in a blood test, NORMALIZED after a series of nine chiropractic low back manipulations! So, NOT ONLY do spinal adjustments give immediate improvements in pain, flexibility, and muscle relaxation, they also REDUCE INFLAMMATION without the use of any pharmaceuticals!

So, let’s review what manipulation does for your low back pain: 1) Pain reduction; 2) Improved flexibility – now you can put on your socks with less pain and strain; 3) Improved functions and activities of daily living like sitting more comfortably, getting in or out of your car, bending over to feed the cat, etc.; 4) Improved sleep quality; and 5) Faster healing time by actually reducing the inflammatory markers in the blood! If you have LBP, PLEASE don’t delay – make that appointment TODAY!

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 back pain, we would be honored to render our services.

Wellness/Prevention: Avoid Saturated Fat.

Swedish researchers found that consuming greater amounts of saturated fat increases the amount of fat tissue present around the abdomen and internal organs, a risk factor for developing type 2 diabetes.
Diabetes, February 2014

Chiropractic: When Self-Correction Does Not Work…

In 2007, the American College of Physicians and the American Pain Society included spinal manipulation in their guidelines as one of several treatment options for practitioners to consider when low-back pain does not improve with self-care.
Annals of Internal Medicine, July 2007

Do Strawberries Lower Cholesterol?

A team of 23 volunteers agreed to eat 500 grams of strawberries (about 30 large strawberries) every day for over a month. Before and after blood samples showed that consuming strawberries led to lower levels of LDL (bad) cholesterol while levels of HDL (good) cholesterol remained unchanged.
The Journal of Nutritional Biochemistry, March 2014

High Stress Levels Increase Headaches.

New research links high stress levels to increased headache occurrence. This study involved 5,159 people who were questioned about their headaches and stress four times a year over a two-year period. The researchers found that for each headache type (tension, migraine, and combined), the more stress a person experienced, the more headaches they suffered each month. Researcher Dr. Sara H. Schramm writes, “The results add weight to the concept that stress can be a factor contributing to the onset of headache disorders, that it accelerates the progression to chronic headache, exacerbates headache episodes, and that the headache experience itself can serve as a stressor.”
The American Academy of Neurology, February 2014

No Need to Screen All Adults for Clogged Neck Arteries.

According to a new recommendation from the US Preventative Services Task Force (USPSTF), the general population of adults should not be screened for narrowing of the neck arteries. Panelist Dr. Jessica Herzstein explains, “Carotid artery narrowing is uncommon in the general adult population, so screening everyone would lead to many false positive results. The USPSTF panel did recommend that screening should be reserved for patients at risk for the development of carotid artery blockage and stroke. This includes people over the age of 65 who are at high risk with conditions such as high cholesterol, heart disease, a family history of stroke, or a history of smoking.”
Preventive Services Task Force, February 2014

Fibromyalgia – It’s Hard to Explain

Fibromyalgia (FM) is a condition that typically has a slow, gradual onset that starts out mild and gradually worsens. The symptoms associated with FM include generalized pain all over the body (above and below the waist including neck, shoulders, chest, upper back, arms, hips, buttocks, legs, and feet). The pain can be symmetrical or more intense on the left or right side AND it can vary from day to day. To top it all off, the pain is “chronic” and is usually present for three or more months, sometimes for years, before the FM patient might even mention it to their health care provider. The onset can be so gradual that other issues often become the center of focus until the intensity gets to the point where the patient FINALLY complains.To better appreciate the complexity of FM, there are two types of FM: Primary and Secondary.
Primary FM has no specific cause while secondary FM is linked to something such as trauma associated with a car accident or sports injury, a condition such as irritable bowel syndrome (IBS), chronic fatigue syndrome, restless leg syndrome (RLS), and others. Either way, it is often NOT the kind of thing many patients “bring up” during the discussion of history with their health care provider, especially if something else is bothering them that may be more pressingSo, how does one explain the symptoms of FM? Words such as a deep ache, burning, tingling, shooting, tender, pins and needles, stiffness, and flu-like symptoms are often utilized when describing FM symptoms. Almost always, these complaints have been present for a long time – or for at least three months. Often, the patient is reluctant and almost embarrassed to mention it due to the difficulty in describing the symptoms and the fact that they often don’t know the cause. Equally, many doctors, “have an attitude” that is negative and/or non-supportive of the diagnosis of FM making it even more likely FM patients won’t pursue the condition with other health care providers. This polarization by physicians is a very common issue and often the reason FM sufferers continue to “put up” with their condition rather than consult with others.

The KEY to the diagnosis of FM includes the following: 1) Widespread pain NOT limited to one area of the body; 2) Greater than three months of symptom duration; 3) Symptoms including fatigue, sleep disturbance, depression/anxiety, as well as memory and/or concentration complaints; 4) Symptoms severe enough that they interfere with daily living activities/daily life; and 5) Difficulty finding an answer to the cause of the symptoms, USUALLY involving more than one health care provider. Even though awareness by both the general population and health care providers has improved in the last few years, research has shown that 92% of FM patients have talked to their doctor about their complaints, but this resulted in only 24% being diagnosed.

Another challenge confronting healthcare providers in making a diagnosis of fibromyalgia is because it can’t be seen on an x-ray or as an alteration on a blood test. Other diseases have to be “ruled out” before the diagnosis is even considered, but as was previously stated, secondary FM results from other conditions making it ALL the more challenging! It boils down to a very careful history and a physical exam has to be performed by the health care provider and the provider MUST believe in the diagnosis of FM. Tools such as the Fibromyalgia Pain Assessment can also be very helpful AND it’s available online for the FM patient to access. Bring those results with you to the provider for added help in making the diagnosis!

If you, a friend or family member requires care for Fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing our services!

Content Courtesy of Chiro-Trust.org. All Rights Reserved.