Tag: Neck Pain

Why waste another week in pain? Come see our Denver Chiropractor

“I waited too long to come in.”

That’s the #1 thing we hear from patients when they come to see us. It’s human nature to wait for pain to go away. Sometimes it does, but sometimes it doesn’t. Why waste time in pain? If something is hurting, call us and we will get you in. 303.300.0424. Back pain, neck pain, headaches, shoulder problems, hip pain, sciatica and more. Our Denver Chiropractor Dr. Glenn Hyman is here with chiropractic care and Active Release Techniques when you need help.

Denver Chiropractor is here to help…

It sure was a night of fun at the Rockies game this past Saturday night for my middle son Jason and I. Star Wars bobble heads, both benches cleared after Carlos Gonzales almost got plunked, and the Rockies won 7-3. But man do those seats bug my back. If you did something that bugged your back (or neck, or shoulder, or hip…you get the idea) call us at 303.300.0424 to get to the desk. We will get you in. Don’t waste time with pain.

(2/27/2017) Short Week Alert and win Rockies tickets

Short Week Alert. We will have a short week this week in our office, so if you need to get in this week please don’t hesitate to call 303.300.0424 ASAP or reply to this email.

 

Monday 2/27: In the office

Tuesday 2/28: In the office

Weds 3/1: In the office

Thursday 3/2: Out of the office

Friday 3/3: Out of the office

 

Coming soon- Win Rockies Tickets!Yep, the Avs ticket giveaways have been so popular that I got Rockies tickets to keep the party going all summer long. Just keep watching for our emails!

 

Here is this week’s 1-Page Health News.

 
Concussions May Accelerate Alzheimer’s.
A new study suggests concussions may speed up mental decline among individuals already at risk for Alzheimer’s disease. In this study, researchers examined 160 veterans of the Iraq and Afghanistan wars and found that concussions seemed to accelerate Alzheimer’s disease-related brain deterioration and mental decline in the veterans at genetic risk for the disease. Dr. Jasmeet Hayes, an assistant professor of psychiatry at Boston University School of Medicine writes, “Our results suggest that when combined with genetic factors, concussions may be associated with accelerated cortical thickness and memory decline in Alzheimer’s disease-relevant areas.”
Brain, January 2017

Diet: Eating Rare Meat Safely.
If you prefer your meat cooked rare versus well done, it is important that it is prepared safely. The Academy of Nutrition and Dietetics suggests: use a food thermometer to make sure rare meat is hot enough to destroy any germs; avoid using the color of meat, the color of juices, or the firmness of meat to determine if it’s sufficiently cooked; cook ground lamb, pork, veal, or beef to at least 160 degrees Fahrenheit (71.11 degrees Celsius) at its center; and cook steak to 145 degrees Fahrenheit (62.77 degrees Celsius) at its center.
Academy of Nutrition and Dietetics, January 2017

Exercise: Set a Health Goal That Lasts.
Did you make a New Year’s resolution to become healthier? The American Council on Exercise offers the following tips to help one continue to strive towards their goal as the year progresses: set a small, specific, actionable goal, such as going for a walk every other day; view your goal as a positive change that you want to see in yourself; don’t make your goal so challenging that you are likely to get frustrated; reward yourself for meeting the goal; and ask for support from family, friends, and loved ones.
American Council on Exercise, January 2017

Chiropractic: Surgery No More Effective Than Conservative Care for Disk Herniations in the Long-Term.
A recent study sought to compare the effectiveness of surgical and conservative treatment for patients with a lumbar disk herniation in regards to sciatica symptom severity and quality of life. Researchers followed 370 lumbar disk herniation patients for 104 weeks and found that surgical treatment did not show a benefit over conservative treatment during long-term follow-up. The findings suggest that conservative care has the same long-term effects as surgery for lumbar disk herniation but with less cost and associated risk.
BMJ Open, December 2016

Wellness/Prevention: How to Avoid Feeling Tired.
If you’re not getting enough sleep and feel groggy when you wake up, you don’t need to turn to caffeine to stay awake. The National Sleep Foundation recommends the following to feel more alert: avoid alcohol before bed; set a sleep schedule, waking and going to sleep at the same time every day—even on weekends; set your alarm for the time you truly need to wake up; open the curtains to let in natural sunlight as soon as you wake; exercise daily; and eat a nutritious and balanced breakfast.
National Sleep Foundation, January 2017

Feb 23, 2017: 2 Spots Left this week:

2 Spots Left this week: We have just 2 spots open this week, 1 today (Feb 23) and 1 tomorrow (Feb 24). So if you want to get in this week please call asap 303.300.0424 or reply to this email.

Short week next week: Next week is a short week for us as I’ll be out on Thursday and Friday, March 2 and 3. Next week is filling up fast so please on our schedule before it is full.

Feb 6, 2017- Short week alert

I’ll be in just Monday-Wednesday this week as I’m taking Thursday and Friday off for my wife’s ACL reconstruction surgery. So call us ASAP if you want to see us. 303.300.0424

Who would you call? And This Week’s 1-Page Health News.

By now most of you who read these posts know that my wife blew out her ACL a couple of weeks ago and is having knee surgery soon to reconstruct it. But there’s a part of the story I haven’t shared yet.

When she went down on the slopes of Winter Park, I had a wife yelling in pain, 3 kids kind of freaking out, and I had no idea how to get a hold of the ski patrol. I sat there kind of dumbly watching other skiers and boarders going by hoping that maybe a ski school instructor would appear.

Luckily a good Samaritan stopped and had the ski patrol phone number on a laminated piece of paper in his pocket. I called from my phone and they were there in minutes. 

The moral of the story- know the number for the ski patrol where you are skiing or riding. We’re in the process of putting a card together for you all with the popular ski resorts’ patrol numbers on it. (Winter Park’s is 970.726.1480.)

 

Here is this week’s 1-Page Health News.

 

Diet: Are Low-Carb Diets Better for Weight Loss Than Low-Fat Diets?
Physicians at Mayo Clinic say that low-carb diets are slightly better than low-fat diets for weight loss, at least in the short term. An analysis of 41 trials that evaluated the effects of low-carb diets on weight loss showed that participants lost between 2.5-9 more pounds (1.13-4.08 kg) than those who followed a low-fat diet. Lead researcher Dr. Heather Fields adds, “The best conclusion to draw is that adhering to a short-term low-carb diet appears to be safe and may be associated with weight reduction.” However, she recommends that people who follow a low-carb diet should avoid highly processed foods, especially processed meats, such as bacon, sausage, deli meats, hot dogs, and ham.
The Journal of the American Osteopathic Association, December 2016

Exercise: Serious Yoga Injuries Are on the Rise, But Rare.
Yoga has become increasingly more popular in recent years and so have yoga-related injuries. According to a new report, nearly 30,000 Americans visited the emergency room for yoga-related sprains, fractures, or other injuries between 2001 and 2014. Despite rising injuries, experts say that overall, yoga appears relatively safe. They add that the potential gains from performing yoga, such as lower blood pressure, lower cholesterol, lower heart rate, and improvements in depression, anxiety, and sleep problems outweigh the risk of injury. Dr. Joshua Harris from the Houston Methodist Hospital comments, “My advice to people is to start slow, don’t push too hard, and find a good instructor who emphasizes proper form and technique.”
Orthopaedic Journal of Sports Medicine, December 2016

Chiropractic: You Can’t Blame Acute Low Back Pain on the Weather.
A recent study investigated the influence of various weather parameters on the risk of developing an episode of low back pain. Among a group of 981 patients with an acute episode of low back pain, researchers found that precipitation, humidity, wind speed, wind gust, wind direction, and air pressure did not increase the risk of onset for acute low back pain.
Pain Medicine, December 2016

Wellness/Prevention: Depression Hurts Smoking Cessation Efforts.
An analysis of data from a Czech smoking cessation clinic reveals that smokers with depression have a harder time quitting. The study included 3,775 patients and found that those with mild depression were 32% less likely to abstain from smoking for one year than those without depressive symptoms, while patients with severe depression were 43% less likely to quit.
Annals of Behavioral Medicine, December 2016

Fibromyalgia and the Immune System

Fibromyalgia (FM) is a condition with a polarized audience comprised of those who believe it’s real and those who don’t. This interesting political-like conflict is, in a large part, centered around the topic we discussed last month concerning the causes of FM. This month’s article will focus specifically on the immune system and its relationship to FM.

“EXTRA, EXTRA, READ ALL ABOUT IT! New research published on 12-17-12 in BMC Clinical Pathology describes cytokine abnormalities were found in FM patients when compared to healthy controls.” OK! But what does that mean?

Very simply, this study reports that immune dysfunction is part of the cause of FM. The most exciting part is that this study identified a BLOOD TEST (finally!) that, “…demonstrates value as a FM diagnostic tool.” Looking at this closer, the researchers used multiple methods to examine cytokine (proteins that help regulate our immune response) blood levels in FM patients. They found the FM group had, “…considerably lower cytokine concentration than the control group, which implies that cell-mediated immunity is impaired in fibromyalgia.” This study’s findings of an immune response abnormality strays from previous study findings which largely pointed to the central nervous system (CNS – brain & spinal cord) as the origin of the FM syndrome.

This makes some sense as the study of immunology (in this case, “neuroimmunology” – the combination of neurology and immunology) has only been around for about 10 years, and as such, may hold some important answers as more evidence is uncovered to further support this potential “paradigm shift” in considering the primary cause of FM. The authors offer further excitement as this focus could lead to a better understanding of the cause of other neurological conditions such as multiple sclerosis (MS)! They go on by describing how body temperature, behavior, sleep, and mood can all be negatively affected by “pro-inflammatory cytokines” (PIC) which are released by certain types of activated white blood cells during infection. PIC have been found in the CNS in patients with brain injury, during viral and bacterial infections, and in other neurodegenerative processes (like MS)!

To further support this advance in understanding, the National Institutes of Health (NIH) reported, “…Despite the brain’s status as an immune privileged site, an extensive bi-directional communication takes place between the nervous and the immune system in both health and disease.” They describe multiple signaling pathways that exist between the brain and the immune system that function normally throughout our lifetime. When immune, physiological, and psychological “stressors” occur, cytokines and other immune molecules stimulate interactions within the endocrine (our hormone) system, nervous system and immune system.

To prove this, brain cytokine levels go up following stress exposure and similarly go down when treatments are applied that alleviate stress. They list other conditions such as stroke, Parkinson’s, Alzheimer’s disease, MS, pain, and AIDS-associated dementia as being similarly affected as well. They also report that cytokines and other neuro-chemicals play a role in our neuro-development throughout our lifespan, help regulate brain development early in life and brain function throughout life, and how this all changes in the aging brain. There are also interactions of these immune chemicals that result in gender differences on brain function and behavior.

Needless to say, it will be very interesting to watch for additional developments along this line of research as it pertains to the FM patient and future treatment recommendations! Also, immune stimulation by chiropractic adjustments has been postulated as a benefit and this too may be better understood using this new research approach!

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

Car Accident injuries – Whiplash Facts

Whiplash is a slang term for cervical acceleration, deceleration syndrome, or CAD. There are facts and myths surrounding the subject of whiplash. Let’s look at some of the facts.

The origin of CAD. The history of CAD dates back to a time prior to the invention of the car. The first case of severe neck pain arose from a train collision around the time of 1919 and was originally called “railroad spine.” The number of whiplash injuries sharply rose after the invention of cars due to rear-end crashes.

Whiplash synonyms. As stated previously, the term “cervical acceleration-deceleration disorder, or CAD, is a popular title as it explains the mechanism of injury, where in the classic rear-end collision, the neck is initially extended back as the car is propelled forward, leaving the head hanging in space. Once the tissues stretch enough in the front of the neck, the head and neck flex forward very rapidly, forcing the chin towards the chest. This over stretches the soft tissues in the back of the neck. Another term for whiplash is WAD or, Whiplash Associated Disorders. In 1995, the Quebec Task Force categorized injuries associated with whiplash by the type of tissues that were found to be injured. Here, WAD Type I represents patients with symptoms/pain but normal range of motion and no real objective findings like muscle spasm. Type II includes injuries to the soft tissues that limit neck motion with muscle spasm but no neurological loss (sensation or muscle strength). WAD Type III includes the Type II findings plus neurological loss, and type IV involves fractures of the cervical spine.

Head rest facts: Prior to the invention of head rests, whiplash injuries were much more common and more serious because the head was propelled in a “crack-the-whip” like fashion. However, headrests are frequently not adjusted correctly; they are either too low and/or too far away from the head. If the seat back is reclined, this further separates the head from the headrest. The proper position of the head rest should be near the center of gravity of the head, or about 9 cm (3.5”) below the top of the head, or at minimum, at the top of the ears. Equally important is that it should be as close as possible to the back of the head. When the distance reaches 4” away from the head, there is an increased risk of injury, especially if it’s also set too low. When the headrest is properly positioned, the chances of head injury are decreased by up to 35% during a rear-end collision.

Seat back angle. The degree of incline of the seat back can also contribute to injury of the cervical spine. As stated above, as the seat is reclined, the head to headrest distance increases, furthering the chance for injury. A second negative effect is called “ramping.” Here, the body slides up the seat back resulting in the head being positioned over the top of the head rest. Also, the degree of “spring” of the seatback contributes to the rebound of the torso during the CAD process.

Concussion: The notion that the head has to hit something to develop a concussion is not true. Also, the idea that a loss of consciousness is needed to develop a concussion is also false. Simply, the rapid forward/backward movement of the head is enough force for the brain (which is suspended by ligaments) to literally slam into the inner walls of the skull and can result in concussion. The symptoms associated with concussion are referred to as post-concussive syndrome or, mild traumatic brain injury.

We realize you have a choice in where you receive your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Neck Pain Treatment Options

Neck pain is a very common problem. In fact, 2/3rds of the population will have neck pain at some point in life. It can arise from stress, lack of sleep, prolonged postures (such as reading or driving), sports injuries, whiplash injuries, arthritis, referred pain from upper back problems, or even from sinusitis! Rarely, it can be caused from dangerous problems including referred pain during a heart attack, carotid or vertebral artery injuries, or head or neck cancer, but these, as previously stated, are very uncommon. However, since you don’t know why your neck hurts, it’s very important to have your neck pain properly evaluated so the cause can be properly treated and not just covered up from the use of pain killers!

Barring the dangerous causes of neck pain listed above, treatment methods vary depending on whom you elect to consult. Classically, if you see your primary care physician, pharmaceutical care is usually the approach. Medications can be directed at reducing pain (Tylenol, or one of many prescription “pain killers”), at reducing inflammation and pain (Aspirin, Ibuprofen, Aleve, etc.), to reduce muscle spasms (like muscle relaxers) or, medications may be directed to reduce depression, anxiety, or the like. When a sinus infection affects the 2 deep sinuses (ethmoid and sphenoid sinuses which are located deep in the head), the referred pain is directed to the back of the head and neck. Here, an antibiotic may be needed and/or something specifically directed at allergies when present. In general, in cases that do not respond to usual chiropractic care, co-management with the primary care physician is a good option.

 

However, the good news is that chiropractic care usually works well, and the need for medication can be avoided since the side effects of medication can sometimes be worse than the benefits. Recently, The Bone and Joint Decade Task Force on Neck Pain published arguably the best review of research published between 2000 and 2010 regarding neck pain treatment approaches. They concluded that spinal manipulation and mobilization are highly effective for many causes of neck pain, especially when arising from the muscles and joints – the most common cause. Therefore it would seem logical to consult with a Chiropractor FIRST since manipulation and mobilization are so effective and safe. When we add neck exercises, the results are even better, according to some studies.

 

As chiropractors, we will often use different modalities including electric stimulation, ultrasound, hot and/or cold (which are usually given as a good home-applied remedy), and others. In particular, low level laser therapy (LLLT) has been shown, “…to reduce pain immediately after treatment in acute neck pain and up to 22 weeks after completion of treatment in patients with chronic neck pain” [Lancet, 2009; 374(9705)]. LLLT is a commonly used modality by chiropractors and when combined with spinal manipulation, the results can be even faster! We will also evaluate your posture, body mechanics, and consider “ergonomic” or work station problems and offer recommendations for improving your work environment. We also frequently utilize anti-inflammatory nutrients including vitamins, minerals, herbs, and more to avoid the negative side effects to the stomach, liver, and kidney negative that can result from using non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, or Aleve. Make chiropractic along with Active Release Techniques (ART) your FIRST choice when neck pain strikes, NOT last resort!

We realize that you have a choice in where you receive your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

“Harder than a Half-Ironman,” Dr. Glenn’s Race Report (pic), and the 1-Page Health News (w/video)

My friend and fellow Altitude Multisport club member Justin Chester summed up Xterra Beaver Creek perfectly, “That’s harder than a Half-Ironman!” I don’t know about that since I’ve never done a Half-Ironman. But I do know this: Beaver Creek, for such a posh place, serves up one tough off-road triathlon course. For the record, I did the Sprint version.

I’m never too focused to high-five my kids at the bike-run transition!

Overall, I had a good day. My swim was slower than last year, possibly related to my lack of swim training this year. I guess I shouldn’t have taken 7 months out the pool after last season? The bike and run were about the same as last year (maybe a tad slower). Overall I was only 4 minutes off of last year’s time. I’ll take it! Next up is Xterra Indian Peaks at Eldora ski resort this coming Saturday. That’s right, 2 Saturdays in a row.

Weekly Health Update
Week of: Monday, July 22th, 2013
“A healthy outside starts from the inside.”
~ Robert Urich

Mental Attitude: Obsessed With Forbidden Pleasures.
When individuals are forbidden from everyday objects, their minds and brains pay more attention to them. Obsession is not as strong if others are also denied. When an object is forbidden to a group, the allure of the object drops dramatically. This helps to explain why group diet programs can be more successful than dieting alone.
Cognitive, Affective and Behavioral Neuroscience, June 2013

Health Alert: Kids Poisoned.
Every 10 minutes a child in the United States is taken to the Emergency Room because of poisoning from swallowing a prescription or over-the-counter medicine. The most common drugs associated with children’s poisoning include those used to treat diabetes, high cholesterol (statins), pain (opioids), and cardiovascular diseases (beta blockers).
Pediatrics, June 2013

Diet: Soda, Illegal Drugs, and Teeth.
Drinking large quantities of soda can be as damaging to your teeth (tooth erosion) as methamphetamine and crack cocaine use. Tooth erosion occurs when acid wears away tooth enamel. Without enamel, teeth are more susceptible to developing cavities, as well as becoming sensitive, cracked, and discolored. The citric acid present in both regular and diet soda is known to have a high potential for causing tooth erosion. The ingredients used in preparing methamphetamine can include extremely corrosive materials such as battery acid, lantern fuel, and drain cleaner. Crack cocaine is also highly acidic in nature.
General Dentistry, June 2013

Exercise: Quantity Over Frequency?
A study of over 2,300 Canadian adults found that those who exercised 150 minutes over just a few days of the week received the same health benefits as those who spread out 150 minutes of exercise over the entire week.
Physiology, Nutrition, and Metabolism, June 2013

Chiropractic: Success!
A study compared the effectiveness of manual therapy (performed by a Chiropractor), physical therapy (performed by a Physical Therapist), and medical care (delivered by a Medical Physician) for patients with neck pain. The success rate at 7 weeks was twice as high for the chiropractic therapy group (68.3%) compared to the medical care group. Patients receiving chiropractic therapy had fewer absences from work than patients receiving physical therapy or medical care for their neck pain. Manual therapy and physical therapy also resulted in statistically significant less analgesic (pain relief medication) use.
Annals of Internal Medicine, 2002

Wellness/Prevention: Prevent Stress.
Among women who reported stress, 40% had psychosomatic symptoms in the form of aches and pain in their muscles and joints, 28% suffered from headaches or migraines, and 28% reported gastrointestinal complaints. (Note- I’m sure men would have reported even more complaints, as everyone knows women are the tougher gender.)
University of Gothenburg, June 2013

As always, thanks for reading,