The Great Challenge: Chiropractic Adjustments vs. Acupuncture vs. NSAIDs!

Wouldn’t it be nice if we could assess three common types of treatment for neck and back pain to determine which is the most effective? Here is a look at three studies that compared three popular forms of care for chronic spinal pain to determine the short-term and more importantly, the LONG-TERM benefits of chiropractic manipulation, acupuncture, and non-steroid anti-inflammatory drugs (NSAIDs, like Advil).

The FIRST published study included a pilot group of 77 patients complaining of chronic spinal pain (neck, mid-back, or low-back pain). These patients were separated into one of the three treatment groups and received either NSAIDs, acupuncture, or chiropractic manipulation. Patients received care for four weeks with outcome measures (questionnaires) used to assess changes in pain and disability. After a 30-day time frame, only patients who received chiropractic manipulation (CM) reached a level of statistically significant improvement, supporting CM to offer the best SHORT-TERM BENEFITS for those with chronic back/neck pain.

The SECOND study included 115 patients, again randomized, to receive either one of the same three treatments, but this time the outcome data was gathered two, five, and nine weeks after the start of treatment. Again, those who received chiropractic manipulation (CM) experienced the best overall improvement at nine weeks.

The THIRD study involved follow-up from the same patient group from the SECOND study two years later. Once again, participants completed outcome assessments that measure pain and disability. This time, the results showed that only patients in the chiropractic manipulation group maintained long-term improvements in pain and disability.

There have been other studies looking at the efficacy and benefits of SMT (spinal manipulative therapy) both in comparison with other forms of care (as presented here) as well as with different conditions or diagnoses. Perhaps the most exciting results were published in 2008 by the International Bone and Joint Decade 2000-2010 Task Force on Neck Pain. They divided patients into four groups (Group 1: Neck pain with little to no interference with activities of daily living – ADLs; Group 2: Neck pain that limits ADLs; Group 3: Neck pain with radiculopathy or radiating arm pain from a pinched nerve; Group 4: Neck pain with serious pathology such as cancer, fracture, infection, and/or systemic disease.) The researchers concluded that chiropractic care was highly recommended especially in Grades 1 and 2 (which includes the majority of neck pain sufferers). Interestingly, many multidisciplinary physician groups now incorporate chiropractic care as part of their “team” approach, which also offer pain management in the form of medications, injections, PT, and when necessary, surgery. They have seen the value of spinal manipulation for neck pain and often seek out chiropractic because it’s safe, beneficial, and cost 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 or headaches, we would be honored to render our services.  Visit http://www.olsonchiropracticcenter.com for more information.

Subluxation and Chiropractic | Yankton Chiropractor | Brian Olson DC

http://spine-health.us1.list-manage.com/track/click?u=f93264af165d7fb7124f7a963&id=17d25e9ebc&e=ef21330115

http://www.olsonchiropracticcenter.com

Get To Know Chiropractic | Yankton Chiropractor | Brian Olson DC

http://www.olsonchiropracticcenter.com

Chiropractic Cartoon | Yankton Chiropractor | Brian Olson DC

Visit http://www.olsonchiropracticcenter.com for more information.

What Kind of Headache Do I Have Part 2 | Yankton Chiropractor | Brian Olson DC

Last month, we discussed three types of headaches: Tension Headache (the most
common), Cluster Headaches (a vascular headache – less common, short duration
but REALLY painful), and Sinus Headaches. Migraine headaches were discussed the
month before last. In keeping with the theme, ONE more headache type will be
discussed: Rebound Headaches, followed by anti-inflammatory herbal remedies, and
finally, “Headache Triggers.”

Rebound headaches are the result of pain killer overuse. Of course, one would
think of pain killers like aspirin, acetaminophen (Tylenol), or ibuprofen
(Advil, Motrin, Nuprin, etc.) as well as many prescription drugs as being
“friendly” and commonly reached for when a headache or any other ache or pain
occurs. But, as the old saying goes, “…too much of a good thing can be bad!”
These culprits, instead of helping, can actually hurt you! One theory for the
cause of rebound headaches is that too much of these meds can cause the brain to
shift into an excited state that triggers the headache. Another theory is that
these headaches result from too sudden of a drop of the medicine in the
bloodstream, which would only occur if the medication was being taken at a high
dose for a relatively long period of time. According to the Migraine Research
Foundation, EVERY 10 SECONDS, someone in the United States goes to the emergency
room with a migraine or headache due to the intense pain, severe nausea or
dehydration, drug interactions, or side effects from headache medications! DON’T
BE ONE OF THEM!!!

As mentioned last month, PLEASE FIRST try an anti-inflammatory herb like ginger
(Zingiber officinale), turmeric (Curcuma longa), Feverfew, passionflower
(Passiflora alata), Peppermint (menthe piperita), ginko (ginko biloba), caffeine
(Coffea Arabica), black or green tea, Valerian (Valeriana officinalis),
Coriander Seed (Coriandrum sativum), Dong Quai (Angelica sinensis), Lavender Oil
(Lavandula angustifolia), Rosemary (Rosmarinus officinalis), Lime or Linden
(Tilia spp.), horseradish (Armoracia rusticana), honeysuckle (Lonicera
japonica), and more!

So what triggers headaches? Here are a few of the more commonly researched
triggers: weight [in females, a BMI of 30 (mild obesity) = 35% greater risk, and
BMI of 40 (“severe obesity”) = 80%]; personality (traits such as rigidity,
reserve, and obsessivity); “let-down” or weekend headaches (breaking your
routine, like staying in bed until noon); odors and fumes (e.g., fresh paint);
dehydration (drink water AND eat fruits / veggies to get more water); skipping
meals (hunger is a common trigger); physical exertion (certain sports like
running, weight lifting); too much caffeine (small amounts help, but too much
can trigger headaches); inactivity (sedentary lifestyles trigger – 30 min./day
cardio, 5x/week is ideal); sleep deprivation (those averaging six hours have
more frequent & severe headaches); and certain foods like red wine, beer, MSG,
chocolate, aged cheese, sauerkraut, and processed meats like pepperoni, ham, and
salami. Foods that can reduce headaches include those high in magnesium—spinach,
tofu, oat bran, barely, fish oil, olive oil, white beans, sunflower, and pumpkin
seeds. In addition to GOOD CHIROPRACTIC CARE, headache management requires a
multidimensional approach for best results!

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.  Visit www.olsonchiropracticcenter.com for more information.

What Kind of Headache Do I Have? | Yankton Chiropractor | Brian Olson DC

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.  Visit http://www.olsonchiropracticcenter.com for more information.

Acupuncture - Part 1 - What is Acupuncture | Olson Chiropractic Center | Yankton, SD

Visit http://www.olsonchiropracticcenter.com for more information.

Cervicogenic Headache - Results of Electrical Nerve Stimulation vs. Manipulation

A recent study (Li C, Xiu-ling Z, Hong D, Yue-qiang T, Hong-sheng Z. Comparative study on effects of manipulation treatment and transcutaneous electrical nerve stimulation [TENS] on patients with cervicogenic headache J Chin Integrat Med 2007;5(4)DOI:10.3736/jcm20070408) compared alternative treatments for patients suffering from cervicogenic headaches, headaches related to/caused by your neck. Patients will typically have pain with neck motion and also limited mobility. There may also be a history of a neck injury such as a whiplash or head trauma. The study of seventy patients was randomized to minimize bias. Patients either had TENS (nerve stimulation) or manipulations. They were given treatments every other day for forty days (about 20 visits). After treatments, patients’ pain scores were compared. The group receiving manipulations had significant reductions in the headache pain score, the frequency (how often) of headaches, and the duration of the headaches. There was a 94.5% response in the manipulation group compared to 64.5% in those patients getting nerve stimulation. If you get headaches after your neck begins to give you trouble (pain, stiffness), then this could indicate you have a cervicogenic headache. Also, many patients do not fit neatly into categories that scientists and doctors conjure up. Many patients with migraines and tension-type headaches will complain of neck pains and problems. These types of headaches also respond favorably to chiropractic care applied to mechanical problems/subluxations in the neck when studied in randomized clinical trials. There are also fewer side effects when compared to drug treatments. In Chiropractic, we direct treatment to the cause-the mechanical problem/subluxation in your neck. Drugs and surgery are ineffective options for these mechanical-types of problems. Chiropractic care has a low-risk safety profile, especially when compared to long-term drug use or surgery. As seen in the study above, electrical nerve stimulation (TENS) to block pain is relatively safe, but it also appears less effective than manipulations in combating headache pain from the neck. After a thorough diagnosis, including x-rays, we can determine if it is indeed a neck problem that may be causing your headaches. We study small changes in the alignment of the vertebrae, as well the posture of the neck curve. Mobility tests are used to see if the joints are moving fully and symmetrically. Visit www.olsonchiropracticcenter.com for more information.

Low Back Pain (...or is it?)

Have you ever had leg pain and immediately blamed your low back? Me too! Many patients (and unfortunately, many doctors) conclude this to be “sciatica” or a “pinched nerve.” When this diagnosis is wrong, it can lead to an inappropriate type of treatment, delaying appropriate care, or worse, it may result in death due to a missed diagnosis of a blood clot. There is currently a government campaign seeking to warn the public about this hard-to-diagnose ‘silent killer.’ Here’s the news flash that was recently released (updated 8:28 a.m. CT, Mon., Sept. 15, 2008): “WASHINGTON - Far too many Americans are dying of dangerous blood clots that can masquerade as simple leg pain, says a major new government effort to get both patients and their doctors to recognize the emergency in time.” “It’s a silent killer. It’s hard to diagnose,” said acting Surgeon General Dr. Steven Galson, who announced the new campaign Monday. “I don’t think most people understand that this is a serious medical problem or what can be done to prevent it.” Blood clots make headlines when seemingly healthy people collapse after prolonged sitting, such as long airplane flights or being in similarly cramped quarters. Vice President Cheney suffered one after a long trip last year. NBC correspondent David Bloom died of one in 2003 after spending days inside a tank while covering the Iraq invasion. According to the Surgeon General’s new campaign, there are about 100,000 deaths associated with blood clots each year. Risk factors include increasing age (especially over 65), recent surgery or fracture, falls, car crashes, prolonged bed rest, smokers, obesity, pregnancy, and hormone replacement drugs including birth control pills. Other less controllable causes can include genetic conditions so it is important to tell your doctor if a relative has ever suffered a blood clot. People with these factors should have “a very low threshold” for calling a doctor or even going to the emergency room if they have symptoms of a clot, said Galson, who issued a “call to action” for better education of both consumers and doctors, plus more research. Symptoms include swelling; pain, especially in the calf; or a warm spot or red or discolored skin on the leg; shortness of breath or pain when breathing deeply. Unfortunately, studies suggest only a third of patients who need protective blood thinners for major surgery get them. And patients can even be turned away despite telltale symptoms, like what happened to Le Keisha Ruffin just weeks after the birth of her daughter, Caitlyn. In her case, after being turned down by several visits to the doctor and ER, only after a very hot bath did her leg swell to 3-4 times its normal size, tipping off the doctors to make the right diagnosis. Don’t wait for your medical doctor or our office to make the diagnosis if you’re suspicious of a blood clot. Ask us if it’s a possibility. Rest assured that we have been properly trained to diagnose this condition and we work with other health care providers when needed. Visit www.olsonchiropracticcenter.com for more information.