Most Disabling Low Back Pain
Many people with sciatica find the pain to be so debilitating that they are forced to miss work and social gatherings. Among patients with lower back pain, those with sciatica experience the highest level of disability. According to public health records in Norway, patients with sciatica are disabled for an average of 72 days a year.
Study Finds Chiropractic Speeds Recovery
A recent study offers hope to patients suffering from sciatica pain. The new research suggests that chiropractic treatments may speed sciatica recovery, enabling patients to return to work faster. The researchers evaluated 44 Norwegian workers who had visited the hospital with severe sciatic pain. Most of the participants had been experiencing pain for at least three weeks before visiting the hospital.
In the hospital, a chiropractor evaluated each patient's posture, gait, range of motion, and palpation of the lumbar spine. The chiropractor then performed joint adjustments to the spine, in addition to other joints that had been injured as patients compensated for the pain. Soft tissue soreness was relieved with ice treatment. Patients received daily treatments while in the hospital, and then three times a week for a period of two weeks. Some patients also underwent additional follow-up treatments, but most did not receive more than 14 treatments.
Within 21 days, 91% of patients had returned to work full-time. An additional 2 patients were back at work part-time. The researchers concluded that the study demonstrates the potential benefit of chiropractic care for sciatica patients.
Help is Available
Dr. Dale Patrick has treated many patients with sciatica. If you are dealing with sciatica or low back pain, contact our office in Raleigh, NC (919-790-2288) to schedule a consultation with Dr. Patrick.
Reference: Arana E, Marti-Bonmati L, Vega M, et al. Relationship between low back pain, disability, MR imaging findings and health care provider. Skeletal Radiology 2006;35(9):641-7. Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30:135-139.
Back pain is bothersome enough when it only lasts a short time. When it keeps coming back or doesn't ever really go away, it can really change your life. This is where spinal adjustments provided by your chiropractor can help alleviate the initial pain and help to prevent its recurrence.
In addition to spinal adjustments, gentle exercise can play an important role in reducing the pain and lowering your risk of suffering repeated episodes of pain. Exercise is one of those things you can do to help yourself in the healing process. Research continues to prove the benefits of physical activity for back pain.
New research suggests people who participate in regular physical activity, whether low-intensity activity such as walking or more intense pursuits such as athletics, are less likely to suffer chronic low back pain compared to less-active people. In fact, according to the research, which reviewed 36 studies involving more than 150,000 people (none of whom had back pain at the start of their respective study), the risk of experiencing chronic low back pain was 14 percent lower for moderately active people and 16 percent lower for highly active people, compared to the least active people.
If you are having back pain, please contact Patrick Chiropractic in Raleigh (919-790-2288). Schedule a consultation with Dr. Dale Patrick to learn about the benefits of chiropractic and how staying active can not only help prevent back pain from becoming chronic, but also may help prevent it from happening in the first place.
What is Whiplash?
Whiplash is a severe injury to the vertebrae, muscles, or ligaments of the neck caused by a sudden forward and backward jerking of the head and neck. It is the most common injury following car accidents, usually happening in rear-end collisions, and causes long-term pain and stiffness in the neck. Other possible symptoms include back pain, headache, dizziness, and blurred vision.
A recent edition of the journal Spine offered an updated whiplash review from the Canada-based Quebec Task Force, and proposed regular reviews of known predictive factors. The review included 13 studies published since 1995. The studies revealed the most common predictors associated with delayed recovery. Patients with slower recovery times were most likely to be older and female, and to have initial head, neck, or other chronic pain.
Chiropractic Can Help
Doctors of chiropractic have the skills and training to effectively relieve the pain and other debilitating symptoms of whiplash by restoring your full range of motion, realigning your spine, and increasing the strength and flexibility of your neck muscles. If you experience the symptoms of a whiplash injury in a rear-end car accident - even at 5 mph - seek treatment immediately, no matter how minimal the pain. Don’t wait for the symptoms to go away: By avoiding treatment, you will only prolong your recovery and lower your quality of life.
Dr. Dale Patrick at Patrick Chiropractic in Raleigh has many years of experience treating patients who have suffered whiplash injury. Give our office a call today at 919-790-2288, and we can help you schedule a consultation with Dr. Patrick.
Cote P, Cassidy JD, Carroll L, et al. A systematic review of the prognosis of acute whiplash and a new conceptual framework to synthesize the literature. Spine 2001:26(19), pp. e445-e458.
Although this pain can start as a dull ache at work, if left unaddressed, it may develop into a repetitive motion injury or other serious disorder. Seeking early treatment can reduce your risk for developing these conditions. Studies suggest that chiropractic care can relieve and prevent carpal tunnel syndrome, back pain, and neck disorders associated with working.
Work-related Pain Study
To estimate the prevalence of musculoskeletal (MSK) conditions in office workers, researchers surveyed 91 employees who worked at a university office setting. The employees rated their pain and responded to questionnaires on job satisfaction and health.
Neck pain was the most common complaint, affecting 69.2% of workers. Lower back pain was the second most common (58.2%), followed by knee problems (41.8%), shoulder concerns (35.2%) and pain in the upper back (34%). People with MSK complaints were also more likely to be dissatisfied with their jobs. Wrist, shoulder, and low-back pain were most the significant predictors of poor job satisfaction.
Other recent research has shown that stressed, over-worked employees have an increased likelihood of suffering from back pain, headache, and shoulder problems. Stress of course isn't the only thing causing musculoskeletal pain. Poor posture, unhealthy work stations, and previous musculoskeletal injuries can exacerbate the risks associated with repetitive motions or long hours hunching over a computer.
Doctors of chiropractic can create treatment plans that address the multifaceted nature of work-related pain. Not only do chiropractors work to correct dysfunctions in the joints and spine, they'll also help you identify appropriate preventive measures through posture correction, ergonomic training, and exercise therapy. Some studies suggests that chiropractic adjustments may also improve your body's response to inflammation and stress, providing you with protective benefits against further MSK injuries.
If you need relief from musculoskeletal pain, please contact Patrick Chiropractic in Raleigh at 919-790-2288 to set up a consultation with Dr. Dale Patrick.
Loghmani A, et al. Musculoskeletal symptoms and job satisfaction among office-workers: A Cross- sectional study from Iran. Acta Medica Academica 2013;42(1):46-54. doi: 10.5644/ama2006-124.70.
Everything Is Connected
Back pain is very seldom limited to the back, especially if it goes untreated for too long. Many patients also report that they start to develop problems with their legs and hips over time.
In the noted study, researchers set out to see if there was a correlation between reported low back pain and future osteoarthritis related problems such as hip or knee trouble. The population-based cohort study indicated that there was a higher incidence of hip osteoarthritis in patients with previously reported low back pain. They did not find a significant correlation with low back pain and future osteoarthritis of the knee joints.
Address the Cause of Back Pain
Though there could be a bigger risk for you to have hip troubles later in life if you suffer from low back pain now. This is not set in stone provided you take measures to care for your lower back as well as your overall bone and muscle health.
Primarily, you need to address whatever is causing your low back pain so it doesn't lead to problems with your hip joints due to overcompensation and unusual wear and tear. Spinal adjustments can help realign the spine and diminish future degeneration of your lower back.
Remember that a strong body can better resist injury and degeneration. Cardio, strength training, balance exercises and stretching for flexibility can keep your body strong and at ideal body weight. Good nutrition is also important to keep you strong and healthy.
We Can Help
If you are having low back pain, it's time to take care of yourself now to help prevent additional health problems in the future. Contact Patrick Chiropractic in Raleigh at 919-790-2288 to schedule a consultation with Dr. Dale Patrick.
Stupar M, Cote P, French MR, Hawker GA. The Association Between Low Back Pain and Osteoarthritis of the Hip and Knee: A Population-Based Cohort Study Journal of Manipulative and Physiological Therapeutics 2010;33(5):349-54.
Article provided by Ernst Chiropractic editorial staff
What Is Thoracic Outlet Syndrome?
Thoracic outlet syndrome is felt as numbness, tingling, pain or decreased circulation in the shoulders, arms or hands. The thoracic outlet is a bottleneck where an important bundle of nerves and blood vessels travel between the head and arm. The space is narrow and injury to the neck can cause inflammation of the muscles in the area, which can compress the nerves and result in symptoms.
Because the neck is complex, it can be tricky pinpointing the exact source of your pain, and other conditions can mimic the symptoms of thoracic outlet syndrome.
Chiropractic Can Help
If you are having numbness, tingling, pain or decreased circulation in your shoulders, arms or hands, contact Patrick Chiropractic in Raleigh at 919-790-2288 today. Dr. Dale Patrick can help to find the root cause of your pain and develop a treatment plan to get you on the path to reclaiming your health. Chiropractic care is a very good option for treatment thoracic outlet syndrome.
Article provided by Ernst Chiropractic editorial staff
You may be able to avoid surgery for back pain, according to an article published in the Journal of the American Medical Association (JAMA). The article was written to educate the public about back pain, and suggested that patients seek chiropractic and other conservative back-pain treatment before taking more invasive measures. The article notes that surgery is not usually needed for treating back pain and should only be considered when other conservative methods fail.
This recommendation reinforces what the American Chiropractic Association (ACA) teaches patients, as well. It is best to avoid surgery for back pain; instead, chiropractic should be the first line of defense against musculoskeletal pain.
The article has been published online on the JAMA patient page titled "Low Back Pain," and discusses the causes, symptoms, diagnosis, treatment options, and prevention of low-back pain. The doctors who wrote the article go on to explain that the back is comprised of bones, nerves, muscles, and soft tissues like ligaments and tendons. Back pain can be a result of problems with any of these structures. Because chiropractors are neuro-musculoskeletal experts, they are well equipped to manage and prevent low-back pain.
In an interview about the JAMA article, ACA President Keith Overland, DC, said that he and his colleagues at ACA were encouraged to see chiropractic suggested for back-pain treatment. He confirmed that in many cases, back pain can be alleviated without the use of drugs or surgery, "so it makes sense to exhaust conservative options first."
Another reason to avoid surgery for back pain is related to cost of care. savings. Chiropractic costs less than conventional health care so it makes sense for reducing health-care costs. Dr. Overland went on to say, "Research confirms that the services provided by chiropractic physicians are not only clinically effective but also cost-effective, so taking a more conservative approach at the onset of low back pain can also potentially save both patients and the health care system money down the line."
If you have low-back pain, follow the advice of these reputable medical communities. See a chiropractor first. If you live in the Raleigh, NC area, contact Patrick Chiropractic at 919-790-2288 to schedule an appointment with Dr. Dale Patrick.
American Chiropractic Association. JAMA suggests chiropractic for low back pain. Businesswire May 8, 2013. businesswire.com.
Goodman D, Burke A, Livingston E. Low back pain. JAMA Patient Page April 24, 2013; 309(16): 1738. doi:10.1001/jama.2013.3046.
Article provided by Ernst Chiropractic editorial staff
One particular research study involved 27 people, 8 male and 19 female, who had magnetic resonance imaging (MRI) confirming a disc herniation in either their neck or lower back. The subjects documented that they were experiencing pain, reduced range of motion, and sensory problems bad enough to keep them off work.
During the course of the research period, the individuals were treated using one of two common chiropractic techniques: traction for herniated discs in the cervical area or flexion distraction for the people who had herniation issues in the lumbar area.
Each person was seen four or five times per week for the first two weeks, then three times each week, and then as needed for the remainder of the study. Based on the severity of the disc herniation, therapy ranged anywhere from six weeks to six months, with MRIs being carried out at various stages to identify what impact, if any, the chiropractic care was having in regard to the disc herniation.
The investigators reported that 80 percent of the participants obtained a "good clinical outcome" with chiropractic for disc herniation pain, meaning they experienced reduced pain and a reduction in other symptoms, such as numbness. Additionally, 77 percent of these individuals also showed MRI evidence that their disc herniation was either reduced or resolved completely. This resulted in 78 percent of the study participants being able to return to their place of work and led the authors to conclude that chiropractic adjustment is both "safe and helpful" for disc herniation.
If you live in the Raleigh, NC area, please consider Patrick Chiropractic to treat your disc herniation pain. Give our office a call today at 919-790-2288 to learn more about the benefits of chiropractic for disc herniation.
BenEliyahu, DJ. Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations. Journal of Manipulative and Physiological Therapeutics 1996;19(9):597-606.
(Article provided by Ernst Chiropractic editorial staff)
Studies show that chiropractic care can:
- Ease the pain of aging in adults with scoliosis, spinal degeneration, and osteoarthritis in the knee, hip, and hands
- Heal damaged nerves causing the radiating pain associated with disc herniation, sciatica, carpal tunnel syndrome, and more
- Decrease pregnancy-related pelvic and back pain
- Reduce patient reliance on pain medication to manage migraines and cervicogenic headaches
- Improve recovery from auto injuries like whiplash, neck pain, TMJ disorders, and tinnitus
- Treat and prevent sports injuries like muscle strains and injuries to the shoulders, back, and lower limbs
- Soothe symptoms of fibromyalgia
But chiropractic can do more than provide pain relief. Chiropractic is whole body wellness - it can improve your overall health and well being. Research suggests that chiropractic care can:
- Boost immunity
- Reduce stress hormones
- Lower blood pressure
Although dozens of scientific studies have examined the many benefits of chiropractic care, the best way to discover that chiropractic is whole body wellness is to experience it firsthand. So take the plunge and call Patrick Chiropractic in Raleigh, NC (919-790-2288) to schedule a consultation with Dr. Dale Patrick. Find out for yourself that chiropractic is whole body wellness.
Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. The Spine Journal 2010; 10: 117-128.
Tuchin P, Pollard H, Bonello R. A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics 2000; 23 (2): 91-95.
Jull G, Trott P, Potter H, et al. A randomized controlled trail of exercise and manipulative therapy for cervicogenic headache. Spine 2002; 27(17):1835-1843.
Dizziness Lystad RP, Bell G, et al. Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. Chiropractic and Manual Therapies 2011;19(1):21
Alcantara J, Plaugher G, Klemp DD, Salem C. Chiropractic care of a patient with temporomandibular disorder and atlas subluxation. Journal of Maniuplative and Physiological Therapeutics 2002; 25(1):63-70.
DeVocht JW, Schaeffer W, Lawrence DJ. Chiropractic treatment of temporomandibular disorders using the activator adjusting instrument and protocol. Alternative Therapies in Health and Medicine 2005; 11(6):70-3.
Bronfort G, Evans R, Anderson A, Svendsen K, Bracha Y, and Grimm R. Spinal Manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial. Annals of Internal Medicine 2012; 156 (1): 1-10.
Woodward MN, Cook JCH, Gargan MF, Bannister GC. Chiropractic treatment of chronic ‘whiplash’ injuries. Injury: International Journal of the Care of the Injured 1996;27(9):643-645.
Boyles RE, Ritland BM, Miracle BM, Barclay DM, Faul MS, Moore JH, et al. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Manual Therapy 2009;14:375–80
Balthazard P, et al. Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. BMC Musculoskeletal Disorders 2012; 13: 162. doi:10.1186/1471-2474-13-162.
Cifuentes M, Willetts J, Wasiak R. Health maintenance care in work-related low back pain and its association with disability recurrence. Journal of Occupational and Environmental Medicine 2011; 53(4): 396-404.
von Heymann W, Schloemer P, et al. Spinal HVLA-manipulation in acute nonspecific LBP: A double blinded randomized controlled trial in comparison with diclofenac and placebo. Spine 2012; doi: 10.1097/BRS.0b013e318275d09c.
Teodorczyk-Injeyan JA, McGregor M, Ruegg R, Injeyan HS. Interleukin 2-regulated in vitro antibody production following a single spinal manipulative treatment in normal subjects. Chiropractic & Osteopathy 2010; 18:26.
Bakris G, Dickholtz M, Meyer PM, Kravitz G, et al. Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study. Journal of Human Hypertension 2007;21:347-352.
Ogura, Takeshi and Manabu Tashiro, Mehedi,Shoichi Watanuki, Katsuhiko Shibuya, Keiichiro Yamaguchi, Masatoshi Itoh, Hiroshi Fukuda, Kazuhiko Yanai. Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain. Alternative Therapies. 2011; 17 (6): 12-17.
Carpal Tunnel Syndrome/Wrist Pain
De-la-llave-Rincon, A. Response of pain intensity to soft tissue mobilization and neurodynamic technique: a series of 18 patients with chronic carpal tunnel syndrome. Journal of Manipulative and Physiological Therapeutics 2012; doi:10.1016/j.jmpt.2012.06.002.
Pollard H, Ward G, Hoskins W, and Hardy K. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. The Journal of the Canadian Chiropractic Association 2008; 52(4):229-42.
Brantingham JW, Globe GA, Cassa TK, et al. A single-group pretest posttest design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 18 patients with hip osteoarthritis. Journal of Manipulative and Physiological Therapy 2012; 33(6): 445-57
Villafañe JH, Silva GB, and Chiarotto A. Effects of passive upper extremity joint mobilization on pain sensitivity and function in participants with secondary carpometacarpal osteoarthritis: a case series. Journal of Manipulative and Physiological Therapeutics 2012; 35(9): 735-42.
Morningstar, Mark W. “Outcomes for adult scoliosis patients receiving chiropractic rehabilitation: a 24-month retrospective analysis.” Journal of Chiropractic Medicine 2011; 10: 179-184.
McMorland G, Suter E, Casha S, du Plessis SJ, Hurlbert RJ. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics 2010; 33(8): 576-584.
Howell ER. Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation:two case reports. Journal of Canadian Chiropractic Association 2012; 56 (2):102-111.
Sacroiliac Joint Dysfunction
Kamali, Fahimeh and Esmaeil Shokri. The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome. Journal of Bodywork and Movement Therapies 2012; 16: 29-35.
Christensen KD, Buswell K. Chiropractic outcomes managing radiculopathy in a hospital setting: a retrospective review of 162 patients. Journal of Chiropractic Medicine 2008; 7 (3): 115-25.
Rodine RJ, Vernon H. Cervical radiculopathy: a systematic review on treatment by spinal manipulation and measurement with the Neck Disability Index. Journal of the Canadian Chiropractic Association 2012;56(1):18-28.
Panton LB, Figueroa A, Kingsley JD, et al. Effects of resistance training and chiropractic treatment in women with fibromyalgia. Journal of Alternative and Complementary Medicine 2009;15(3):321-328.
Article provided by Ernst Chiropractic editorial staff
The benefits of chiropractic care for back and neck pain are well-established. A 2013 survey involving 651 adults who were suffering with either back or neck pain found that the individuals who didn't see a chiropractor missed work at twice the rate of those who were seeing a chiropractor.
So, why don't more people use chiropractic care?
According to the participants in this study, two of the primary reasons were that they thought they needed a referral for chiropractic care (which is typically no longer true), and they overestimated the costs associated with chiropractic treatment sessions by almost 70 percent.
The truth is, chiropractic patients actually spend less on care than medical patients, plus they are less likely to use drugs for their symptoms. Chiropractic can treat specific issues with back and neck pain as well as improve your overall health and well-being.
If you live in the Raleigh, NC area, Patrick Chiropractic is here to provide excellent chiropractic care. Give our office a call today at (919) 790-2288 to schedule an appointment with Dr. Dale Patrick. We'll do our best to help you on your way to pain relief and better health.
"Thousands of Minnesotans with Back and Neck Pain Don't Seek Treatment." (2013, June 12). ChiroCare.