You may find this shocking, especially if you take Tylenol — also known as acetaminophen or paracetamol — in an effort to relieve your back pain. A new study in The Lancet (July 24, 2014) begins with, “Regular paracetamol is the recommended first-line analgesic for acute low-back pain; however, no high-quality evidence supports this recommendation. We aimed to assess the efficacy of paracetamol taken regularly or as-needed to improve time for recovery from pain, compared with placebo in patients with low-back pain.”
Wow. It’s 2014 and acetaminophen is often the first thing recommended for low-back pain, and there is no scientific evidence it helps.
What did the study discover? Using data from 235 primary care centers in Australia collected between 2009 and 2013, the researchers write, “Our findings suggest that regular or as-needed dosing with paracetamol does not affect recovery time compared with placebo in low-back pain, and question the universal endorsement of paracetamol in this patient group.”
Popular Pain Medication No Better Than a Placebo…
6 NovWho Would Kick a Paralyzed Man Out of His Wheelchair and Steal His Surf Boards? The Amazing Part is What Happened Next…
4 NovWe like to think we live in a world filled with good, caring people. Yet, each day the cable news channels are filled with the worst of what society has to offer. Does this mean most people are mean, nasty murderers and criminals? No, it does not. It simply means that’s what gets ratings and makes the television networks money.
That’s why watching the news can make even the happiest person feel depressed in no time. But every now and then, the networks give us a gift and show an amazing story – an uplifting tale that makes up for all the negativity.
This is one of those stories, but it doesn’t start out that way…
In fact, it starts by showing the worst side of humanity.
In 2007, a man named Randy Abbott went in for a simple surgery, a micro lumbar discectomy, and his life changed forever.
During the procedure, there were complications and the surgeon partially cut his spinal cord, paralyzing Randy from the waist down. The damage also caused arachnodidise, dystonia, reflex sympathetic dystrophy syndrome (RSD), and a constant headache that will never go away.
Randy spent two and a half years in the hospital and underwent several additional surgeries. Over and over, his doctors told him all the things he would never be able to do. Randy told them this was not the life he had worked so hard for and this was not the life he wanted. He had big plans and dreams and living the rest of his life in a wheelchair was not one of them.
He thought about calling it quits. But, then he said he heard a voice in his head say, “If you want to throw in the towel, I understand. It’s OK. I understand that you think your life is over and nothing good can come out of it. But before you throw it away, think about something. At this moment, you are drowning in fear and uncertainty. If you get back to living in the moment, have faith, and stop looking at everything as being problems without answers, you are going to have a great life.”
Right then and there, Randy decided to lead a great life. The first thing he did was forgive the surgeon who injured his spinal cord, then he told his doctors that he was taking charge of his medical care. They were giving him limitations based on statistics. Well, he was not a statistic and was not going to be treated like one.
By 2012, Randy was doing a lot of things his doctors told him he could not. One of those things was surfing, which was made possible when his friends designed and made him a special wheelchair and surfboards. He surfs three to four days a week and also teaches disabled kids how to surf. Randy grew up surfing and being able to surf again was amazing.
Then the worst of humanity reared its ugly head…
In July this year, Randy returned to his vehicle and found two men cutting his surf boards off the roof of his car to steal them. Randy, in his wheelchair, yelled, “Hey, I’m paralyzed. Don’t steal my surfboards!” The two men attacked him, knocked him to the ground, and ran off with his three surf boards.
Professional surfer Rob Machado tweeted about it, and the story went viral. Randy said he got over 500 text messages of support from people all over the world whom he did not even know. They told him not to worry about his surf boards because they are going to get him new ones. Quickly, two out of the three stolen boards were recovered. But they were heavily damaged. Local surfer Christopher Tomlin heard what happened and gave Randy three of his own boards while two new ones were being made.
The real news story wasn’t that two thugs robbed a guy in a wheelchair. No, the real story here is Randy’s drive to never let his disability place limits on his dreams and the outpouring of support he received from complete strangers who were moved by his story. Maybe sometimes watching the news isn’t such a bad thing.
New Studies Show Stem Cell Treatments May Grow Back Damaged Nerves and Maybe Even Teeth!
3 NovOne thing is for sure, scientific discoveries and advancements have dramatically changed our lives. Not too long ago (about 20 years), only a few people owned a cell phone. Now, imagine leaving your house without one — you would probably have a panic attack!
Heck, they are not even “cell phones” any more. They are smart devices that are much more powerful than the computers we used to use at home just a few years back.
But, there are two sides to the coin. Some say this “progress” is not all good and many people are addicted to their devices and are becoming anti-social. One article states that a majority of people polled liked their fake Facebook life better than their real one. Is Facebook the problem, or the people using it?
Things that have the power for good can also be used for bad. This is not a judgment on the technology, just on how it is used.
For example, if there was technology available that could grow back the spinal cord of a paralyzed person, would that be a good thing?
Or, how about this: If the next time you have a bad tooth, instead of doing a root canal or pulling it out, what if your dentist could actually re-grow a replacement using your own tissue?
Would You Be Interested?
New research indicates that both may be a possibility in the not too distant future.
First, the spinal cord study: Scientists at the University of California, San Diego School of Medicine and Veteran’s Affairs, San Diego Healthcare System report that: “Neurons derived from human induced pluripotent stem cells (iPSC) and grafted into rats after a spinal cord injury produced cells with tens of thousands of axons extending virtually the entire length of the animals’ central nervous system.”
According to the scientists, the human iPSC-derived axions traveled through the white matter of the injury sites and often into the gray matter to form synapses (connections) with the rat neurons. The rat axons did the same thing with human iPSC grafts.
Senior author Mark Tuszynski, MD, PhD, Professor of Neurosciences and Director of the UC San Diego Center for Neural Repair, writes, “These findings indicate that intrinsic neuronal mechanisms readily overcome the barriers created by a spinal cord injury to extend many axons over very long distances, and that these capabilities persist even in neurons reprogrammed from very aged human cells.”
In other studies, grafted stem cells have formed new functional circuits across an injury site. Animals treated this way have experienced some restored movement in the affected limbs.
While There is Potential for Good,
There is Also Potential for Harm…
Dr. Tuszynski warns about moving this research to human therapy too quickly: “The enormous outgrowth of axons to many regions of the spinal cord and even deeply into the brain raises questions of possible harmful side effects if axons are mis-targeted. We also need to learn if the new connections formed by axons are stable over time, and if implanted human neural stem cells are maturing on a human time frame – months to years – or more rapidly. If maturity is reached on a human time frame, it could take months to years to observe functional benefits or problems in human clinical trials.”
Tuszynski states that 95% of human clinical trials fail, so they are trying to do as much as possible to identify the best way to forge ahead with complete information to give themselves the best possible chance at success with human subjects. If they do not take their time and do it right, their work will probably just result in another failure.
Can Stem Cells Re-Grow Teeth?
Maybe. A new study published in Science Transitional Medicine claims that a lower-powered laser can trigger stem cells in teeth to form dentin.
Dentin is the yellowish tissue that makes up the bulk of teeth. It is harder than bone but softer than enamel.
Secondary dentin, a less well-organized form of tubular dentin, is produced throughout life as a patching material where cavities have begun to form, where the overlying enamel has been worn away, and within the pulp chamber as part of the aging process.
Scientists have figured out that a blast of laser light induces some chemically active molecules to activate a growth factor that stimulates dentin growth.
Previous studies have regenerated parts of a tooth in the laboratory, but the hopes are this laser procedure will do it right in a patient’s mouth.
In this study, researchers said the low-powered laser (LPL) treatment demonstrated significant increase in dentin regeneration in rat teeth.
Will it Work with Human Teeth?
It may seem like a short bridge to cross between rat teeth and human teeth, but this may not be the case.
Rat teeth have evolved to take more physical abuse and thus may have more natural regenerative abilities than human teeth.
In fact, rodents have two continuously growing incisors in the upper and lower jaws, which must be kept short by gnawing.
More studies need to be done before it will be known if this LPL treatment can replace some dental treatments, so don’t put off that visit to the dentist and stop taking care of your teeth just yet.
Advancements in science seem to be coming every day, but don’t gamble with your smile!
5 Facts You Should Know About Whiplash
12 OctMany people seek chiropractic care for low back, mid-back, neck pain, and pain in the extremities, but what about balance and / or dizziness, as they often go together? Can chiropractic management help people suffereing from frequent falls due to balance and/or dizziness problems? Let’s take a look!
When considering treatment for balance, we must talk about the “proprioceptive system.” The way the body “communicates” between all the various body parts is by proprioceptors, which are located in skeletal muscles and joint capsules, and these relay information to the brain. This information from the various body parts is then integrated with incoming information from the vestibular system (inner ear). The brain also relies heavily on the cerebellum located in the back of the head, which is largely responsible for coordinating the unconscious (automatic) aspects of proprioception. The ability to maintain balance, such as when standing on one leg (eyes open and closed), is dependent on the ability for the ALL THREE of these systems to work properly, and like any other skill, “…practice makes perfect!” Please try standing on one leg and then shut your eyes. Can you feel your ankle, foot, leg, and the rest of your body struggle to keep you balanced? For those of us under age 60, it’s “normal” to be able to balance on one foot with eyes closed for 25 seconds (or 10 and 4 seconds if you are between 60-69 or, 70-79 years old, respectively)! Scary, isn’t it? But don’t feel bad, as most of us can’t do this at first. With practice and the right exercises, you will be able to do it. Your “kinesthetic sense” CAN BE improved, and we as chiropractors can guide you in the process. So, how does dizziness fit into this picture? Let’s talk about the ear!
Our ears have two jobs: hearing and balance. The outer ear catches sound and funnels it to the eardrum which vibrates and moves three little bones that transmit the information to the cochlea and finally to the brain allowing us to hear sound. Deep inside the ear is the “vestibular apparatus,” which is the organ of equilibrium that assists in balance. Here, three semi-circular canals are filled with fluid and two sac-like structures located at the base called the utricule and saccule. The fluid in the canals flows past little hair-like structures that are connected to nerves that relay information to the brain, telling it where we are in space (horizontal – laying down, vertical – standing) and if we’re moving forwards / accelerating or moving up/down (like in an elevator).
There are little tiny “stones” in these two sacs that move the little hair-like structures but they can dislodge into the canal and alter the flow of fluid (like a rock sticking out of a flowing river creating eddy currents), which alters the direction the little hairs bend, resulting in vertigo or dizziness as the brain is receiving conflicting information from the hairs bending in multiple/different directions. This is called “BPPV” (benign paroxysmal positional vertigo), which is brief episodes of vertigo immediately following a change in head position such as rolling over in bed, getting up from sitting or laying, etc. This is the most common cause of vertigo. If you Google “BPPV,” you will find different exercises that can move these little stones back into position (Brandt-Daroff and Epley’s maneuver), both of which work well often within a day or two. This is a good place to start, and if the balance/dizziness (vertigo) doesn’t improve, then we will consider other possibilities such as inner ear inflammation or acute vestibular neuritis, Meniere’s disease, vestibular migraine, acoustic neuroma, blood pressure issues, medication side effects, and more. We can teach you the BPPV exercises and perform cervical adjustments, which can also help significantly.
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, we would be honored to render our services.
Chiropractic Can Help Balance & Dizziness.
11 OctMany people seek chiropractic care for low back, mid-back, neck pain, and pain in the extremities, but what about balance and / or dizziness, as they often go together? Can chiropractic management help people suffering from frequent falls due to balance and/or dizziness problems? Let’s take a look!
When considering treatment for balance, we must talk about the “proprioceptive system.” The way the body “communicates” between all the various body parts is by proprioceptors, which are located in skeletal muscles and joint capsules, and these relay information to the brain. This information from the various body parts is then integrated with incoming information from the vestibular system (inner ear). The brain also relies heavily on the cerebellum located in the back of the head, which is largely responsible for coordinating the unconscious (automatic) aspects of proprioception. The ability to maintain balance, such as when standing on one leg (eyes open and closed), is dependent on the ability for the ALL THREE of these systems to work properly, and like any other skill, “…practice makes perfect!” Please try standing on one leg and then shut your eyes. Can you feel your ankle, foot, leg, and the rest of your body struggle to keep you balanced? For those of us under age 60, it’s “normal” to be able to balance on one foot with eyes closed for 25 seconds (or 10 and 4 seconds if you are between 60-69 or, 70-79 years old, respectively)! Scary, isn’t it? But don’t feel bad, as most of us can’t do this at first. With practice and the right exercises, you will be able to do it. Your “kinesthetic sense” CAN BE improved, and we as chiropractors can guide you in the process. So, how does dizziness fit into this picture? Let’s talk about the ear!
Our ears have two jobs: hearing and balance. The outer ear catches sound and funnels it to the eardrum which vibrates and moves three little bones that transmit the information to the cochlea and finally to the brain allowing us to hear sound. Deep inside the ear is the “vestibular apparatus,” which is the organ of equilibrium that assists in balance. Here, three semi-circular canals are filled with fluid and two sac-like structures located at the base called the utricule and saccule. The fluid in the canals flows past little hair-like structures that are connected to nerves that relay information to the brain, telling it where we are in space (horizontal – laying down, vertical – standing) and if we’re moving forwards / accelerating or moving up/down (like in an elevator).
There are little tiny “stones” in these two sacs that move the little hair-like structures but they can dislodge into the canal and alter the flow of fluid (like a rock sticking out of a flowing river creating eddy currents), which alters the direction the little hairs bend, resulting in vertigo or dizziness as the brain is receiving conflicting information from the hairs bending in multiple/different directions. This is called “BPPV” (benign paroxysmal positional vertigo), which is brief episodes of vertigo immediately following a change in head position such as rolling over in bed, getting up from sitting or laying, etc. This is the most common cause of vertigo. If you Google “BPPV,” you will find different exercises that can move these little stones back into position (Brandt-Daroff and Epley’s maneuver), both of which work well often within a day or two. This is a good place to start, and if the balance/dizziness (vertigo) doesn’t improve, then we will consider other possibilities such as inner ear inflammation or acute vestibular neuritis, Meniere’s disease, vestibular migraine, acoustic neuroma, blood pressure issues, medication side effects, and more. We can teach you the BPPV exercises and perform cervical adjustments, which can also help significantly.
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, we would be honored to render our services.
Neck Pain – Drugs or Chiropractic?
8 OctWhen you have neck pain, do you instinctively reach for that bottle of ibuprofen or Tylenol? If so, is that the best option? Who can we trust for the answer? Since between 10-20% of the population suffer from chronic or persistent neck pain, this is a VERY IMPORTANT question!
If we look at the literature published in peer reviewed journals by authors who have no financial incentives in the outcome of the study, we can find accurate, non-biased information to answer this question. So, let’s start with a landmark study published in SPINE, a leading medical journal that reviewed ALL the publications printed between 2000 and 2010 on neck pain – a total of 32,000 articles with over 25,000 hours of review. (Haldeman S, Carroll L, Cassidy JD, et. al. The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders: Executive Summary. Spine 2008,33(4S):S5-S7). This resulted in a 220 page comprehensive report from a multidisciplinary International Task Force involving seven years of work from 50+ researchers from 19 different clinical scientific disciplines worldwide looking at the MOST EFFECTIVE approaches available (both surgical and non-surgical) for patients suffering from neck pain.
Highlights from the study include the following: 1) Manipulation/mobilization are safe, effective, and appropriate treatment approaches for most patients with disabling neck pain (both traumatic and non-traumatic); 2) Neck pain patients should be informed of ALL effective treatment options so they can choose effectively; 3) The very rare risk of vertebrobasilar artery (VBI) stroke is NO DIFFERENT when comparing patients consulting a doctor of chiropractic verses a primary care medical physician as the stroke event, in most cases, has occurred prior to the visit; 4) The treatment option(s) available should consider the potential side effects and personal preferences of the patient; 5) For most neck pain patients, treatments that were found to be safe and effective include manipulation, mobilization, exercise, education, acupuncture, analgesics, massage, and low-level laser therapy; 6) For non-neurological neck pain, ineffective treatments (poor choices) include surgery, collars, TENS (transcutaneous electrical nerve stimulation), most injection therapies (including corticosteroid injections and rhizotomy); 7) For neck pain WITH nerve compression, there is very little research published on non-surgical care. Here, in the absence of serious pathology or progressive neurological loss, start with the most conservative (like chiropractic!) followed by more invasive treatments like epidural steroid injections (ESI’s) and surgery; 8) Whiplash patients should follow similar guidelines as described above; 9) Some benefit from the chosen treatment should be seen within the first two to four weeks of care; and, 10) Be realistic about treatment goals – neck pain is often recurrent (comes and goes) as most people (50-80%) will NOT experience complete resolution of symptoms and will have neck pain again one to five years later.
Another study published in The Annals of Internal Medicine (“Spinal Manipulation, Medication, or Home Exercise with Advice for Acute and Subacute Neck Pain: A Randomized Trial. 3 January 2012, Vol.156, No. 1, Part 1) reports similar information favoring spinal manipulation and exercise, as these were found to be SUPERIOR to medication use. Another study reported excellent results for 27 patients utilizing chiropractic care who had herniated cervical disks WITH spinal cord compression verified on MRI (70% improved after an average of 12 visits)! TRY CHIROPRACTIC FIRST!!!
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.
Pain Relief Chiropractic 