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What’s Better for Neck Pain, Medication or Chiropractic?

23 Nov

Although both medication and chiropractic are utilized by neck pain sufferers, not everyone wants to or can take certain medications due to unwanted side effects. For those who aren’t sure what to do, wouldn’t it be nice if research was available that could answer the question posted above? Let’s take a look!

When people have neck pain, they have options as to where they can go for care. Many seek treatment from their primary care physician (PCP). The PCP’s approach to neck pain management usually results in a prescription that may include an anti-inflammatory drug (like ibuprofen or Naproxen), a muscle relaxant (like Flexeril / cyclobenzaprine), and/or a pain pill (like hydrocodone / Vicodin). The choice of which medication a PCP recommends hinges on the patient’s presentation, patient preference (driven from advertisements or prior experiences), and/or the PCP’s own preference.

Although it’s becoming increasingly common to have a PCP refer a neck pain patient for chiropractic care, this still does not happen for all neck pain patients in spite of strong research supporting the significant benefits of spinal manipulation to treat neck pain. One such study compared spinal manipulation, acupuncture, and anti-inflammatory medication with the objective of assessing the long-term benefits (at one year) of these three approaches in patients with chronic (>13 weeks) neck pain. The study randomly divided 115 patients into one of three groups that were all treated for nine weeks. Comparison at the one-year point showed that ONLY those who received spinal manipulation had maintained long-term benefits based on a review of seven main outcome measures. The study concludes that for patients with chronic neck pain, spinal manipulation was the ONLY treatment that maintained a significant long-term (one-year) benefit after nine weeks of treatment!

In a 2012 study published in medical journal The Annals of Internal Medicine, 272 acute or sub-acute neck pain patients received one of three treatment approaches: medication, exercise with advice from a health care practitioner, or chiropractic care. Participants were treated for twelve weeks, with outcomes assessed at 2, 4, 8, 12, 26, and 52 weeks. The patients in the chiropractic care and exercise groups significantly outperformed the medication group at the 26-week point AND had more than DOUBLE the likelihood of complete neck pain relief. However, at the one-year point, ONLY the chiropractic group continued to demonstrate long-term benefits! The significant benefits achieved from both exercise and chiropractic treatments when compared with medication make sense as both address the cause of neck pain as opposed to only masking the symptoms.

With results of these studies showing acute, subacute, as well as chronic neck pain responding BEST to chiropractic care, it only makes sense to TRY THIS 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 or headaches, we would be honored to render our services.

 

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR NECK PAIN! FOR A FREE NO-OBLIGATION CONSULTATION CALL 717-697-1888

Can I PREVENT Fibromyalgia?

19 Nov

Fibromyalgia (FM) is a common cause for chronic pain (pain that lasts three or more months) and afflicts 4% of the general population in the United States! FM commonly affects the muscles and soft tissues – not the joints (like arthritis); however, many FM sufferers are mistakenly diagnosed with arthritis, so it may take years before they get an accurate diagnosis. There are NO known accurate diagnostic tests for FM, which is another reason for a delayed diagnosis.

In order to answer the question, “Can fibromyalgia be prevented?” we must first find the cause of FM. There are two types of FM: PRIMARY and SECONDARY. Primary FM occurs for no known reason, while secondary FM can be triggered by a physical event such as a trauma (e.g., car accident), an emotional event or a stressful situation (e.g., loss of a child), and/or a medical event such as a condition like irritable bowel syndrome, rheumatoid arthritis, or systemic lupus erythymatosus (SLE). Any condition that carries chronic or long-lasting symptoms can trigger FM, and some argue that the lack of being able to get into the deep sleep stage may be at the core of triggering FM since sleep disorders are a common finding in FM sufferers!

The “KEY” to managing FM has consistently been and probably always will be EXERCISE and SLEEP. So, if FM is preventable, daily exercise and getting the “right kind” of sleep are very important ways that may reduce the likelihood for developing the condition! Since emotions play a KEY ROLE in the cause and/or effect of FM, applying skills that keep life’s stressors in check is also important. This list can include hobbies like reading a good book, playing and/or listening to music, or meditation. The combination of exercise with mindful meditation using approaches like Tai Chi, Yoga, Qi Gong, and others has had positive impacts on FM patients such as improved balance and stability, reduced pain, enhanced mental clarity, and generally improved quality of life. Managing physical conditions that are associated with FM (such as irritable bowel syndrome, rheumatoid arthritis, or systemic lupus erythymatosus) is also important in managing and/or preventing FM.

Another management strategy of FM is diet. As most patients with FM will agree, certain foods help and others make the FM symptoms worse. In a survey published in the Journal of Cinlical Rheumatology, 42% of FM patients reported certain foods exacerbated their symptoms. Of course, each individual case is unique, so keeping a food log or journal can be very helpful to determine dietary “friends” vs. “enemies.” The first step is to eliminate certain foods for four to six weeks, such as dairy and/or gluten. Most patients report a significant improvement in energy (less fatigue) while some report less pain when problem foods are elimated from their diet. Generally, a diet rich in fruits, vegetables, and lean proteins can have a positive impact on the FM patient. Consider eating multiple small meals vs. two or three large meals during the day, as this can keep blood sugar levels more stable and reduce fatigue.

So back to the question, can fibromyalgia be prevented? Maybe…maybe not. Since the medical community doesn’t know the exact cause, it’s hard to answer this question. However, being proactive and implementing the strategies used to better manage FM may help in preventing it as well!

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

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR FIBROMYALGIA! FOR A FREE NO-OBLIGATION CONSULTATION CALL 717-697-1888

Patrol Your Health When it Comes to What You Wear!

17 Nov

Our basic premise is that your body is amazing.  You get a do over. It doesn’t take that long, and it isn’t that hard if you know what to do.  In these notes, we give you a short course in what to do so it becomes easy for you, and for you to teach others. We want you to know how much control you have over both the quality and length of your life.

This month, we want to discuss the safety of antimicrobial and water-repellent fabrics.

Your favorite antimicrobial workout shirt or water-repellent hiking jacket may contain some surprising, and potentially toxic, chemicals. A recent Swedish study reports 10% of the 2,400 chemicals found in an analysis of such fabrics could pose a risk to human health — and less than 1% are regulated in the United States.

While a single piece of clothing may contain tiny amounts of potentially risky chemicals, the researchers note that exposure could add up over time. And work-out gear poses a special risk because sweat and movement may release more of these “bad actor” substances like phthalates, perfluorinated compounds, triclosan, and silver nanoparticles. In many cases, these chemicals may also pose a risk for wildlife as they’re laundered out of clothes and wind up in streams, rivers, and lakes. One 2012 European report even found cancer-causing chemicals and lead in soccer jerseys!

Perfluorinated compounds (PFCs). These chemicals repel water, oil, and dirt, and so are used in some waterproof jackets, pants, and shoes. But they’re also associated with health problems like low birth weight and prostate cancer. Many companies have stopped using them — including H&M, Levis, and Puma, while others are phasing them out.

Phthalates. These plasticizing chemicals are found in vinyl clothing and some printed fabrics.  According to the Centers for Disease Control and Prevention, reproductive problems and hormone disruptions have been observed when lab animals are exposed to these chemicals.  In a 2011 review, University of Pennsylvania scientists noted that phthalates can act as endocrine disruptors, interfering with hormonal systems in the body.

Alkylphenol Ethoxylates (APEs) are sometimes found in detergents used by textile manufacturers to wash fabrics.   They don’t break down easily and hang around for long periods of time. Some get washed out at home and go into local waterways. From there they accumulate in the bodies of fish and people, according to the Environmental Working Group. Some research links these chemicals with reproductive problems in fish.

Triclosan. Used in some antibacterial and antimicrobial fabrics, triclosan is better known as an ingredient in antibacterial soaps and body washes, kitchenware, and even toys. The Food and Drug Administration is conducting a review of the chemical, which has been shown to affect hormone regulation in animals. It may be a hormone disruptor for humans as well, and it doesn’t remove any more germs than washing with regular soap. And once it’s washed down the drain, triclosan can morph into the chemical dioxin, a strong carcinogen that’s been showing up in the mud at the bottom of American lakes.

Silver nanoparticles. These tiny, bacteria-battling orbs are used to make workout clothes and even hospital gowns resistant to smelly or infectious germs. They can also be absorbed into your skin when you sweat, as recent research shows. It’s unclear whether silver nanoparticles pose a threat to people, but the little metal balls do break down when clothing is washed with strong detergents containing bleach or bleach alternatives. That releases silver nanoparticles into the water system, where they may be toxic to aquatic organisms and beneficial for bacteria living in the soil.

Ways to reduce your exposure:

Wear clothes from companies that are phasing out toxins. According to Greenpeace, some companies — including Adidas and Puma — are taking significant steps to eliminate 11 toxic chemicals from clothing including APEs, phthalates, and PFCs. Others, the group says, have eliminated some but not all. Get the current lineup of Greenpeace’s Detox Leaders, Greenwashers, and Detox Losers at http://www.greepeace.org.

Not sure what’s in your favorite athletic wear? Add a barrier. Slip an old cotton t-shirt under your work-out shirt. A nontoxic layer between your skin and your work-out shirt will help protect you.

Wash before you wear. It’s a good rule to follow with all new clothing. New fabrics may contain dyes and formaldehyde resins, which prevent wrinkling and discourage mildew but can also trigger a rash, even at safe levels.

Thanks for reading. Feel free to send questions—to youdocs@gmail.com, and some of them we may know enough to answer (we’ll try to get answers for you if we do not know).

Young Dr Mike Roizen (aka, The Enforcer)

NOTE: You should NOT take this as medical advice. This article is of the opinion of its author. Before you do anything, please consult with your doctor.

You can follow Dr Roizen on twitter @YoungDrMike (and get updates on the latest and most important medical stories of the week).  The YOU docs have tow newly revised books: The patron saint “book” of this column YOU Staying Young—revised and YOU: The Owner’s Manual…revised —yes a revision of the book that started Dr Oz to being Dr Oz.  These makes great gifts—so do YOU: ON a Diet and YOU: The Owner’s Manual for teens.  And, the new book by Dr Mike Roizen: This is YOUR Do-Over

Michael F. Roizen, M.D., is chief wellness officer and chair of the Wellness Institute at the Cleveland Clinic. His radio show streams live on http://www.radioMD.com Saturdays from 5-7 p.m. He is the co-author of 4 #1 NY Times Best Sellers including: YOU Staying Young.

Non-Surgical Treatment Approaches for CTS

16 Nov

Non-surgical treatment approaches for carpal tunnel syndrome (CTS) aim to remove pressure on the median nerve where it’s pinched. In a recent review of the literature published on “passive modalities” (non-surgical treatment approaches) for CTS, researchers reviewed studies published between 1990 and 2015 for information on which non-surgical treatment approaches work best. Topping the list is the use of various types of night splints – wrist braces worn at night to prevent bending of the wrist during sleep. The evidence found that night splints were less effective than surgery in the short-term (up to six months) but more effective over the long-term (at 12 and 18 months)!

They did not find studies with a “low risk of bias” (no randomized controlled trial-types of studies) regarding other passive modalities such as ultrasound and electrical stim and hence, they conclude that better quality studies must be conducted before conclusions can be made regarding most of the passive modalities frequently utilized in the management of CTS.

A 2010 study found mobilization treatments and exercises (tendon gliding & nerve gliding) were helpful WHEN patients complied with the treatments and the recommended exercises. Manual therapies, or “hands-on” treatments, are a feature of chiropractic care. Chiropractic treatment for patients with CTS also includes night bracing in addition to manipulation, mobilization, exercise training, nutrition, and ergonomic / workstation modifications, and whole body health awareness.

Doctors of chiropractic understand these non-surgical approaches have limitations. This is why they work with allied healthcare providers when pharmaceutical and/or surgical intervention is appropriate. They may also frequently consult with neurologists for tests such as EMG/NCV (an electrical test that measures the degree of nerve damage) to better understand the patient’s condition. In short, chiropractic offers a multi-modal approach of care, and chiropractors will work with others in the patient’s best interest.

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 Carpal Tunnel Syndrome, we would be honored to render our services.

 

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR CARPAL TUNNEL SYNDROME! FOR A FREE NO-OBLIGATION CONSULTATION CALL 717-697-1888

Why Does My Back Hurt? (Part 2)

12 Nov

Last month, we discussed common causes of back pain including mattresses, shoes, diet, exercise, and posture. Here are some additional considerations…

 

6. OFFICE CHAIR: Because of vast differences between people’s height, weight, body type, and preference, it’s difficult — if not impossible — to find a one-size-fits-all solution when it comes to office chairs! In the ideal world, the option to sit, stand, walk, and stretch as needed would be perfect but this simply is not reality! Low back pain (LBP) from sitting is common due to the excess pressure it places on the joints and disks (the “shock-absorbers” of the spine). Here are some remedies: 1) Find a chair that FITS YOU. 2) Get up and move at least once every hour (set the timer on your smartphone as a reminder). 3) Place the computer monitor directly in front of you and keyboard/mouse so the elbows bend only 90°. 4) Keep your feet on the floor at your desk (use an upside down box if you have short legs). 5) Perform “in the chair” stretches when your timer goes off!

7. BODY TYPE: We’ve discussed obesity as an obvious cause of back pain, but other factors are important as well. A very common cause of back pain for women is breast size. Here, the topic of a supportive bra is important, as carrying more weight in front of you adds additional stress on the back and shoulders.

8. SHOULDER BAGS: Back pain can be caused and/or perpetuated by a heavy purse, bag, briefcase, and even a thick wallet in the back pocket! To keep your eyes level, your body has to compensate and assume a less-than-ideal posture that may place unnecessary stress on your back! So before leaving the house today, CLEAN OUT that bag and/or put your wallet in a front pocket and lessen the load on your spine!

9. SMOKING: Smoking can reduce the amount of oxygen that reaches your cells, which can cause them to function at a less than optimal state. You’ve perhaps heard that a conscientious back surgeon will NEVER operate on a smokers’ back due to both the prolonged healing time and subsequent bad outcomes. So in addition to giving your heart, lungs, and those around you a break, if you want your lower back to heal, STOP SMOKING! Studies also show smokers are TWICE as likely to develop LBP compared with non-smokers, so quit. Better yet, DON’T START in the first place!

10. STRESS & DEPRESSION: Remember, “health” is a balance between structure, chemistry, and mental factors. Stress increases muscle tightness and alters posture in a way that can lead to or exacerbate existing LBP. Exercise, meditate, eat smart, and resolve your differences with family members and friends to minimize this problem! When needed, your doctor of chiropractic can refer you for counseling!

11. ERGONOMICS: How we “fit” into our job, lifting properly, workstation set up, work pace, and work stressors ALL play into LBP management. Have an assessment to see what can be fixed!

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.

 

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR LOW BACK PAIN!  FOR A FREE NO-OBLIGATION CONSULTATION CALL 717-697-1888

Half of Adults in the US Have Type 2 Diabetes or Prediabetes. Here’s What You Can Do to Help Protect Yourself…

10 Nov

Diabetes is a big problem.  If you have already been diagnosed, then you already know this to be true.  The dangerous thing is most people with diabetes or pre-diabetes have no idea they have it, and it is silently killing them.  People with type 2 diabetes are twice as likely as those without diabetes to have heart disease, and heart disease is the leading cause of death and complications for people with type 2 diabetes.  It appears that diabetes can affect the structure and function of the left ventricle (the heart’s main pump) before any heart disease symptoms are obvious.   Despite the importance of the heart, there are few treatment options to improve its structure and function.

According to a recent study in the Journal of the American Medical Association, in 2011-2012, the estimated prevalence of diabetes among adults in the United States (US) was 12-14%, and the prevalence of pre-diabetes was 37-38%, indicating that about half of the US adult population has either diabetes or pre-diabetes. Type 2 diabetes is out of control, and in most cases, it can be avoided through proper diet and exercise.  The first step is eliminating processed foods and sugar.  Just doing that can have a dramatic impact on the disease.

Besides that, exercise is a natural enemy of type 2 diabetes.  In fact, a new study in Diabetologia (the journal of the European Association of the Study of Diabetes) is the first to show that high-intensity intermittent exercise training improves heart structure and benefits diabetes control in patients with type 2 diabetes.  The authors write, “This study demonstrates, for the first time, that exercise can begin to reverse some of the early cardiac changes that are commonly found in people with type 2 diabetes.  Interestingly, the data also suggests that this type of high intensity intermittent exercise benefits both the heart and diabetes control, but the benefits appear to be greatest in the heart.  The strong positive effect of exercise on the heart is, although completely logical, a message that needs to be communicated to people with type 2 diabetes more clearly.”

They conclude, “The data reinforces how important a physically active lifestyle is for people with type 2 diabetes.  Our findings also suggest that exercise does not have to be 30 minutes of continuous exercise – repeated short bouts of higher intensity exercise gives strong benefits to the heart.  Getting more physically active is, quite literally, at the heart of good diabetes control.” 

Remember, we’re always here to help your body heal and maintain the pain free body you deserve.

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