Can Chiropractic Help Me?

29 Mar

Chiropractic is the most widely accepted and most frequently used type of “alternative” healthcare in the United States. This is largely due to the fact that it works, and because of that, there has been a steady increase in acceptance by the public, third-party payers, and the Federal government. Since the mid-1990s, a number of outside (non-chiropractic) observers have suggested that chiropractic has now entered mainstream healthcare.

One can position chiropractic as being BOTH alternative and mainstream. It is “alternative” since it approaches healthcare from an entirely different direction compared to the primary care medical profession. Chiropractic is non-surgical and promotes diet and nutritional approaches vs. drugs and surgery. Chiropractic is also arguably “mainstream” as it has evolved into a strongly utilized form of primary care through popular acceptance and utilization by the public.

So, what role does chiropractic play in today’s health delivery system? This question is still being debated, but there appears to be three camps: 1) Specialist—limited to musculoskeletal (MSK) complaints on an interdisciplinary primary healthcare team; 2) Primary healthcare “gatekeepers” that focus on ambulatory MSK complaints; 3) Generalist primary healthcare provider of “alternative or complementary” medicine that manage and/or co-manage both MSK AND non-MSK conditions.

Looking at this from the patient or “consumer” perspective, chiropractic already plays an important role in the healthcare delivery for many patients. In 1993, a report claimed 7% of American adults had received chiropractic care during the prior year. According to a 2015 Gallup poll (that included 5,442 adults, aged 18+, surveyed between 2/16/15 and 5/6/15) entitled, Majority in U.S. Say Chiropractic Works for Neck, Back Pain, “Chiropractic care has a positive reputation among many US adults for effective treatment of neck and back pain, with about six in 10 adults either strongly agreeing (23%) or agreeing somewhat (38%) that chiropractors are effective at treating these types of pain.”

The “highlights” from this Gallup poll include: 1) Two-thirds say chiropractic is effective for neck and back pain. 2) Many adults say chiropractors think of the patient’s best interest. 3) More than 33 million adults in the United States (US) saw a chiropractor in the twelve months before the survey was conducted. That means roughly 14% of U.S. adults saw a chiropractor in the 12 months prior to the survey (vs. 7% in 1993). An additional 12% who responded to the Gallup pollsters saw a chiropractor in the last five years but not in the last 12 months. Overall, 51% of those polled had previously seen a chiropractor.

Whether or not you have personally utilized chiropractic, the educational process, licensing requirements, public interest, third-party payer systems, and interprofessional cooperation ALL support firm ground for which you can comfortably and confidently seek chiropractic care for your complaints.

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.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE!

FOR A FREE NO-OBLIGATION CONSULTATION CALL 717-697-1888

Can a Low-Speed Crash Cause a Brain Injury?

28 Mar

There is certainly a lot of interest in concussion these days between big screen movies, football, and other sports-related injuries. Concussion, traumatic brain injury (TBI), and mild traumatic brain injury (mTBI) are often used interchangeably. Though mTBI is NOT the first thing we think about in a low-speed motor vehicle collision (MVC), it does happen. So how often do MVC-related TBIs occur, how does one know they have it, and is it usually permanent or long lasting?

Here are some interesting statistics: 1) The incidence rate of fatal and hospitalized TBI in 1994 was estimated to be 91/100,000 (~1%); 2) Each year in the United States, for every person who dies from a brain injury, five are admitted to hospitals and an additional 26 seek treatment for TBI; 3) About 80% of TBIs are considered mild (mTBI); 4) Many mTBIs result from MVCs, but little is known or reported about the crash characteristics. 5) The majority (about 80%) of mTBI improve within three months, while 20% have symptoms for more than six months that can include memory issues, depression, and cognitive difficulty (formulating thought and staying on task). Long-term, unresolved TBI is often referred to as “post-concussive syndrome.”

In one study, researchers followed car crash victims who were admitted into the hospital and found 37.7% were diagnosed with TBI, of which the majority (79%) were defined as minor by a tool called Maximum Abbreviated Injury Scale (MAIS) with a score of one or two (out of a possible six) for head injuries. In contrast to more severe TBIs, mild TBIs occur more often in women, younger drivers, and those who were wearing seatbelts at the time of the crash. Mild TBI is also more prevalent in frontal vs. lateral (“T-bone”) crashes.

As stated previously, we don’t think about our brains being injured in a car crash as much as we do other areas of our body that may be injured—like the neck. In fact, MOST patients only talk about their pain, and their doctor of chiropractic has to specifically ask them about their brain-related symptoms.

How do you know if you have mTBI? An instrument called the Traumatic Brain Injury Questionnaire can be helpful as a screen and can be repeated to monitor improvement. Why does mTBI persist in the “unlucky” 20%? Advanced imaging has come a long way in helping show nerve damage associated with TBI such as DTI (diffuse tensor imaging), but it’s not quite yet readily available. Functional MRI (fMRI) and a type of PET scanning (FDG-PET) help as well, but brain profusion SPECT, which measures the blood flow within the brain and activity patterns at this time, seems the most sensitive.

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 Whiplash, we would be honored to render our services.

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

Exercises for Improving Cervical Posture

22 Mar

Is there a “normal” or “best posture” out there? If so, what is it?

Posture is largely inherited; however, there are also environmental, social, and other forces that can affect posture. Some say “good posture” is the position that places the least amount of strain on the body, particularly the muscles and ligaments that hold the body together.

A common cause of poor posture is called forward head carriage (FHC), where the head sits forward of the shoulders, placing a greater strain on the back of the neck and upper back to hold the head upright. Looking at the spine from the side, the opening of the ear should line up with the shoulder, hip, and ankle.

There have been studies that suggest every inch (2.54 cm) of FHC increases muscle strain in neck and upper back by 10 pounds (4.5 kg). That means a 5 inch (~12.7 cm) FHC adds an extra 50 pounds (~22.7 kg) of strain on the neck and upper back to hold the head upright. So what can we do to improve our posture?

First, stay active to reduce the normal rate of degeneration that affects us all as we “mature” through life! This recommendation requires us to keep fit and strive to maintain a normal BMI (“body mass index” or weight/height ratio) by balancing calorie intake and exercise.

Now, besides being evaluated for specific spinal care, there are a couple exercises you can do to help improve your cervical posture:

EXERCISE #1 is called a chin tuck. Here, you simply pull your chin inwards, producing a “double chin.” If you do this as far as you can and talk your voice will sound funny (“nasal-like”). Release the tuck until your voice clears. The moment it clears, STOP – that’s your “new” head position. Try to maintain that all day. You will have to remind yourself to “…keep it tucked” frequently at first but as time goes on, it will feel more natural. This can take about three months on average, so BE PATIENT!

EXERCISE #2 will strengthen the deep neck flexor muscles by doing the exact same thing as exercise #1 BUT adds a hand, a towel, or a TheraBand (anything works) for resistance behind the neck so that as you chin tuck, you PRESS the back of your mid-neck into your finger tips (or Band, towel, etc.) and hold for five seconds (then, release slowly). Do this five, ten, or multiple times a day.

There are other exercises but this is a GREAT start! See your doctor of chiropractic for more specific individual needs!

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

Fibromyalgia Sleep “Tips”

21 Mar

Last month, we discussed the connection between sleep disturbance and the presence of widespread pain found with fibromyalgia (FM). This month’s topic will center on how we can improve our sleep quality with the goal of feeling restored upon waking in the morning!

  • NOISE & LIGHT: Block out noise with earplugs or a sound machine and light with window blinds, heavy curtains, and/or an eye mask. The light emanating from the LED or LCD from TVs, DVRs, or stereos has been found to suppress the pineal gland’s melatonin production (the “sleep hormone”) and thus can interfere with sleep, so try to keep them away from the bedroom. However, a small night light can assist for nighttime bathroom callings!
  • FOOD: Avoid large meals at least two hours before bedtime. Try a glass of milk, yogurt, or a small protein snack if hunger overcomes you. Milk is unique as it contains the amino acid
  1. L-tryptophan, which studies show, helps people sleep!
  • EXERCISE: Aerobic exercise during the day is HIGHLY therapeutic. It reduces stress, reduces pain, reduces depression, and wakes us up! Avoid heavy exercise within three hours before bedtime. Exercise on a REGULAR basis to promote high-quality deep sleep.
  • SLEEP HABITS: Develop good sleeping habits by going to bed at a regular time. Avoid napping in the late afternoon. A “POWER NAP” of no more than 10-15 minutes, ideally about eight hours after waking, is a GOOD THING as it can help you feel refreshed.
  • MENTAL TASKS: Avoid mentally stimulating activity one hour before bedtime to calm the brain.
  • MENTAL CLARITY: Avoid bedtime worries. Try NOT to think about things that are upsetting. Substitute positive thoughts, experiences, and/or visualize favorite hobbies that free up the mind. Try to avoid discussing emotional issues before bedtime.
  • PETS: They are GREAT companions but NOT in the bed at night! Not only can pets kicking and moving disturb rest, their dander can stir up allergies and interfere with sleep.
  • TEMPERATURE: A well-ventilated and temperature controlled (54-74° F or 12.2-23.3° Celsius) bedroom is “key.”
  • BEDROOM “RULES”: The bedroom is for two things: physical intamacy and sleeping. If you wake up in the middle of the night, go to another room and read a book or watch TV until you feel sleepy.
  • AVOID STIMULANTS: AVOID nicotine, caffeine, coffee, chocolate, tea, soft drinks, and various over-the-counter or prescription medications in the late evening, unless under instruction from your physician.
  • RELAXATION TECHNIQUES: Try one (there are many) and practice it at bedtime.
  • REFRAIN FROM DRINKING ALCOHOL: Alcohol is a nervous system depressant and can HELP you fall asleep, BUT a rebound withdrawal can cause nightmares and night sweats. Avoid this close to bedtime (switch to water!).

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

The Most Important Principles for Staying Young: Can You Prevent Alzheimer’s Disease?

17 Mar

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’s YOUR Do-Over Tips are about preventing Alzheimer’s disease.

  1. Q) My 89-year-old mother passed away after having Alzheimer’s for about seven years. I’m 59 and scared I’m going to develop it and so will my kids. Is there anything we can do to reduce our risk? Karen B., Stillwater, OK
  1. A) We’re sorry for your loss, but there’s good news about avoiding Alzheimer’s. True, early onset Alzheimer’s seems to be familial; if a parent has the gene associated with early-onset (when symptoms appear before age 50), a child has a 50/50 chance of developing Alzheimer’s. But your mom had late onset (after age 65) cognitive dysfunction, maybe Alzheimer’s. Most late onset cognitive dysfunction is a combination of vascular dementia (not enough blood flow), brain inflammation, and other factors. Researchers have not found a specific gene associated with Alzheimer’s disease in a very high percentage of cases and think it arises from a combination of factors.

A new study in the Journal of Neurology Neurosurgery & Psychiatry has identified nine risky conditions for Alzheimer’s (all modifiable—great news!) and several ways to protect yourself from developing the disease (great news, again!).

The modifiable risk factors are:

  • obesity;
  • current smoking (in this study they saw the risk in people of Asian descent—we feel pretty sure it applies to most folks);
  • carotid artery narrowing (that’s plaque in arteries on each side of your neck leading to the brain);
  • type 2 diabetes (again, in people of Asian descent—though it would seem possible that this inflammatory condition ups everyone’s risk);
  • low educational attainment;
  • high levels of homocysteine (that’s a marker of inflammation);
  • depression;
  • high blood pressure; and
  • frailty

Fortunately, we know getting 30-60 minutes of physical activity a day and 30 minutes of strength building exercise 2-3 days a week, ditching the Five Food Felons (assiduously avoiding foods with added sugars, syrups, simple carbs, trans fats, and saturated fats), sleeping 7-8 hours a night, de-stressing with routine meditation every morning and night, and enjoying friends and family can help banish those brain-bashing risk factors.

If you and your kids embrace smart nutrition, physical activity, and stress reduction, don’t smoke, and follow your doctor’s recommendations regarding managing your blood pressure, then you’ll be following the blueprint for brain health and a long and happy life.

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.

Carpal Tunnel Syndrome – Let’s Get the FACTS! (Part 3)

15 Mar

This month, we will conclude our three-part series on important facts regarding carpal tunnel syndrome (CTS).

CTS TREATMENT OPTIONS (continued): Aside from the carpal tunnel, there are several places where the median nerve can become compressed as it travels from the neck, down through the shoulder, through tight muscular areas of the upper arm and forearm, and finally through the carpal tunnel at the wrist. In order to achieve good, long-lasting results, treatment must focus on relieving compression at any point along the course of the nerve. This is why chiropractic works SO WELL as it addresses ALL of these areas using manual adjustments, muscle release techniques, and even physical therapy modalities.

CTS PREVENTION: Because there are multiple causes of CTS, prevention must be tailored to each person. For example, if the patient has diabetes mellitus, maintaining a proper blood sugar level is very important because the blood becomes thicker as the sugar levels increase and it simply cannot pass through our small blood vessels (capillaries), especially those located in the feet and hands. This can eventually lead to the need for amputation due to poor circulation and contribute to the numbness associated with diabetic neuropathy.

Similarly, low thyroid function results in a type of swelling called myxedema that can cause or worsen CTS, and keeping the thyroid hormone balanced in the bloodstream is very important. Managing other conditions that create inflammation or swelling, such as rheumatoid and other types of arthritis, will also help prevent CTS from developing or worsening.

Carpal tunnel syndrome can also occur during pregnancy due to the hormonal shifts similar for those taking birth control pills. The PRICE treatment options presented last month can be very helpful for the pregnant mother and represent important non-medication self-care approaches.

Certain occupations that require fast, repetitive work and/or firm gripping can result in carpal tunnel syndrome because of the friction that results in swelling that occurs when the muscle tendons inside the carpal tunnel rub excessively fast together (kind of like starting a fire with two sticks). Modifying the work task until the swelling is controlled is VERY important, as discussed last month.

Other preventative measures include exercises that keep the muscles and tendons in the forearm and inside the carpal tunnel stretched so that the tendons easily slide inside their respective muscle tendon sheaths. This is accomplished by placing the palm side of the hand (elbow straight) on a wall with the fingers pointing downwards while reaching across with the opposite hand and pulling the thumb back until you feel a good firm stretch. Hold this position for 5-10 seconds or until the forearm muscles feel like they are relaxing. Repeat this multiple times a day.

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

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