Tag Archive for: Car Accident Injuries

A weekend immersed in CrossFit Endurance & The 1-Page Health News For You

I (Glenn) am back in the office after a week stay-cation in Denver. We spent a day at the zoo, a day at the Rockies game, and I got a lot of riding and running in.

Two weekends ago, I (Glenn) completed the CrossFit Endurance certification class in Fort Collins. It was a very interesting introduction to a different methodology for training for endurance sports, like triathlons and marathons. Think: less volume and more intensity.

Anyway, I’m completing the Level 1 CrossFit certification in May, and then soon after will be holding classes at Colorado Kettlebell Club. Stay tuned for more info.

Mental Attitude: Music and Emotions. Music can evoke positive emotions, which in turn can lower stress levels. In a survey study, positive emotions were experienced more often and more intensively in connection with music listening. The more the participants liked the music, the less stress they experienced. To get the positive effects of music, you have to listen to music you like. University of Gothenburg, March 2012

Health Alert: Slow Brain Growth In Babies Linked To Depression During Pregnancy! Many women experience a roller coaster of emotions during pregnancy: stress, confusion, fear, sadness and depression. Babies whose mothers are depressed during pregnancy have a greater chance of growing slower, resulting in the head and body showing retarded growth. Also, antidepressants increase the risk of slow growth in the development of babies’ brains. Archives of General Psychiatry, March 2012 Diet: High-Fat Diets Increase Colon Cancer Risk. Eating too much fat and sugar puts a person at greater risk for colon cancer and obesity. In normal tissue from patients with colon cancer, they found that epigenetic marks on genes involved in breaking down carbohydrates, lipids and amino acids (abundant in the fatty Western diet) appeared to have been retrained. Epigenetic marks are chemical modifications that serve as on/off switches for many genes. These foods are changing the methylation patterns on a person’s insulin genes so that they express differently, pumping out more insulin than the body requires. Cancer Prevention Research, March 2012

Exercise: Exercise Linked To Change In DNA. Exercise almost immediately alters DNA in healthy but inactive men and women. Although the genetic makeup is not altered, DNA molecules change structurally and chemically when a person exercises. One researcher noted, “Our muscles are really plastic. We often say ‘You are what you eat.’ Well, muscle adapts to what you do. If you don’t use it, you lost it and this is one of the mechanisms that allow that to happen.” Cell Metabolism, March 2012

Chiropractic: Is Chiropractic Safe? YES. Chiropractic’s non-surgical, drug-free approach to health places it among the safest of all health care practices. Remember, chiropractic takes nothing out of the body and puts nothing in. As a result, chiropractors enjoy one of the lowest malpractice rates of all health care professionals. Massachusetts Chiropractic Association

Wellness/Prevention: How Much Selenium? While too much selenium may result in the development of type 2 diabetes, high selenium intake has been shown to protect against certain cancers, such as lung, colorectal, bladder, and prostate cancer. It also increases male fertility and has positive effects on antiviral function. Low selenium intake has been linked to memory and brain decline, low immune system quality, and a greater risk of death. The Lancet, March 2012 Quote:

“The main goal of the future is to stop violence. The world is addicted to it.” ~ Bill Cosby

This week’s 1-page newsletter from the Chiropractors @ Denver Chiropractic Center

I don’t know about you, but I love spring weather here. On Sunday I was slaving away in the heat hauling dirt out of the garden, and today I needed boots to get through the parking lot. Ah, spring. Love it.

As outdoor sports season is ramping up, just remember we’re here for you if something starts hurting. If you happen to ride the Cherry Creek Trail you may see the Denver Chiropractic Center bike jersey, so make sure you say hi!

I (Glenn) will be on vacation next week, so if you’ve been thinking about coming in, give us a call. Dr. Stripling will be here covering for me next week (and seeing his patients as well). My kids are in a year-round school, so they get a 3-week spring break. Can you imagine?

And here’s this week’s health news for you. 


Mental Attitude: Memory and Stress. Anyone who has ever experienced chronic stress knows it can take a toll on both your emotions and your ability to think clearly.Researchers have discovered a neural mechanism that directly links repeated stress with impaired memory. This study also provides critical insight into why stressresponses can act as a trigger for mental illnesses. Neuron, March 2012

Diet: Rosemary Essential Oil On My Mind? Blood levels of a rosemary oilcomponent correlate with improved cognitive performance. Results indicate, for thefirst time in human subjects, that concentration of 1,8-cineole in the blood is relatedto an individual’s cognitive performance, with higher concentrations resulting inimproved performance. Both speed and accuracy were improved, suggesting thatthe relationship is not describing a speed-accuracy trade off. Therapeutic Advancesin Psychopharmacology, March 2012


Exercise: Yoga And Stress. Yoga may be effective for stress-related psychologicaland medical conditions such as depression, anxiety, high blood pressure andcardiac disease. The theory could be used to develop specific mind-body practicesfor the prevention and treatment of these conditions in conjunction with standardtreatments. Medical Hypotheses, March 2012


Wellness/Prevention: Irregular Heartbeat? An irregular heartbeat, atrial fibrillation, is a strong predictor of cognitive decline and the loss of independence in daily activities in older people at risk of cardiovascular disease. This is just another good reason to maintain your heart health and get checked to prevent heart problems. (note – Glenn will have more to say about heart health soon, having just found out his cholesterol was 259 and some early plaquing has developed in his left carotid artery.) Canadian Medical Association Journal, March 2012


Quote: “The more serious the illness, the more important it is for you to fight back,mobilizing all your resources – spiritual, emotional, intellectual, and physical.” ~Norman Cousins

Maintenance Care for Chronic Low Back Pain

When people think of chiropractic, they immediately think of low back pain and are often surprised to find out that chiropractic can benefit many conditions such as carpal tunnel syndrome, tennis elbow, rotator cuff tears, as well as hip, knee, and ankle conditions.  There is also research support for manipulation (a key component of chiropractic) and its role in managing “somatovisceral” related conditions such as pneumonia, dizziness, stage 1 hypertension, PMS, asthma, colic, and bed wetting.

Research clearly shows that chiropractic manipulation out performs other forms of treatment for acute, subacute and chronic low back pain. But, the question remains, can “maintenance chiropractic” PREVENT problems down the road? Ironically, two medical doctors in August of 2011 published an article in a leading medical journal (SPINE) entitled, “Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome?” The study’s objective was to determine if treating chronic low back pain patients (pain >6 months) after a course of 12 treatments in the first month would do better, the same or worse if treatments were continued at 2-week intervals for an additional 9 months. They compared 3 groups of patients: 1.) 12 treatments of “sham” (placebo) manipulation over a 1-month period. 2.) 12 treatment of “real” spinal manipulative therapy (SMT) for 1 month but no treatments for the subsequent 9 months. 3.) The same as #2 but with treatments every 2 weeks over the next 9 months. To determine the differences between these 3 groups, the authors measured pain and disability scores (using questionnaires), generic health status (questionnaire), and back-specific patient satisfaction (questionnaire) at 1, 4, 7 and 10-month intervals.

The results showed that groups 2 (SMT for 1 month only) and 3 (SMT for 1 month + every 2 weeks for 9 months) had significantly lower pain and disability scores than the 1st group (sham/placebo group) at the end of the 1st month or, 12 visits. However, only group 3 (treatments were continued for 9 months at 2 week intervals) showed more improvement in pain and disability scores at 10 months. Equally important, the scores for the non-maintained group 2 patients returned to near their pre-treatment levels by month 10!

The authors concluded that not only is spinal manipulative therapy effective for chronic low back pain, but more importantly, REGULAR ADJUSTMENTS EVERY 2 WEEKS after the initial course of concentrated care (3x/week for 4 weeks) was needed, “…to obtain long-term benefit,” suggesting that, “…maintenance SM after the initial intensive manipulative therapy,” is appropriate care to obtain long-term results.

This study FINALLY supports the recommendations made by chiropractors for many years –regular adjustments are beneficial to obtain a higher quality of life, less pain and less disability! While this study didn’t include Active Release Technique, we have observed that combining ART with adjustments is much more effective than adjustments alone. If you’re dealing with back pain, call us. We can help 303.300.0424.

The Whiplash Syndrome: Posture and Exercise

Whiplash can result from a number of causes, not just from motor vehicle accidents.  A fall on the ice or a slippery floor, from a sports related injury, or even at the county fair on one of those rides that throws you around can result in the same type of injury. Whiplash occurs when the head is literally “whipped” either forwards and backwards or from side to side. It can include hitting the head but often does not.

Symptoms vary considerably and therefore the term, “whiplash associated disorders” or WAD has been adopted, based on the clinical presentation of the patient and on the specific tissues injured. Common symptoms include neck pain, loss of motion, headache and sometimes arm pain or numbness resulting in difficulty driving, working, sleeping and concentrating.

Active Release Techniques and adjustments of the neck can be highly effective in the treatment of whiplash associated disorder, and hence, Chiropractic is often the recommended first order of treatment for patients suffering from this condition. We have previously discussed the steps involved when presenting to a chiropractic clinic, from taking a detailed history and performing a thorough physical examination, and well as the many types of treatment options that exist.

Exercise is one of the most important forms of treatment as they can and should be performed multiple times a day as directed by us, so that a return to normal function with no pain can occur as quickly as possible. Presented here are a few VERY EFFECTIVE exercises that we frequently give to patients suffering from WAD:

1 Posture Correction A. Arch the back.

B. Retract the shoulders and tuck in the chin. Hold for 10-30 sec. & repeat.
2 Chin Retractions A. Sit properly.

B. Place your finger next to the chin.

C. Retract head & hold 10 sec. & repeat.
3 Neck Strength

Exercises

 A. Rotate RT using 10% Max.

B. Repeat to LT hold 5 sec.

 Repeat this moving the head Forwards, backwards, & sideways in a similar way!*
  • For #3, ALWAYS apply a push or resistance with your hand through the FULL range of comfortable motion in that plane. That means, in one direction let the head “win” (like in arm wrestling) and when moving in the opposite direction, let the hand “win,” (but don’t let up pushing with the head).  In other words, you are ALWAYS resisting against the movement in both directions moving as far as you can in both directions.

We work with patients who’ve been in car accidents and work accidents, and accept all auto insurance, including Med Pay. We also take most major health insurance plans. Are treatment plans are focused on solving the problem, not extending the case. If you’re suffering from accident injuries, call us today at 303.300.0424. We can help.

Neck Pain & Headaches & The “Power of Placebo”

We have all heard about the “placebo effect” and the “power of positive thinking.” A placebo, according to Wikipedia, is “…a simulated or otherwise medically ineffectual treatment for a disease or other medical condition intended to deceive the recipient.” When a placebo is used, it will sometimes have a perceived beneficial effect. When this occurs, it is referred to as “the placebo effect.” Placebos are commonly used in research where one group will be given the “real” treatment, another a “placebo” and a third group will be given nothing at all.  The evaluators are usually blinded as to who received which of the 3 approaches. The group receiving the placebo is carefully compared to the other 2 groups (the real treatment group and the no treatment group). Common placebos include inert tablets (sugar pills), sham treatment (which may include surgery, detuned electrical stimulation, sham acupuncture, sham manipulation, and many more). What is compelling and interesting is that the placebo often has a surprisingly positive effect on the patient’s symptoms and because of this, research is quite extensive trying to figure out why even placebos can benefit patients.

The phrase, “…the power of positive thinking” has also been around a long time. Again, studies have shown that when a patient’s treatment plan is presented in a detailed fashion with a “positive spin” compared to when the health care provider seems skeptical that it might help, the results favor the positive presentation. Call it what you will – the power of positive thinking, faith, hope – it does appear to be an important part of the formula to obtain a positive outcome from treatment, any treatment.

When considering the placebo effect of chiropractic, specifically cervical manipulation and its effect on neck pain and headache, a landmark study published by medical doctors revealed significantly greater benefits of cervical manipulation for acute, as well as subacute and even chronic (pain > 3 months) neck pain when compared to other forms of treatment (muscle relaxants or “usual medical care”). They reported that the highest quality study demonstrated that spinal manipulation benefits patients with tension-type headaches. They also reported that the complication rate for cervical spine manipulation is low, estimated to be between 5-10 per 10 million manipulations. Another very supportive study looked at the immediate effects from only one cervical spine manipulation (CSM) using objective instruments that measured pain (algometry) and strength (grip strength dynamometer) on patients with elbow tendonitis pain (lateral epicondylitis). The patients received either CSM or a “sham” method they refer to as “manual contact intervention” or MCI. The “real” treatment group (CSM) showed a significant increase in grip strength and reduced pain compared to the MCI/sham group.

The “take-home” message here is clear. Cervical spine manipulation was found to be superior to sham manual treatment (placebo), as well as muscle relaxers, or “usual medical care” for neck pain and headaches. Second, cervical manipulation clearly out performed the placebo effect in patients with elbow pain.

While this study did not specifically include Active Release Techniques, we’ve found that combining ART with manipulation is far more effective than only doing adjustments. If you have neck pain or headaches, call us at 303.300.0424 to schedule your first treatment. We can help you.

Denver kidney donor to be first to run Leadville 100 & This Week’s 1-Page Newsletter

On National Donor Day, Dr. Jeff Stripling announced his goal to run 100 miles on behalf of all living organ donors. What follows is a recent press release from the American Transplant Foundation, and then This Week’s 1 Page Newsletter…

(DENVER, CO) – Being a living kidney donor will not stop Denver chiropractor Jeff Stripling from running 100 miles. In fact, it is what drives him forward

Dr. Stripling donated a kidney to his father in 2009. Today – National Donor Day – he announced his goal to be the first known living organ donor to run the Leadville 100 Mile Ultramarathon in August “on behalf of all living organ donors.

“Running 100 miles through the high Rockies will be tough, but that’s no because I’m a kidney donor. I want to shatter the misconception that you are limiting yourself if you donate an organ,” said Dr. Stripling.

“Being a live donor has proved to be the proudest moment of my life, and has enabled me to see my father healthy and enjoying retirement. Many people thought I would be limiting my own quality of life, but since I donated, my quality of life has only improved.”

To help other people become living donors, Dr. Stripling plans to raise funds for American Transplant Foundation’s Patient Assistance Program, which awards financial grants to offset expenses for living donors, such as travel costs to the surgery or time away from work during their recovery.

“We want people to understand that living organ donation is a viable option, and that it’s critical to reduce the transplant waiting list, especially for those who need a kidney,” said Kyle Pietari of the American Transplant Foundation. “Over 90,000 Americans are waiting for a new kidney. Most people don’t realize that the medical complication rate for live kidney donors is less than 1%. We are proud to work with Dr. Stripling and other living donors to raise awareness about this. They are truly heroes.”

“As a doctor, I understand that my body only needs one kidney. I can still workout, play sports, and attempt to run 100 miles. My father needed the other kidney much more than I do,” said Stripling.

The American Transplant Foundation is a national nonprofit organization that works to increase the donation of organs and tissue to reduce the growing list of men, women and children who are awaiting a lifesaving transplant.

Here’s this Week’s 1-Page Newsletter…

Mental Attitude: Emotions Not On My Sleeve? Contrary to what many scientists think, all people do not have the same set of biologically “basic” emotions and those emotions are not automatically expressed on the face. People do not scowl only when they’re angry or pout only when they’re sad. For example, people do a lot of things when they’re angry, sometimes they yell and sometimes they smile. Current Directions in Psychological Science, Jan 2012

Health Alert: Ten Ways To Decrease Cancer Risk 1.) Max BMI of 25; 2.) 5 or more servings of fruits & veggies daily; 3.) 7 or more portions of complex carbs daily; 4.) decrease processed foods & refined sugars; 5.) limit alcoholic drinks to 1/day for women and 2/day for men; 6.) limit red meat to no more than 3 oz daily; 7.) decrease fatty foods, particularly animal fats; 8.) limit intake of salted foods & use of salt in cooking; 9.) eliminate tobacco use; 10.) practice sun safety/recognize skin changes. American Cancer Society.

Diet: Soy And Hot Flash. According to a placebo-controlled study, daily doses of a soy germ-based nutritional supplement containing S-equol decreased menopausal symptoms 59%, including significantly reducing hot flash frequency after 12 weeks. It is believed that S-equol, produced from the isoflavone daidzein during the fermentation of soy germ, interacts with specific estrogen receptors to promote the improvement in menopausal symptoms. Journal of Women’s Health, Jan 2012.

Exercise: Colds And Exercise. Different levels of exercise can significantly increase or decrease your chances of catching a cold. If you tend to be a couch potato, then you will catch 2-3 colds per year, on average. Regular moderate exercise can reduce the risk of catching cold-like infections by 33% (this effect has been shown to be the result of the cumulative effect of exercise leading to long-term improvement in immunity). Prolonged strenuous exercise, such as marathons, can make an individual more susceptible to catching colds. We are constantly exposed to viruses, but it is our immune system that determines whether we get sick or not. Association for Science Education Conference, Jan 2012

Wellness/Prevention: Cancer Rates Dropping. In the last 20 years, one million deaths from cancer have been avoided. From 1990-2008, death rates dropped 23% in males and 15% in females. A Cancer Journal for Clinicians, Jan 2012

Quote: “There are no rules here – we’re trying to accomplish something.” ~Thomas A. Edison

Weekly 1-Page Newsletter for the week of 1/30/2012

Mental Attitude: Do Video Games Enhance Cognitive Abilities? In a recent study, it was demonstrated that there is little solid evidence that games enhance cognition at all. On the other hand, it may be the people who have these enhanced abilities are more likely to play video games. Frontiers in Psychology, Dec 2011

Health Alert: Diabetes Worldwide! There are 366 million diabetics worldwide and 4.6 million die each year from the disease. In the US, 8.3% or 25.8 million children and adults have diabetes, with 79 million having prediabetes. Diabetes Atlas, Nov 2011 & American Diabetes Association, 2011

Diet: Remember Cholesterol. High cholesterol levels may be associated with a greater incidence of brain plaques, a marker for Alzheimer’s disease. Neurology, Sept 2011

Exercise: Wide Waists Trim Lifespan. Since the mid-1970s, when Harvard published “The Nurses Study,” we’ve been told women with waists over 40 inches raised their risk of early death by 40% vs. women who maintained waists in the 26-27 inch measure. Pounds add up. Studies show that obesity is starting earlier than ever. 18% of children ages 12-18 are reported as being obese and 66% of baby boomers (81 million born between 1946-1964) are either obese or overweight. New England Journal of Medicine, Sept 2011

Chiropractic: Chiropractic and the NFL. All 32 teams in the National Football League offer their players and personnel chiropractic physician services for both managing and preventing injuries. Most have Active Release Techniques providers. Professional Football Chiropractic Society

Wellness/Prevention: Too Much Booze, You Lose. Men are more likely to binge drink than women. Research shows that drinking even a small amount of alcohol increases cancer risks, though moderate amounts of alcohol can show cardiovascular benefits that outweigh such risks. Men can play it safe by having no more than two alcoholic drinks per day. University of Texas MD Anderson Cancer Center, Nov 2011

Quote: “A revolution is coming – a revolution which will be peaceful if we are wise enough; compassionate if we care enough; successful if we are fortunate enough – but a revolution which is coming whether we will it or not. We can affect its character, we cannot alter its inevitability.” ~ President John F. Kennedy

The Neck & Shoulder Pain Relationship

In our hectic lifestyles of driving, hunching over computers, talking on the phone, not to mention stress arising from multiple sources, the muscles in the neck, upper back and shoulders seem to tighten up and hurt at the same time. The question is, between the neck and the shoulder, which one is the “chicken” and which is the “egg?”

The neck gives rise to the nerves that innervate the head (C1-3 nerve roots), the shoulders (C4-5), and the arms (C5-T2). Hence, there are 8 sets of nerves in the neck, 12 sets in the thoracic (middle back region), and 6 sets in the lumbar or low back region and 5 sets in the sacrum, all of which travel to a specific destination allowing us to move our muscles and to feel hot, cold, sharp, dull, vibration and position sense.

When these nerves get pinched or irritated, they lose their function and the ability to feel, making it challenging to button a shirt, thread a needle, or pick up small objects.  It can also make it difficult to unscrew jars, squeeze a spray bottle, or lift a milk container from the refrigerator. Hence, the nerves arising from the neck, when pinched, can have a dramatic effect on our ability to carry out our desired activities in which the shoulder, arm and hand use is required.

On the other hand, when the shoulder is injured (such as a rotator cuff tear or strain), this can also result in neck problems. There are several ways pain from the neck affects the shoulder and vice versa. When the shoulder is injured, pain “information” is relayed to the brain starting at the nerve endings located in the area of the shoulder injury, transmitting impulses between the shoulder and the neck, and finally from the neck to the sensory cortex of the brain. That information is processed and communication to the motor cortex prompts nerve signals to be sent back to the shoulder through the neck and to the injured area (in this case, the shoulder).

A reflex muscle spasm often occurs as a result, serving as kind of an “internal cast” as the muscle spasm tries to protect the injured shoulder. This can become a “vicious cycle” or never-ending “loop” until the reflex is interrupted (perhaps by a chiropractic adjustment). Another means by which both areas become injured has to do with modifications in function. We tend to change the way we go about our daily chores when an injury occurs to the shoulder, such as putting on a coat differently by leaning over to the opposite side.

These functional changes can also give rise to neck pain. Because of this reflex cycle, as well as the close anatomic relationship between the neck and shoulder, not to mention the “domino effect” of soft-tissue injuries which seem to change the function at the next joint level, it’s not surprising that both the neck AND the shoulder require simultaneous treatment for optimal treatment benefit. However, the good news is, regardless which one is the “chicken or the egg,” your treatment at Denver Chiropractic Center for shoulder injuries will almost always include the neck and vice versa.

We use a unique combination of Active Release Techniques Soft Tissue Treatment, adjustments, and physical therapy exercises. Research shows that this combination is best. We realize that you have a choice in where you get your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Tim Tebow and the Denver Broncos get Active Release Techniques, and you can too…

Many of you know that Active Release Techniques was created and developed by my friend and mentor, Dr. Mike Leahy. Dr. Leahy has been on the Broncos staff since 2001, providing Active Release Techniques to all of the players. I had the good fortune to assist him at Dove Valley during the 2001 and 2002 seasons.

Anyway, when you watch the Broncos on any given Sunday (or this upcoming Saturday night), you just might see some players getting Active Release work done on the sidelines.

Here’s this week’s 1-page health newsletter:

Mental Attitude: I Can’t Remember. Older individuals’ complaints about memory lapses (such as trouble remembering recent events) may indicate they are experiencing cognitive problems that are greater than typical age- related changes. The incidence of Alzheimer’s disease and other dementias is expected to rise in the United States as adults 65 and older are projected to double in number over the next two decades.  Clinicians are now incorporating cognitive screening tests as part of annual wellness visits for older people. Journal of the American Geriatrics Society, Nov 2011

Health Alert: Low-Dose Aspirin. The risk of gastrointestinal (GI) bleeding needs to be considered when determining the potential preventive benefits associated with low-dose aspirin for cardiovascular disease and cancer. The risk is increased with the use of cardiovascular disease-preventing therapies. Low-dose aspirin is defined as 75 to 325 mg. Clinical Gastroenterology and Hepatology, Dec 2011

Diet: Soda Consumption. The average American drinks 44.7 gallons of soda a year. That much soda weighs about 375 pounds! AdAge, Dec 2011

Exercise: Benefits For Breast Cancer Survivors. For breast cancer survivors, the benefits of exercise outweigh the risks, including those who develop lymphedema, a chronic swelling that commonly occurs after breast cancer treatment. Balance the pros and cons of the activity one chooses, but keep in mind that even remaining sedentary has risks and being active is beneficial in many ways, including possibly reducing the risk of cancer recurrence. Journal of Cancer Survivorship, December 2011

Active Release Technique (ART): The Functional Movement Screen. Sometimes the pain can be in one area, but the cause is in another. The Functional Movement Screen is a 7-move test that we use to help figure out what’s causing your problem. Then we use ART and corrective exercises to fix both the symptoms and the cause.

Wellness/Prevention: Cancer Prevention In Your 30s. One begins to lose muscle mass after age 30. Strength training can prevent muscle loss, build bone density and help the body burn calories faster to keep you at a healthy weight. Maintaining a healthy weight can help decrease the risk of cancer. University of Texas MD Anderson Cancer Center, Nov 2011

Quote: “We must find time to stop and thank the people who make a difference in our lives” Dan Zadra

Low Back Pain & Spinal Manipulation: How Does It Work?

For many years, Chiropractic has been at the forefront of treating low back pain (LBP) with both greater patient satisfaction and less lost time at work when compared to other non-surgical treatment approaches. There have been many explanations as to why chiropractic manipulation therapy (CMT) works but many of these studies include other treatment modalities or methods and the benefits are ,therefore, not clearly derived only from CMT.  A recent study has tried to clear this up and the results are very interesting!

This study included two chiropractors and two a physical therapists (PT) from Canada and the US. What is unique about this study is that they measured clinical or symptomatic improvement by tracking improvement in activity tolerance using a standard questionnaire commonly used by chiropractors and PTs all over the world, as well as changes in the spinal stiffness using a valid/reliable instrument before and after CMT was utilized. The importance of these findings is that only CMT was utilized and hence, other forms of treatment commonly utilized by chiropractors did not cloud the findings. There were 48 patients included in the study and the initial 2 treatments were administered 3-4 days apart, followed by an assessment 3-4 days after the 2nd treatment. Assessments were also performed before and after each treatment. The assessments included use of the questionnaire and a stiffness measurement using the special instrument. Also, “recruitment of the lumbar multifidus muscle” (a muscle in the low back that helps stabilize the trunk or core) was measured by ultrasound. After each treatment, significant improvement was found in the overall pain level and in reduced spinal stiffness (which remained improved 3-4 days after the last/second treatment).

The study conclusions revealed less pain, more activity tolerance and less spinal stiffness after the administration of the 2 treatments. The greatest clinical improvement was found in those who had the most dramatic reduction in stiffness after each treatment. They found that the level of muscle recruitment was directly related to the degree of spinal stiffness.  They also found that patients who received thrust manipulation (CMT) had immediate improvements with reduced pain, stiffness and improved muscle recruitment measurements. However, this same effect was NOT obtained when non-thrust mobilization techniques were used. This means many non-thrust manual techniques such as mobilization, massage, and other soft tissue release methods do not create the immediate benefits that were produced by thrust manipulation.

With this new information, we are now able to explain with confidence to patients the reasons why they typically feel better after the spinal adjustment. The patient can then appreciate receiving an answer that makes clear sense and has been “proven.” It’s important to realize that the “bonus” of receiving chiropractic care for low back pain includes not only just pain reduction, but more importantly, improvement in tolerating activities such as vacuuming, washing dishes, golfing, walking and of course, working.

We realize you have a choice in where you get your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. Call us at 303.300.0424