My Blogging History

Showing posts with label chiropractor. Show all posts
Showing posts with label chiropractor. Show all posts

Wednesday, February 8, 2017

Optimal Wellness Through Chiropractic Care




Your spinal column, which consists of 24 bones known as vertebrae and the interlaying discs, protect your most delicate and important system, your central nervous system, and impingements within the joints of your spinal column can contribute to a number of health problems and ailments.

The spinal cord is the first relay site in the transmission of information to the brain regarding a peripheral stimulus that causes pain. Sensory signals are transmitted from the periphery by primary nerve fibers into the dorsal horn of the spinal cord where wide dynamic range neurons are housed. Wide dynamic range neurons are responsive to thermal, chemical, and mechanical sensory input as well as a broad range of intensity of stimulation from the peripheral nerves. They steadily increase their firing rate as the stimulus intensity rises into the very unpleasant range. Therefore adverse stimulation of wide dynamic range neurons can lead to altered body image[1] such as:

  • Feeling like your back or neck is “swollen”
  • Feeling of “stiffness” despite normal range of motion
  • Alteration of the body’s natural ability to maintain good posture in relation to the surrounding environment at rest and during motion
  • Headache pain[2]

An effective solution to maintaining optimal wellness is chiropractic care. Chiropractic is like brushing your teeth, it's something you need, just like regular dental hygiene, to maintain the life of your spine, because regular activities, poor posture, chronic sitting, and improper ergonomics can contribute to your spine functioning less than optimally.

Research published in a June 2004[3] and subsequent May 2007[4] edition of the  Journal of Manipulative and Physiological Therapeutics examined the integration of allopathic[5], osteopathic, chiropractic and various forms of alternative and complementary medicine versus conventional strategies alone at a health maintenance organization (HMO) in metropolitan Chicago. The data complied was based on 70,274 member-months[6] over a seven-year period and they found that the integrative care model resulted in:

  • 60.2% decrease in-hospital admissions
  • 59% decrease in hospital days[7]
  • 62% decrease in outpatient surgeries
  • 85% decrease in pharmaceutical costs

Subsequently, a National Health Interview Survey was conducted in 2012 which provides the most comprehensive information on the use of complementary health approaches in the United States. National estimates were derived via data collected from 34,525 adults aged 18 and over regarding wellness-related reasons for consumer’s utilization of supplementation, yoga, and spinal manipulation. The results of this survey were published on November 4, 2015 by the  National Center for Complementary and Integrative Health (NCCIH) and they found that:

  • Over 50% reported using spinal manipulative therapy (SMT) for wellness
  • While over 65% reported using spinal manipulation for treating a specific health condition

Over 65% use spinal manipulation for treating a health condition
Wellness Related Use of CAM


However, the most common responses from those using SMT for general wellness or disease prevention was:

  • It improved overall health
  • Spinal manipulation “made them feel better.”

In fact, approximately 40% of those who reported utilizing chiropractic care stated that they experienced reduced stress, better sleep, and/or an easier time coping with health problems after receiving spinal manipulative therapy.
Had reduced stress, better sleep, and/or easier time coping with health problems
Chiropractic Care Makes People Feel Better


This data substantiates the fact that the traditional medical model of healthcare is beginning to wane. Today’s healthcare consumer is now more focused on the effects that physical and psychological stress has on our bodies and the therapeutic interventions that address the mind-body connection are beginning to receive some much deserved attention as well as implementation. Chiropractors clearly have a greater role in your health and wellness than just treating sore backs. Chiropractic care should be considered an invaluable tool to assist you in not only feeling well, but to also help you maintain an optimal level of wellness.






[1] Nijs J, et al. “Nociception affects motor output: a review on sensory-motor interaction with focus on clinical implications.” Clin J Pain. 2012;28(2):175-81
[2] Jull, et al. “Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches.” Cephalalgia 2007; 27:793-802
[3] Sarnat, Richard, and James Winterstein. "Clinical and Cost Outcomes of an Integrative Medicine IPA." Journal of Manipulative and Physiological Therapeutics. U.S. National Library of Medicine, June 2004. Web. 08 Feb. 2017.
[4] Sarnat, Richard, James Winterstein, and JA Cambron. "Clinical Utilization and Cost Outcomes from an Integrative Medicine Independent Physician Association: An Additional 3-year Update." Journal of Manipulative and Physiological Therapeutics. U.S. National Library of Medicine, May 2007. Web. 08 Feb. 2017.
[5] This is the principle of mainstream medical practice, as opposed to that of homeopathy.
[6] The number of individuals participating in an insurance plan each month. Member month is calculated by taking the number of individuals enrolled in a plan and multiplying that sum by the number of months in the policy.
[7] The total number of days a patient stays in a hospital after admission to the hospital for a sickness that requires 24-hour nursing care and medication.

Monday, February 6, 2017

Effective Conservative Spine Care


Low back pain (LBP) is a recurrent disorder that can occur anytime in a person’s life and 50% of people who experience LBP seek health care during an episode.[1] [2] At least 85% of those who do seek care are diagnosed as experiencing nonspecific/non-pathological LBP.[3] Effective management of LBP in the United States is challenging and therefore it is difficult to determine the best approach for each patient given the vast number of recommended conservative treatment options within our complex health care system.[4]

Researchers from Optum Health Care Solutions[5] in collaboration with researchers from the Jefferson School of Population Health[6] published an article in a 2013 edition of Population Health Management[7] titled, “Conservative Spine Care: Opportunities to Improve the Quality and Value of Care” that suggests the utilization of a “classification-based” model for the management of LBP which, in a clinical trial published September 29, 2011 in The Lancet, demonstrated practical potential for improving clinical outcomes and addressing incongruous utilization of services.[8] The STarT Back Screening Tool (SBST)[9] can be administered prior to initiating treatment and provides the portal of entry provider the opportunity to incorporate evidence-informed decision criteria and guidance regarding an appropriate conservative low back care pathway in which to place the patient.

The SBST approach changes the pattern of provider management and referral of LBP to coincide with primary care data that suggests approximately 55% of patients are at low risk of poor outcome (i.e. irrespective of treatment), 33% are at medium risk, and 12% are at high risk.[10] Using the SBST approach, low risk individuals usually benefit most from receiving reassurance and advice while treatment options for medium risk individuals are typically physiotherapy approaches to addressing pain and disability. However, providers who are skilled at cognitive-behavioral approaches in addition to physiotherapy interventions are best suited to render care to high risk individuals.[11]

When compared to current best practice, use of the SBST tool along with targeted treatments increased efficiency, improved clinical outcomes, and reduced health care costs. [4]




[1] Dagenais S, Haldeman S. Evidence-Based Management of Low Back Pain. St Louis, MO: Mosby, Inc. (Elsevier); 2012:1–2.

[2] Kent PM, Keating JL. The epidemiology of low back pain in primary care. Chiropr Osteopat. 2005;13:13.

[3]Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344:363–370.

[4] Kosloff, Thomas M., David Elton, Stephanie A. Shulman, Janice L. Clarke, Alexis Skoufalos, and Amanda Solis. "Conservative Spine Care: Opportunities toImprove the Quality and Value of Care." Population Health Management. Mary Ann Liebert, Inc., 01 Dec. 2013. Web. 01 Feb. 2017.

[5] A health services and innovation company whose mission is to help make the health system work better for everyone.

[6] A college whose mission is to prepare leaders with global vision to examine the social determinants of health and to evaluate, develop and implement health policies and systems that will improve the health of populations and thereby enhance the quality of life.

[7] A journal that provides comprehensive, authoritative strategies for improving the systems and policies that affect health care quality, access, and outcomes, ultimately improving the health of an entire population. The Journal delivers essential research on a broad range of topics including the impact of social, cultural, economic, and environmental factors on health care systems and practices.

[9] Developed by researchers at Keele University (United Kingdom) with funding from Arthritis Research UK

[10] Hill JC, Dunn KM, Lewis M, et al. A primary care back pain screening tool: Identifying patient subgroups for initial treatment. Arthritis Rheum. 2008;59:632–641.

Tuesday, April 19, 2016

Study: Active Duty Military with Low Back Pain Show Significant Improvement from Chiropractic Care

“Chiropractic care is an important option to consider for musculoskeletal disorders—the most prevalent pain complaint in the military.”
President and CEO

A study published in the scientific journal Spine in 2013 shows that active duty military who receive chiropractic care along with standard medical care for low back pain have a significant reduction in acute pain compared to colleagues who get standard care only.

Patients receiving chiropractic care also reported improved physical function. The study is the result of a randomized controlled trial, the gold standard in scientific evidence for health care policy, which took place over a period of 18 months at William Beaumont Army Medical Center (WBAMC), Fort Bliss, El Paso, Texas. Participants were 91 active-duty military personnel between 18 and 35 years old.

Samueli Institute funded the Palmer Center for Chiropractic Research to conduct the study to learn what works and to put good practices into use.

“It is critical that we continue to explore drug-less approaches to reduce pain,” said Wayne B. Jonas, MD, President and CEO of Samueli Institute. “Chiropractic care is an important option to consider for musculoskeletal disorders—the most prevalent pain complaint in the military.”

Patients with acute low back pain receiving a combination of chiropractic manipulative therapy and standard medical care experienced a statistically and clinically significant reduction in their back pain and improved physical functioning when compared to those receiving standard medical care alone.

“This is a significant step for recognizing the value of chiropractic care in the military,” said Col. Richard Petri, Chief of the Interdisciplinary PainManagement Center (IPMC) at WBAMC. “Continued research in this area will ultimately result in better healthcare delivery systems as well as the improved health of our beneficiaries.”



The study was conducted by Samueli Institute and Palmer College of Chiropractic. The project was funded by Samueli Institute, out of grant #MDA905-03-C-0003 received from Uniformed Services University of the Health Sciences. The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation.


1737 King Street, Suite 600 | Alexandria, VA 22314 | www.SamueliInstitute.org

Wednesday, April 29, 2015

Chiropractors in Ridgway, Pennsylvania

From the bottom of our hearts, Dr. Fralick and I would like to thank all of you in the Greater Ridgway area for your support and interest in our practice at 205 Main Street. You have really made us feel very welcome!!





Tuesday, April 28, 2015

Chiropractic Care for Kids!

Upon graduating from New York Chiropractic College, Dr. Cheyenne Fralick completed 180 hours of advanced chiropractic seminars sponsored by the International Chiropractic Pediatric Association where she obtained the most up to date information and skills pertaining to the care of children and pregnant mothers. This post-graduate work consisted of hands-on, practical, as well as clinical content regarding this specialized form of chiropractic care. 


Photos posted w/ permission

Learn more about the safety and effectiveness of chiropractic care for children by visiting our website:


Tuesday, December 16, 2014

CHIROPRACTIC MANIPULATION FOR THE CERVICAL SPINE

This post is taken from our 11 July 14 Spine-Health Powered Newsletter


Manipulation of the cervical spine or neck region is a common technique utilized by doctors of chiropractic for many patients complaining of neck, upper back, and shoulder/arm pain, as well as headaches. Read more about this first line of treatment for cervical spine conditions.


TYPES OF CHIROPRACTIC MANIPULATION


The goals of cervical adjustment include reduction of pain, improved motion, and restored function. There are two general approaches for cervical spine complaints:

- Manipulation - often thought of as the traditional chiropractic adjustment, or a high-velocity, low-amplitude (HVLA) technique

- Mobilization - which is a more gentle/less forceful adjustment, or a low-velocity, low-amplitude (LVLA) technique moving the joint through a tolerable range of motion.

A combination of the various approaches varies among patients depending on the chiropractor's preferred techniques, the patient's comfort and preferences, and the patient's response to the treatment, as well as both past experience and observations made during the course of treatment.

Adjunctive therapies may include massage, therapeutic heat and/or cold application, gentle stretching and strengthening exercises, and more.


THE “CRACKING” SOUND

The HVLA manipulation usually results in a release, called cavitation, which is created in part by gas escaping from the joint capsule when the joint is moved quickly within its passive range of motion, well within the tissue boundaries.

This type of chiropractic adjustment creates the typical cracking sound that is often associated with joint manipulation. It sounds similar to cracking one's knuckles.

While this cracking description of a chiropractic high-velocity, low- amplitude thrust may give an impression of something that is uncomfortable, many patients find the sensation is relieving and may provide immediate relief of painful symptoms.

GENTLE MOBILIZATION OR ADJUSTMENT?

There are several reasons a chiropractor may recommend gentle (LVLA) chiropractic techniques, such as: 

- Patient preference: Some patients do not feel comfortable with the traditional high-velocity thrust manipulation and prefer an approach that does not involve twisting their neck or joint "popping."

- Provider experience: Some chiropractors may favor one technique and most chiropractors utilize several approaches and often modify and adapt several techniques to the patient’s needs and preferences.

- Contraindications: Some patients may not be able to tolerate the traditional chiropractic adjustment based on past experience or a prior injury or condition.


GENTLE TECHNIQUES
If the patient cannot relax, or simply dislikes the cracking feeling or sound, a gentle form of chiropractic adjustment may be utilized. Some of these methods include a slower technique performed within the passive range of joint motion. 

  • Cervical mobilization. The chiropractor manually moves the vertebra in the neck left to right, and vice versa, alternating between the side to side motion and a figure 8 movement, applied at varying degrees of moving the head forward, backward, and to the side and in rotation. This is a smooth, non-thrust type of stretch. 
  • Cervical manual traction. The chiropractor gently pulls on the neck, stretching the cervical spine often varying the angle between flexion (forward) and extension (backward), based on comfort and searching for the correct angle to most efficiently reduce the tightness. 
  • Cervical "drop" techniques. The chiropractor places a hand and/or finger over the spinal segment requiring the adjustment. A medium to high velocity, low amplitude thrust, or a non-thrust gradual increasing downward pressure is applied until the drop section / head piece of the table releases and drops a short distance. The goal is to reduce the fixation or restricted motion of the cervical vertebra assisted by the special table. 

TYPICAL CERVICAL PROBLEMS 

  • Mechanical neck pain includes pain generated from muscle, tendons, joint capsules, ligaments and/or the fascia. This type of problem is a common cause of neck pain and stiffness. Most of the time, many of these tissues are simultaneously injured and can cause pain both locally as well as at a distance away from the injury site. 
  • Cervical disc problems. Tears can develop in the cervical disc and/or the inside of the disc (the nucleus) can herniate through the outer part (the annulus) and trap or pinch the nerve root as it exits the spine. 
Cervical nerve root irritation can frequently refer pain down the arm and into the hand, usually affecting specific regions such as the 4th and 5th digits, the palm side thumb to 3rd fingers and/or the back of the hand on the thumb, index finger side of the hand, depending on which nerve root is irritated.

The above are two broad examples of types of cervical spine problems that may be treated with cervical spinal manipulation. The patient needs to receive a complete exam prior to cervical manipulation.





Click here to read the full article: http://www.spine-health.com/ treatment/chiropractic/chiropractic- manipulation-cervical-spine

Wednesday, September 17, 2014

What Everyone Should Know About Chiropractic


Monday, October 28, 2013

Primary Spine Practitioner


The Primary Spine Practitioner (PSP) is, in my humble opinion, the evolution of the chiropractic profession. Over the last 100+ years every field of medicine has striven to make itself better in order to provide individuals seeking treatment the most evidence based care possible within their specialty. The days of the vertebral subluxation complex are over, the chiropractic profession needs to move beyond its 1895 mindset and embrace the concepts developed by the pioneers at Spine Care Partners.
My sincere thanks to Dr. Donald Murphy for his tireless effort in the advancement of our profession via his research and presentation of the facts to those who find chiropractic medicine harmful to the public. Also to doctors, Brian Justice and John Ventura for their community based diligence promoting our profession’s evolutionary change.

I would encourage every chiropractor to embrace this change and move beyond his or her own professional idiosyncrasies because you are in business for only one reason, your patients, and that is what being a PSP is all about!