05.17.13

Once Again Another Study Shows Manipulation Helps Back Pain

Posted in Chiropractic, Manual Therapy Works at 3:58 PM by Dr. Greathouse

Hey it works! Study after study demonstrates this and it’s safe too.

So, if you have back or neck pain, give it a go.

Spine:

01 April 2013 – Volume 38 – Issue 7 – p 540–548

doi: 10.1097/BRS.0b013e318275d09c

Randomized Trial

Abstract

Study Design. A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms.

Objective. To investigate in acute nonspecific low back pain (LBP) the effectiveness of spinal high-velocity low-amplitude (HVLA) manipulation compared with the nonsteroidal anti-inflammatory drug diclofenac (anti-inflammatory) and with placebo.

Summary of Background Data. Few studies have evaluated the effectiveness of spinal manipulation in comparison to nonsteroidal anti-inflammatory drugs or placebo regarding satisfaction and function of the patient, off-work time, and rescue medication.

Methods. The subjects were randomized to 3 groups:

(1) spinal manipulation and placebo-diclofenac;

(2) sham manipulation and diclofenac;

(3) sham manipulation and placebo-diclofenac.

Results. Comparing the 2 intervention groups, the manipulation group was significantly better than the diclofenac group (Mann-Whitney test: P = 0.0134). No adverse effects or harm was registered.

Conclusion. In a subgroup of patients with acute nonspecific LBP, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug diclofenac and clinically superior to placebo.

04.18.13

Chiropractic vs Drugs

Posted in Chiropractic, Manual Therapy Works, Pain Management, Truths About Back & Neck Pain at 12:08 PM by Dr. Greathouse

Organized medicine considers chiropractic as a “first-line” solution to the opioid epidemic.

Prominent among prescription drug related deaths and emergency department visits are opioid pain relievers (OPR), also known as narcotics or opioid analgesics, a class of drugs that includes Oxycodone, Methadone, and Hydrocodone, among others. OPR’s now account for more overdose deaths than heroin and cocaine combined!
DeBar et al. (2011) reports alarming recent data showing the significant increase in pain med prescription use and the need to seek viable alternatives.

In 2012, Dr. William Owens, a chiropractor from Buffalo, New York, was conferred as an adjunct associate clinical professor at the State University of New York at Buffalo School of Medicine and Biomedical Sciences, Family Medical Practice. He was invited to participate in the research department, to consider a formal study showing the benefits of family practitioners comanaging cases with chiropractors.

Ciffuentes et al., 2011 showed that care provided by physical therapists or physician services was associated with higher disability recurrence than with chiropractic services. Additionally, those cases treated with chiropractic consistently tended to have lower severity, less pain med use and less surgery. Also, the cases were less costly and the patients experienced shorter initial periods of disability.

Other outcome studies show that when chiropractic care was pursued, the cost of treatment was reduced by 28%, hospitalizations reduced by 41%, back surgery was reduced by 32%, and the cost of medical imaging, including x-rays and MRIs was reduced by 37%.

Hey, for what it’s worth, this is pretty much par for the course! Chiropractic outcome studies have always been good. Of course, some chiros abuse the system and give us all a black eye, but, for the most part we do well in managing acute, subacute and chronic spinal problems as well as extremity problems too, like shoulders and knees etc.
Got a back or neck problem? I can probably help. Plus, I can probably teach you to help yourself! If I can’t help, I’ll send you to someone who can. I promise you that.

Chiropractic is a good place to start!

06.27.12

Subluxation: Dogma or Science?

Posted in Chiropractic, Truths About Back & Neck Pain at 11:27 AM by Dr. Greathouse

,

Link below:

http://chiromt.com/content/13/1/17

A little known fact about the chiropractic profession is the inner turmoil regarding the term “subluxation”. A subluxation is a slight malposition of the bones of a joint. Chiropractic coined the term, in it’s inception, to mean a spinal joint is out of alignment. With the subluxation came the premise that when the vertebra is subluxated it would naturally impinge on the nerve or nerves associated with that particular segment of the spine. Not only could this subluxation cause pain because of the malposition but because of the spinal nerve impingement it could also affect the health of the tissues and organs that the nerves go to. Pretty simple premise really, easy to understand and it makes some sense, after all the central nervous system is involved in bodily function. However, there’s a little glitch that science just won’t turn a blind eye to, and that is we simply cannot demonstrate that the darn thing exists. Yeah, the chiropractor feels around and finds a tender spot and cracks the spine and it sounds and feels like the darn thing was reset and it feels better too! But when we try to reproduce this assessment and treatment process, chiropractors are not in agreement as to what segment is out of alignment, what direction it’s out and when we actually manipulate we are never consistent with what we are trying to move, in other words we “adjust” different segments in error more consistently than the segment we are trying to adjust. Bear in mind that the outcomes remain about the same but we can’t prove it’s because the vertebra is out and we reset it or correct it. So, what’s a mother to do? We love our child the subluxation so we must continue to embrace it? At least 45% of chiropractors do embrace the premise fervently and others as well, to some degree, and then again a few reject it all together.

As for me, I think , perhaps, it’s ok to inform people that anecdotally we see some patients with problems other than back an neck pain or headaches improve with spinal manipulation but that the science to support it just isn’t there yet. This allows one (consumer/patient) to make an informed choice about what they are about to pay for.

Meanwhile, back on the farm as the debate continues, the rest of the healthcare world scratches and shakes it’s head… and moves on; without chiropractic I might add.


06.12.12

Low Back Pain – Manual Therapy Cost Effective

Posted in Chiropractic, Manual Therapy Works, Truths About Back & Neck Pain at 8:40 AM by Dr. Greathouse

“Evidence to date indicates that guideline-endorsed treatments such as interdisciplinary rehabilitation, exercise, acupuncture, spinal manipulation and cognitive-behavioural therapy for sub-acute or chronic LBP are cost-effective.”  Therapeutic exercise in conjunction with manual therapy or more specific “directional preference exercise”, as with McKenzie, has proven very effective for good outcomes and and cost effectiveness (when managed ethically).

For the entire article see this link: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176706/?tool=pmcentrez

08.09.11

Chiropractic Ranked #1 Alternative Therapy for Back Pain

Posted in Chiropractic at 12:46 PM by Dr. Greathouse

Americans Are Flocking to Alternative Therapies

Chiropractic care was ranked as the most effective treatment for back pain.

July 22, 2011 — Most Americans believe that prescription medications are the most effective treatments for many common illnesses, but a Consumer Reports survey of more than 45,000 people finds that three-fourths of us are turning to alternative therapies like yoga and acupuncture.

The new report says 38 million adults make more than 300 million visits per year to acupuncturists, chiropractors, massage therapists, and other practitioners of alternative and complementary techniques.

“Despite the hoopla over alternative therapies, when we asked respondents how well the therapies they used worked for 12 common health problems, results showed that they were usually deemed far less helpful than prescription medicine for most of the conditions,” Consumer Reports Health says in its September issue.

Also, over-the-counter medications in many cases are more popular among consumers than widely used dietary supplements, according to the survey.

Most Popular Alternative Therapies

Chiropractic, deep-tissue massage, and mind-body practices like yoga dominated the list of alternative treatments that respondents said were helpful for back pain, neck pain, and the aches of osteoarthritis.

And though meditation is widely touted as an effective way to relieve anxiety, insomnia, and depression, the survey says prescription antidepressants are used by more people.

Among key findings of the survey:

Ø    Consumers ranked prescription drugs as most effective for nine of 12 conditions — allergies, cold and flu, depression, anxiety, digestive problems, headache and migraine, insomnia, irritable bowel syndrome, and osteoarthritis.

Ø    Of the 46% of respondents who used prescription drugs for osteoarthritis pain, 53% said it helped a lot; 54% of respondents used glucosamine/chondroitin for osteoarthritis symptoms, and 25% said it helped a lot.

Ø    Of the 27% of respondents who used meditation, 42% said it helped “a lot” with anxiety.

Ø    43% of respondents used deep-breathing exercises for anxiety, and 34% found it helped a lot.

Ø    Chiropractic care was ranked as the most effective treatment for back pain.

Ø    Pilates, yoga, and deep-tissue massage all rated about the same as prescription medication for back pain.

Ø    Vitamins and minerals were the most commonly used alternative treatments for general health, with 73% of respondents taking them.

Ø    A majority of people who said they used alternative therapies had told their doctors about it.

Ø    Respondents were online subscribers of Consumer Reports.

Ø    Consumer Reports recommends that people who decide to try alternative treatments talk to their doctor first to set realistic expectations for improvement.

SOURCES:

News release, Consumer Reports Health.

Consumer Reports, September 2011.

07.27.11

Is Chiropractic Care Essential to Child’s Spinal Development?

Posted in Back Facts (spine), Chiropractic, Spinal Hygiene, Truths About Back & Neck Pain at 12:22 PM by Dr. Greathouse

Growing Up Right

Why Chiropractic care is essential to your child’s spinal development.

See article: http://toyourhealth.com/mpacms/tyh/article.php?id=1450

Is chiropractic really essential to spinal development? Of course the answer is unequivocally no. I can say that without reservation because there’s no data to support such a statement. As far as aligning the spine goes, well, we can’t support that statement either.

This is the kind of stuff that chafes my tuchus. Don’t get me wrong, there’s some good stuff in this article. Kids can benefit from chiropractic care just as adults do and we can educate on the importance of good posture, body mechanics and ergonomics.  But don’t promulgate such innuendo as; chiropractic care is essential to your child’s spinal development.

If your child complains of back or neck pain a chiropractor is qualified to assess, differentially diagnose and treat them. Some chiropractors will go a step further and tell you they can treat other ailments other than musculoskeletal problems and there is some anecdotal evidence of that. That’s OK as long as you are made aware of the anecdotal level of evidence and you are still willing to try it.

Most pediatricians will not recommend chiropractic care, likely because they have no clue as to what we do. What they likely do hear from their patient’s parents is all sorts of healing claims and of course that doesn’t sit well with them either. Chiropractors can help a lot of folks out there but the MD gets too much hyperbole feedback from their patients about chiropractic care claims and simply writes us off much of the time.

For good spinal health and development, in my opinion, children must be taught good spinal hygiene (mobility maintenance – posture – body mechanics – ergonomics) early on, just like dental hygiene training.

05.17.11

Chiropractic Works and So Do Patients

Posted in Chiropractic at 9:27 AM by Dr. Greathouse

Lower disability recurrence when workers comp patients received chiropractic maintenance care versus care provided by physical therapists are medical doctors.

A study published in the April 2011 issue of The Journal of Occupational and Environmental Medicine suggests that when it comes to work related low back pain, the risk of disability recurrence is lower for patients treated primarily by a doctor of chiropractic than patients treated only\mostly by a physical therapist or a physician.

We accept workers comp cases. As an injured employee you are entitled to see a chiropractor by law. We provide the physical therapy and chiropractic services to get you better and back to work.

Call (321) 725-6314

Be kind to your spine!

Dr. Greathouse / Chiropractic Physician