An Open Letter to our Medical friends.

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In the past year, many trusted medical establishments including the FDA (1), CDC (2), Joint Commission (3,4), JAMA (5), and The American College of Physicians/ Annals of Internal Medicine (6) have encouraged medical providers to prescribe spinal manipulation as a first line treatment for acute, subacute, and chronic low back pain.

Most recently, The Lancet echoed that endorsement, and provided a unique perspective:

The reduced emphasis on pharmacological care recommends nonpharmacological care as the first treatment option and reserves pharmacological care for patients for whom nonpharmacological care has not worked. These guidelines endorse the use of exercise and a range of other non- pharmacological therapies, including massage, spinal manipulation, and acupuncture.

Gaps between evidence and practice exist, with limited use of recommended first- line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. Doing more of the same will not reduce back-related disability or its long-term consequences. The advances with the greatest potential are arguably those that align practice with the evidence. (7)

Unfortunately, personal experience skews our perception of each other’s merit, i.e., we primarily see each other’s failures since the successes don’t need to seek additional care. Regardless of our professional degree, we all have failed cases mixed into our many clinical successes. We must not lose sight of the evidence supporting each other’s overwhelming proven value for a given diagnosis. If we judge each other by our successes rather than our failures, we will work toward an integrated model where the patient wins. Together, we will help more patients than either working alone.

We are honored for the opportunity to co-manage your patients.

 

References
1. FDA Education Blueprint for Health Care Providers Involved in the Management or Support of Patients with Pain. May 2017. Accessed on May 12, 2017
2. Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain- United States, 2016. MMWR Recomm Rep 2016;65(No. RR-1):1–49.
3. The Official Newsletter of The Joint Commission. Joint Commission Enhances Pain Assessment and Management Requirements for Accredited Hospitals. July 2017 Volume 37 Number 7. Ahead of print in
2018 Comprehensive Accreditation Manual for Hospitals.
4. Joint Commission Online. Revision to Pain Management Standards. http://www.jointcommission.org/assets/1/23/jconline_november_12_14.pdf
5. Paige NM, Miake-Lye IM, Booth MS, et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain; Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460.
6. Qaseem A, et al. for the Clinical Guidelines Committee of the American College of Physicians. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017;166(7):514-530.
7. Foster, Nadine EBuchbinder, Rachelle et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, Published Online March 21, 2018 http://dx.doi.org/10.1016/ S0140-6736(18)30489-6

Trigger points in the neck muscles.

One of the most common forms of pain I see in my practice is neck and shoulder pain. Many people have jobs that require the muscles of the neck and upper back to work overtime to keep proper neck posture. Sitting in front of a computer all day or being stuck in a car or truck for example will eventually cause these muscles to become strained and develop trigger points. These trigger points will then cause pain, referred pain, stiffness and weakness. Neck and upper back trigger points will refer pain into the neck and head.

Trigger points and neck pain.

Neck pain and stiffness are very common. Most of us have, at one point or another experienced it. Neck pain can range from being an annoyance to being excruciating and debilitating. Lots of issues can cause neck pain, but one of the most common causes are myofascial trigger points. Trigger points from in muscles tissue from overload stress. This stress causes muscle fibers in a muscle to become contracted into a knot. These knots will produce pain, referred pain, stiffness and weakness among other symptoms. Trigger points in the levator scapulae and the trapezius muscles are a leading cause of neck pain and stiffness.

Trigger points and myofascial pain syndrome.

Myofascial pain syndrome is a chronic pain disorder. In this condition, pressure on sensitive points in your muscles (trigger points) causes pain in the muscle and sometimes in seemingly unrelated parts of your body. This is called referred pain.

This syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress-related muscle tension.

Signs and symptoms of myofascial pain syndrome may include:

  • Deep, aching pain in a muscle
  • Pain that persists or worsens
  • A tender knot in a muscle
  • Difficulty sleeping due to pain

Trigger point massage therapy.

Trigger points are the clinical name for contracted muscle knots. These knots are the result of an overload stress placed on the muscle tissue. This overload can be from both acute or chronic stresses. When this happens some of the muscle fibers get locked together in a maximally contracted spasm that self perpetuates. These trigger points then cause symptoms such as pain, referred pain, stiffness, and weakness. They are one of the most common source of pain in the human body, and can even mimick symptoms of other conditions. Trigger points don’t go away on their own, they also can’t be treated with stretching, rest or rehabilitation exercises. A direct intervention targeted directly at the point itself such as trigger point massage therapy is the only way to release a trigger point.

Massage and sleep.

Regular massage sessions have been found to decrease depression and anxiety levels and improve sleep quality, perhaps because they trigger the release of serotonin, a neurotransmitter that can help you feel calm. The technique has been found to benefit children and adolescents, as well

Piriformis syndrome

Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain).