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

Chiropractic During Pregnancy

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A new study has found that nearly 4-in-5 pregnant women who use conservative manual therapy, like the type provided in our office, experience a reduction in pregnancy symptoms (headache, neck pain, heartburn, nausea, vomiting, dizziness, and insomnia).

Authors Conclusion: Manual therapy in pregnancy is a drugless, highly effective therapy. It is a low cost, rapid, safe, and well-tolerated treatment for pregnancy symptoms which frequently has an immediate effect, thus making it an optimal treatment for pregnancy symptoms.”

Download this helpful pregnancy infographic to learn more.

#PregnancySymptoms #ChooseChiropractic

Skarica B et al. Effectiveness of Manual Treatment on Pregnancy Symptoms: Usefulness of Manual Treatment in Treating Pregnancy Symptoms. Med Arch. 2018 Apr;72(2):131-135. doi: 10.5455/medarh.2018.72.131-135.

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Growing pains?

TXT Neck

An extensive research review has concluded that “growing pains” do not actually exist.

There is no such thing as “normal pain”. If you know a young person with pain, call our office today to find the real source of their problem.

#GrowingPains #Pain #ChiropracticTreatment

Swain M. et al. Relationship between growth, maturation and musculoskeletal conditions in adolescents: a systematic review. Br J Sports Med. 2018 Oct;52(19):1246-1252. doi: 10.1136/bjsports-2017-098418. Epub 2018 Mar 20.

Avoiding Shoulder Surgery

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The term “SLAP” is used to describe a tear or detachment of the rim of cartilage that surrounds the entire outside edge of your shoulder socket. SLAP lesions can be a significant source of pain and disability – especially in throwing athletes like pitchers. Fortunately, new research has found that a well-designed exercise plan “is more successful than surgery for most throwers with SLAP lesions.”

If you or someone you know suffers from shoulder pain, call our office today to see how we can help!

#SLAPLesions #SurgeryAlternative #ChiropracticCareWorks

Mathew CJ, Lintner DM. Superior Labral Anterior to Posterior Tear Management in Athletes. Open Orthop J. 2018 Jul 31;12:303-313. doi: 10.2174/1874325001812010303. eCollection 2018.

Carpal Tunnel Options

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A large literature review of potential treatments for carpal tunnel syndrome concluded that oral medication & injections did not provide long-term maintenance. Whereas, another study concluded that manual therapy, like the type provided in our office, produced significant improvement for carpal tunnel patients.

Check out this video link to see one recommended nerve stretch that you can do at home to help relieve symptoms.

#CarpalTunnelSyndrome #ManualTherapy #ChiropracticCareWorks

Trapezius trigger points.

The trapezius muscle is a large diamond shaped muscle in your upper and middle back and neck. It it responsible for both shoulder and neck movements. Trigger points in the upper portion of this muscle are the most common points to develop in the body. These trigger points most often occur due to poor posture, such as a slumped sitting posture. Trigger points in the upper portion of the traps will cause pain to refer into the neck, head, and into the temple. These points are one of the most common causes of headaches.