Wellness

Your Arm Pain May Be Coming From Your Neck

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

Cervical radiculopathy is the medical term for when a spinal disc in your neck is irritating or compressing a nerve root, causing pain, numbness, tingling, or weakness in your arm and hand. Specific neck movements, like twisting or bending, may increase the pain. This can happen because of injury or degenerative changes in the spine. The good news is that over 95% of people get well with natural healthcare like Chiropractic. 

Why it Matters: 

A pinched nerve in your neck can cause a lot of pain, and it can be tempting to reach for medications to find relief. However, research shows us you may want to contact your Chiropractor before reaching for any pills. The Annals of Internal Medicine found that Chiropractic adjustments provided more pain relief than medications for people suffering from neck pain and the relief was long-lasting. The patients in the study experienced statistically significant relief up to 1 year after the initial treatment! 

  • Discs in your neck can compress or irritate your nerves causing pain, numbness, or weakness.
  • Research has shown that adjustments were more effective than medication in the short and long-term.
  • Chronic neck pain can be reduced by up to 75% or more after Chiropractic adjustments.

Next Steps:

Research has shown that Chiropractic is an extremely safe and effective healthcare option for treating neck pain or pinched nerves. Additionally, Chiropractors are trained to help you proactively combat neck pain and to prevent it from showing up in the first place. Ask us about some simple stretches and exercises you can perform to help improve your range of motion while keeping your discs and nerves healthy and happy. 

Science Source: 

Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain- A Randomized Trial. Annals of Internal Medicine, Volume 156, 2012 

Safety of Chiropractic Manipulation of the Cervical Spine. SPINE, Volume 32, 2007 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. Journal of Manipulative and Physiological Therapeutics. Volume 37. 2014

Outcomes from Magnetic Resonance Imaging-Confirmed Symptomatic Cervical Disk Herniation Patients Treated with High-Velocity, Low-Amplitude Spinal Manipulative Therapy. Journal of Manipulative and Physiological Therapeutics. 2013 

Health: Your Most Valuable Possession

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

What is the most valuable thing in the world to you? As the great physician Hippocrates once said: “A wise man ought to realize that health is his most valuable possession.” We agree. All the cars, watches, and bitcoins in the world has never improved anyone’s health. That’s why we are so passionate about helping you get well and stay well with Chiropractic care – and we aren’t alone. A recent study in the Journal of Rehabilitation Medicine showed that Chiropractic care had an extremely high perceived value for people suffering from neck pain. In other words, people loved getting adjusted! 

Why it Matters: 

Whether you’re recovering from an injury or just looking to improve your quality of life, maintaining optimal health is a process – so you should have fun doing it! It’s a lot easier to get well and stay well when you enjoy the care and treatment. People love Chiropractic care not only because of the pain relief they receive but also because Chiropractors can help them to live a healthier lifestyle. 

  • An incredible 94% of people receiving adjustments reported high patient satisfaction.
  • Chiropractors are trained to help people live a healthy, active lifestyle, using natural treatment options.
  • Chiropractic is supported by top research journals like SPINE and the Annals of Internal Medicine.

Next Steps:

If you know someone who appreciates natural healthcare and wants to maintain an active lifestyle, then share this Research That Matters paper with them. Without any exposure to Chiropractic care, they may have to rely on dangerous medications or surgery to reduce the pain in their neck, but we believe there is a better way with Chiropractic. 

Science Source(s): 

Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain- A Randomized Trial. Annals of Internal Medicine, Volume 156, 2012 

Safety of Chiropractic Manipulation of the Cervical Spine. SPINE, Volume 32, 2007 

Perceived Value of Spinal Manipulative Therapy and Exercise Among Seniors with Chronic Neck Pain: A Mixed Methods Study. Journal of Rehabilitation Medicine. 2014 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. Journal of Manipulative and Physiological Therapeutics. Volume 37. 2014

Outcomes from Magnetic Resonance Imaging-Confirmed Symptomatic Cervical Disk Herniation Patients Treated with High-Velocity, Low-Amplitude Spinal Manipulative Therapy. Journal of Manipulative and Physiological Therapeutics. 2013 

Neck Pain, Posture and Headaches

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

You know that feeling – the one where you start to feel a headache coming on. For many people, it is a daily occurrence and often begins in the neck and shoulders. That’s right – tight muscles around your neck can result in tension headaches. What’s more, if you sit at a computer all day, your posture may also be contributing to a decreased range of motion, premature degenerative changes in your spine, and headaches – but there’s good news! There are a few simple steps you can take to help you feel less pain, increase your energy, and fend off those degenerative changes. New evidence-based guidelines strongly recommend a combination of exercise, stretching, and Chiropractic adjustments to help reduce neck pain, headaches, and muscle tension. 

Why it Matters:

Chronic neck pain can rob you of the things you love. Enjoying your hobbies, taking a few moments to relax, and time with your family can all be affected. However, neck pain and headaches don’t have to be a part of your daily life. By understanding the latest research, you can take massive action to improve your health. Check out the next steps below to find a few tips to help you take your life back from pain. 

  • Research recommends a combination of Chiropractic, exercise, and stretching to reduce neck pain.
  • Chiropractic has an extremely high patient satisfaction score of over 90%.
  • An amazing 85% of people receiving Chiropractic adjustments for acute neck pain experienced significant improvement.

Next Steps:

It’s exciting that research has continued to showcase that you’re in charge of your health. Your habits and lifestyle can make a massive impact. Start reducing neck pain today by taking breaks every 45-60 minutes and stretching out your neck and shoulders. Take a brisk walk during lunch or hit the gym a few times a week to increase your activity levels. Finally, don’t forget about getting adjusted. Research proves that Chiropractic adjustments are a smart decision! 

Science Source(s): 

Spinal Manipulation, Medication, or Home Exercise with Advice for Acute and Subacute Neck Pain- A Randomized Trial. Annals of Internal Medicine, Volume 156, 2012 

Perceived Value of Spinal Manipulative Therapy and Exercise Among Seniors with Chronic Neck Pain: A Mixed Methods Study. Journal of Rehabilitation Medicine. 2014 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. Journal of Manipulative and Physiological Therapeutics. Volume 37. 2014

Facet Syndrome

~ Dr. Robert Speirs DC ~ Leave a comment

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Facet syndrome represents an irritation of the articular facets at the level of the spine. This progressive condition is often associated with a sensation of pain and generally affects the quantity and quality of movement possible.

The spine is made up of several vertebrae, intervertebral discs, ligaments, nerves and many muscles. The facet joints are small joints, covered with cartilage, that connect the vertebrae together.

Facet syndrome most often affects the lumbar or cervical region and usually happens as a result of structural changes that occur in the spine with age. Facet syndrome can be caused by inflammatory conditions, such as arthritis, or following a spinal trauma, such as a car accident or a fall.

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Structures involved

The cartilage that covers the f​acet joint​ and allows the vertebrae to move easily against each other is often involved in this condition.

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Signs & Symptoms that you may experience

Facet syndrome is multifactorial and symptoms can vary greatly from one person to another. The symptoms of facet syndrome vary depending on the region of the spine affected. At the cervical level, symptoms are generally felt at the base of the skull, neck, upper back and shoulders. At the lumbar level, symptoms are usually located in the lower back, hips, groin and behind the legs. Pain and stiffness are often present after periods of rest and are often exacerbated in the morning. Burning and tingling sensations may be felt in the area of the buttocks and legs.

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Developments

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time.​ I​ n most cases, you can expect a full recovery from facet syndrome. This condition can sometimes be associated with

osteoarthritis, which is a chronic condition that cannot be cured. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms. As a general rule, it can take a few months before you can return to a functional level. In cases of long-standing facet syndrome, the pain may sometimes resurface with no real cause or identifiable false movement and then subside with a return to an active lifestyle.

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▶​ ​WHAT TO DO

Early Stage

Relative rest is a good way to protect your facet syndrome and prevent your condition from getting worse, but it is important to avoid over-protecting it. A few days of rest by reducing activities that cause pain may be necessary. A quick return to your daily activities, light cardiovascular exercises that do not cause pain and exercises to strengthen your lumbar and abdominal stabilizer muscles will allow for a better recovery.

Rehabilitation

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of successful rehabilitation. Your therapist will accompany you during your personalized rehabilitation program to regain your joint range of motion, your strength and muscular endurance of the spinal region involved and your functional state.

▶ ​WHAT TO AVOID

Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Remember that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, cardiovascular and strength-building exercises based on your tolerance.

Can Fibromyalgia Br Prevented?

~ Dr. Robert Speirs DC ~ Leave a comment

What can be done about it?

Fibromyalgia (FM) is a common cause for chronic pain (pain that lasts three or more months) and afflicts 4% of the general population in the United States! FM commonly affects the muscles and soft tissues – not the joints (like arthritis); however, many FM sufferers are mistakenly diagnosed with arthritis, so it may take years before they get an accurate diagnosis. There are NO known accurate diagnostic tests for FM, which is another reason for a delayed diagnosis.

In order to answer the question, “Can fibromyalgia be prevented?” we must first find the cause of FM. There are two types of FM: PRIMARY and SECONDARY. Primary FM occurs for no known reason, while secondary FM can be triggered by a physical event such as a trauma (e.g., car accident), an emotional event or a stressful situation (e.g., loss of a child), and/or a medical event such as a condition like irritable bowel syndrome, rheumatoid arthritis, or systemic lupus erythymatosis (SLE). Any condition that carries chronic or long-lasting symptoms can trigger FM, and some argue that the lack of being able to get into the deep sleep stage may be at the core of triggering FM since sleep disorders are a common finding in FM sufferers!

The “KEY” to managing FM has consistently been and probably always will be EXERCISE and SLEEP. So, if FM is preventable, daily exercise and getting the “right kind” of sleep are very important ways that may reduce the likelihood for developing the condition! Since emotions play a KEY ROLE in the cause and/or effect of FM, applying skills that keep life’s stressors in check is also important. This list can include hobbies like reading a good book, playing and/or listening to music, or meditation. The combination of exercise with mindful meditation using approaches like Tai Chi, Yoga, Qi Gong, and others has had positive impacts on FM patients such as improved balance and stability, reduced pain, enhanced mental clarity, and generally improved quality of life. Managing physical conditions that are associated with FM (such as irritable bowel syndrome, rheumatoid arthritis, or systemic lupus erythymatosis) is also important in managing and/or preventing FM.

Another management strategy of FM is diet. As most patients with FM will agree, certain foods help and others make the FM symptoms worse. In a survey published in the Journal of Clinical Rheumatology, 42% of FM patients reported certain foods exacerbated their symptoms. Of course, each individual case is unique, so keeping a food log or journal can be very helpful to determine dietary “friends” vs. “enemies.” The first step is to eliminate certain foods for four to six weeks, such as dairy and/or gluten. Most patients report a significant improvement in energy (less fatigue) while some report less pain when problem foods are eliminated from their diet. Generally, a diet rich in fruits, vegetables, and lean proteins can have a positive impact on the FM patient. Consider eating multiple small meals vs. two or three large meals during the day, as this can keep blood sugar levels more stable and reduce fatigue.

So back to the question, can fibromyalgia be prevented? Maybe…maybe not. Since the medical community doesn’t know the exact cause, it’s hard to answer this question. However, being proactive and implementing the strategies used to better manage FM may help in preventing it as well!

If you, a friend or family member requires care for Fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing our services!

What Is Whiplash?

~ Dr. Robert Speirs DC ~ Leave a comment

And what can be done about it?

Whiplash is an injury to the soft-tissues of the neck often referred to as a sprain or strain. Because there are a unique set of symptoms associated with whiplash, doctors and researchers commonly use the term “whiplash associated disorders” or WAD to describe the condition.

WAD commonly occurs as a result of a car crash, but it can also result from a slip and fall, sports injury, a personal injury (such as an assault), and other traumatic causes. The tissues commonly involved include muscle tendons (“strain”), ligaments and joint capsules (“sprains”), disk injuries (tears, herniation), as well as brain injury or concussion—even without hitting the head!

Symptoms vary widely but often include neck pain, stiffness, tender muscles and connective tissue (myofascial pain), headache, dizziness, sensations such as burning, prickly, tingling, numbness, muscle weakness, and referred pain to the shoulder blade, mid-back, arm, head, or face. If concussion occurs, additional symptoms include cognitive problems, concentration loss, poor memory, anxiety/depression, nervousness/irritability, sleep disturbance, fatigue, and more!

Whiplash associated disorders can be broken down into three categories: WAD I includes symptoms without any significant examination findings; WAD II includes loss of cervical range of motion and evidence of soft-tissue damage; and WAD III includes WAD II elements with neurological loss—altered motor and/or sensory functions. There is a WAD IV which includes fracture, but this is less common and often excluded.

Treatment for WAD includes everything from doing nothing to intensive management from multiple disciplines—chiropractic, primary care, physical therapy, clinical psychology, pain management, and specialty services such as neurology, orthopedics, and more. The goal of treatment is to restore normal function and activity participation, as well as symptom management.

The prognosis of WAD is generally good as many will recover without residual problems within days to weeks, with most people recovering around three months after the injury. Unfortunately, some are not so lucky and have continued neck pain, stiffness, headache, and some develop post-concussive syndrome. The latter can affect cognition, memory, vision, and other brain functions. Generally speaking, the higher the WAD category, the worse the prognosis, although each case MUST be managed by its own unique characteristics. If the injury includes neurological loss (muscle strength and/or sensory dysfunction like numbness, tingling, burning, pressure), the prognosis is often worse.

Chiropractic care for the WAD patient can include manipulation, mobilization, and home-based exercises, as well as the use of anti-inflammatory herbs (ginger, turmeric, proteolysis enzymes (bromelain, papain), devil’s claw, boswellia extract, rutin, bioflavonoid, vitamin D, coenzyme Q10, etc.) and dietary modifications aimed at reducing inflammation and promoting healing.

Diet Strategies For Fibromyalgia

~ Dr. Robert Speirs DC ~ Leave a comment

Fibromyalgia (FM) is a common condition that affects about five million Americans, often between ages 20 and 45 years old. FM is very difficult to diagnose primarily because there is no definitive test like there is for heart, liver, or kidney disease. Equally challenging is the ability to effectively treat FM as there are frequently other conditions that co-exist with FM that require special treatment considerations. Typically, each FM case is unique with a different group of symptoms and therefore, each person requires individualized care.

Fibromyalgia symptoms can include generalized pain throughout the body that can vary from mild to severely disabling, extreme fatigue, nausea/flu-like symptoms, brain “fog” (“fibro-fog”), depression and/or anxiety, sleeping problems and feeling un-refreshed in the mornings, headaches, irritable bowel syndrome, morning stiffness, painful menstrual cramps, numbness or tingling (arms/hands, legs/feet), tender points, urinary pain or burning, and more!

So, let’s talk about ways to improve your FM-related symptoms through dietary approaches. When the FM symptom group includes gut trouble (bad/painful gas, bloating, and/or constipation), it’s not uncommon to have an imbalance between the “good” vs. the “bad” bacteria, yeast, and problems with digestion or absorption. Think of management as a “Four Step” process for the digestive system:

1.  REMOVE HARMFUL TOXINS: Consider food allergy testing to determine any foods the FM patient has a sensitivity for. Frequently, removing gluten, dairy, eggs, bananas, potatoes, corn, and red meat can benefit the FM patient. The use of anti-fungal and / or anti-bacterial botanicals (as opposed to drug approaches such as antibiotics) can be highly effective. A low allergy-potential diet consisting of fish, poultry, certain vegetables, legumes, fruits, rice, and olive and coconut oil is usually a good choice.

2.  IMPROVE DIGESTIVE FUNCTION: The presence of bloating and gas is usually indicative of poor digestion, and the use of a digestive enzyme with every meal can be highly effective!

3.  RESTORE THE “GOOD” BACTERIA: Probiotics (with at least 20-30 billion live organisms) at each meal are often necessary to improve the “good” gut bacteria population, which will likely also improve immune function.

4.  REPAIR THE GUT: If the gut wall is damaged, nutrients like l-glutamine, fish oils, and n-acetyl-d-glucosamine may help repair it.

This process will take several months, and some of these approaches may have to be continued over the long term. Doctors of chiropractic are trained in nutritional counseling and can help you in this process. As an added benefit, many FM sufferers find the inclusion of chiropractic adjustments to be both symptomatically relieving and energy producing.

If you, a friend or family member requires care for Fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing our services!

Chiropractic and Headaches

~ Dr. Robert Speirs DC ~ Leave a comment

According to the World Health Organization, headaches are among the most common disorders of the nervous system affecting an estimated 47% of adults during the past year. Headaches place a significant burden on both quality of life (personal, social, and occupational) and financial health. They are usually misdiagnosed by healthcare practitioners, and in general, are underestimated, under-recognized, and under-treated around the world. So, what about chiropractic and headaches… Does it help?

Suffice it to say, there are MANY studies showing chiropractic care helps headache sufferers. For instance, in a review of past research studies using an “evidence-based” approach, chiropractic treatment of adults with different types of headaches revealed very positive findings! Researchers note that chiropractic care helps those with episodic or chronic migraine headaches, cervicogenic headache (that is, headaches caused by neck problems), and tension-type headaches (chronic more than episodic). There appears to be additional benefit when chiropractic adjustments are combined with massage, mobilization, and/or adding certain types of exercises, although this was not consistently studied. In the studies that discussed adverse or negative effects of treatment, the researchers noted no serious adverse effects.

In patients suffering from athletic injuries, particularly post-concussion headache (PC-HA), chiropractic care can play a very important role in the patient’s recovery. With an estimated 1.6 to 3.8 million sports-related brain injuries occurring each year, approximately 136,000 involve young high school athletes (although some argue this is “grossly underestimated”).

Several published case studies report significant benefits for post-concussion patients after receiving chiropractic care, some of which included PC-HA from motor vehicle collisions, as well as from slips and falls. For example, one described an improvement in symptoms that included deficits in short-term memory as well as attention problems. In this particular study, a six-year-old boy fell from a slide in the playground, and after 18 months of continuous problems, underwent a course of chiropractic care. After just three weeks of care, his spelling test scores improved from 20% to 80% with even more benefits observed by the eighth week of care!

Another case study looked at a 16-year-old male teenager with a five-week-old football injury who had daily headaches and “a sense of fogginess” (concentration difficulties). He reported significant improvement after the second visit, with near-complete symptom resolution after the fifth visit (within two weeks of care). After seven weeks of care, he successfully returned to normal activities, including playing football.

Dizziness and vertigo are also common residuals from concussion and were present in a 30-year-old woman just three days following a motor vehicle accident. She also complained of headache, neck pain, back pain, and numbness in both arms. The case study noted significant improvement after nine visits within an 18-day time frame.

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for neck pain or headaches, we would be honored to render our services.

Trigger points and headaches

~ bryancobb ~ Leave a comment

Trigger points are contracted knots of muscle tissue that form in any muscle as a result of overload stress. Trigger points cause pain, referred pain, stiffness and weakness. Trigger points that form in the muscles of the neck and head often refer pain into the head and face. This is one of the most common causes of headache pain. Trigger point massage is an effective way to treat trigger points.