Dynamic Chiropractic
Reaching the chiropractic market through excellent off and online publications.
Foundation for Chiropractic Progress
Embraces a mission of generating positive press and increasing public awareness to the many benefits associated with chiropractic care.
The article entitled simply “Low Back Pain” discusses the anatomical make-up of the spine and the structures found in the low back region with diagrams showing a healthy disc and spinal nerve roots and a bulging disk compressing a nerve root.
Causes of back pain and symptoms associated with back pain were discussed with explanation of how a nerve can be pinched or compressed between the vertebra. It also mentions how sometimes it can cause problems with controlling your bladder or bowels. Other causes of back pain of back pain were discussed.
Information in the article discussed diagnosis, treatment, and prevention of low back pain.
In the treatment section of the article, therapeutic care provided by a doctor of chiropractic was mentioned as having benefit. This statement fits the facts of the chiropractic profession that there is a philosophy of chiropractic, one with a foundation of therapeutic conservativism.
As chiropractic physicians we agree with what was stated in the article: “Imaging (x-rays, magnetic resonance imaging [MRI ], or computed tomography [CT]) is not recommended for uncomplicated low back pain. Imaging is used if you have had trauma, evidence of nerve involvement, sometimes for those older than 70 years, or if symptoms are very prolonged. It is also used if your doctor suspects another disease, such as infection or cancer.”
Chiropractic physicians have always had a practice philosophy of the most conservative approach first, such as the care provided by a doctor of chiropractic. A chiropractic physician can provide therapies such as ultrasound, hot packs, cold packs, acupressure, vibro-massage, trigger point relaxation, massage therapy, electrical muscle stimulation, spinal traction. Also, they provide rehabilitative exercises, and skilled specific chiropractic adjustments / manipulation in the affected region, and a host of other conservative measures concerning changes in lifestyle that could actually be the source of the low back pain.
Most chiropractic physicians also agree with another statement in the article: “Sometimes medications are needed, including analgesics (painkillers) or medications that reduce inflammation. Surgery is not usually needed but may be considered if other therapies have failed.” Most doctors of chiropractic have learned that the possibility of having a bad effect from a medication is eliminated when conservative treatment can be provided with a safe effective approach to caring for patients with low back pain. Most patients would rather get well without drugs or surgery if possible too.
Chiropractic physicians will only accept the patients that they think that they can help. Acceptance of a patient is only after a through consultation and examination which includes examination involving posture, spinal physical, orthopedic and neurological evaluations. Most patients that have never been to see a chiropractic doctor are surprised at the level of initial examination performed before they are accepted for care.
Doctors of chiropractic have always worked as part of the health care team to provide the best care possible. Chiropractic physicians are experts in a conservative therapeutic approach to your health care concerns.
Some information above was derived from the recent article in the Journal of American Medical Association publication. Denise M. Goodman, MD, MS; Alison E. Burke, MA; Edward H. Livingston, MD
JAMA. 2013;309(16):1738. doi:10.1001/jama.2013.3046. To view the article online click on the following link . http://bit.ly/jamachiropractic
For more information about the Services Provided by the Doctor of Chiropractic, go to the American Chiropractic Association website http://www.acatoday.org If you continue to have health concerns about your general health, or feel soreness, pain or strain, it may be time to visit a Doctor of Chiropractic
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain: Results of a Pragmatic Randomized Comparative Effectiveness Study
Goertz, Christine M. DC, PhD*; Long, Cynthia R. PhD*; Hondras, Maria A. DC, MPH*; Petri, Richard MD†; Delgado, Roxana MS‡; Lawrence, Dana J. DC, MMedEd, MA§; Owens, Edward F. MS, DC¶; Meeker, William C. DC, MPH‖
Study Design. Randomized controlled trial.
Objective. To assess changes in pain levels and physical functioning in response to standard medical care (SMC) versus SMC plus chiropractic manipulative therapy (CMT) for the treatment of low back pain (LBP) among 18 to 35-year-old active-duty military personnel.
Summary of Background Data. LBP is common, costly, and a significant cause of long-term sick leave and work loss. Many different interventions are available, but there exists no consensus on the best approach. One intervention often used is manipulative therapy. Current evidence from randomized controlled trials demonstrates that manipulative therapy may be as effective as other conservative treatments of LBP, but its appropriate role in the healthcare delivery system has not been established.
Methods. Prospective, 2-arm randomized controlled trial pilot study comparing SMC plus CMT with only SMC. The primary outcome measures were changes in back-related pain on the numerical rating scale and physical functioning at 4 weeks on the Roland-Morris Disability Questionnaire and back pain functional scale (BPFS).
Results. Mean Roland-Morris Disability Questionnaire scores decreased in both groups during the course of the study, but adjusted mean scores were significantly better in the SMC plus CMT group than in the SMC group at both week 2 (P < 0.001) and week 4 (P = 0.004). Mean numerical rating scale pain scores were also significantly better in the group that received CMT. Adjusted mean back pain functional scale scores were significantly higher (improved) in the SMC plus CMT group than in the SMC group at both week 2 (P < 0.001) and week 4 (P = 0.004).
Conclusion. The results of this trial suggest that CMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.
Spine:
15 April 2013 – Volume 38 – Issue 8 – p 627–634
doi: 10.1097/BRS.0b013e31827733e7
Randomized Trial
Information above derived from study abstract. To purchase the full study click here. http://bit.ly/ZIrXK7
For more information about the Services Provided by the Doctor of Chiropractic, go to the American Chiropractic Association website http://www.acatoday.org If you continue to have health concerns about your general health, or feel soreness, pain or strain, it may be time to visit a Doctor of Chiropractic
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help you with and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
I entered My Chiropractic Physician’s office in March of 1999 due to low back pain. I had fallen on the ice and I couldn’t walk, sleep or even sit comfortably. I had suffered with these symptoms for three weeks. I have not been to any other doctors for this condition. I took Advil for the pain. My normal life was tremendously interrupted I couldn’t even sit stand, walk or sleep. The staff is the nicest, caring people I have dealt with ever. My Chiropractic Doctor even came in on his day off because I was having problems. It is nice to have a doctor that cares about you as an individual not just as a patient. — Angel A.
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help you with and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
Many people are confused as to how it is possible for a person to be injured in a “Low Speed Rear Impact Crash” The above video explains very well the physics of just how the injury can happen.
Another concept that is very easily understood is called “Plastic Deformation”. This is the idea when there is a crash, the force of the crash follows through the vehicle until it dissipates. We all have seen horrific 150 mph NASCAR crashes where he car is in a crash and rolls over several times with parts of the car flying off of it every split second. With each piece that flies off of the car, the force is directed away from the occupant.
Unfortunately, the cars we drive in have bumpers that are meant to reduce the damage to our vehicles, but they actually increase the force to the occupants in the cars. Also, air bags,and seat belt unquestionably save lives by preventing occupants form being ejected from their cars, but they also increase the number of whiplash type injuries associated with car accident.
Obviously, if you have any questions or would like to make and appointment to talk with us about a car accident, you can find our contact information at www.sheelychiro.com If you think you are too far from our practice (People drive a long ways sometimes) , I would suggest that you contact a member doctor of the American Chiropractic Association. You can find a member at www.acatoday.org/findadoc
Expanding Doctors of Chiropractics’ (DC’s) role in this nation’s health care work force would contribute to an improvement in access to and a reduction in the cost of primary health care. DC’s, along with many other non-MD/DO physician professions, should be more fully utilized to respond to the U.S. primary care crises.
The primary care crises results largely from a shortfall in the supply of MD/DO’s, uneven distribution of the existing supply, and a cost per care episode that is unnecessarily high. This shortfall will be considerably worse if many of the 50 million Americans who are currently uninsured obtain some level of health coverage under the Patient Protection and Affordable Care Act.
This growing burden on the MD/DO supply, its mal-distribution, and its high cost per unit of care could be lessened, starting today, through the utilization of the 70,000 doctors of chiropractic. DC’s are educated and licensed in all 50 states as primary care providers who can examine, diagnose, and deliver care or refer patients to an appropriate specialist. Doctors of chiropractic (DC) offer safe, conservative (non-drug, non-surgical) approaches for acute and chronic conditions. DCs can help our nation accomplish many of the objectives of health care reform, including helping to fill the looming primary care workforce gap.
Chiropractic Care is Cost-Effective with High Patient Satisfaction
Using Chiropractic Physicians as First Providers Saves Costs
* Total insurance payments were substantially greater for episodes with a medical first-contact provider.(2)
* The mean total payment when DCs were the first providers was $518, whereas the mean payment for cases in which an MD was the first provider was $1,020.(2)
*Paid costs for episodes of DC initiated care were almost 40 percent less than MD initiated episodes; when the data were risk adjusted, episodes of care initiated with a DC were still 20 percent less expensive.(8)
DC Care is Not an Add-On, it is a Direct Substitution for Other Care
* Patients use chiropractic care as a direct substitution for medical care. (1) ¾ Having a chiropractic benefit rider did not increase the number of patients seeking care for neuromusculoskeletal complaints.(1)
Better Functional Improvement Outcomes and Higher Satisfaction with DC Care
* After one month of care, DC patients averaged higher improvement across all outcome measurements compared to other family medicine doctors.(3)
* The differences between provider groups were most marked for the question involving satisfaction with overall care (DC care 90%; MD/DO care 52%).(3)
* Chiropractic patients also reported greater improvement in pain severity and functional disability.(3)
* Chronic back pain disability scores still reduced after 10 months with regular DC care.(9)
Reduction in Hospital Admissions, Hospital Days, Pharmaceuticals and Surgeries with Chiropractic Care
* Patients enrolled in a DC network experienced fewer hospital visits, spent less time in a hospital for care, underwent fewer surgeries and used far fewer pharmaceuticals than other HMO patients who received traditional medical care. (4)
* Patients who went to DCs as their primary care providers had: 43% decreased in hospital admissions, 52% reductions in pharmaceutical costs, and 43% fewer outpatient surgeries and procedures. (5)
Lower Overall Total Annual Health Care Costs with Inclusion of Chiropractic Benefit
* 4-year retrospective review of claims from 1.7 million health plan members determined the cost effects of the inclusion of a chiropractic benefit in an HMO insurance plan resulted in members had lower total annual health care costs.(6)
* Back pain patients with chiropractic coverage also realized lower utilization of plain radiographs, low back surgery, hospitalizations and MRI’s.(6)
* Back pain episode-related costs were 25 % lower with chiropractic coverage ($289 vs. $399).(6)
Chiropractic Care More Effective for Treating Neck and Low Back Pain & Lowers Annual Spending
* Chiropractic care is more effective than other modalities for treating low back and neck pain.
* For neck pain, DC care reduces total annual per patient spending by $302 compared to MD/DO care.(7)
Chiropractic Care Is Distributed Where Primary Care is Needed
The 70,000 doctors of chiropractic practice on “main street” USA:
*Often in medically underserved areas acting as usual source providers delivering portal of entry care.
* Frequently in relatively low overhead, “retail” settings.
Doctors of Chiropractic Well Trained for Primary Care
Like other primary health care doctors, DC’s training includes subjects related to evaluating and caring for patients as well as completion of a minimum of a one-year clinic-based program dealing with front line patient care. In total, the curriculum includes a minimum of 4,200 hours of classroom, laboratory and clinical experience. DC’s training is approved by an accrediting agency recognized by the USDOE. Before initiating practice, DC’s must pass national board examinations and become state-licensed.
References:
1. Metz D, Nelson C, LaBrot T, Pelletier K. Chiropractic Care: Is It Substitution Care Or Add-On Care In Corporate Medical Plans? Journal of Occupational and Environmental Medicine 2004; 46: 847-855.
2. Stano M, Smith M. Chiropractic And Medical Costs Of Low Back Care. Medical Care 1996; 34(3): 191-204.
3. Nyiendo J, Haas M, Goodwin P. Patient characteristics, practice activities, and one month outcomes for chronic, recurrent low-back pain treated by chiropractors and family medicine physicians: a practice-based feasibility study. Journal of Manipulative and Physiological Therapeutics 2000; 23: 239-45.
4. Sarnat RL, Winterstein J, Cambron JA. Clinical utilization and cost outcomes from an integrative medicine independent physician association: an additional 3-year update. Journal of Manipulative and Physiological Therapeutics, May 2007.
5. Clinical and Cost Outcomes Of An Integrative Medicine IPA. Sarnat, Richard; Winterstein, James. Journal of Manipulative and Physiological Therapeutics, 2004; 27: 336-347.
6. Comparative Analysis Of Individuals With And Without Chiropractic Coverage. Legorreta A, Metz D, Nelson C, Ray S, Chernicoff H, DiNubile N. Archives of Internal Medicine 2004; 164: 1985-1992.
7. Choudhry N, Milstein A. Do Chiropractic Physician Services for Treatment of Low-Back and Neck Pain Improve the Value of Health Benefit Plans? An Evidence- Based Assessment of Incremental Impact on Population Health and Total Health Care Spending. San Francisco: Mercer Health and Benefits;2009.
8. Liliedahl RL, Finch MD, Axene DV, Goertz CM. Cost of Care for Common Back Pain Conditions Initiated With Chiropractic Doctor vs Medical Doctor/Doctor of Osteopathy as First Physician: Experience of One Tennessee-Based General Health Insurer. J Manipulative Physiol Ther. November – December 2010;33(9):640- 643.
9. Senna MK, Machaly SA. Does maintained Spinal manipulation therapy for chronic non-specific low back pain result in better long term outcome? Spine (Phila Pa 1976). 2011 Jan 17.
Mayer TG. Neurologic Clinics of North America 1999; 17 (1): 131-147
“The majority of injuries to the low back involve soft tissue or discs with sprains and strains of musculoligamentous tissues, which have a relatively brief healing period. When healing is temporally complete, but biomechanically imperfect, leading to permanent impairment or supporting elements, chronic pain disability may follow.”
If tissues are allowed to heal without functional restoration, chronic disability can occur. The fact that rehabilitation exercises can restore normal function after pain has been eliminated or decreased is a significant powerful approach in restoring normal motion and functional of the injured joint. Chiropractic Physicians first deal with the dysfunctional joint and restore function, then work with the patient with rehabilitative exercises in-office or through a home exercise program to reach the highest level of recovery.
For more information about the Services Provided by the Doctor of Chiropractic, go to the American Chiropractic Association website http://www.acatoday.org If you continue to have health concerns about your general health, or feel soreness, pain or strain, it may be time to visit a Doctor of Chiropractic
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
The American Chiropractic Association (ACA), based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and ethics, and supports research, legislation, insurance reforms, and public awareness activities that contribute to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.
This new, single blinded placebo controlled study, conducted by the Faculty of Medicine at Mansoura University, conclusively demonstrates that maintenance care provides significant benefits for those with chronic low back pain. [1]
The authors concluded that spinal manipulation is effective for the treatment of chronic nonspecific LBP and that to obtain long-term benefit for the patient, this study suggests maintenance spinal manipulations after the initial intensive manipulative therapy can provide that additional benefit.
BACKGROUND: Spinal manipulation (SMT) is a common treatment option for low back pain. Numerous clinical trials have attempted to evaluate its effectiveness for different subgroups of acute and chronic LBP previously, but the efficacy of maintenance SMT in chronic non-specific LBP has never been studied.
In this study, 60 patients with chronic, nonspecific LBP lasting at least 6 months were randomized into 3 groups:
One third of them received 12 treatments of sham SMT over a one-month period. One third of them received 12 treatments of SMT during a one-month period, with no follow-up care during the next nine months, and one third of them received 12 SMT visits during the first month, followed by “maintenance” SMT every two weeks, for the next nine months.
To determine any difference among these 3 care groups, researchers measured pain and disability scores, generic health status, and back-specific patient satisfaction at baseline, and at 1-month, 4-months, 7-months, and at 10-months
RESULTS: Patients in manipulative groups (groups 2 & 3) experienced significantly lower pain and disability scores than the sham group at the end of the first 1-month period.
At the 10-month follow-up, only the maintenance group maintained improvements in pain and disability, while the group that only received 1-months care had reverted to their pretreatment pain and disability levels.
CONCLUSIONS: This is the first medically managed trial that clearly demonstrates that maintenance care provides significant benefits to those who suffer from chronic low back pain.
REFERENCES:
1. Does Maintained Spinal Manipulation Therapy for Chronic Non-specific Low Back Pain Result in Better Long Term Outcome?
Spine (Phila Pa 1976) 2011 (Aug 15); 36 (18): 1427-37
For more information about the Services Provided by the Doctor of Chiropractic, go to the American Chiropractic Association website http://www.acatoday.org If you continue to have health concerns about your general health, or feel soreness, pain or strain, it may be time to visit a Doctor of Chiropractic
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
You may not have represented the U.S. in London, but that doesn’t mean you have to live your life on the sidelines. This fall, doctors of chiropractic (DCs) across the country will highlight ways you can feel your best every day, regardless of your age, occupation or fitness level, during National Chiropractic Health Month in October. This year’s theme—“Find Your Game”—focuses on how everyone can take steps toward optimal health, wellness and functioning.
“I see patients with a wide range of goals. Some want to finish a local 5k road race, some want to have more energy after work and others want to play with their grandkids without pain,” says American Chiropractic Association President Keith Overland, DC. “The good news is that all of these everyday victories are possible with just a few healthy lifestyle changes. If you don’t know where to start, your chiropractic physician can offer help by providing nutritional advice, exercise and lifestyle recommendations and natural approaches to managing injuries, aches and pains.”
As expert in health and wellness, DCs can offer tips to help you find your game, including:
Get moving: You don’t have to train like an Olympian, just aim for a minimum of 20 to 30 minutes of exercise three to four days a week.
Stretch daily: Improving flexibility is key to avoiding injury. Make a habit of stretching your major muscle groups each day.
Bust stress: New activities and experiences help prevent professional and personal burnout. Finding your game involves discovering new activities you enjoy.
Eat right: Even a few simple changes can have a positive impact on your health. Limit red meat, sugar and salt; and don’t self-prescribe dietary supplements, consult a health care professional to ensure your body gets the nutrients it needs to function optimally.
Recharge: Try to sleep more each night, and revitalize with a glass of pomegranate juice and a brisk walk in the afternoon. Rest, exercise and good nutrition can put pep back into your step.
Sponsored by the American Chiropractic Association, National Chiropractic Health Month is a nationwide observance held each October. The event helps raise public awareness of the benefits of chiropractic care and its natural, whole-person, patient-centered approach to health and wellness.
We invite you to share in the Chirohealth “How to be really healthy” information stream. Go to www.chirovoice.org to sign up for your FREE Monthly Special Health Reports.
For more information about the Services Provided by the Doctor of Chiropractic, go to the American Chiropractic Association website http://www.acatoday.org If you continue to have health concerns about your general health, or feel soreness, pain or strain, it may be time to visit a Doctor of Chiropractic
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
The American Chiropractic Association (ACA), based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and ethics, and supports research, legislation, insurance reforms, and public awareness activities that contribute to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.
We believe that everyone should have the opportunity to have great reliable and FREE health and wellness information available to share with friends and family. We believe that the body was DESIGNED on PURPOSE and that it was made to be well and not made to be sick. We believe that one of the answers to attaining REAL HEALTH is finding out what the healthy things are to participate in and to actually DO them. We believe that one of the reasons that Chiropractic Physicians are so successful in helping people regain and maintain their health is their conservative approach and their unique methods of care. People really can get well without first rushing to medication and surgery. We believe that everyone should have the opportunity to see and experience how the body responds in the hands of a great Doctor of Chiropractic.
One of the ways how this information is shared, is through the American Chiropractic Association and a publication called Chirohealth. This is a free monthly special report on various areas of health improvement.
ChiroHealth is a monthly e-newsletter distributed to more than 50,000 chiropractic patients who are members of ChiroVoice, an online advocacy network supporting efforts to expand access to care provided top doctors of chiropractic. ChiroHealth provides information on health and wellness, in addition to updates on legislation affecting patients’ access to chiropractic services. When select legislation affecting chiropractic is under consideration in Congress, ChiroHealth informs its readers how to lend their voice in support by contacting their members of Congress.
We invite you to share in the Chirohealth “How to be really healthy” information stream. Go to www.chirovoice.org to sign up for your FREE Monthly Special Health Reports.
For more information about the Services Provided by the Doctor of Chiropractic, go to the American Chiropractic Association website http://www.acatoday.org If you continue to have health concerns about your general health, or feel soreness, pain or strain, it may be time to visit a Doctor of Chiropractic
To find a local Doctor of Chiropractic that is also a member of the American Chiropractic Association go to: http://www.bit.ly/findadocb
For Free information about what A Chiropractic Physician can help and how they can help you - sign up for special Chirovoice Reports from the following link. http://bit.ly/Chirovoiceb
