BackSmart Alternatives To Living Pain FREE

Self-management Approaches For Your Headache?

2010-01-14T07:56:00.000-08:00

One of the reported causes of both migraine and tension headache is cervical muscle tension and spinal joint abnormalities in the neck. When considering treatment for headaches, whether it’s a tension-type or migraine, there are many choices available. The question is, which of the many options offer the best benefit?

One study compared the effectiveness of physical therapy (PT) to that of relaxation and thermal biofeedback (RTB). Both groups were treated using one of these approaches, and if at least a 50% improvement was not achieved, the other form of treatment was then utilized. Results were calculated at 3, 6, and 12 month timeframes. The PT group of 30 females used standard physical therapy approaches that included:
• Posture correction for alignment of head and spine
• Cervical range of motion for neck and shoulders
• Isometric strengthening of the neck
• Flare-up management techniques
• Active self mobilization of the spine
• Whole body stretching
The goal was to target muscular abnormalities and those in this group were to perform the above twice per day for 30 min. The RTB group were instructed in relaxation and thermal biofeedback (RTB) treatment that focused on muscle relaxation, breathing exercises, and the use of a thermal feedback device that determines when the subject’s temperature changes telling them if they are successfully relaxing. The participants were to practice at home and utilized audiotapes for relaxation and monitor success with the portable biofeedback unit.

Using the PT approaches, only 13% reported a successful outcome compared to 51% in the RTB group. In the follow-up of 3, 6 and 12 months, both groups reported continued benefit. When the subjects reported less than 50% benefit with either method, they were given the other treatment option, and the PT approach achieved a 47% success rate and the RTB 50%. These findings suggest that treatments that focus on muscle tension reduction (such as the RTB group) might result in a better outcome compared to only addressing posture, range of motion and flexibility. However, as illustrated in the follow-up group, PT did have a positive beneficial effect. An important point – the subjects in the RTB group demonstrated the ability to reduce migraine pain and the associated disability by using a self-applied form of care. When teaching the patient to self-manage their condition by instruction and training, the greater the likelihood is for a successful outcome.

Chiropractic focuses on many self-management training procedures including (but not limited to) the training of the use of ice vs. heat, exercises, proper methods of bending and lifting, as well as posture and strength. The use and instruction of relaxation is also a commonly recommended form of care, which this study found to be most beneficial.

For more information visit www.backsmarthealth.com or call us for a Free consultation 770-888-4288.

Does Chiropractic Care Work? What Do The Insurance Companies Say?

2009-12-31T08:56:00.000-08:00

If chiropractic care helps patients get better faster and costs the patient and/or insurance company less, shouldn’t EVERY low back pain patient FIRST see a chiropractor before any other type of doctor? That is in fact, what should be done, based on a recent report!

On October 20, 2009, a report was delivered on the impact on population, health and total health care spending. It was found the addition of chiropractic care for the treatment of neck and low back pain “…will likely increase value-for-dollar in US employer-sponsored health benefit plans.” Authored by an MD and an MD/PhD, and commissioned by the Foundation for Chiropractic Progress, the findings are clear; chiropractic care achieves higher satisfaction and superior outcomes for both neck and low back pain in a manner more cost effective than other commonly utilized approaches.

The study reviews the fact that low back and neck pain are extremely common conditions consuming large amounts of health care dollars. In 2002, 26% of surveyed US adults reported having back pain in the prior 3 months, 14% had neck pain and the lifetime prevalence of back pain was estimated at 85%. LBP accounts for 2% of all physician office visits where only routine examinations, hypertension, and diabetes result in more. Annual national spending is estimated at $85 billion in the US with an inflation-adjusted increase of 65% compared to 1997. Treatment options are diverse ranging from rest to surgery, including many various types of medications. Chiropractic care, including spinal manipulation and mobilization, is reportedly also widely utilized with almost half of all patients with persisting back pain seeking chiropractic treatment.

In review of the scientific literature, it is noted that 1) chiropractic care is at least as effective as other widely used therapies for low back pain; 2) Chiropractic care, when combined with other modalities such as exercise, appears to be more effective than other treatments for patients with neck pain. Other studies reviewed reported patients who had chiropractic coverage included in their insurance benefits found lower costs, reduced imaging studies, less hospitalizations, and surgical procedures compared to those with no chiropractic coverage. They then utilized a method to compare medical physician care, chiropractic physician care, physiotherapy-led exercise and, manipulation plus physiotherapy-led exercise for low back pain care. They found adding chiropractic physician care is associated with better outcomes at “…equivalent to an incremental cost-effectiveness ratio of $1837 per QALY (Quality-adjusted Life Year).”

For more information visit www.backsmarthealth.com or call 770-888-4288 for a Free Consultation.

Carpal Tunnel Syndrome (CTS) A New Treatment Approach

2009-11-10T08:15:00.000-08:00

Carpal Tunnel Syndrome or CTS, is the most common of the peripheral nerve conditions where the median nerve is compressed or pinched at the wrist. The resulting symptoms of numbness/pain in the wrist, index, third, and forth fingers, multiple sleep interruptions, frequent shaking and flicking of the hand/fingers, difficulty in gripping or pinching such as buttoning a shirt, threading a needle, lifting a coffee cup, frequent dropping of objects, the inability to perform work duties – especially fast, repetitive work tasks can have a devastating effect on a person’s quality of life.

While treatments traditionally have involved activity modification, night splints, anti-inflammatory medication, and in advanced/severe cases surgery, a recent study comparing different vitamin approaches reports promising results with the use of alpha-lipoic acid (ALA) and gamma-linolenic acid (GLA). This combination was described as a logical early stage treatment aimed at “neuroprotection” or, to limit and correct nerve damage caused by CTS. The doses utilized for 90 days in 112 subjects with moderately severe CTS were 600 mg/day of ALA and 360 mg/day of GLA. This combination was compared against a commonly recommended multiple vitamin B complex that included 150 mg of B6, 100 mg of B1, and 500 mcg of Vit B12 per day for the same 90 day period. Questionnaires regarding CTS symptoms and function and electromyography (EMG) were utilized to track the outcomes in the study. The ALA/GLA treated group was statistically significantly improved when compared to the other B-complex vitamin approach. This included significant improvements in both symptom scores and functional impairment compared to only a slight improvement in the vitamin B group. Similarly, EMG was significantly improved in the ALA/GLA and unchanged in the vitamin B group.

Because there are many contributing causes of CTS, a multi-dimensional treatment plan will usually yield the best long-term results. Because repetitive motion / cumulative trauma are often associated with the onset and perpetuation of CTS signs and symptoms, ergonomic issues must be addressed. This includes perhaps a period of time when slower “light duty” work is necessary and consideration for workstation modifications, when feasible. Because most people do not ‘run to the doctor’ with the early signs of CTS, over time, many CTS patients develop abnormal movement patterns by minimizing hand/wrist motions. Instead, they start to shrug the shoulder and lean the body to one side. Hence, management addressing neighboring joint problems at the elbow, shoulder, and neck is needed. A condition called “double-crush” where the nerve is pinched in more than only at the wrist but also at the elbow, shoulder, and/or neck results in a significantly worse CTS presentation. These patients require treatment at all areas involved, not just at the wrist if long-term, satisfying results are to be obtained.

Metabolic conditions including diabetes mellitus, hypothyroid, obesity, pregnancy, the use of birth control pills, and others also contribute or, can even by themselves cause CTS. Chiropractic has traditionally viewed the body as a whole, treating the person from the ground upwards paying attention to posture, leg length, pelvic tilt, shoulder and head tilt. The use of manipulation of not only the wrist and hand, but also the elbow, shoulder, neck and back has yielded the best results rather than focusing only on the hand/wrist. The traditional use of night splints, work station/ergonomic modifications, as well as diet and exercise are also commonly addressed by chiropractors when managing CTS patients. We take pride in providing quality, evidence-based care and appreciate the opportunity to do so when patients choose our clinic for their care and we realize there are many healthcare options available. If you, a friend or family member requires care for CTS, we would be honored to offer our services.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR CARPAL TUNNEL SYNDROME! FOR A FREE NO-OBLIGATION CONSULTATION CALL 770-888-4288

Or Visit us at www.backsmarthealth.com

Chiropractic and Headaches

2009-09-30T10:51:00.000-07:00

“I can’t believe how much my head hurts!” I’ve been laid off from work for the last 3 weeks and worried about making my mortgage payment this month – I think the stress is getting out of control! Pain starts in my neck and radiates into my head eventually making my whole head hurt, especially behind my eyes. There are times I feel like my head might explode! I can’t stand loud noises or even normal noise. Over the counter medications aren’t touching it and I can’t drive if I take some of the medications my doctor prescribed. I don’t know what to do next.”

This history is classic for the diagnosis of a tension-type of headache (TTH). As unemployment rates reach new highs and stress levels climb, it is no wonder more and more people are presenting with this condition. Even prior to the recession, TTH was the most common type of headache experienced by adults affecting 10-65% of the population. The impact on daily living by TTH is significant as it disrupts daily activities, quality of life, and work. These types of headaches, according to the International Headache Society (HIS), can last from 30 minutes to 7 days, do not include nausea/vomiting but may include increased sensitivity to light or noise (rarely both at the same time). The most common frequency is less than 15 TTH’s/month.

Medication has been the primary medical form of treatment and some patients require the regular use of certain medications, even when headaches are not present - - as in some cases, it’s too late to start meds once the headache starts. In these cases, Amitriptyline has been the most frequently prescribed medication and it’s considered the drug of choice for TTH. Chiropractic spinal manipulation (CSM) has been reported to be helpful in a number of prior studies. One reported equal benefit as Amitriptyline with 6 weeks of treatment.

A recent publication conducted a study using a new design where TTH sufferers with more than 10 headaches per month were randomly assigned to one of four groups: 1) cervical spinal manipulation (CSM) + amitriptyline, 2) CSM + placebo (fake) amitriptyline; 3) sham CSM + real amitriptyline; or 4) sham CSM + placebo amitriptyline. That way, one can determine which of the two or, the combination of both is most beneficial. An initial period of 4 weeks was followed by a 14 week treatment period. A headache diary was used to track headache frequency in the last 28 days of the treatment period. Nineteen completed the study and the combined effect carried the most statistically significant result with a close second with CSM alone. A larger sample size was recommended for a more statistically powerful evaluation.

This study is important as CSM by itself was found to be at least as (if not more) effective than Amitriptyline alone, which is the medication of choice for TTH. Hence, if CSM or Amitriptyline alone are not found to be satisfying, the combination of the two is strongly supported by this study.

If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service. We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and look forward in serving you and your family presently and in the future.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR HEADACHES!
FOR A FREE NO-OBLIGATION CONSULTATION

CALL 770-888-4288

Or visit us at http://www.backsmarthealth.com/

Carpal Tunnel Syndrome (CTS) – What Else Could It Be?

2009-09-21T08:04:00.000-07:00

In our clinic, we see patients frequently with CTS. If is a very common condition and usually responds well to the non-surgical chiropractic treatment approaches including hand, wrist, elbow, shoulder and/or neck manipulation, Myofascial release techniques, wrist splint use – especially at night, work station evaluation and modifications, physiotherapy modality use, such as electrical stimulation, low level laser therapy, pulsed ultrasound, therapeutic exercises, as well as other treatment approaches.

CTS symptoms include numbness, tingling, or half asleep sensations in the hand involving the palm and 2nd, 3rd, and thumb side of the 4th fingers. Sometimes, there is weakness in the grip strength with frequent dropping of objects or difficulty unscrewing jars commonly reported. Waking at night and needing to shake or flick the fingers to “…wake them up” is common. Driving due to holding onto the steering wheel with the wrist bent, holding a book or newspaper, buttoning a shirt, and threading a needle, can all become challenging when the median nerve which goes through the carpal tunnel is pinched. Because there are 9 tendons along with the median nerve that travel through the tunnel, fast repetitive movements of the hands and fingers is frequently associated with the onset of CTS. What makes treatment of CTS challenging is that most patients wait WAY TOO LONG before they go for help and nerve damage can occur as a result.

So, what happens when CTS does not respond to these or other treatment approaches? Also, what can be done if, after CTS surgery, problems still persist? The answer to these questions rests in obtaining a thorough evaluation of the condition including a detailed history and examination and, consideration of a different or concurrent condition. For example, from an anatomy standpoint, a pinched nerve in the neck, thoracic outlet (shoulder) and/or elbow (pronator tunnel syndrome), may be the primary issue, not CTS alone or, sometimes at all. If BOTH CTS and a pinched nerve above the wrist are present, the “double or multiple crush syndrome” must be addressed in order for a successful and satisfying outcome to occur.

Another nerve called the ulnar nerve can create numbness and weakness in the hand and can be confused with CTS. Because only about 50% of patients with hand numbness can accurately report the location of the symptoms, diagnosing compression of the ulnar nerve is essential as a CTS release will NOT help those with ulnar neuropathy. The most common location for pinching the ulnar nerve is at the inner or medial elbow near the “funny bone,” referred to as the cubital tunnel. It can also be compressed at the wrist, neck, or combinations of these resulting in a double or multiple crush syndrome. We’ve had many patients present with “carpal tunnel” that were not CTS at all but rather, ulnar nerve compression conditions.

Therefore, when considering treatment options for CTS and/or other nerve compression syndromes affecting the upper limb, it is imperative that a thorough evaluation of the presenting patient be performed so time is not wasted treating an unrelated condition and to obtain a satisfying outcome. We take pride in providing quality, evidence-based care and appreciate the opportunity to do so when patients choose our clinic for their care. We realize there are many health care options available and truly appreciate the confidence shown by our patients when choosing our clinic for their health care needs. If you, a friend or family member requires care for CTS, we would be honored to offer our services.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR CARPAL TUNNEL SYNDROME! FOR A FREE NO-OBLIGATION CONSULTATION CALL OUR CUMMING GEORGIA OFFICE 770-888-4288
Or vistit us at www.backsmarthealth.com

Headaches From The Neck?

2009-09-16T14:54:00.000-07:00

Cervicogenic headache is the term used to describe a headache that has its cause in the neck region. It used to be thought headaches were caused by something in the head itself, but researchers have now learned that neck injuries can produce head pain.

A study from Norway (Acta Neurol Scand 2007;Nov.20; Sjaastad O, Bakketeig LS) showed that about 4% of the population will have this type of headache. Taking medications to cover the pain will not ultimately correct a mechanical neck problem.

The symptoms of a cervicogenic headache are as follows: one-sided head pain and same side shoulder and arm pain. Patients also have limited mobility of the neck region. Rarely a patient may also have a migraine trait such as nausea, vomiting, or throbbing sensations. Because of these different signs from a typical migraine headache a physician may have overlooked the neck as a potential source for the cause of your head pain. Self-diagnosing your headache can be even worse since potentially serious causes of your head pain, such as high blood pressure may go undiscovered and left untreated. In any case it’s unlikely that your headache has been caused by a deficiency of pain pills in your diet. There are also unintended side effects that have to be considered when weighing any health care option.

Another study from Norway (Funct Neurol 2007;22:145; Drottning M, Staff PH, Sjaastad O) looked at causes of cervicogenic headaches, specifically whiplash injuries of the neck. In this study, 587 whiplash patients were followed over a six-year period. About 8% of the whiplash sufferers developed a cervicogenic headache six weeks after the initial trauma. Thirty-five percent of these patients were still suffering six years later.

Our clinic specializes in the treatment spine-caused head pain especially cervicogenic headache. To determine this we have to perform a comprehensive examination of your spine to see if sprains of your cervical or thoracic joints are present and review whether you’ve suffered a trauma in years past that could have affected the posture and mobility of these delicate spinal structures.

For patients who do not go down the road of medications for treating their head pain chiropractic care can be a more healthful option.

For more information or to schedule a consultation visit our website http://www.backsmarthealth.com or call 770-888-4288

The Many Faces of Low Back Pain

2009-09-01T13:30:00.000-07:00

Have you experienced low back pain lately? There are many causes of low back pain which need to be properly and thoroughly evaluated. The obvious cause may be attributed to specific activity, especially one that has not been performed in quite some time. This may include a sports injury, gardening or yard work related injury, or, it may result from the accumulation of multiple smaller activities that you are not use to doing. Sometimes, the cause of low back pain can be obscure and difficult, if not impossible, to determine. In these cases, a thorough history is important. For example, Lyme’s disease can create the classic low back pain presentation and its diagnosis is dependent on a blood test. Don’t be fooled by the fact that the patient may not be an outdoors type of person, “…and couldn’t possibly have been in contact with a tic.” Many inactive patients have pets that can transfer the deer tic larva into a home and transfer it to a sedentary, non-active person. If the cause of LBP is difficult to determine, Lyme’s disease may be worthy of investigation.

Another cause of low back pain can arise from certain medications. In a July 2009 journal article, muscle fiber damage was found in 57% of patients taking drugs associated with lowering cholesterol, referred to as statins. Typically, health care providers rely on a blood test that is suppose to detect the breakdown of muscle tissue called CPK (creatine phosphokinase) when statin-related muscle damage is suspect. However, in their study, only one in 44 patients with muscle damage caused by statin drugs was abnormal! According to the researchers, muscle pain associated with statin drug treatment has been dismissed as a “minor” side effect by both doctors and patients. In fact, the American College of Cardiology and the American Heart Association have published guidelines recommending continuing statin therapy, “…as long as circulating levels of CPK do not exceed 10 times the upper limit of normal (1,950U/L).” To see if that is was a good recommendation, CPK was tested in 10 healthy volunteers who had never taken statins, 10 control subjects matched by age, 15 patients with clinically diagnosed myopathy from statins but had stopped the statin therapy at least 5 weeks prior to the study, 29 patients with a history of statin-associated myopathy who remained on statin therapy and 19 patients with long-term statin therapy but no muscle complaints. Significant muscle damage (>2% of the biopsied muscle sample) was NOT seen in any of the control patients not taking statins. However, it was seen in 1 of the 19 patients on long-term statin therapy who reported no muscle symptoms as well as 25 of the 44 with myopathy (57%). More importantly, all but 3 patients who quit statin therapy because of related muscle pain reported their symptoms disappeared within days of quitting the statin medication. Also, the rate of significant muscle damage was about equal in those with myopathy still taking the statin meds (55%), and those who had quit the medication 60%. The severity of muscle damage was not related to the length of time the statin med was used or, with higher doses of statins.

The point of this discussion is that low back pain may be related to causes other than an injury or trauma to the back and that a thorough history from the patient must be obtained, especially when the patient is non-responsive to typical care for low back pain.

At this clinic we strive to provide the highest quality care and follow “best practice” approaches. We look forward to helping our patients and appreciate the confidence shown by our patients for choosing our practice to help manage their health related issues.

YOU MAY BE A CANDIDATE FOR LOW BACK PAIN TREATMENT!
FOR A FREE NO-OBLIGATION CONSULTATION CALL 770-888-4288
Or Visit www.backsmarthealth.com

Self Management of Headaches

2009-07-22T10:37:00.000-07:00

One of the reported causes of both migraine and tension headache is cervical muscle tension and spinal joint abnormalities in the neck. When considering treatment for headaches, whether it’s a tension-type or migraine, there are many choices available. The question is, which of the many options offer the best benefit?

One study compared the effectiveness of physical therapy (PT) to that of relaxation and thermal biofeedback (RTB). Both groups were treated using one of these approaches, and if at least a 50% improvement was not achieved, the other form of treatment was then utilized. Results were calculated at 3, 6, and 12 month timeframes. The PT group of 30 females used standard physical therapy approaches that included:• Posture correction for alignment of head and spine• Cervical range of motion for neck and shoulders• Isometric strengthening of the neck• Flare-up management techniques• Active self mobilization of the spine• Whole body stretchingThe goal was to target muscular abnormalities and those in this group were to perform the above twice per day for 30 min. The RTB group were instructed in relaxation and thermal biofeedback (RTB) treatment that focused on muscle relaxation, breathing exercises, and the use of a thermal feedback device that determines when the subject’s temperature changes telling them if they are successfully relaxing. The participants were to practice at home and utilized audiotapes for relaxation and monitor success with the portable biofeedback unit.
Using the PT approaches, only 13% reported a successful outcome compared to 51% in the RTB group. In the follow-up of 3, 6 and 12 months, both groups reported continued benefit. When the subjects reported less than 50% benefit with either method, they were given the other treatment option, and the PT approach achieved a 47% success rate and the RTB 50%. These findings suggest that treatments that focus on muscle tension reduction (such as the RTB group) might result in a better outcome compared to only addressing posture, range of motion and flexibility.

However, as illustrated in the follow-up group, PT did have a positive beneficial effect. An important point – the subjects in the RTB group demonstrated the ability to reduce migraine pain and the associated disability by using a self-applied form of care. When teaching the patient to self-manage their condition by instruction and training, the greater the likelihood is for a successful outcome.

Chiropractic focuses on many self-management training procedures including (but not limited to) the training of the use of ice vs. heat, exercises, proper methods of bending and lifting, as well as posture and strength. The use and instruction of relaxation is also a commonly recommended form of care, which this study found to be most beneficial.

For a consultation with our office call 770-888-4288 now or visit our website www.backsmarthealth.com .

How Your Hamstrings Effect Your Back Pain

2009-06-29T08:11:00.000-07:00

Have you ever considered how important your hamstrings muscles are in relationship to the low back? Most people do not think about those tight muscles on the back of the upper leg / thigh as having much to do with low back pain (LBP). However, it is one of the most important muscles groups to keep loose both as a means of improving current low back trouble as well as preventing future LBP. Think of the hamstrings as a stabilizing guide wire that keeps us upright. When we bend over with our knees straight, we can feel the hamstrings gradually tighten, often limiting us from reaching our toes. When the hamstrings are too tight, some of us can hardly reach past our kneecaps as we bend over. We then (unconsciously) bend our knees to put slack in the hamstrings so we can easily reach the floor.

The low back is only so flexible and in reality, most of our ability to touch our toes comes from our hip joints. In fact, after scoliosis surgery where metal rods are placed on both sides of the spine, these patients will often make up for the loss of low back movement by increasing hip motion and still be able to touch their toes! This, however, can only be accomplished if the hamstrings are stretched to a point of allowing the hips and pelvis to rotate forwards when bending with the knees straight.

So, what happens if the hamstrings are too tight? Think of a young sapling tree branch versus an old oak branch. When bending the two branches, the young sapling can easily bend, while the old oak branch breaks early into the process. Similarly, as we bend over to lift a box, when the back and leg muscles, ligaments, and tendons are tight, something has to give or “break,” similar to the old oak branch. The “weak link” in the injured person bending over may be a disc that ruptures, ligaments and/or muscle tendons that overstretch and tear. By keeping the hamstrings loose (like the young sapling branch), much less force is placed on the spine because the pelvis can rock forwards during the bending process, thus unloading the spine. Another way to look at it is that when the hamstrings are too tight, something else has to be correspondingly loose to make up for the tight hamstrings or else the task of bending forwards and performing daily tasks will be limited.

Tissues in our back are injured when forces exceed their capacity to withstand the load. By keeping our hamstrings stretched, we reduce the need for our spine to have to make up for the tightness; thus both preventing a new injury, as well as perpetuating a current problem. The best way stretch the hamstrings is to lay on our back in an open doorway with one leg placed on the door jamb (edge of the doorway) and the other leg is kept flat on the floor (knee straight) through the door opening. Scoot as close as you can so that the hamstring muscles are stretched tightly to the point of a “good hurt.” Maintain that position for at least 2 minutes and then switch legs. Because the hamstrings tighten up during sleep, it’s usually best to perform the stretch in the morning. Repeating this multiple times a day may be required to obtain proper hamstring muscle length. Exercise training is a routine part of chiropractic care!

If you, your family, or a friend is struggling with low back pain, sharing this information may be one of the greatest acts of kindness you can give to that person. At this clinic, we strive to provide the highest quality care and follow evidence and “best practice” approaches. We greatly appreciate the trust that our patients place in us and our services as we help them recover as well as teach ways to prevent future LBP episodes.

For A Free No-Obligation Consultation With Dr Gregory King, D.C.

Call 770-888-4288

For more information visit http://www.backsmartchiropractic.com/

Why Is Back Pain So Common?

2009-05-07T13:43:00.000-07:00

Low back pain (LBP) is one of the most common types of pain involving the musculoskeletal system. LBP sufferers may sometimes miss work or be unable participate in desired activities, social outings, and the like. It can be so disabling that out of desperation, they visit the ER.

There are many causes of LBP. Some of the obvious include over lifting/carrying, performing a task for too long or with too many repetitions, and sitting or standing in one position for too long. However, frequently LBP seems to occur for no apparent reason, or at least none that can be clearly identified. One of the most basic causes of LBP is simply standing on two, rather than four legs. When comparing a 4-legged to a 2-legged subject, arthritis of the spine and disc degeneration occurs much earlier in those of us with two legs. This is due partially because 2/3rds of our weight is supported by the low back and pelvis. In addition, vertical loading occurs in the 2-legged subject whereas the load is distributed between four legs in a horizontal fashion in the 4-legged species. Other less obvious causes of LBP include physical characteristics such as flat feet (fallen arches), a short leg resulting in a tipped pelvis, carrying too much weight, being out of shape/weak muscles, as well as hereditary factors. Non-physical characteristics include diet, exercise participation, lifestyle, stress and other psychological conditions such as depression, anxiety, bipolar disorders, and others. Hence, treatment must address the entire person, not just the low back since often, several of the characteristics mentioned here are present and often participating in the cause for LBP.

Because many of these characteristics are not properly attended to, LBP tends to be recurrent, where multiple episodes come and go over time. In years past, health care providers would focus the majority of their attention on the physical characteristics of LBP and when treatment results was ineffective, the blame was placed on the psychological aspects for which little, if any, treatment was offered. However, over the last 20 years, the shift towards treating the whole person or, adopting the biopsychosocial model (bio- = physical, psycho- = mental, and social = how LBP is perceived and affects daily social interaction) has been emphasized as the appropriate approach when managing patients with low back pain. No longer should the psychological aspect be ignored but rather, identified and treated so that this significant barrier to recovery can be properly managed.

Regarding treatment, unless someone presents with a “red-flag” which, for LBP sufferers include cancer, fracture (especially unstable fractures), cauda equine syndrome (spinal cord pinching resulting in bowel / bladder control loss), or infection, immediate/emergent care is not required. A careful health history followed by appropriate tests can usually identify these “red flags.” Otherwise, surgery for LBP is not recommended until at least 4-6 weeks of treatment with non-surgical approaches are first utilized and, an identifiable “lesion” can be identified that clearly is causing the presenting complaints and clinical findings. Chiropractic has an obvious advantage over specialty care when considering non-surgical treatment of LBP. Both physical and emotional issues are identified and a “team” approach with other health care providers when required is ordered. Moreover, all the international guidelines published for treating LBP recommend spinal manipulation BEFORE most of the other non-surgical approaches are tried due to medication side-effects and, the successes reported in many studies where spinal manipulation is performed.

YOU MAYBE A CANDIDATE FOR CHIROPRACTIC CARE FOR A FREE NO-OBLIGATION CONSULTATION CALL 770-888-4288 or Visit www.backsmarthealth.com

Being In Deep Water May Be Bad For Your Retirement But Great For Your Fibromyalgia

2009-04-06T13:52:00.000-07:00

No matter if you have money invested in real estate, stocks or bonds… your retirement is most likely in deep water.

Sadly, many Americans have lost most, if not all, of their hard-earned savings. And, if you have a serious medical condition like fibromyalgia (FM), money worries may be affecting you even more.

But, being in deep water for retirement and FM are much different. And here is why…It seems as through exercise helps many of the complaints associated with fibromyaligia.

Symptoms such as pain, fatigue, non-restorative sleep, and mood all improve when fibromyalgia patients exercise on a regular basis.

A study divided 60 women into 2 groups: running on land vs. running in deep water. Scientists hoped to see what, if any, difference there was between these exercise options. As one might expect, in general, both groups improved significantly.

However, the deep water group improved greater in the emotional health category and obtained faster results with improved depression scores. Because running in water is less stressful on weight bearing joints like the knees and hips (due to the buoyancy factor), running in water may be favored in certain specific cases if the knees, hips or low back are problematic.
Each fibromyaligia patient has specific needs that should be evaluated by a doctor to determine what treatments can offer him or her the best results.

Like all doctors’ offices, care may vary from office to office. So if you are looking for a Chiropractor who also offers short term, affordable fibromyalgia care, or if you have questions, call Cumming Chiropractor Dr. Gregory King at 770-833-7586 or visit our website at www.backsmartchiropractic.com . You can be seen immediately with no obligation to extensive treatment plans.

References
Jones KD, Adams D, Winters-Stone K, Burckhardt CS. A comprehensive review of 46 exercise treatment studies in fibromyalgia (1988-2005). Health Qual Life Outcomes. 2006;25:4–67.
Assis MR, Silva LE, Alves AMB, et al. A randomized controlled trial of deep water running: clinical effectiveness of aquatic
exercise to treat fibromyalgia. Arthritis & Rheumatism (Arthritis Care & Reasearch) 2006;55(1):57-65.

How To Manage Your Carpal Tunnel Syndrome

2009-03-30T13:04:00.000-07:00

While Unemployment Skyrockets,
You Probably Cannot Afford To Miss Work.

If you still have a job, then consider yourself lucky. And if you want to keep it, you should be doing everything you possibly can to stay productive and do MORE than your job requires. Clearly, the days of not going the extra mile because, “that’s not my job” are over.

And to be productive, you must stay healthy.

Computer usage for extended periods of time can cause all sorts of health problems. For example, increased use of computers can be responsible for hand, arm, shoulder, and neck symptoms in 24-44% of office workers, with the shoulder and neck symptoms exceeding hand and arm complaints.

One common cause: a poorly set up computer station (desk).The proper posture for a worker at their computer is feet on the floor, hips and knees at 90 degrees, elbows are bent at 90 degrees or slightly greater, the back is erect, chin tucked, and computer screen is directly in front at a slight downward position to the head.

A headset is also important, if phone work is common. Using a trackball style mouse so only thumb motions are needed, rather than moving your entire arm can be of great benefit.

Chiropractors are trained in analyzing posture and ergonomics and take patient education seriously.

Like all doctors’ offices, care may vary from office to office. So if you are looking for a Chiropractor who offers short term, affordable carpal tunnel and wrist pain relief, or if you have questions, call Cumming Chiropractor Dr. Gregory King at 1-866-989-RELIEF or visit our website at www.backsmartchiropractic.com . You can be seen immediately with no obligation to extensive treatment plans.

References
IJmker (typo?) S. Blatter BB, van der Beek AJ, et al. Prospective research on musculoskeletal dosiorders in office workers (PROMO): study protocol. BMC Muscluoskeletal Disorders 2006;7:55

Neck Pain, Whiplash, and T.V.'s... "The Batchelor"

2009-03-24T13:27:00.000-07:00

Many people witnessed “The Bachelor” Jason Mesnick’s amazing “flip-flop” ability. After the finale, the media was abuzz. However, there’s been far less attention on a potentially far more serious “flip flop”…the flip-flopping of your neck during whiplash.

Most commonly, whiplash results from the quick, uncontrolled movement of your head and neck during a car accident. The speed at which the head is accelerated, compared to the rest of the body, results in a “crack the whip reaction,” which occurs before the muscles can tighten to slow down the motion.

This causes many types of pain – including headaches, neck, upper back, chest, arm, jaw, etc.

One can only imagine the type of whiplash pain “The Bachelor” fans suffered after Mesnick’s neck snapping reversal.

More importantly, one study found 58.8% of the 879 injured in car accidents were actually disabled after their accident.

This is why no matter how minor your car accident was, it is extremely important to get checked out by someone qualified to examine and determine the often subtle effects of whiplash.

Like all doctors’ offices, care may vary from office to office. So if you are looking for a Chiropractor who offers short term, affordable whiplash care, or if you have questions, call Cumming, Ga. Chiropractor Dr. Gregory King's toll free new patient number 1-866-989-RELIEF or visit our website at www.backsmartchiropractic.com .You can be seen immediately with no obligation to extensive treatment plans.

References:
Work Disability After Whiplash: A Prospective Cohort Study Spine: 1 February 2009 - Volume 34 - Issue 3 - pp 262-267

American Idol and It's Connection To Neck Pain Relief…

2009-03-21T05:41:00.000-07:00

If you have neck pain, you know how debilitating it can be. It is almost impossible to find a position that doesn’t hurt… and trying to sleep often becomes one big nightmare. And here is the American Idol – Neck Pain “link”: Not too long ago, someone said the sound heard when their neck is adjusted is like listening to the worst-of-the-worst auditions for American Idol. Kind of like “nails on a chalk board”!

But, receiving this treatment can actually relieve your neck pain.

So what is a Chiropractic treatment? There are many types but here are two of the most common: manipulation and mobilization.

Manipulation creates the noise you hear when gas is released as joints in the neck area are unlocked, reset, and/or realigned and their normal function is restored.

Mobilization does not involve the noise. Instead, the neck is moved gently in a side-to-side or figure eight motion in an attempt to restore proper function.

Which is better? Resent research has shown…“There is moderate-to-high quality evidence that immediate clinically important improvements are obtained from a single session of spinal manipulation. The evidence for mobilization is less substantial, with fewer studies reporting smaller immediate changes.”

Most likely, both treatments together are helpful.

Like all doctors’ offices, care may vary from office to office. So if you are looking for a Chiropractor who offers short term, affordable neck pain care, or if you have questions, call Cumming Chiropractor Dr. Gregory King at 1-866-989-RELIEF or visit our website www.backsmartchiropractic.com . You can be seen immediately with no obligation to extensive treatment plans.

ReferenceVernon H, Humphreys K. Chronic mechanical neck pain in adults treated by manual therapy: a systematic review of change scores in randomized controlled trials of a single session. J Manipulative Physiol Ther. 2007; 30(3):215-227

There May Be A Long Lasting Solution To Your Neck Pain

2009-03-10T12:25:00.000-07:00

If you suffer with neck pain, what would it be worth to you if you could get improvement that lasted for years?

According to a recent study, you may be able to. This study took a comprehensive look at close to actually 2,000 studies on neck pain that were not from car accidents and were not associated with headaches.

They found that spinal manipulation and mobilization are very effective forms of treatment. More importantly, the improvement that was achieved lasted for a significant length of time, up to 104 weeks after treatment ended. This long lasting level of improvement was not found with other forms of manual therapy such as massage.

Patients with neck related headaches and neck pain treated with short term Chiropractic care including up to two physical modalities, and customized exercises for 9-12 treatments resulted in a beneficial response.

Bottom line, research is showing that short term Chiropractic treatment for neck pain can be very helpful to patients and offers lasting relief.

Like all doctors’ offices, care may vary from office to office. But if you are looking for a doctor of Chiropractic who offers short term, affordable neck pain care, or if you have questions, call Cumming Chiropractor Dr. Gregory King at 770-888-4288 or visit our website www.backsmartchiropractic.com . You can be seen immediately with no obligation to extensive treatment plans.

References
(1) Vernon H, Humphreys K, Hagino C. Chronic mechanical neck pain in adults treated by manual therapy: a systematic review of change scores
in randomized clinical trials.
J Manipulative Physiol Ther. 2007; 30(3):215-227.
(2) Haas M, Groupp E, Alckin M, Fairweather A, et al. Dose response for chiropractic care of chronic cervicogenic headache and associated neck pain. A randomized pilot study. J Manipulative Physiol Ther. 2004; 27(9):547-553.

What Is Fibromyalgia and Can Doctors Agree on a Diagnosis?

2009-03-03T15:05:00.000-08:00

Fibromyalgia (FM) has long been considered a condition involving the soft tissues of the body, that is, the muscles, ligaments, tendons and fascia. It is defined as “a chronic, generalized pain condition associated with symptoms of fatigue, stiffness, and sleep disturbance and is characterized by the physical findings of local tenderness in many specific but widely dispersed sites. Fibromyalgia is the most common cause of widespread pain. The prevalence of this disorder in the general population is between 3% and 5%... Most patients with fibromyalgia remain symptomatic for several years, and no cure has been identified." Disturbances in the central nervous system (CNS) has also been linked to this condition.

In one study, 168 FM patients had the CNS evaluated by hearing tests, eye movement tests, and a test that evaluates balance/dizziness. Abnormal findings were common in the FM patient group compared to non-FM subjects. Another study utilized an electrical current treatment approach through the skull to stimulate part of the brain to see if that would help a group of patients with FM. Two different parts of the brain were stimulated as well as a sham or fake treatment approach. One of two parts of the brain that was stimulated resulted in reductions of pain that lasted for three weeks and mild improvements in quality of life were reported.

Comparing 287 general practitioners (GPs), 160 orthopedists, 160 physiatrists, and 160 rheumatologists, evaluating a patient injured in a motor vehicle crash, those most likely to diagnose FM were rheumatologists (83%) with physiatrists and GPs in the middle at 60% and 71%, respectively. Orthopedists were least likely at 29%. There were five factors found to be important in the respondent's agreement or disagreement with the FM diagnosis:
1. The number of FM cases diagnosed weekly by the respondent (strong predictor).
2. The patient's gender (females > males was a strong predictor).
3. The force of the initial impact (least important).
4. The patient's psychiatric history before the trauma (more important).
5. The initial injury severity (least important).
This information is important as the shift from considering FM to be strictly a condition of the muscles and other soft tissues to being a condition of the central nervous system will affect our future treatment strategies. Obtaining multiple opinions from various types of practitioners will most likely result in a variety of opinions. Previous reports of treatment benefit utilizing chiropractic approaches, exercise, and strategies to facilitate sleep restoration remain strong in the management process of FM.

YOU MAYBE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL Cumming Chiropractor Dr Gregory King at 770-888-4288 or visit our website www.backsmarthealth.com

Why Can't The Government Help Fibromyalgia Sufferers?

2009-03-03T14:30:00.000-08:00

If you have been watching the news lately, you know that our government is divided. Republicans on one side and Democrats on the other…and they seemingly can’t come together to do what’s right for the country.

Is that’s why there’s little available help for fibromyalgia sufferers? Maybe, maybe not. But when one study considered various treatment options, it appeared that a multidiscipline treatment approach has the best clinical benefits compared to a single treatment approach.

Surprisingly, Chiropractic care may help many fibromyalgia sufferers. The care typically utilizes multiple types of treatments. These include gentle spine, arm, leg, joints and muscles care as well as appropriate exercise training, and the use of some modalities.

In fact, one study found that after 12 sessions of chiropractic care in a 4-week time frame, improvement in pain and sleep was experienced. The improvement in pain included less widespread pain, less pain intensity, a reduction in “trigger point” count (tender spots), and better tolerance to deep pressure. The improvement in sleep included deep sleep quality, less sleep interruptions and feeling more refreshed after sleep.

If you suffer from fibromyaglia, there is no quick cure. But it might be possible to get relief from a healthcare professional that takes a multidiscipline approach and uses many different treatment tools.

Like all doctors’ offices, care may vary from office to office. But if you are looking for a Chiropractor who offers short term, affordable care for your fibromyalgia symptoms, or if you have any questions, call Cumming Chiropractor Dr. Gregory King at 770-888-4288 or visit our website www.backsmarthealth.com . You can be seen immediately with no obligation to extensive treatment plans.

References Almeida, TF, Roizenblatt S, et al. The effect of combined therapy (ultrasound and interferential current) on pain and sleep in
fibromyalgia. Pain 2003, 104:665-672.