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Chiropractic Patients Have Lower Medical Costs

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Chiropractic Patients Have Lower Medical Costs

Let’s face it: cost is an important factor when we’re considering our health-care options. We want quality care that works without racking up unnecessary medical bills.

A growing body of research shows that chiropractic is both effective and less expensive than more invasive medical treatments.

In a recent study, researchers analyzed the medical spending of over 12,000 adults with spine conditions. They discovered that people who use alternative therapies have lower annual health-care costs compared to patients receiving traditional treatments.

 

Chiropractic care contributed significantly to reduced costs since chiropractic accounted for 75% of alternative therapy use.

Earlier research has found that chiropractic prevented recurring disability in patients with back pain which could help to minimize medical spending.

Studies have also suggested that chiropractic cuts costs for patients by helping them avoid unnecessary procedures, tests, surgeries, and expensive drugs.

Instead, chiropractors work to harness the body’s innate healing capabilities with a combination of  natural, effective modalities.

References

1. Martins B, et al. The association of complementary and alternative medicine use and health care expenditures for back and neck problems. Medical Care 2012; 50 (12): 1029-1036. doi: 10.1097/MLR.0b013e318269e0b2.

2. 

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Pregnant Women Find Relief with Chiropractic

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Pregnant Women Find Relief with Chiropractic

Many women experience lower back pain while pregnant. In fact, studies show that more than half of pregnant women report back pain at some point during their pregnancy.

A recent study found that for many women, pregnancy is the first time they have experienced back pain. The authors state,

“The incidence of low back pain with an onset during pregnancy has been reported to be 61%. It has been shown that among women with low back pain of pregnancy, 75% reported no low back pain before pregnancy. In a study of women with chronic low back pain, up to 28% stated that their first episode of back pain occurred during a pregnancy.”

Chiropractic treatments may be beneficial for women who experience back pain during pregnancy. Researchers recently studied 17 pregnant women with lower back pain. The pain lasted an average of 21.7 days, and was rated an average of 5.9 on a scale of 1 to 10. The pain began an average of 20.6 weeks into the pregnancy. Each participant underwent chiropractic treatments individualized to their reported symptoms. The authors found that:

  • About half of the women referred themselves for treatment, while the other half were referred by their obstetrician.
  • It took an average of 4.5 days for the women to achieve clinically significant pain relief. The range was 0 to 13 days following the first treatment session.
  • An average of 1.8 treatments were needed to reach clinically significant pain relief.
  • Average pain levels decreased from 5.9 to 1.5 at the conclusion of the study.
  • Patients received 3 to 15 treatments, with an average of 5.6.
  • One participant of the 17 women involved did not experience clinically significant pain reduction during the study.
  • None of the women reported negative reactions to the adjustments.

Lower back pain during pregnancy can detrimentally impact women’s overall health. The study authors explain:

“In most instances, the average pain level is moderate, but severe pain has been reported in 15% of cases. Pain intensity often increases with duration and can result in significant disability. Sleep disturbances have been reported by 49% to 58% of women and impaired daily living by 57% in women with low back pain of pregnancy.”

However, many women do not report their back pain to their doctor, and it goes untreated. A previous study found that “just 32% of women reported their low back pain of pregnancy to their prenatal providers, and just 25% of these providers recommended a treatment.” Other research has found that “among women with low back pain of pregnancy, 80% thought that their providers had not offered treatment for their back pain.”

If you’re experiencing back pain as a pregnant woman, it’s important to know you don’t have to suffer through the pain. This research demonstrates that chiropractic care is an effective, safe way to reduce low-back pain during pregnancy.

Lisi AJ. Chiropractic spinal manipulation for low back pain of pregnancy: a retrospective case series. Journal of Midwifery & Women’s Health 2006;51:e7-e10.

Chiropractic Beats Epidural Injections for Disc Herniations

Chiropractic adjustments were just as effective as epidural injections for patients with back pain in a new study — without the risks and at lower cost.

The findings show that chiropractic can significantly reduce pain in patients with lumbar disc herniation, and is less expensive than medical treatment.

Lumbar epidural injections are frequently used for back pain and sciatica in patients with lumbar disc herniation, failed back surgery syndrome, and spinal stenosis. During the procedure, a physician injects a high dose of pain medication, and sometimes steroids, into the area of the lumbar spine around the damaged nerve. This temporarily reduces inflammation and pain.

Although the injections are widely used, controversy lingers due to the lack of a studies with placebo controls, and questions about the effects of steroids versus anesthetic alone. Side effects of steroids include a weakening of muscles and spinal bones around the affected nerve and a disruption of the body’s natural hormone balance. It’s also unclear whether epidural injections are more effective than other conservative treatments for lumbar disc herniation.

While a number of studies have established the efficacy of chiropractic for low-back pain, fewer have tested its comparative effectiveness with other treatments for lumbar disc herniation.

In a new study from the Journal of Manual and Physiological Therapeutics, researchers from Switzerland compared the effects of chiropractic spinal manipulative therapy (SMT) and epidural nerve root injections (NRI). The study included 102 with symptomatic, MRI-confirmed lumbar disc herniation who were treated with either SMT or NRI.

After one month of treatment, both groups experienced significant improvements. Of the patients under chiropractic care, 76.5% said they were “much better” or  “better” compared to 62.7% of NRI patients. Sixty percent of chiropractic patients had a significant reduction in pain compared to 53% of NRI patients. These slight differences were not statistically significant.

While none of the chiropractic patients received surgery, three of the NRI patients eventually opted for an operation.

Since the treatments were considered equally effective, the cost analysis became even more important for comparing both treatments, the researchers pointed out.  On average, one month of chiropractic adjustments was less expensive than NRI ($558 vs. $729). Their analysis included only the “minimum cost” of NRIs, and did not take into account other costs that are frequently tacked on like additional consultations with clinicians, multiple injections, or possible surgery. Additionally, treatment cost for chiropractic patients may have been slightly higher than normal since they were required to receive an MRI to be in the study. Many chiropractic patients do not receive MRI because imaging guidelines do not recommend MRIs for patients with lumbar disc herniation in most cases. In contrast, MRIs are typically performed before injections or other more invasive procedures.

Although randomized trials are needed to confirm these results, the authors concluded that, “There were no significant differences in outcomes between the more universally accepted treatment procedure of NRI compared to SMT.”

This study suggest that patients can experience substantial relief from chiropractic care without worrying about the side effects of steroids or drugs. It may even save them money, since research suggests that chiropractic patients have lower annual medical costs compared to patients under traditional care.

Reference

Peterson, CK, et al. Symptomatic Magnetic Resonance Imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Journal of Manipulative and Physiological Therapeutics 2013; doi: 10.1016/j.jmpt.2013.04.005.

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Case Study Highlights Chiropractic for ADHD

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Case Study Highlights Chiropractic for ADHD

Attention-deficit/hyperactivity disorder (ADHD) is a common childhood condition with symptoms such as impulsivity, hyperactivity, inattentiveness, and distractibility. Treatment options are varied, including medication and complementary and alternative medicine (CAM) options. Chiropractic care has been suggested as one potential treatment for ADHD.

There is some preliminary evidence to suggest that chiropractic care could have some positive effect on learning disabilities and ADHD. A recent case study adds this body of evidence by detailing the chiropractic care of a 5-year-old boy diagnosed with ADHD. His parents hoped that chiropractic care could help address signs of ADHD such as acting out, inability to follow instructions, and poor performance at school.

An initial examination revealed trigger points and hypertonicity in the paraspinal muscles, along with  cervical and thoracolumbar facet joint irritation. Treatment included stretching, soft tissue therapy, and spinal manipulation conducted three times per week initially, declining to twice per week and continuing for one year.

Following one year of treatment, subjective improvements were noted in the patient’s ability to follow instructions, episodes of acting out, and general performance at school and home. This suggests that chiropractic care could have a potential role in the management of patients with ADHD.  However, the researchers pointed out that these improvements may have resulted from the psychological benefit of having an increased support system during treatment. Additionally, since physical touch has been shown to alter mood and behavior, the hands-on approach of the treatment could have also played a role in its success.

While this case study provides us with an example of the potential impact of chiropractic on kids with ADHD,  the overall evidence on chiropractic for ADHD is sparse. No large-scale trials evaluating chiropractic treatments for ADHD have been conducted, and more research must be done to confirm any effects.

Reference

Muir JM. Chiropractic management of a patient with symptoms of attention-deficit/hyperactivity disorder. Journal Chiropractic Medicine 2012l 11(3): 221–224.

Chiropractic Patients Have 90% Reduction in Migraine Frequency

Many patients rely on pain medications to manage migraines but did you know those medications may actually be causing you more headaches? A recent study found that medication overuse causes daily headaches in 1 in 50 people.  Fortunately, there are natural treatment options that don’t put you at risk for worsening head pain.

Cases studies have suggested that chiropractic is beneficial for migraine treatment in pregnant women and children but a 2000 study was one of the the first randomized, controlled trials assessing the efficacy of chiropractic for migraine.

The study involved 127 participants between the ages of 10 and 70. All had been diagnosed with migraines, and had a minimum of at least one migraine per month. Half of the patients received chiropractic treatments, while the other half served as a control group. Treatment consisted of two months of chiropractic spinal manipulations, with a maximum of 16 treatments. Over the course of the study, participants completed headache diaries noting the frequency, intensity, duration, disability, associated symptoms, and medication use for each migraine.

The treatment group showed statistically significant improvements in average responses for migraine frequency, duration, disability, and medication use when compared to the control group. Twenty-two percent of participants reported more than a 90% reduction of migraines after the 2 months of treatment. The results of this study support previous information that some people report significant improvement in their migraines after chiropractic spinal manipulation.

Given that a high percentage of people with migraines report stress as a major migraine factor, it appears likely that chiropractic care affects physical conditions related to stress, thereby reducing the effects of the migraine.

A more recent study published in 2012 demonstrated that chiropractic care reduced pain severity in migraine patients by an average of 68%. In other words, chiropractic patients had their pain levels drop from an average of 5 to 0.5 on scale of 1 to 10.

Jahangiri JN, Vatankhah N, and Baradaran HR. Reduction of Current Migraine Headache Pain Following Neck Massage and Spinal Manipulation. Journal of Therapeutic Massage and Bodywork. 2012; 5(1): 5–13.

Tuchin P, Pollard H, Bonello R. A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics 2000; 23 (2)
91-95.

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Chiropractic is Great for Kids

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Chiropractic is Great for Kids

Many parents of children with chronic-health conditions struggle to help their child manage ongoing pain and symptoms. They also worry about the potential effects certain medical treatments and drugs can have on their child’s health. That could be why more parents are now seeking natural treatment options like chiropractic.

In a recent study, chiropractic was one of the most commonly-used alternative therapies for children with chronic-health problems.

The study included more than 900 parents of children being treated at cardiology, gastroenterology, neurology, oncology, and respiratory clinics in Canada. Parents were asked about their child’s use of alternative therapies and products.

Nearly half of parents said their child used an alternative therapy in addition to receiving conventional treatments. Almost 10% of parents said they’d pursue complementary and alternative medicine (CAM) prior to conventional treatments, and 5% said they used alternative medicine in place of traditional care.

Of the two hospitals included in the survey, at one hospital, 71% of children had received CAM therapies, while 42% had used CAM therapies at the other. The most common CAM therapies were massage, chiropractic, relaxation, and aromatherapy.

Several parents also said their child took multivitamins and minerals and had used herbal supplements and homeopathic remedies in the past. However, parents did not always communicate with primary-care physicians about their child’s use of herbal supplements and minerals, which had some observers worried.

Herbal and dietary supplements can change how the body reacts to certain drugs, warned Dr. Josephine Briggs, director of the National Center for Complementary and Alternative Medicine, who commented on the issue in recent article from The Huffington Post. She encouraged patients to talk with physicians about their herbal and dietary supplement use, and reminded physicians to take the time to ask.

The study suggests that the use of CAM therapies like chiropractic among children is on the rise. Studies show that chiropractic care is a safe, effective treatment for children with musculoskeletal complaints, headache, and more.

Adams D, et al. Complementary and alternative medicine use by pediatric specialty outpatients. Pediatrics 2013; doi: 10.1542/peds.2012-1220.

 

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How Chiropractic Can Help During Pregnancy

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How Chiropractic Can Help During Pregnancy

Pregnancy can be a wonderful time in a woman’s life but it can also be the source of significant pain. Conditions like back pain and migraine can make it difficult to sleep and can affect your quality of life. And since you want to protect your baby, you don’t want to use drugs if you can avoid them.

Chiropractic is a safe, natural way to manage and treat pain during pregnancy. Research shows that chiropractic adjustments can substantially reduce pain in the low back, pelvis, and hips; ease sciatica; relieve stress; and reduce the frequency of headaches.

During pregnancy, weight gain and changes in posture place stress on your joints and muscles. Hormonal fluctuations can trigger migraine and loosen the ligaments and muscles connecting to your pelvis. All of this can result in pain.

Chiropractic uses gentle adjustments to relieve pressure on any pinched nerves and ease the stress placed on ligaments and joints. Your chiropractor can also advise you in using stretches, improved posture, nutrition, and safe lifting methods to reduce pain.

But chiropractic does more than treat pain, it enables you to maintain optimal wellness in this crucial time. A doctor of chiropractic can help you develop a nutrition and exercise program to improve the health of you and your baby. Plus, studies show that chiropractic adjustments reduce blood pressure, heart rate, and stress hormones, boost immunity, and more.

To find out more about the benefits of natural prenatal care, contact a chiropractor today.

References and Related Studies

Alcantara, Joel and Martine Cossette. “Intractable migraine headaches during pregnancy under chiropractic care.” Complementary Therapies in Clinical   Practice. 2009; 15: 192-7.

Howell ER. Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation:two case reports. Journal of Canadian Chiropractic Association 2012; 56 (2):102-111.

Lisi AJ. Chiropractic spinal manipulation for low back pain of pregnancy: a retrospective case series. Journal of Midwifery & Women’s Health 2006;51:e7- e10.

Ogura, Takeshi and Manabu Tashiro, Mehedi,Shoichi Watanuki, Katsuhiko Shibuya, Keiichiro Yamaguchi, Masatoshi Itoh, Hiroshi Fukuda, Kazuhiko Yanai. Cerebral Metabolic Changes in Men After Chiropractic Spinal Manipulation for Neck Pain. Alternative Therapies. 2011, November/December; 17 (6): 12-17.

Sadr S, Pourkiani-Allah-Abad N, Stuber KJ. The treatment experience of patients with   low back pain during pregnancy and their chiropractors: a qualitative study. Chiropractic & Manual Therapies 2012, 20:32. doi:10.1186/2045-709X-20-32.

Teodorczyk-Injeyan JA, McGregor M, Ruegg R, Injeyan HS. Interleukin 2-regulated in    vitro antibody production following a single spinal manipulative treatment in normal subjects. Chiropractic & Osteopathy 2010; 18:26.

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Asthma Patients Find Relief With Chiropractic Care

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Asthma Patients Find Relief With Chiropractic Care

An estimated 300 million people worldwide suffer from asthma. With 180,000 deaths attributed to the disease, asthma treatment has a significant financial burden. In the United States alone, asthma medication is estimated to cost between $1 billion and $6 billion per year. While often treated with medication, there are other natural treatments available, such as chiropractic care.

In recent years, manipulative therapy has been used in addition to medication for managing respiratory diseases in adults and children. While many chiropractors report success with such treatments, few studies have examined the overall effectiveness of using manual therapies for respiratory disease treatment.

A recent literature review sought to examine the efficacy of chiropractic care for patients with asthma. The study involved randomized controlled trials, case reports, case series, cohort studies, survey studies, commentaries, and systematic reviews. The researchers concluded that chiropractic care may offer an alternative care approach for patients with asthma. However, the authors concluded further randomized controlled clinical trials should be conducted for future investigation of this approach.

Another new literature review focused on the use of manual therapy to treat childhood respiratory disease. That study involved eight clinical trials on the effects of manual therapy on children and teens with respiratory diseases. Five of the studies involved children with asthma, while the others focused on the treatment of children with other respiratory conditions, including recurrent respiratory infections, cystic fibrosis, and bronchiolitis.

Six of the eight studies identified positive results of manual therapy, including reduced anxiety, better lung function, and improved levels of salivary cortisol. The use of manual techniques such as chiropractic, osteopathic medicine, and massage appear to be beneficial for children with respiratory disease.While more research is needed to confirm the results of these initial studies, the findings offer promise for families searching for natural relief of asthma.

A recent case study highlights the impact that chiropractic can have for children with asthma. The case study involved a ten-year old boy who found relief from headache and respiratory symptoms under the care of chiropractor.

 

References

Alcantara J, et al. The chiropractic care of patients with asthma: a systematic review of the literature to inform clinical practice. Clinical Chiropractic 2012; 15: 23-30.

Pepinoa VC, et al. Manual therapy for childhood respiratory disease: A systematic review. Journal of Manipulative and Physiological Therapeutics 2013; 36(1): 57-65.

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Dr. Johnson always knows …

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Dr. Johnson always knows exactly what to do to alleviate pain/discomfort. He is kind and careful and always cheerful.

via Reviews for Northside Family Chiropractic http://ift.tt/1kEl91r

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