Sunday, August 1, 2010

Seniors and Chiropractic

The general population is going to chiropractors in record numbers. Seniors, the fastest segment of the population is no exception. According to a recent August 24th 1999 article in USA Today, more than 80% of senior’s age 65 or greater are aware of what the article termed alternative medicine. This awareness has lead to a fairly fast growing utilization of these services. The breakdown for usage of chiropractic and other non-medical health care is as follows:
Chiropractic lead the way with a utilization of 32%, second was massage therapy at 16%, followed by acupuncture 9%, homeopathy at 4%, naturopathy 3% and Chinese medicine 3%.
A recent study published in Topics in Clinical Chiropractic of a randomized clinical trial showed data that found chiropractic geriatric patients were "less likely to have been hospitalized, less likely to have used a nursing home, more likely to report a better health status, more likely to exercise vigorously, and more likely to be mobile in the community."
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Relief of Symptoms in Cervical Spinal Stenosis Through Specific Chiropractic

From the June 2004 issue of the peer reviewed scientific journal, The Journal of Manipulative and Physiological Therapeutics, comes a documented case study of a 70 year old woman who was injured in a side-impact motor vehicle accident. The report noted that within hours of the accident, the woman developed headaches, neck pain, and a burning sensation on the left side of her face and the entire left side of her body, including her arms and legs.
She was taken to the emergency room where an MRI was performed and she was initially diagnosed as having had a CVA (cerebral vascular accident or stroke). Later she was seen by a neurologist who felt that she had not suffered a CVA and after additional tests her diagnosis was changed to "cervical myelopathy". Cervical myelopathy is a form of spinal cord injury resulting in spinal cord compression. A cervical MRI was performed and revealed significant spinal stenosis with spinal cord deformation.
The patient started chiropractic care two weeks after the accident. She stated that her goal was to avoid spinal surgery. Her symptoms included headaches, neck pain, and a problem she described as an “odd sensation like my left face, body, arm, and leg are hot and burning.”
Specific chiropractic care was initiated and the patient was adjusted each office visit for 18 sessions over 55 days at a frequency of 3 times per week for the first 2 weeks and then once per week for the duration of the treatment period. Within just two weeks the patient reported that her burning sensation had decreased by about 90%. She also experienced quick resolution of her muscular aches and pains. In just under 2 months the patient had reported complete resolution of her symptoms.
In this study the author concluded, "Resolution of the signs and symptoms of cervical stenosis with MRI-documented spinal cord compression through chiropractic techniques is reported." In other words, this patient was spared surgery and the quality of her life was dramatically improved.
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Golfers Love Chiropractic

The Aug. 17 /PRNewswire/ reported a story about professional golfers using chiropractic on a regular basis. Dr. Tom La Fountain is a chiropractor who travels with the PGA tour and regularly provides chiropractic to the pros. Dr. La Fountain reports that up to 85 percent of the injuries on the PGA Tour and Senior Tour relate to the spine, and about 70 to 75 percent of those golfers receive regular chiropractic care.
The August 21, 2000 issue of the Salt Lake Tribune reported that senior pro golfer, Doug Tewell was delayed entering the Senior PGA tour due to spinal problems. Tewell injured his back while playing a round of golf with his son in Oklahoma. The injury kept him in bed for three days and required the use of a walker for two weeks. On the recommendation of fellow pro Bob Tway, Tewell decided to see a chiropractor. His comments in the Tribune article summed up his reactions, "the most incredible thing, just a few little jerks," Tewell said. "I thought I had met Oral Roberts."
Professional women golfers also utilize chiropractic. Dr. David E. Stude, a chiropractor and associate professor and faculty clinician at Northwestern Health Sciences University, lectures across the country with Lisa Masters, an LPGA golf pro, emphasizing the importance of chiropractic care for golfers. Dr. Stude states, "Normally, each vertebra in the spine moves independently a certain number of degrees when our whole body is involved in an activity. If that is not happening, for example, if two or more segments move as a whole unit, rather than moving independently, it can lead to one kind of vertebral mechanical dysfunction."
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Correct Posture Month

May is Correct Posture Month. In a May 6, 2004 Yahoo news release is a story from the American Chiropractic Association (ACA) proclaiming May as Correct Posture Month. The article notes that a new study published in the journal 'Spine' revealed an urgent need for health promotion programs to increase awareness and reduce risks in the school environment, such as heavy backpacks, desks and chairs that don't fit their users, and an absence of physical activity during recess.
During Correct Posture Month, the ACA is urging school administrators, teachers, and parents' organizations to more closely examine these unexpected dangers lurking in our schools. Parents and schools need to become more aware of the risks associated with heavy backpacks, improper computer ergonomics and physical inactivity.
The article listed a series of recommendations related to posture in several different categories. These are:
• Make sure your child's backpack weighs no more than 10 percent of his or her bodyweight. A backpack should never hang more than four inches below the waistline.
• Make sure your child's workstation chair fits him or her correctly. Limit your child's time at the computer and make sure he or she takes periodic breaks during computing time.
• Children should participate in at least 30 minutes of physical activity each day.
• Make sure your kids are getting plenty of rest.
The release noted that young children are suffering from back pain much earlier than previous generations, and the use of overweight backpacks is a contributing factor. The release also noted that at least 70 percent of America's 30 million elementary school students use computers, according to a recent New York Times article. As a result, many children are already suffering from chronic pain in the hands, back, neck and shoulders, as well as repetitive motion injuries such as carpal tunnel syndrome.
The release also recommends chiropractic care for children. They note that a doctor of chiropractic can offer advice on lifestyle changes to keep children fit and healthy.
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Chiropractor Helps Pro Golfer Set Record

Thomas Bjorn is a professional golfer from Denmark who made a bit of sports history at the 87th PGA Championship when he shot a round of 63 and tied the record for the lowest score in a major PGA tournament. However, this accomplishment of sports history and Bjorn's second place finish in the 2005 PGA Tournament might not have been possible without the chiropractic care Bjorn received during the practice rounds prior to the start of the tournament.
The August 15, 2005 Daily Record of New Jersey tells the story of how a local Morris County chiropractor can take at least partial credit for Thomas Bjorn's record-setting round Saturday at the PGA Championship. Dr. Patrick Ryan was seeing patients when he received a call from a colleague in London who was the chiropractor for Bjorn. Shortly after this Bjorn, drove straight to Ryan's practice in Randolph NJ, complaining of a restriction in his neck that kept him from turning his head properly in his swing. According to the Daily Record, Bjorn had been forced to stop practicing after six holes prior to the tournament because of pain in his neck that affected his swing.
Dr. Ryan performed scans on Bjorn and reviewed information from his London chiropractor and came to the conclusion that Bjorn was suffering from a subluxation of the first thoracic vertebra, the point where the head and shoulders meet. This created severe muscle spasm at the base of Bjorn's neck and prevented proper rotation.
Bjorn then received an adjustment, and asked to return the next day. On the following visit a new scan showed Bjorn's imbalance had improved from severe to mild. Bjorn reported that he felt terrific. On Saturday, Bjorn shot a 7-under-par 63. That score tied the record for the best round of golf ever in a major tournament. In interviews after the tournament, the Danish pro credited a new pain-free swing.
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Chiropractic's Role in Sports

As more athletes discover the benefits of chiropractic care not only for injuries but additionally for increased performance, more athletes and teams are using chiropractic to gain an important edge. A recent study published in the March/April 2002 issue of the Journal of Manipulative and Physiological Therapeutics, (JMPT) examined the usage of chiropractic care by National Football League teams throughout the US.
The Journal article reported on the results of a survey of NFL trainers on their usage and referral to chiropractic care. Participants of the survey were head athletic trainers of the 36 National Football League teams. They were all men, and all had at least 17 years of experience and had served with their present team in their current position for a minimum of 1 year .
The results of the survey showed that 45% percent of the trainers themselves have been treated by a chiropractor. Presently 31% of NFL teams use chiropractors in an official capacity as part of their staffs. However, even though not necessarily on the staff of the NFL team a full 77% of the trainers have referred to a chiropractor for evaluation or treatment. Probably the most telling result of the survey is that 100% of trainers agree that some players use chiropractic care without referral from team medical staff.
Several other questions were also asked in the survey and the answers were as follows:
• Should trainers refer players with suspected spinal subluxations to chiropractors? - Five percent of trainers strongly agree, 48% agree, 24% disagree, and 19% have no opinion.
• Is there a role for the doctor of chiropractic in the NFL? - Eighty-one percent agree that there is a role for the chiropractor in the NFL, 5% strongly agree, 14% have no opinion, and none disagree.
• Is the role of the sport chiropractor different from that of the team physician? - All (100%) of the trainers see these roles as different from each other.
In addition to NFL players, many athletes from many sports depend on chiropractic care. One such athlete is John Stockton, a professional basketball player and future hall of famer with the Utah Jazz. In an April 2, 2002 article that appeared in the Toronto Star, writer Doug Smith asks and answers the question concerning John Stockton's longevity, "What is the secret to John Stockton's continued success on the NBA basketball court at age 40? A Good Chiropractor." When asked to explain his usage of chiropractic John's response was, "I'm not a good enough expert on what that (chiropractic) entails, but it's not just adjustments, it's balancing muscles and overall health." John then added, "it's been great for me, and for my family." The article reports that along with chiropractic, Stockton says that a love for the game and fun with his family are two other secrets to his continued success.
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Chiropractic Helps Patients with Acute Back Pain and Sciatica with Disc Protrusion

A new study from Italy published in the March issue of The Spine Journal, showed that chiropractic care was effective in helping patients with acute back pain and sciatica with disc protrusion. This randomized double-blind clinical trial involved 102 ambulatory patients with at least moderate pain or radiating pain, who had an MRI study showing disc protrusion.
The patients were divided into two groups. One group received chiropractic adjustments 5 days per week by experienced chiropractors, with a maximum of 20 visits. The second group received what the study termed, "simulated manipulations" in order to have a group for comparison to those receiving real chiropractic care.
The results showed that those who got the real chiropractic care improved significantly over the group that received the simulated manipulations. In the group that received the chiropractic care, 55% were free of radiating pain in the follow ups compared to 20% of patients who got the simulated manipulations. Additionally, when measuring local pain, 28% of those who received real chiropractic were free of local pain, versus only 6% of those who got the simulated manipulation.
The results also showed improvements in days of pain with the group that received the real care reporting 6 less days of pain than those in the simulated care group. In addition to these benefits the group with the real care reported using less medications to help with the pain as a result of the chiropractic care.
In this study none of the patients in either group had any adverse effects, and one from each group did report no results at all and were listed as "treatment failures". The researchers conclusions were, "Active manipulations have more effect than simulated manipulations on pain relief for acute back pain and sciatica with disc protrusion."
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