The Illusive Pop of Spinal Manipulation
“To Pop or Not to Pop” is understandably a
turn on an age-old Shakespearean quote for an age-old chiropractic
spinal manipulation question. The answer
today is that it’s not a required
indicator of back pain relief via spinal
manipulation treatment (SMT), yet back pain and neck pain patients undergoing SMT want and need to know all they can. Current
guidelines for handling low back pain
highlight patient education and exercise as important
issues. Healthcare practitioners are
fairly good (72% overall) at delivering
information. By profession, though, chiropractors lead in
providing patient education for 76% of patients with
physical therapists at 74% and general practitioners at only 44%. The
more emotionally distressed a patient was or the pain
extended below the knee,
information was shared with 78% of patients. (1) A valuable
topic for San Jose back pain and neck pain patients undergoing spinal
manipulation treatment (SMT) is this sometimes-audible pop. A systematic
review of published studies found that regardless of the spinal
area or follow-up time after the SMT, nothing was found that showed evidence
of improved pain outcomes or treatment success linked
to an audible pop. (2) Good
thing since some patients have it, and some don’t.
Patients whose practitioners explained the audible pop to them - and others who weren’t spinal manipulation patients - reported
interesting theories of what made that sound
and had overemphasized ideas of its importance. (3) Instead of
the question “To pop or not to pop?” the better question
for you and your San Jose chiropractor may well be “Is
there pain relief or not?” With our gentle chiropractic care, there is
pain relief for many San Jose back pain and neck pain sufferers. Let’s talk about all of this at your
next chiropractic visit at Chiropractic Solutions!
Listen to this PODCAST
with Dr. Kurt Olding on The
Back Doctors Podcast with Dr. Michael Johnson as he describes
the gentle spinal manipulation treatment of spinal stenosis with The
Cox® Technic System of Spinal Pain Management.
[[CHIROPRACTIC]] TIP OF THE MONTH:
Vitamin D for Adrenal Gland Support
Vitamin D is
in favor and abundantly researched beyond its
longer term reputation in supporting phospho-calcium
metabolism and skeletal bone disorders. Today, research has
well-established vitamin D as a hormone and described vitamin D
as influential in a variety of diseases from cancer,
inflammation, and autoimmunity (Hashimoto’s, Graves’, diabetes) to adrenal
gland health and disease (Cushing’s, Addison’s). (4) The adrenal gland has two
main parts: (A) The adrenal cortex makes cortisol which
controls the sleep/wake cycle, body’s use of
fats/proteins/carbs, inflammation, blood pressure as well as
raises blood sugar and reduces bone formation.
(B) The adrenal medulla manufactures “stress hormones”
epinephrine (adrenaline) and norepinephrine (noradrenaline) in charge
of the fight or flight response. (5) Adrenal gland issues
keep people awake at night…for real! Although not yet
definitive, 800-2000IU a day was proposed in
one new study to support adrenal health. (6)
Chiropractic Solutions is ready to talk about vitamin D
and any adrenal gland issues you may be having.
CONTACT Chiropractic Solutions
Set your next San Jose
chiropractic appointment with Chiropractic Solutions soon! We
have a lot to talk about!
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."