Healthy News November 2022
“To Pop or Not to Pop” is of course a twist on an age-old Shakespearean quote for an age-old chiropractic spinal manipulation question. Today’s answer is that it is not a required measure of back pain relief via spinal manipulation treatment (SMT), but back pain and neck pain patients undergoing SMT want and need to know more. Current guidelines for handling low back pain emphasize patient education and exercise as important topics of discussion. Healthcare practitioners are fairly good (72% overall) at sharing information. By profession, though, chiropractors lead in sharing 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) An important 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 related 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 those who were not spinal manipulation patients - reported curious theories of what made that sound and had overemphasized ideas of its importance. (3) Rather than 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 details the gentle spinal manipulation treatment of spinal stenosis with The Cox® Technic System of Spinal Pain Management.
Vitamin D is popular and abundantly researched beyond its earlier role of supporting phospho-calcium metabolism and skeletal bone disorders. Today, research has well-established vitamin D as a hormone and described vitamin D as influential for various 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 produces cortisol which regulates the sleep/wake cycle, body’s use of fats/proteins/carbs, inflammation, blood pressure as well as raises blood sugar and decreases bone formation. (B) The adrenal medulla produces “stress hormones” epinephrine (adrenaline) and norepinephrine (noradrenaline) responsible for 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 suggested in a new study to support adrenal health. (6) Chiropractic Solutions is excited to talk about vitamin D and any adrenal gland issues you may be having.
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