Back Clinic Veterans Chiropractic, Physical Therapy Team. Our valued veterans deserve the best care to maintain their optimal health. Many of these individuals experienced injuries or may have developed medical conditions as a result of their military service. Through Veterans Affairs (VA) and other services available, a majority of individuals can be eligible to receive the necessary health evaluations and treatments for their prior or current symptoms of discomfort. Complementary and Alternative Medicine, or CAM, has been favored by many active-duty members and veterans alike.
A variety of treatment options are being used at a much higher rate by troops for stress management and for musculoskeletal injuries than their civilian counterparts. Chiropractic care has been frequently offered through the military health system for about a decade, encouraging its use for many troops. Dr. Alex Jimenez’s collection of articles covers a variety of medical options, as well as, offering chiropractic insight on injuries and conditions affecting the well-being of many individuals. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
Hundreds of thousands of veterans of the Persian Gulf War returned home with puzzling health issues that doctors couldn’t explain. Now, 25 years later, Gulf War Illness (GWI) continues to affect 25-32 percent of the 700,000 U.S. veterans who served in the 1990-1991 war.
The condition is characterized by symptoms such as chronic headache, cognitive difficulties, debilitating fatigue, widespread pain, respiratory problems, sleep problems, gastrointestinal problems, and other unexplained medical abnormalities.
Twenty years of scientific research has traced these symptoms to Gulf War chemical exposures and the drugs taken during deployment that were meant to prevent or counteract these exposures. However, the vast majority of these studies have focused on neurological effects, but none have fully explained the body’s pathways GWI uses to affect the brain.
Now, a study from the University of South Carolina has found a gastrointestinal link that could not only help explain the health issues facing veterans, but may also point to new treatment options.
Researchers found that the chemicals, etc. that veterans were exposed to altered the microbiome — the bacteria that inhabit the gut. The affected microbiota then produce endotoxins, which pass through a thinned lining of the gut (called a leaky gut) and into the blood where they circulate throughout the body.
These compounds trigger an inflammatory response that, in turn, initiates several neurological abnormalities commonly observed in GWI.
“Humans and animals have specific types of bacteria that help aid various physiological processes, including digestion, absorption, immunity and gut integrity, and when external factors change the bacterial composition in our digestive systems, we have problems,” says researcher Saurabh Chatterjee. “Obesity, metabolic syndrome, inflammatory bowel syndrome, and liver disease have already been linked with changes in bacterial composition of the gut.”
The study showed that not only did exposures to the suspected causes of GWI lead to inflammation in the intestines, they also lead to inflammation in the brain.
“Usually, the gut is very selective about letting only certain elements from what we eat and drink into our blood — thanks to good bacteria,” Chatterjee explained. “But when the composition changes due to an increase in certain bad bacteria, this causes disruption to the mucosal lining of the intestinal walls — leading more intestinal contents to leak into the blood.”
Once in the blood, the toxins travel throughout the body and affect different organs, including the brain. Once in the brain, the toxins cause the inflammation and neurological symptoms that previous studies have extensively linked to GWI.
“We know that many diseases like obesity, liver disease, and inflammatory bowel syndrome can be cured or at least decreased by consuming good bacteria, like probiotics,” Chatterjee said. “Now that this connection has been established, it opens the door to new studies where GWI patients take probiotics for a longer period of time and, hopefully, see improvement in symptoms connected with metabolic syndrome, gastrointestinal disturbances, and maybe even neuroinflammation.”
Recent studies have indicated that gut bacteria have an impact on a wide range of health issues. UCLA researchers found that mice fed beneficial bacteria produced microbes known to prevent cancer. Researchers suggested ingesting probiotics like yogurt or probiotic supplements could help prevent cancer from developing.
Hundreds of thousands of veterans of the Persian Gulf War returned home with puzzling health issues that doctors couldn’t explain. Now, 25 years later, Gulf War Illness (GWI) continues to affect 25-32 percent of the 700,000 U.S. veterans who served in the 1990-1991 war.
The condition is characterized by symptoms such as chronic headache, cognitive difficulties, debilitating fatigue, widespread pain, respiratory problems, sleep problems, gastrointestinal problems, and other unexplained medical abnormalities.
Twenty years of scientific research has traced these symptoms to Gulf War chemical exposures and the drugs taken during deployment that were meant to prevent or counteract these exposures. However, the vast majority of these studies have focused on neurological effects, but none have fully explained the body’s pathways GWI uses to affect the brain.
Now, a study from the University of South Carolina has found a gastrointestinal link that could not only help explain the health issues facing veterans, but may also point to new treatment options.
Researchers found that the chemicals, etc. that veterans were exposed to altered the microbiome � the bacteria that inhabit the gut. The affected microbiota then produce endotoxins, which pass through a thinned lining of the gut (called a leaky gut) and into the blood where they circulate throughout the body.
These compounds trigger an inflammatory response that, in turn, initiates several neurological abnormalities commonly observed in GWI.
“Humans and animals have specific types of bacteria that help aid various physiological processes, including digestion, absorption, immunity and gut integrity, and when external factors change the bacterial composition in our digestive systems, we have problems,” says researcher Saurabh Chatterjee. “Obesity, metabolic syndrome, inflammatory bowel syndrome, and liver disease have already been linked with changes in bacterial composition of the gut.”
The study showed that not only did exposures to the suspected causes of� GWI lead to inflammation in the intestines, they also lead to inflammation in the brain.
“Usually, the gut is very selective about letting only certain elements from what we eat and drink into our blood � thanks to good bacteria,” Chatterjee explained. “But when the composition changes due to an increase in certain bad bacteria, this causes disruption to the mucosal lining of the intestinal walls � leading more intestinal contents to leak into the blood.”
Once in the blood, the toxins travel throughout the body and affect different organs, including the brain. Once in the brain, the toxins cause the inflammation and neurological symptoms that previous studies have extensively linked to GWI.
“We know that many diseases like obesity, liver disease, and inflammatory bowel syndrome can be cured or at least decreased by consuming good bacteria, like probiotics,” Chatterjee said. “Now that this connection has been established, it opens the door to new studies where GWI patients take probiotics for a longer period of time and, hopefully, see improvement in symptoms connected with metabolic syndrome, gastrointestinal disturbances, and maybe even neuroinflammation.”
Recent studies have indicated that gut bacteria have an impact on a wide range of health issues. UCLA researchers found that mice fed beneficial bacteria produced microbes known to prevent cancer. Researchers suggested ingesting probiotics like yogurt or probiotic supplements could help prevent cancer from developing.
Chiropractic Care & The Department of Veterans Affairs
The Foundation for Chiropractic Progress (F4CP) notes that for more than 10 years, the U.S. Department of Veterans Affairs (VA) has included chiropractic services as part of the standard medical benefits package offered to all enrolled veterans. According to a new study conducted by researchers from the VA Connecticut Healthcare System, published in the Journal of Manipulative and Physiological Therapeutics, the use of chiropractic services and the chiropractic workforce in VA has grown substantially since their introduction over a decade ago. The annual number of chiropractic visits has increased by nearly 700 percent, thus demonstrating more veterans have access to chiropractic care than ever before.
�Our work shows that VA has steadily and substantially increased its use of chiropractic services each year following their implementation in late 2004,� states lead author of the study Anthony J. Lisi, DC, Director of the VA Chiropractic Program, and Chiropractic Section Chief at the VA Connecticut Healthcare System. He adds, �VA chiropractic care includes evidence-based, patient-centered treatment options that are in demand by veterans and referring providers. VA continues its efforts to ensure appropriate access to chiropractic care across the whole system, but as this paper shows, the progress to date has been remarkable.�
Military Healthcare/Chiropractic
Among the multitude of findings during an 11 year period, the study showed that:
? The annual number of patients seen in VA chiropractic clinics increased by 821 percent.
? The annual number of chiropractic visits grew by 693 percent.
? The total number of VA chiropractic clinics climbed 9 percent annually, and the number of chiropractor employees increased by 21 percent annually.
? The average VA chiropractic patient is male, between the ages of 45 and 64, is seen for low back and/or neck conditions, and receives examination, chiropractic spinal manipulation and other health care services.
Co-Author Cynthia A. Brandt, MD, MPH, Health Services Researcher at the VA Connecticut Healthcare System and Professor at Yale University School of Medicine states, �Chiropractic care is an important component in the treatment of veterans with spinal pain conditions. The trends we identified provide a foundation for further research to examine the optimal models of care delivery for patients.�
The study notes: �Our results indicate that VA chiropractic clinics saw a greater percentage of female and younger patients compared with the national VA outpatient population. This demographic tendency is consistent with the cohort of veterans from the recent conflicts in Iraq and Afghanistan, which is known to have a high prevalence of musculoskeletal conditions.�
An Army report recommended the use of alternatives to pain drugs, including chiropractic care, massage and acupuncture. Here, Dr. Frank Lawler gives Spc. David Ash chiropractic treatment, January 7, 2011, in Tacoma, Washington. (Mark Harrison/Seattle Times/MCT)
Veterans With Back Pain
�The growing utilization of chiropractic services among veterans for pain management and other health concerns, particularly those in the Operation Enduring Freedom, Operation Iraqi Freedom, Operation New Dawn and older adult populations, showcases the clear-cut demand for chiropractic care and is a direct reflection of the improved clinical outcomes and high patient satisfaction scores that have been documented previously,� says Sherry McAllister, DC, executive vice president, F4CP. �We commend VA for its participation in ongoing chiropractic research to help further improve the health and well-being of our respected and valued veterans.�
The authors also state that the growth in VA chiropractic use has occurred without additional laws mandating expansion. This suggests an increasing recognition of the value of chiropractic care in VA. In a recent editorial, VA Under Secretary for Health, David J. Shulkin, MD, cited VA�s chiropractic program as one example of the important health care expertise provided to veterans.
Doctors of chiropractic (DCs) � who receive a minimum of seven years of higher level education � provide non-operative management of conditions such as headaches, back pain, neck pain, or pain in joints, via a comprehensive approach including manual techniques and active rehabilitation. Chiropractic services are integrated with primary care, specialty clinics and rehabilitation, and provide a non-pharmacologic option for pain management, as well as general health and wellness concerns.
About Foundation for Chiropractic Progress:
A not-for-profit organization, the Foundation for Chiropractic Progress (F4CP) informs and educates the general public about the value of chiropractic care. Visit www.f4cp.com or call 866-901-F4CP (3427). Social media: Facebook, Twitter, LinkedIn, Pinterest, YouTube.
View source version on businesswire.com: http://www.businesswire.com/news/home/20160620005430/en/
Substantial Growth in the Use of Chiropractic Care by the Department of Veterans Affairs. The Foundation for Chiropractic Progress (F4CP) notes that for more than 10 years, the U.S. Department of Veterans Affairs (VA) has included chiropractic services as part of the standard medical benefits package offered to all enrolled veterans.
�Healthcare in the U.S. and the VA has operated on a �find it, fix it� reactive disease model,� Gaudet said in a recent interview. �What we�re undertaking is truly a paradigm shift that promotes health and wellness.�
As compared to initiating with a patient�s suggested complication or attempting to identify a condition early in its development, Tracy Gaudet believes healthcare providers should begin by understanding the veteran and their ambitions. She explains that medical staff at the VA shouldn�t be asking, �what�s the matter?�, rather, they should be asking, �what matters to you?�. The goal of complete health at the VA is to assist all veterans in order to determine their basic health achievement goals and desires and to also help them focus on all the areas of their lives that affect their health and don�t allow them to reach those goals.
�It�s not just a �feel good� program,� Gaudet noted, �but an approach informed by evidence that makes use of all appropriate therapeutic approaches as well as emphasizing self-care at all points along the spectrum of health and disease.�
This approach often takes veterans out of the clinic. The nine-week, peer-to-peer program emphasizes on guiding veterans through various questions to encourage them to discuss why they want to be healthy, what they want to accomplish and the kinds of relationships they want to have. According to Tracy Gaudet, the results have been astounding. Many veterans have found meaning and purpose in their lives again and connected to healthier lifestyles through these new programs being available at Veterans Affairs clinics. Veterans can then follow through with other available programs to help them reduce stress like meditation or they can increase their overall fitness levels. Additionally, as their health improves, the cost of caring for them drops. The complete health approach encourages veterans to make continuous changes in their health and life which may involve working on their closest relationships.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Many medical staff members at the Veterans Affairs Medical Clinics, such as Tracy Gaudet, MD, have been inspired to change their approach to medicine as well as transform the way they handle care to best provide veterans and active duty service members with the best possible benefits and opportunities to improve their health. The VA now focuses on granting veterans the ability to enhance their overall wellness and achieve their goals for well being. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
Many clinicians at the VA frequently argue whether chiropractic treatment methods, such as spinal adjustments and manual manipulations, are actually effective towards improving injuries and conditions causing chronic back pain. A new research was conducted to determine the effects chiropractic care had with chronic pain symptoms. While the study concluded that spinal adjustments and manual manipulations were similarly as effective as placebo for pain relief, the study did find that individuals demonstrated an increased improvement in disability at 12 weeks after receiving consistent chiropractic treatment, according to a report published in the journal, �Geriatric Orthopedic Surgery & Rehabilitation�.
With the contribution of Paul Dougherty, DC, a staff chiropractor at the Canandaigua VA Medical Center in upstate New York, the authors of the study described that the almost identical improvements between the individuals of the different study groups suggested the presence of a non-specific therapeutic effect from the treatments.
For the study, researchers classified 136 veterans, 65 years old or older, with lower back pain whom had never received chiropractic treatment. The individuals were then divided into two separate groups, with 69 of the veterans receiving spinal adjustments and manual manipulations.
Dougherty explained, �spinal manipulative therapy, or SMT, is where you take a joint to its end range. When you crack your knuckles and squeeze them together, you hear the pop. That pop is the joint changing pressure. SMT is basically doing that, taking a joint that isn�t moving enough and trying to maneuver it to where it moves normally again and changes pressure.�
The other 67 veterans participating in the study were enrolled in a procedure known as sham intervention, where a water-based ultrasound gel is spread across the lower back while the individuals lay face down, followed by the chiropractor rubbing a detuned ultrasound machine across the affected area for approximately 10 minutes. The ultrasound machine made noise but did not transmit any sound waves.
Additionally, the participating veterans from both groups were given an educational pamphlet from the Arthritis Foundation on different varieties of back pain and other symptoms.
After four weeks of twice-a-week treatment, the individuals were evaluated on the fifth week to rate their pain on a standardized scale. Both groups showed comparable pain improvement. Paul Dougherty explained that pain is perception-based, originating equally from the mind as it does from the body, but that disability is a better measure of effectiveness. Dougherty quoted, �Twice a week for four weeks, we met with these patients. We talked to them about their pain. They were touched in a caring and meaningful way. It comes down to this: If people believe they�re going to get better, it changes the way they thing about pain.�
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
For many veterans, since the introduction of chiropractic care as a part of their Medical Benefits Package, their disabilities caused by injuries or conditions as a result of their military service have been effectively improved through the use of spinal adjustments and manual manipulations. In a recent study, chiropractic treatment demonstrated an improvement in veterans disabilities after consistent treatment. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
Cheri Bustos, U.S. Representative, D-Moline, toured Healing Heroes in the Heartland, a nonprofit organization which implements alternative medical treatment and care to active duty military members and veterans.
�During the visit, Rep. Bustos joined several HHH volunteers and Ernest Ledtje, a veteran who was being treated by the organization at the time. Healing Heroes in the Heartland provides free chiropractic, acupuncture, reflexology, herbal medicine, nutritional supplements, massage therapy, life coaching and group and art therapy to treat post-traumatic stress disorder (PTSD) through holistic care.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
A majority of veterans and active duty military members experience a variety of musculoskeletal injuries or conditions as a result of their services. Similarly, many of these individuals are affected by emotional disorders, such as post-traumatic stress. Many are in great need of medical services but currently, a diverse amount of organizations and institutions located around the nation have started providing medical benefits for these valuable individuals. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
In 2002, President George Bush signed Public Law 107-135, which assures chiropractic treatment for all eligible Veterans Affairs patients. Although, many veterans are not aware this service is available to them, despite its inclusion in their Medical Benefits Package since 2004.
�Additionally, the VA is still seeking to make this service accessible to all veterans requiring care. According to the American Chiropractic Association, or ACA, only 48 of 152 Veterans Affairs Medical Centers currently offer chiropractic care for their patients.
Veterans in general have a higher chance of developing any of these conditions due to the strict nature of their military duties. The Seattle Times stated that merely walking and wearing heavy gear has caused many veterans a variety of musculoskeletal injuries. According to the article by Hal Bernton, �The number of soldiers medically retired from the Army with at least one musculoskeletal condition increased nearly 10-fold from 2003 to 2009.� These numbers were determined according to Army statistics.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Generally, active duty service members and veterans may be at a higher risk of developing musculoskeletal injuries or conditions as a result of the strict nature of their military duties. Even simply wearing heavy gear and walking can cause complications for these valuable individuals. Treating their injuries is important and according to a law signed in 2002, veterans may be eligible for free chiropractic care at participating medical clinics. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
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