If you live in the city, you might want to make sure you take your vitamins. A study from Columbia University found that B vitamins reduce changes to the epigenome — the chemicals that regulate and direct genes — caused by air pollution.
The study reveals even small amounts of the vitamins could counteract the damage caused by tiny, toxic pollutant particles called PM2.5, which include toxins such as sulfate and black carbon. These pollutants are often deposited in the respiratory tract resulting in inflammation in the lungs and throughout the body.
According to the World Health Organization, about 92 percent of the world’s population lives in areas where pollution is higher than safety levels set by the WHO. The U.S. also has pollution problems. The American Lung Association says that 47 percent of Americans live in areas that often have dangerously high levels of pollution.
“The molecular foundations of air pollution’s health effects are not fully understood,” said Dr. Andrea Baccarelli. “Our study launches a line of research for developing preventive interventions to minimize the adverse effects of air pollution.”
For the study, researchers gave adult volunteers a B-vitamin supplement (2.5 mg of folic acid, 50 mg of vitamin B6, and 1 mg of vitamin B12) or a placebo daily for four weeks. Participants were healthy non-smokers, 18 to 60 years old, who were not taking any medicines or vitamin supplements. They were then exposed to pollution particles.
Blood tests showed that levels of B vitamins increased significantly in those taking the supplements. Tests also found that while the PM2.5 pollutants can turn off cells in the immune system, supplementing with B vitamins limited their effect by up to 76 percent.
“As individuals, we have limited options to protect ourselves against air pollution,” said Baccarelli. “Future studies, especially in heavily polluted areas, are urgently needed to validate our findings and ultimately develop preventive interventions using B vitamins to contain the health effects of air pollution.”
The study’s results are published in the journal Proceedings of the National Academy of Sciences (PNAS).
Parents, take courage. If you survive the sleep deprivation, toddler tantrums and teenage angst, you may be rewarded with a longer life than your childless peers, researchers said Tuesday.
Fathers gained more in life expectancy than mothers, a team wrote in the Journal of Epidemiology & Community Health — and particularly in older age.
“By the age of 60, the difference in life expectancy… may be as much as two years” between people with, and those without, children, they concluded.
Researchers tracked the lifespan of men and women born between 1911 and 1925 and living in Sweden — more than 1.4 million people in total.
They also gathered data on whether the participants were married and had children.
Men and women with at least one child had “lower death risks” than childless ones, the team concluded.
“At 60 years of age, the difference in life expectancy was two years for men and 1.5 years for women” compared to peers with no kids, the researchers wrote.
By age 80, men who fathered children had a remaining life expectancy of seven years and eight months, compared to seven years for childless men, said the team.
For mothers, life expectancy at 80 was nine years and six months, while for childless women it was eight years and 11 months.
The study merely pointed out a correlation, and cannot conclude that having children is the cause of the life expectancy gains, the researchers admitted.
But they theorised that parents may benefit from social and financial support from their children in older age, which childless people lose out on.
It could also be that childless people live unhealthier lifestyles than parents do.
The association between having children and longer life was found in married and unmarried people, but appeared to be strongest in single, older men, said the study.
This could be because unmarried men relied more heavily on their offspring in the absence of a partner.
The study did not echo previous research which found that having daughters is more beneficial for longevity than sons.
Fewer and fewer people are having children in Sweden at the same time as older people are spurning old age institutions to receive care at home — often by their children.
“Therefore, to further investigate health and survival consequences for childless older individuals is of importance,” wrote the team.
Type 2 diabetes in the United States has tripled since the 1980’s, where researchers have estimated that one in three Americans will have diabetes by 2050. More than one-third of American adults are obese and one in three Medicare dollars are spent on issues relating to diabetes. Unfortunately, these numbers continue to increase.
The sequence of health complications associated with insulin resistance, obesity and diabetes are characterized as the underlying cause of the majority of heart disease, cancer and premature death in the world. According to research, however, these conditions are preventable and reversible. Type 2 Diabetes is associated with the following chronic illnesses and diseases:
Both obesity and diabetes are preventable and reversible with proper lifestyle changes and a balanced diet and nutrition. On average, people consume approximately 152 pounds of sugar and 146 pounds of flour every year. The consumption of food high on refined sugar and flour can have a drastic effect on a person’s overall health and wellness.
When you remove foods that are causing disease from your diet and exchange them for nutritious foods, disorders such as diabetes, can be reversed, even in patients with obesity. The following seven strategies can be implemented every day with patients to prevent, treat and reverse insulin resistance, obesity and type 2 diabetes without the use of drugs and surgery:
5 to 5 grams of PGX, a unique type of fiber that controls appetite and blood sugar, before each meal with eight ounces of water
200 � 600 mcg of chromium polynicotinate or picolinate
600 mg of alpha lipoic acid twice daily
2,000 IUs or more of vitamin D3 (Thorne Research)
One to two grams of omega 3 fatty acids (Tuna Omega by Standard Process)
A high-quality multivitamin/mineral (Basic Nutrients by Thorne Research)
Get the proper nutrients.�Taking supplements can make your cells be more sensitive to insulin while increasing their effectiveness to metabolize sugar and fat in the body. Together with varies lifestyle changes and a proper diet, these can help the individual balance their blood sugar as well as prevent or reverse diabetes.
Stock up on whole, unprocessed foods. Whole, unprocessed foods can help balance blood sugar levels, reduce inflammation and oxidative stress as well as improve your liver detoxification, to prevent or reverse insulin resistance and diabetes. Choosing a variety of colorful fruits and vegetables known to have a low to moderate glycemic index, and foods rich in omega-3 fats, coconut butter and olive oil, legumes, nuts and seeds, can help promote a healthy metabolism, reverse insulin resistance and diabetes, even slow down aging and age-related diseases, such as heart disease.
Cut the Sugar.�Consuming foods and beverages with refined sugars and carbohydrates can create high levels of insulin, which can eventually lead to insulin resistance and type 2 diabetes. Among the many complications associated with chronic, elevated levels of insulin, inflammation, high blood pressure, poor sex drive, increased risk for cancer and depression can also occur. The most important thing you can do to reduce your risk of obesity and type 2 diabetes is to reduce or eliminate sugar from your diet.
Get the right exercise.�Participating in physical activity or exercise can have tremendous benefits for your overall well-being. Effective exercise can help balance blood sugar and lower insulin levels. The goal is to walk or perform any other cardio activity for 60 minutes, up to six times a week, although even 30 minutes of physical activity can help. Studies show high-intensity interval training can also benefit type 2 diabetes and obesity. Best of all, you can do these in only a few minutes a day.
Get sufficient sleep. Lack of sleep or poor sleep can affect your metabolism, may spike sugar and carb cravings, can increase your appetite, and may even increase of developing several diseases, including Type 2 diabetes. One study found that even a partial night�s poor sleep could induce insulin resistance. Therefore, sleeping properly should be a priority. Create a sleep ritual that includes turning off the T.V. in the bedroom, herbal therapies consisting of aromatherapy with essential oils, soaking in warm bath with 2 cups of Epsom salts and essential oils and creating total darkness and quiet.
Control stress levels.�With chronic stress, our levels of insulin, cortisol, and inflammatory compounds called cytokines all increase. This can trigger a metabolic dysfunction that leads to weight gain, insulin resistance, and eventually, type 2 diabetes. The connection between stress, weight gain, mental disorders, and blood sugar imbalances show that managing stress is a critical component when managing obesity and diabetes. You can�t eliminate stress, but you can learn to control it. Meditation, deep breathing exercises, yoga, massage, laughing, and dancing are among the best ways to manage stress and reverse type 2 diabetes.
Journal Your Results. Research shows that people who track their results lose twice as much weight and do twice as well. Begin by getting a journal to track your progress. That could be as simple as a pad of paper, a notebook, a spreadsheet in your computer, or anything that is convenient and works for you. You should track: what you eat; the baseline of all measurements, weight, waist size, body mass index, or BMI; daily blood pressure (optional); and daily glucose readings (if diabetic). Many patients become inspired to stay on task when they begin to see their results on paper.
Every year in the United States, 1 million people are diagnosed with diabetes. Diabetes is known to be the 7th leading cause of death. The good news is that this statistic can be changed according to new research. Diabetes is no longer inevitable. You can prevent and reverse type 2 diabetes.
Research studies have demonstrated that developing type 2 diabetes occurs as a result of environmental factors, such as how you eat, chemical exposure and stress management, among others. When you eliminate these negative factors, the pancreas has the ability to heal and cells will regain insulin sensitivity. This is ultimately fundamental considering that diabetes is responsible for a host of debilitating illnesses such as: Peripheral neuropathy; heart disease and stroke; kidney disease and kidney failure; and alzheimer’s disease.�
Type 2 diabetes affects many individuals in the United States and it’s often considered to be the underlying cause of heart disease and other diseases. According to new research studies and evidence, diabetes can be prevented and reversed by following several important life changes and a proper nutrition.
For more information, feel free to ask Dr. Jimenez or contact us at 915-850-0900.
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
As a team physician for the St Louis Cardinals during their 2011 World Series Championship season, I learned a lot about the importance of players taking care of themselves firsthand. I would see players preparing themselves both mentally and physically for the game ahead. Kids look up to these players and emulate them. Major League Baseball (MLB) recognizes this and wants their youth players to be healthy and play as safely as possible. This is why MLB took time, energy, and resources, to determine what would be best for today�s young pitchers. Below is a snapshot of what the MLB and the American Sports Medicine Institute (ASMI) found as risk factors for the young pitcher. It�s recommended that these guidelines be followed by coaches, parents, and players.
The MLB Pitch Smart guidelines provide practical, age-appropriate parameters to help parents, players, and coaches avoid overuse injuries and encourage longevity in the careers of young pitchers.
It was found that specific risk factors were seen as creating a higher incidence of injuries. According to the ASMI, youth pitchers that had elbow or shoulder surgery were 36 times more likely to regularly have pitched with arm fatigue. Coaches and parents are encouraged to watch for signs of pitching while fatigued during their game, in the overall season, and during the course of the entire year.
The ASMI also found that players that pitched more than 100 innings over the course of a year were 3.5 times more likely to be injured than those who did not exceed the 100 innings pitched mark. It�s important to note that every inning counts. Games and showcase events should count toward that total number of 100.
Rest is key. Overuse on a daily, weekly, and annual basis is the greatest risk to a young pitcher�s health. Numerous studies have shown that pitchers that throw a greater number of pitches per game, as well as those who don�t get enough rest between outings, are at a greater risk of injury. In fact, in little league baseball, pitch count programs have shown a reduction in shoulder injuries by as much as 50% (Little League, 2011). Setting limits for pitchers throughout the season is vitally important to their health and longevity in the game.
Pitching with injuries to other areas of the body will also affect a player�s biomechanics and change the way he delivers his pitch. An ankle, knee, hip, or spinal injury can cause changes in the biomechanics of how a player throws and will put more stress on his arm. Be cautious with these injuries, because at times the changes in the mechanics of the player can be very subtle; however, they can cause a significant amount of strain on a player�s pitching arm.
For best results for your youth baseball player�s longevity in the sport and keeping a healthy arm for seasons to come follow the MLB�s pitch count and required rest guide.
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3 Common Shoulder Sports Injuries
The shoulder is the most mobile joint in the body, which also makes it prone to injury. If you�re an athlete, taxing your shoulder over time with repetitive, overhead movements or participating in contact sports may put your shoulder at risk for injury.
There are several nonsurgical and surgical options available to treat labrum tears in the shoulder.
These are three common shoulder injuries caused by sports participation:
1. SLAP Tear
This is a tear to the ring of cartilage (labrum) that surrounds your shoulder’s socket. A SLAP tear tends to develop over time from repetitive, overhead motions, such as throwing a baseball, playing tennis or volleyball, or swimming.
Athletic performance decreases. You have less power in your shoulder, and your shoulder feels like it could �pop out.�
Certain movements cause pain. You notice that pain occurs with certain movements, like throwing a baseball or lifting an object overhead.
Range of motion decreases. You may not throw or lift an object overhead like you used to, as your range of motion decreases. You may also find reaching movements difficult.
Shoulder pain you can�t pinpoint. You have deep, achy pain in your shoulder, but you can’t pinpoint the exact location.
It�s common to experience shoulder instability if you�re an athlete. This injury can occur if you�re participating in contact sports, including football or hockey, or ones that require repetitive movements, like baseball.
Shoulder instability happens when your ligaments, muscles, and tendons no longer secure your shoulder joint. As a result, the round, top part of your upper arm bone (humeral head) dislocates (the bone pops out of the shoulder socket completely), or subluxates (the bone partially comes out of the socket).
Dislocation is characterized by severe, sudden onset of pain; subluxation (partial dislocation) may be accompanied by short bursts of pain. Other symptoms include arm weakness and lack of movement. Swelling and bruising on your arm are visible changes you may also notice.
This is another injury commonly seen in athletes participating in repetitive, overhead sports, including swimming and tennis. Rotator cuff injuries are typically characterized by weakness in the shoulder, reduced range of motion, and stiffness.
Being aware of these injuries and knowing their symptoms may encourage you to seek medical treatment sooner; early treatment intervention could result in a better outcome and earlier return to sports.
There�s nothing more frustrating for an athlete than sitting injured on the sidelines watching others compete. Although there�s not one foolproof way to stop shoulder pain from occurring, there are several tips that may help prevent it from starting or getting worse.
If you notice shoulder pain during certain activities, say while throwing a baseball or swimming, stop that activity for a period of time and find an alternative exercise, such as riding a stationary bike. Doing so can give your shoulder some time to rest and heal, while maintaining your cardiovascular fitness.
At the same time, don�t eliminate all shoulder movement. This is because you don�t want to develop a stiff shoulder from infrequent use. Consider doing some mild stretches to keep your arm moving.
2. Change Your Sleeping Position
If you notice pain in your right shoulder, don�t sleep on your right side. Try sleeping on your left side or back instead. If sleeping on your back irritates your shoulder, try propping your arm up with a pillow.
3. Warm Up
Exercising cold muscles is never a good idea. Before practicing your volleyball serve or baseball pitch, warm up your body with mild exercise. For example, start walking for a few minutes and gradually build up to a jog. Doing so raises your heart rate and body temperature and activates the synovial fluid (lubricant) in your joints.1 In other words, a mild warm up gets your body ready for the intense workout that follows.
4. Build Up Your Endurance
It�s a good idea to increase your endurance over time. If it�s been a few weeks or months since you�ve hit the tennis court, consider playing for a short period of time�maybe just 20 minutes to start�and build up to a longer period of playing time. Don�t fall into the trap of doing too much too soon, especially when your body is not used to it.
Strengthening your shoulder muscles can help provide support and stabilization to your shoulder joint. This, in turn, may prevent painful injuries like a shoulder dislocation, which is when the ball of your shoulder comes out of its socket.
Speak to your doctor before starting a strengthening program. They can suggest exercises to perform or may recommend working with a physical therapist.
6. Cross-Train
Some sports are particularly taxing on the shoulder due to repetitive, overhead movements. So you may want think about cross-training. If you�re a swimmer, for example, alternate some of your swimming workouts with a running or biking workout to reduce the stress on your shoulder, while still staying physically fit.
Alternatively, if you�re a painter or construction worker�two occupations commonly associated with repetitive, overhead movements�talk to your boss and ask if there are other non-repetitive tasks you can take on.
Above all, listen to your body and be proactive. You may need to make some adjustments to workout or daily routine to help prevent further damage down the road. It may also be worth getting your doctor�s input, even if you think you�ve got a minor injury. Catching injuries or discomfort early may help keep you in the game and prevent painful injuries down the road.
Being aware of sports�injuries and knowing their symptoms may encourage you to seek medical treatment sooner as early treatment intervention could result in a better outcome and earlier return to sports.�For Answers to any questions you may have please call Dr. Jimenez at
You know exercise is good for you, but if you’re over 65, which is best? A study from Mayo Clinic found that high-intensity aerobic exercise can actually reverse aging on a cellular level.
High-intensity aerobic exercise — or cardio — includes running.
Mayo researchers compared high-intensity interval training (HIIT), resistance training and combined training in a 12-week study. They monitored molecular and metabolic changes in adults divided into age groups of between 18 and 30 and between 65 and 80.
All types of training improved lean body mass and insulin sensitivity, but only high-intensity and combined training improved aerobic capacity and mitochondrial function in skeletal muscle.
Mitochondria are tiny energy-producing structures inside cells. They change with age and activity, and tend to decrease, both in content and function, as we grow older. One result is we have less energy.
In the study, high-intensity interval training also improved muscle protein content that not only allowed cells to create more energy, but to also cause muscles to get bigger, especially in older adults.
The ability of the mitrochondria to generate energy was increased by 69 percent among the seniors and by 49 percent in the younger group.
“We encourage everyone to exercise regularly, but the take-home message for aging adults that supervised high-intensity training is probably best, because, both metabolically and at the molecular level, it confers the most benefits,” says Dr. K. Sreekumaran Nair, a Mayo Clinic endocrinologist and senior researcher on the study.
Created by the Academy of Nutrition and Dietetics, National Nutrition Month® is celebrated annually every March to help everyone make more informed food choices and develop healthier eating habits for improved well-being.
With many recent studies focusing on the benefits of a diet that includes probiotics, also known as “good” bacteria, and prebiotics, which act as food for probiotics and promotes their growth, here we round up some of ways that boosting levels of good bacteria could improve various conditions and overall health.
Reduce social anxiety
A 2015 study of 700 students participants found that eating fermented foods, a good source of probiotics, is associated with reduced symptoms of social anxiety.
The study, published in Psychiatry Research, also found that the link between fermented foods and reduced social anxiety was strongest among those who already rated high in neuroticism.
The findings came after an earlier study published in The Lancet Psychiatry stated that an increasing amount of evidence suggests an important relationship between the quality of diet and mental health.
Improve sleep, protect against stress
A study published just last month found that prebiotics, can help improve sleep and protect against the negative effects of stress.
The team of researchers fed 3-week-old male rats a diet of either standard chow or chow that included prebiotics, and found that those on the prebiotic diet spent more time in non-rapid-eye-movement (NREM) sleep, which is restful and restorative, than those on the non-prebiotic diet.
Rats who were on the prebiotic diet also spent more time in rapid-eye-movement (REM) sleep after being exposed to a stressor, with REM sleep is believed to be critical for promoting recovery from stress.
Previous research has also shown that stress can reduce healthy diversity of gut bacteria, but the rats on the prebiotic diet maintained a healthy and diverse gut microbiota even after exposure to stress.
Reduce obesity
A 2015 study confirmed a link between balanced intestinal flora and weight loss.
The study, published in the journal Obesity, showed that while following a four-week high-fat diet the men who drank a probiotic milkshake containing VSL3, a probiotic with multiple strains of bacteria including Lactobacillus acidophilus and Bifidobacterium longum, put on less weight than others following the diet who drank a placebo milkshake.
The researchers think that probiotics could have changed gut bacteria in a way that resulted in less body fat accumulation, and that the probiotics could have reduced fat absorption.
Reduce risk of allergies
Prebiotics have been shown in various studies to help reduce the risk of allergies.
A French study using mice found that those who received prebiotics had a lower risk of developing a wheat allergy thanks to the prebiotics improving the immune system’s tolerance to allergens, while a US study by the University of Chicago also found that in infants who had trouble tolerating cow’s milk, a new probiotic not only got rid of the allergy, but also changed the composition of their gut bacteria significantly.
A separate study also from the University of Chicago, found that supplementing rodents with probiotics containing the bacterium Clostridia later in life could reverse a peanut allergy.
Does Neck Curvature Protect You In a Car Accident?
Does the curvature of your cervical spine play a determinant in the severity of injury sustained in a motor vehicle accident?
We asked Chiropractic Biophysics, Dr. Deed Harrison to comment on this subject matter.
Unfortunately, many people can relate to having been involved in a car crash or motor vehicle collision (MVC) at some point in their lives. Whether it was a major accident or a minor one, MVC�s are no fun and can cause a variety of minor to serious injuries to those persons in the vehicles. These injuries are commonly and collectively referred to as �Whiplash Injuries�. The financial implications of a MVC, as well as interruption of your daily routine due to whiplash are also other major detriments of car crashes that may take years to recover from.
With more distracted drivers texting and speaking on their phones, MVC�s are on the rise, making for much more dangerous roadways. While we cannot control other people�s behaviors, we can certainly drive more cautiously and defensively to hopefully avoid being in a car accident. Unfortunately, MVC�s do happen despite our best efforts, so being prepared and having a plan in mind is key to recovering quickly and getting back on our feet again.
More serious car accidents mean more serious injuries, ranging from cuts and bruise to broken bones, brain damage, and even death. At first, less serious MVC�s however, may not seem like a big deal, with victims often walking away without a scratch, believing they have escaped the crash unscathed. Others may only complain of a slight headache, neck pain, stiff or kinked neck while resorting to taking over the counter pain killers, or wearing a neck brace to assist with their recovery � something that is far from addressing the true cause of the injury.
What most lay people (and even many physicians) don�t realize is the extent to which the CERVICAL LORDOIS (curvature in your neck from the side) plays a role in both: 1) the extent of the initial injury to the occupant(s) and 2) the long term pain and suffering from whiplash injury to the occupants. Furthermore, the MVC itself will damage the cervical lordosis.
1. Concerning the extent of initial injury, researchers have found that having a well preserved cervical lordosis actually prevents neck tissue damage to the sensitive cervical spine ligaments.1 In the figure at the top, the right hand image demonstrates what a normal cervical curve looks like when viewed from the side and the person facing to the right. In contrast, the same researchers identified that straightened cervical curves and worse yet, reversed (kyphotic) cervical curves predisposed to more severe cervical spine tissue injuries due to more extreme forces acting on the neck during the exact same MVC circumstances. The x-rays above at the far left and the middle show abnormal neck curves where more severe injury to the person is likely to result should they be involved in an MVC.
Thus, if you already have an abnormal cervical curvature prior to any MVC, it is in your best interest to rehabilitate the shape and amount of your cervical lordosis. If you do not, you�re at a higher risk of having more serious injuries should you be involved in a MVC.
2. In terms of long term pain and suffering, several research studies have identified that the patients who experience long term whiplash injuries and suffering are in fact the ones that have abnormal cervical lordosis. Straightened, S-curves, and Reversed cervical curvatures have been found to pre-dispose to the following conditions after MVC.
� Neck pain and stiffness,
� Headaches,
� Arm pain,
� Thoracic outlet symptoms,
� Dizziness,
� Lack of concentration,
� Degenerative arthritis in the cervical spine,
� Disc herinations.
What many whiplash injured subjects don�t realize is that a slight headache or neck pain is a true sign of a much more serious injury to your cervical lordosis and underlying neck tissues. Spinal misalignments as a result of the sudden jolt of the MVC may manifest immediately, or not become evident at all for a long period of time. But this doesn�t mean the spine is healthy or that no injury was sustained.
The fact is that MVC�s statistically damage the shape of your cervical lordosis. Researchers from Chiropractic BioPhysics have identified that the average patient exposed to a MVC will lose 10 degrees of their cervical lordosis, develop a mid cervical kyphosis, and have increased forward head posture as a result of the MVC.
A misaligned cervical curvature as a result of a MVC is a serious health condition. Altered cervical curves will cause nerve interference � hindrance of critical nerve energy that is responsible for every function of our organs, and every movement of our limbs. Ignoring the cervical spinal misalignment can manifest into pain and discomfort, fatigue, sleep disorders, organ dysfunction, depression, and eventually disease.
If you have been in a minor or major car accident, please see a corrective care chiropractor immediately for a full assessment of the health of your spine, even if you don�t feel any discomfort whatsoever. A small misalignment can only get worse with time, so addressing this injury quickly can mean a faster recovery time and less health problems in the future.
Corrective methods using Chiropractic BioPhysics��or CBP� Technique extension traction procedures and devices are the only true evidence based methods that have been shown to statistically and clinically improve the amount of cervical lordosis without the use of surgery. This has been documented in several clinical trials and case reports.8-11 Other conservative methods may restore the cervical lordosis in selected cases, but these have never been proven in clinical trials and are thus, at best, hit and miss. If you are suffering from an altered cervical lordosis as a result of a MVC, use the procedures that are truly scientifically supported.
Chiropractic Treatments for Whiplash
Whiplash Video
Because each individual case of whiplash is different, it is not possible to generalize about the chiropractic whiplash treatment.
The appropriate chiropractic treatment is unique to each whiplash injury and is directed at the primary dysfunctions detected during the chiropractic exam.
However, chiropractors commonly employ different chiropractic treatments for whiplash, often including:
Manipulation
Muscle relaxation and/or stimulation
Various exercises
Ergonomic and lifestyle changes.
This article explains when, why and how chiropractors may employ these whiplash treatments for neck pain, shoulder pain, back pain and other related symptoms.
Chiropractic Manipulation for Whiplash
The primary whiplash treatment for joint dysfunction, spinal manipulation involves the chiropractor gently moving the involved joint into the direction in which it is restricted.
Also known as a chiropractic adjustment, spinal manipulation may involve the application of a short thrust in that direction. In many cases, instead of a thrust, a slow mobilizing movement is used by the chiropractor.
The chiropractor’s primary whiplash treatment for related muscle dysfunction, muscle relaxation and/or stimulation consist of gentle stretches to the muscle that has excessive tension or repeated contractions of the muscle that is inhibited.
If the muscle is very tight, a more vigorous stretch may be applied by the chiropractor. Gentle finger pressure techniques may be applied to trigger points to relieve the pain associated with the tight muscles.
McKenzie Exercises and Stabilization/Sensorimotor Activities
View Chiropractic Videos
Chiropractors may employ different types of exercises, including McKenzie exercisesand/or stabilization and sensorimotor exercises, to help treat patients with whiplash injuries.
McKenzie exercises are specifically designed to reduce disc derangement related to a whiplash injury. They consist of simple movements that are initially done in the office but make for an easy transition to self-care at home. McKenzie exercises also help the patient take an active role in his or her own recovery
Stabilization and sensorimotor exercise approaches are designed to correct faulty movement patterns in routine activities and everyday life. Such whiplash treatment trains the nervous system to better coordinate and control movement patterns, and improves the ability of the neck muscles to maintain stability of the neck.
These exercises are designed to help in a major trauma, such as a fall or whiplash during a motor vehicle accident, or in “micro trauma” from simple things such as being jostled in a crowd, playing sports or performing occupational or home jobs that require physical effort.
Chiropractic Advice on Ergonomic and Lifestyle Changes
These whiplash treatment suggestions stress improvements for performing everyday activities with minimal strain to the body. The chiropractic advice addresses factors in an individual�s work, home or recreational activities that perpetuate the dysfunctions that result from the whiplash accident.
Additionally, spine care professionals at the chiropractic clinic may teach the patient better “use of self” and, if necessary, stress reduction methods to help chiropractic problems.
Whiplash Treatment in Chiropractic Care
Chiropractic On Cervical Spine Video
The whiplash treatment plan developed by the chiropractor for each specific problem may include one or more of these approaches and may involve others as well.
See Chiropractic Manipulation for the Cervical Spine
In addition to his or her whiplash treatment plan, the doctor of chiropractic might give a referral to another health professional, such as a medical specialist, if it is deemed appropriate.
�WHIPLASH, A SOFT TISSUE INJURY TO THE NECK, is also called neck sprain or neck strain. It is characterized by a collection of symptoms that occur following damage to the neck, usually because of sudden extension and flexion,� according to the National Institutes of Health.1
Approximately two-thirds of people involved in motor vehicle accidents develop symptoms of whiplash. The symptoms usually do not develop until two to 48 hours after the injury. Whiplash can also occur from falls, sports injuries, work injuries and other incidents.
Patients with whiplash injury may complain of pain and stiffness in the neck, extending into the shoulders and arms, upper back and even the upper chest. Two-thirds of patients suffer with headaches, especially at the base of the skull. Patients may also experience dizziness, difficulty swallowing, nausea and even blurred vision after injury, but these symptoms tend to resolve quickly.
According to Marshall, 45 percent to 85 percent of people who suffer a whiplash injury have the symptoms five years after the accident, and 82 percent had a straightening or reversal of their cervical curvature.2 “Many authors regard a straightening or reversal of the normally lordotic curvature to be one of the most significant changes of a whiplash injury.� 3
�The initial injury is due to damage of cervical muscles, ligaments, disks, blood vessels and nerves. The actual injury to soft tissues happens so rapidly that normal protective muscle reflexes cannot respond in time to decrease or prevent the injury,� according to a 2006 case report in the Journal of the American Chiropractic Association.3
The Diagnosis
To diagnose whiplash, a DC must first take a thorough history of the injury and the patient�s previous medical history. Pre-existing conditions, such as arthritis, may increase the severity of the whiplash. The DC should give the patient an in-depth physical examination with concentration on the neuromusculoskeletal system.
Similar to asking about whiplash injuries from motor vehicle accidents, DCs should ask the patient questions that reveal the details of a sports-related incident. DCs must ask patients with vehicular accident injuries, �Where was the impact from? Were you moving at the time? Did you have a seatbelt on? What type of seatbelt? Were you braced for impact? Did you hit anything in the vehicle?� says Dr. Alan Sokoloff, team chiropractor for the Baltimore Ravens. �You have to do the same for sport-related neck injuries, too,� he says.
Dr. Sokoloff explains that he �encounters doctors that say, �I do not treat sports injuries,� but if you are treating injuries from auto accidents and really dig into the mechanism of the injury with all of its details, it�s pretty much the same.�
Advanced Imaging
In some cases, advanced imaging may be necessary to make a proper diagnosis. A cervical CT scan is ordered if a DC suspects cervical spine trauma, such as a vertebral fracture, if the patient complains of paresthesia of the hands, if the patient is unconscious or has severe pain together with neurological deficits, explains Jerrold Simon, DC, president of the ACA Rehab Council.
�A cervical MRI is ordered when the whiplash patient complains of neck pain with radicular symptoms, such as a tingling sensation radiating down the arms or if there is suspected cervical spine trauma and the clinical findings suggest ligamentous damage. A cervical MRI may be ordered as a follow-up to normal cervical CT scan if the above symptoms are present,� says Dr. Simon.
Treatment
In treating whiplash injury, patients should be reminded to stay active, unless immobilization is necessary due to serious injury. �A cervical foam collar may be needed during the first few days following the incident if the cervical trauma is severe. However, in general, cervical collars are not recommended,� says Dr. Simon.
Immediately after the whiplash injury, Dr. Simon applies an ice compress to the posterior para-cervical spine musculature for about 10 minutes on a periodic basis. Ice compresses are generally only used for the first 48 hours after an injury.4
�A nutritional intervention for pain should include d-Phenylalanine 250 mg/day, dl-Phenylalanine 750 mg/day, L-tryptophan 3 g/day, and instruct the patient to to avoid coffee and other caffeinated beverages,� he says.
In addition, chiropractic care is beneficial. A retroactive study by Woodward et al. published in Injurydemonstrated that chiropractic treatment benefited 26 of 28 patients suffering from chronic whiplash syndrome.5 Chiropractic care in this study included spinal manipulation, proprioceptive neuromuscular facilitation stretching and cryotherapy [ice-pack therapy].
A neck adjustment works to improve the mobility of the spine to increase range of motion, while also enhancing movement of the adjoining muscles. This will eventually eliminate pain, soreness and stiffness and allow a patient to painlessly turn and tilt the head. In addition to adjustments, a treatment plan of mobilization, massage or rehabilitative exercises may speed up the recovery process.
�Cervical rehabilitation procedures should be considered after the initial pain and inflammation have substantially subsided,� says Dr. Simon. �Then a functional capacity evaluation with focal attention to the cervical spine should be performed to assess the magnitude and degree of upper spinal functional deficiency.�
Following this test, a DC can decide if the patient should receive a treatment of isometric cervical flexion, extension and lateral flexion against resistance exercises, a proprioceptive rocker board, wobble board and/or gym ball exercises and vibration therapy.
�Every person is different, and everyone�s ability to heal is different, so how we treat patients is very individualized,� says Dr. Sokoloff. �We will use modalities initially, if indicated. We will use soft-tissue techniques, if indicated. We will usually use a chiropractic adjustment, if indicated. But the one procedure we always use is progressive rehabilitative exercises, in office and home recommendations.�
Home recommendations include proper computer and phone ergonomics, range-of-motion exercises and icing, to name a few.
�Treatment plans that do not hold the patient responsible for helping themselves cheat everyone,� says Dr. Sokoloff. �The more a patient is informed about home icing instructions, home exercise and activity of daily living modifications, the better the outcomes are for everyone.�
What many whiplash injured subjects don�t realize is that a slight headache or neck pain is a true sign of a much more serious injury to your cervical lordosis and underlying neck tissues.�Because each individual case of whiplash is different, it is not possible to generalize about the chiropractic whiplash treatment.�For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Peripheral neuropathy is a condition which occurs due to nerve damage in the arms, legs, hands and feet. Common symptoms include pain, tingling and burning sensations and numbness.
This type of neuropathy can be caused by a variety of factors, such as diabetes, chemotherapy, statin medications, disc herniation and trauma from an injury, toxic metal exposure, chronic alcohol consumption and vitamin deficiencies. Recent research studies, however, have associated peripheral nerve damage to gluten sensitivity and celiac disease.
Celiac disease is an autoimmune disorder that generally affects the individual’s digestive tract. When a person with celiac disease consumes gluten, it can cause damage to the small intestine, interfering with the body’s natural nutrient absorption function. In a majority of cases, this inability to properly absorb nutrients can alter growth, weaken bones and even damage peripheral nerves, leading to neuropathy.
According to the Celiac Foundation, in the United States alone, 2.5 million Americans are undiagnosed and at an increased risk of experiencing serious health complications. Celiac disease affects approximately 1 out of every 100 people throughout the world. If the disorder is left untreated for an extended period of time, the affected individual can develop issues like type 1 diabetes, multiple sclerosis, dermatitis herpetiformis, anemia, osteoporosis, infertility, miscarriage, neurological conditions such as epilepsy, migraines, short stature, intestinal cancers, and now nerve damage. A new research study published in the Journal of the American Medical Association Neurology has found that celiac disease patients are at an increased risk of suffering nerve damage.
�It�s quite a high figure, compared to many other outcomes in celiac disease,� the study�s co-author Dr. Jonas Ludvigsson, a pediatrician and professor at Karolinska Institutet in Sweden, said in a statement. �There is a real association between celiac disease and neuropathy. And we have precise risk estimates in a way we haven�t had before,� concluded Dr. Ludvigsson.
Swedish researchers also studied medical records between 1969 and 2008 from over 28,000 patients with celiac disease and compared them with the results of 139,000 people who were never diagnosed with the autoimmune disorder. Those individuals with celiac disease were found to be 2.5 times more likely to develop some form of neuropathy. In addition, gluten sensitivity in people without the disorder can also cause them to experience symptoms, such as tingling sensations and numbness.
In another research study, researchers screened 215 patients with peripheral neuropathy. A total of 140 of these patients were diagnosed with idiopathic neuropathy, meaning there was no medical reason behind their peripheral neuropathy. Also, the researchers tested those 140 people for antibodies to gluten utilizing two celiac disease blood tests: the AGA-IgA and the AGA-IgG test. While these tests are believed to not be very specific to celiac disease, they can detect whether the body perceives gluten as an invader and if it is generating antibodies to defend itself against the protein found in�wheat, rye, spelt, kamut and barley. About 34 percent of those tested, exactly 47 people had high antibodies to gluten in one or both of those tests, compared with a 12 percent rate�of high antibodies to gluten in the overall population.
The researchers also performed endoscopies and biopsies on those people in the research study who were suspected to have celiac disease and established that 9 percent of those in the unexplained neuropathy group actually had celiac disease. The celiac disease genes, HLA-DQ2 and HLA-DQ8, were discovered in 80 percent of all patients with peripheral neuropathy.
Contents
Peripheral Neuropathy: Key Symptom of Celiac, Gluten Sensitivity
According to research studies conducted by the University of Chicago Celiac Disease Center, peripheral neuropathy is one of the most prevalent non-digestive symptoms of celiac disease and gluten sensitivities. As a matter of fact, patients with celiac disease may often experience no noticeable gastrointestinal symptoms but they may display peripheral neuropathy and other neurological symptoms.
Researchers evaluated the medical records of over 28,000 patients with celiac disease, following up with all the study participants after 10 years to check if they had developed nerve damage. They concluded that those with celiac disease had an increased risk of developing nerve damage over a period of time as compared to the control population.
Gluten Sensitivity Causes Nerve Damage
Peripheral neuropathy and other neurological symptoms, such as brain fog and migraines, can more frequently manifest in people with non-celiac gluten sensitivity, stated Harvard Medical School’s Dr. Alessio Fasano, one of the lead researchers in the field of gluten sensitivity. Dr. Fasano explained that up to 30 percent of individuals diagnosed with gluten sensitivity experienced neurological symptoms, a much larger percentage than people with neurological symptoms due to celiac disease experienced.
According to Dr. Fasano, gluten sensitivity has the potential to develop in far more people than celiac disease. He estimates that approximately 6 to 7 percent of the United States population may have a gluten sensitivity, meaning that about 20 million Americans could be sensitive to gluten. Symptoms of gluten sensitivity can include: digestive issues; headaches; rashes; eczema-like skin symptoms; brain fog; fatigue; and peripheral neuropathy. “Almost one-third of those I’ve diagnosed as gluten sensitive report brain fog and headaches as symptoms,’ stated Dr. Alessio Fasano.
Dr. Ford, a pediatrician in Christchurch, New Zealand and author of The Gluten Syndrome, stated that he believes the percentage of people who are gluten-sensitive could potentially be between 30 and 50 percent.
“There are so many people who are sick,” he says. “At least 10 percent are gluten-sensitive and it’s probably more like 30 percent. I was sticking my neck out years ago when I said at least 10 percent of the population is gluten-sensitive. My medical colleagues were saying that gluten sensitivity didn’t exist. We’ll probably find that it’s more than 50 percent when we finally settle on a number.”
Dr. Fine, a gastroenterologist who founded and directs the gluten sensitivity testing service Enterolab, agrees that gluten sensitivity could possibly affect approximately half of the population.
An increased percentage or people in the United States have additionally been diagnosed with other types of autoimmune disorders, irritable bowel syndrome, chronic headaches and/or microscopic colitis, placing these Americans at a higher risk of developing gluten sensitivity. Approximately 60 to 65 percent of people with those conditions test positive for gluten sensitivity. Meanwhile, approximately 20 to 25 percent of people with no symptoms are diagnosed with gluten sensitivity.
�When we did the math, we came up with the number that about one in two individuals are gluten-sensitive,� Dr. Fine stated.
Peripheral Neuropathy Can Resolve with Gluten Sensitivity
Another research study published in 2010 on the journal of Neurology demonstrated that a gluten-free diet could stabilize neuropathy and its symptoms in many of the patients diagnosed with peripheral neuropathy, among others in the study.
More so recently over the past years, gluten has been demonstrated to develop an autoimmune antibody response to nerve cells, the myelin sheat, or protective coating around the nerves, as well as in receptor sites on cells which connect neurotransmitters, the chemicals which allow the nerves to transmit important information and communicate. It has also been discovered that gluten can contribute to the breakdown of the blood brain barrier. This allows chemical toxins to leak into the blood supply of the brain itself.
Furthermore, gluten sensitivity has been determined to also damage the gut, interrupting the proper absorption of vitamins and minerals, such as vitamins B1 and B12. Gluten sensitivity has also been associated with the following neurologic conditions:
In conclusion, if you’ve been diagnosed with celiac disease or gluten sensitivity or if you haven’t been diagnosed with these complications but you suspect you may have them, following a gluten-free diet can be fundamental towards the overall health and wellness of your nerves and gastrointestinal tract. If you are unsure, feel free to follow the “Gluten Free for 3” challenge. Go completely gluten free for just 3 days and keep a journal log of how you feel and sleep during those 3 days. If you feel better, chances are, you are gluten sensitive.�
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
7 Reasons Chiropractic is More Than About Back Pain
As Chiropractors we know the benefits of being under chiropractic care extends well beyond just back pain relief. In an article published by ChiroHosting they give 7 reasons why chiropractic is about your overall wellness.
The core concept of chiropractic is to restore the function of your nervous system so that it can do what�s it�s designed to do: keeping your body healthy and active. Chiropractic is truly about prevention. If you keep your nervous system working smoothly and without interference, many health issues become non-issues!
Don�t take our word for it, though. Over the last few years, there�s been a lot of scientific research that shows that chiropractic is good for much more than just aches and pains. Here�s a review of some of this literature.
1 � Chiropractic Boosts Immune Function
A 2010 study found that chiropractic adjustments actually boosted blood serum levels of some important natural antibodies in patients. The authors suggested that chiropractic adjustments might �prime� the immune system, making it easier to ward off infection and illness.
2 � Chiropractic Reduces Inflammation
Researchers in a 2011 study compared back pain patients to people with no pain and gave both groups chiropractic adjustments. The authors found that the back pain patients who received chiropractic care had dramatically lower levels of a key inflammatory cytokine, known as TNF-?. High levels of TNF-? have been linked to inflammatory diseases like rheumatoid arthritis, inflammatory bowel disease, and psoriasis.
3 � Chiropractic Reduces Blood Pressure
Hypertension is a huge public health issue in the US; it�s estimated that about 30% of adults suffer from this serious condition. A 2007 study in the Journal of Human Hypertension looked at a group of patients with high blood pressure. Half received received an adjustment of their atlas, and the other half received a sham adjustment.
The decrease in blood pressure was so dramatic in the patients who received real adjustments that the researchers wrote that it �is similar to that seen by giving two different anti-hypertensive agents simultaneously.� In fact, 85% of the study patients had improvement after just one adjustment!
4 � Chiropractic Reduces Stress
An interesting study by a team of Japanese researchers in 2011 gave chiropractic adjustments to 12 men and examined PET scan images and blood chemistry to examine the effect that chiropractic has on the autonomic nervous system.
After receiving a chiropractic neck adjustment, patients had altered brain activity in the parts of the brain responsible for pain processing and stress reactions. They also had significantly reduced cortisol levels, indicating decreased stress. Participants also reported lower pain scores and a better quality of life after treatment.
5 � Chiropractic Improves Balance
As we age, sometimes we start to lose some of our balance, strength, and flexibility that we had in our youth. Because of this, older folks are vulnerable to serious injuries from trips and falls. Chiropractic helps keep your body active by restoring the normal, healthy functioning of your spine. One of the important roles of your spine is balance, aided by nerves calledproprioceptors. These propriocepters relay information to your brain on the position of your body.
A small study from 2009 found that people who received chiropractic adjustments had reduced dizziness and improved balance. A 2015 review of the literature suggests that chiropractic care might be an effective, natural way to help prevent falls in elderly patients.
6 � Chiropractic Relieves Colic in Babies
In 2012, researchers studied 104 infants who were suffering from colic. One-third of the infants were treated with chiropractic adjustments and the parents were aware of the treatment; one-third were treated and the parents were unaware of the treatment; and one-third were untreated but the parents were unaware.
The authors found that the parents reported a significant decrease in infant crying in the treated babies, compared to the infants who didn�t receive treatment. The knowledge of the parent had no effect on the improvement.
7 � Chiropractic Relieves Asthma Symptoms
A 2013 study reported that chiropractic adjustments were effective at increasing lung functioning, and some recent research9shows that chiropractic care can help reduce the symptoms of asthma in some children.
The Beginner�s Guide to Chiropractic
Narration:
If you�re watching this video, you�re probably curious about chiropractic care and how it can help you and your family, so let�s explore what chiropractic is all about and how it works:
A Chiropractor is a health care professional who specializes in the health and function of the spine and nervous system, Because of this focus on the spine many people think that chiropractors can only help with problems such as back pain, neck pain and headaches and while it is true chiropractors can often help people with pain, there is so much more to chiropractic than just pain.
Chiropractic care is really about total health and well-being, it is about helping people to feel great and get the most out of life by functioning at their optimal potential.
To understand how this works it is important to consider the spines� role in the body. The spine is there to protect the spinal cord, which is part of the central nervous system, the spine is like a set or armour made up of segments so it can bend and move naturally with the body.
A spinal segment consists of two vertebrae and the joints that connect them; there is a disc in between each vertebra that acts as a cushion.
Underneath that armour a whole lot is happening, messages travel from around the body, up the spinal cord and into the brain, the brain processes those messages and sends replies back down the spinal cord to tell the body how to respond.
The central nervous system is one big information highway and it carries vital messages to every part of your body. Sometimes the wear and tear of everyday life can impact the spine and cause spinal segments to move in a way that is different to normal, in a dysfunctional way. That wear and tear can happen gradually, such as from bad posture or it can happen suddenly, which is common with sports injuries, and because of the close relationship between the spine and the nervous system, everyday strains can actually impact the flow of communication and information, between the brain and the body, messages may not be delivered to the brain, or they may be inaccurate.
When that miscommunication occurs due to abnormal movement in the spine, chiropractors call this a vertebral subluxation, you might hear that term again from your chiropractor, so now you�ll know what it means. By making fast and gentle adjustments to the spine chiropractors restore its� natural movement. If the central nervous system is like the engine of your body, a chiropractor acts like a mechanic, tuning the spine and central nervous system, so that your body can run like a race car.
Just keep in mind that as you�re adjusted, you may hear a popping sound that can seem a bit strange. In fact it is completely harmless; it�s just the release of gas from in between spinal segments and is no more significant, than any other release of gas from your body.
Are you ready to supercharge your engine?
Chiropractic Treatment Plan
First Chiropractic Exam Video
Most chiropractors begin treatment during the patient’s first visit, although some may wait until the next appointment at the chiropractic clinic.
Chiropractic treatment goals and recommendations may include some or all of the following:
Adjustments to key joint dysfunctions
Modalities to improve soft tissue healing and pain control, such as ultrasound, electrical stimulation, and traction
Strengthening and/or stretching exercises to improve muscle balance, strength, and coordination
Patient education to improve posture and motor control, as well as possibly reduce anxiety
Other treatments such as massage, heat/cold application, and education on ergonomics and nutrition.
Goals of Chiropractic Care
View Chiropractic Videos
The chiropractor will establish specific goals for a patient’s individual plan for treatment:
Short-term goals typically include reducing pain and restoring normal joint function and muscle balance
Long-term goals include restoring functional independence and tolerance to normal activities of daily living.
To reach these goals, a specific number of chiropractic visits will be recommended.
For most types of lower back pain, a treatment recommendation of 1 to 3 chiropractic visits per week for 2 to 4 weeks will be prescribed, followed by a re-examination by the chiropractor.
At the re-evaluation, the chiropractic doctor will measure the response to treatment and determine whether to:
Continue chiropractic treatment, if appropriate
Release the patient from chiropractic care, if treatment goals have been met
Refer the patient to another health care specialist if treatment goals have not been fulfilled.
Chiropractic adjustment (also referred to as spinal manipulation) is a recognized and popular pain relief treatment for many types of lower back pain, sciatica, and neck pain. Knowing what to expect from the first chiropractic visit can help an individual receive the maximal benefit from chiropractic treatment.
Because this profession has an unusually large variety of practice philosophies and chiropractic techniques, individuals should feel comfortable asking all the questions necessary to understand the chiropractic examination, diagnosis, and treatment program.
The core concept of chiropractic is to restore the function of your nervous system so that it can do what�s it�s designed to do, keep your body healthy and active. Chiropractic is truly about prevention.�For Answers to any questions you may have please call Dr. Jimenez at
Arlington, Va.–People suffering from back pain should consider first trying chiropractic services and other non-drug therapies in light of a new research review that found common over-the-counter and prescription pain medications have limited effectiveness for back pain and raise the risk of side-effects, according to the American Chiropractic Association (ACA).
The review, published this month in Annals of the Rheumatic Diseases, examined 35 randomized, placebo-controlled trials, encompassing 6,000 patients, to determine the effectiveness and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for spinal pain. The authors of the report found that NSAIDs provided �clinically unimportant effects� when compared with patients who received only a placebo. Meanwhile, those who used NSAIDs had a 2.5 times greater risk of experiencing gastrointestinal disorders.
�At present, there are no simple analgesics that provide clinically important effects for spinal pain over placebo,� the authors noted.
The news about NSAIDs follows reports last year that prescription opioids also have limited effectiveness for back pain�one of the most common causes of disability worldwide.
�The American Chiropractic Association urges people to try non-drug approaches to back pain relief first, before resorting to over the counter or prescription medications,� said ACA President David Herd, DC. �In addition to spinal manipulation, chiropractors can offer a range of non-drug therapies for back pain and recommend exercises and important lifestyle changes to help prevent future back pain and injury.�
According to a 2016 Gallup survey, more than 35 million people visit a chiropractor annually.
About the American Chiropractic Association
The American Chiropractic Association (ACA) is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org to find an ACA chiropractor near you.
NSAIDs: Non-Steroidal Anti-Inflammatory Drugs
Every day, an estimated 30 million people worldwide take a non-steroidal anti-inflammatory medication, or NSAID.
These versatile medications, available in over-the-counter and prescription strength, treat both pain and inflammation. Inflammation is a contributing factor in most back pain conditions, so reducing inflammation is important to alleviate the pain.
Mild or moderate back pain, tenderness, inflammation, and stiffness
Activity-related pain or discomfort (e.g. pain that follows sports or activities such as housework, shoveling snow, or other exertion)
Pain related to muscle strain in the low back and elsewhere
Neck stiffness related to muscle, ligament, or tendon strains or damage
Osteoarthritis joint pain
Rheumatoid arthritis
Ankylosing spondylitis
A number of other forms of arthritis pain
This article provides information on how non-steroidal anti-inflammatory medications can be helpful against back, neck, and other pain, as well as several potential risks and complications to be considered.
Most Common Types of NSAIDs:
NSAIDs comprise a large class of drugs that act by hampering body substances called prostaglandins, which trigger feelings of pain, giving NSAIDs fever-reducing, pain-relieving, and anti-inflammatory properties. There are many types of non-prescription (over-the-counter) and prescription NSAIDs. The four NSAIDs most often used to treat many types of back and neck pain are:
Aspirin (brand names include Bayer, Bufferin, and Ecotrin, St. Joseph)
Ibuprofen (Advil, Motrin)
Naproxen (Aleve, Anaprox DS, Naprosyn)
Celecoxib (Celebrex)
Other Forms of NSAIDs:
In addition to the above, NSAIDs come in forms other than those taken by mouth. For example:
Ketorolac can be given as an intravenous, intramuscular, or intranasal drug, making it useful after surgery or if the patient cannot eat.
Diclofenac is available topically as a gel (Voltaren), patch (Flector), or solution (Pennsaid). The medication is applied directly to the area of pain. Topical forms reduce gastrointestinal and other potential side effects of NSAIDs.
Taking NSAIDs continuously, rather than just at the onset of pain, helps build up the body�s anti-inflammatory blood level, resulting in a better healing environment in the affected area. The efficacy is markedly lower if NSAIDs are taken only when experiencing pain.
Checking with the doctor. Because NSAIDs have risks and complications, it is important to keep the doctor informed. People taking NSAIDs for long periods are advised to see the doctor regularly so any side effects can be monitored. In some cases, a change in medication may be required.
Using as little as possible. The U.S. Food and Drug Administration advises that the lowest effective dose of NSAIDs be used, and then for only as long as necessary.
Combining with acetaminophen. NSAIDs and the pain relief medication acetaminophen (e.g. brand name Tylenol) work differently, so sometimes doctors recommend taking both medications. This often offers better pain relief than taking one type of pain medication. Some people find it also helps lessen the pain as one dose wears off, alternating between the two�for example, taking a dose of ibuprofen, then 3 hours later taking a dose of acetaminophen.
Any adverse reactions from taking an NSAID, or any other medication, should be reported to the doctor without delay.
When NSAIDs Are Not Advised
People having a lumbar fusion surgery are typically advised not to take NSAIDs for at least 3 months after surgery due to concerns about the impact NSAIDs may have on bone healing.
Many doctors also tell patients to stop using NSAIDs prior to other types of surgery because the medication poses an increased risk of bleeding.
Low Vitamin D Linked to Increased Headache Risk
News Bite: Vitamin D may be a component factor in headache a new study demonstrates.
More research is adding to the literature of a link between vitamin D deficiency and headaches, at least for men living in colder climates.
Data from 2600 middle-aged men from Finland who participated in the Kuopio Ischemic Heart Disease (KIHD) Risk Factor Study showed that those with the lowest levels of serum 25-hydroxyvitamin D (25[OH]D) were more than twice as likely to report having chronic headaches as those who had the highest vitamin D levels. In addition, reports of chronic headache were significantly more frequent in months other than the summer months (June through September).
The investigators note that although past studies have examined the link between vitamin D and headaches, the results have been �inconclusive� because many included small sample populations. When the KIHD study originally started, men in this part of Finland had the highest prevalence of heart disease in the world, and it was looking at risk factors for cardiovascular disease.
During the baseline examinations, questionnaires asked the participants to report headache status during the previous 12 months. �Frequent headache� was defined as a daily or weekly occurrence � and was reported by 9.6% of the full group.
Also at baseline, fasting venous blood samples were collected during morning hours and 25(OH)D concentrations were measured.
Interestingly, the mean concentration of serum 25(OH)D for the study group was 43.4 nmol/L, which is below the 50-nmol/L threshold generally considered to be a marker of vitamin D deficiency. In fact, 67.9% of the group had levels that were less than 50 nmol/L.
Every day, an estimated 30 million people worldwide take a non-steroidal anti-inflammatory medication, or NSAID.
These versatile medications, available in over-the-counter and prescription strength, treat both pain and inflammation.��The American Chiropractic Association urges people to try non-drug approaches to back pain relief first, before resorting to over the counter or prescription medications.� For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
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