Recent Posts

Chiropractic Plus Exercise Eases Cervicogenic Headache, Study Suggests

Many headaches arise from cervical musculoskeletal disorders. Often, conservative therapies are recommended as the first treatment for cervicogenic headache, but it was previously unclear which treatments were the most effective. Should patients be prescribed a set of exercises and physical therapy sessions, chiropractic adjustments, or both? Will one lead to better outcomes?

A 2002 study sought to answer these questions by examining the effectiveness of a combination treatment involving both chiropractic adjustments and an exercise program. Two-hundred participants with chronic, moderate intensity cervicogenic headaches were assigned to one of four groups: spinal adjustments, exercise therapy, combined therapy, and a control group. Over six weeks of treatment, they reported their headache frequency, intensity, duration, pain, medication intake, and satisfaction with treatment. Researchers also measured physical outcomes such as pain on neck movement and a photographic measure of posture.

The study showed that all three active treatments (chiropractic adjustments, exercise, and a combination of both) were effective for improving the symptoms of cervicogenic headache, with benefits maintained at least 12 months following treatment. There was no statistical evidence of an additive effect when both chiropractic manipulation and exercise therapy were used simultaneously. Despite patients receiving combined treatments experienced the same clinical benefits as patients in the stand-alone treatment groups, a greater proportion of participants in the combined treatment group experienced good or excellent outcomes. This supports the use of combined treatments for the management of cervicogenic headaches.

Combining chiropractic with exercise can also ease symptoms in patients with neck and back pain.

Reference

Jull G, Trott P, Potter H, et al. A randomized controlled trail of exercise and manipulative therapy for cervicogenic headache. Spine 2002; 27(17):1835-1843.

 

 

Chiropractic Relieves Radicular Pain for 85% of Patients

​Recent research suggests that a multimodal chiropractic treatment can effectively ease radicular pain.

Radiculopathy, or radicular pain, is a condition related to compression of the spinal nerve roots. This nerve impingement can lead to  pain, numbness, tingling, or weakness in parts of the body far from the original source. Radiculopathy is often disabling, and there is little information regarding the most effective course of treatment, though both surgical and non-surgical approaches are common.

A recent review examined the outcomes of conservative, non-surgical treatment of patients with radiculopathy. This review involved 162 patients with a diagnosis of radiculopathy who were treated with chiropractic spinal adjustments, neuromobilization, and exercise stabilization. The frequency and duration of care were determined on an individual patient, though most patients underwent treatment 2 to 3 times per week.

85.5% of the patients experienced resolution of their radicular complaints, after undergoing an average of 9 treatment sessions. Patients experienced an average change in numeric pain scale of 4.2 between the initial and final visit. 23 cases were considered unresolved; those patients were referred for steroid injection, further medication management, or surgery. The researchers concluded that the conservative management strategy explored here produced favorable outcomes for most radiculopathy patients.

This study adds to the knowledge surrounding radiculopathy treatments by demonstrating that a conservative approach utilizing spinal adjustments, in combination with neuromobilization and stabilization exercise, may be effective for the majority of patients with radicular pain.

Reference

Christensen KD, Buswell K. Chiropractic outcomes managing radiculopathy in a hospital setting: a retrospective review of 162 patients. Journal of Chiropractic Medicine 2008; 7 (3): 115-25.

 

Causes of Chronic Pain after Auto Injuries

Gresham, OR auto injury treatmentOf the roughly 2 million rear-end crashes in the US every year, a substantial number of people find themselves suffering from long-term pain and disability. Some studies have shown that about 20% of people are still in pain one year after a collision.

Dr. Robert Ramsey sees many accident cases in our Gresham, OR office, and we frequently see patients who have been struggling for many years and have not been able to find help. Dr. Robert Ramsey has great success in treating these patients.

The Cause of Chronic Pain

During an accident, the tissues of your spine can be stretched or torn. The injured area becomes swollen and inflamed and sends pain signals to the spinal cord and brain.

Pain tells your central nervous system that something is wrong, which tells the muscles in the injured area to contract to shield the area from further harm.

If the injury isn't treated immediately, a negative cycle develops. The injured tissues keep sending pain signals and each time, your nervous system responds. This creates a feedback loop in your nervous system that experts refer to as "central sensitization." Your nervous system actually becomes oversensitive to any kind of stimulation, producing chronic pain.

Dr. Robert Ramsey is able to help this kind of problem, as chiropractic is a proven way to restore your nervous system's healthy functioning. Research shows that chiropractic is effective at reducing pain from car accidents and shows that chiropractic in fact has positive effects on the pain centers of the brain.

If you live in Gresham, OR and have been in a collision, you don't have to suffer with chronic pain. Give Dr. Robert Ramsey a call today at (503) 667-6744 for a consultation or appointment.

  • Ferrari R. A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury. Rheumatic & Musculoskeletal Disease 2015; doi:10.1136/rmdopen-2014-000007.
  • Stone AM, Vicenzino B, Lim EC, Sterling M. Measures of central hyperexcitability in chronic whiplash associated disorder - A systematic review and meta-analysis. Manual Therapy 2012;18(2):111-7.
 

Chiropractic Eases Infant Colic, Study Suggests

As if sleepless nights and endless crying weren't enough, parents of infants with colic often endure a string of unsuccessful treatments and frustrating doctors visits as they struggle to fight the elusive condition. But new research offers hope to parents searching for natural treatment of infant colic: chiropractic therapies produced clinically and statistically significant reductions in crying time in colicky babies in a recent study.

Previous research has examined the effects of chiropractic therapies on colic with inconclusive results. In a 2006 study from Britain and in a 1999 Danish study, manual therapy was associated with significant reductions in crying time. In both studies however, parents were not blinded to the treatment infants received, leading critics to worry that parents' knowledge of the treatment biased their reporting on infant crying time. In a 2002 Norwegian study that did blind parents to the treatment, no significant differences were found between a manual therapy and a placebo treatment. In still another study, two different manual therapies reduced crying time but there were no placebos for comparison. These varying results meant that although some evidence pointed to the benefits of chiropractic care for colic, questions lingered about parental bias and treatment efficacy.

Researchers from the Anglo-European College of Chiropractic sought to investigate these questions in a study of 104 infants with colic. They divided the patients into three groups: in the first group, the infants were treated and the parents were aware of treatment; in the second group the infants were treated and the parents were blinded to treatment; and in the third group the infants were not treated and the parents were blinded to the lack of treatment.

After ten days, all three groups had significant reductions in crying time but the infants in the treatment groups saw greater improvements. Babies who received chiropractic therapies cried for an average of 1.5 hours less than untreated infants. Treated infants with blinded parents had a 44% reduction in crying time, compared to a 51% reduction in crying time for infants with parents who were aware of treatment. Those who received no treatment had just an 18% reduction in crying time. The slight differences between treatment groups were not statistically significant, suggesting that parental bias did not substantially alter reporting of crying time. The improvements were considered clinically significant by two cutoffs: a reduction in crying time by 30% and crying for 2 hours or less a day.

Researchers pointed to studies showing that moderate finger pressure can induce a relaxation response in adults, decreasing heart rate and increasing alpha and beta brainwave activity. Other studies have found that manual impulse can similarly result in reduced heart rate in infants. This relaxation response could be a potential mechanism behind the reduced crying time. If colic is indeed related to musculoskeletal conditions as hypothesized by some authors, manual therapies could also address underlying musculoskeletal disorders.

While larger studies are needed to confirm these results, the study suggests that chiropractic therapies could be beneficial for infants with colic. Previous research suggests that chiropractors can play a role in treating colic related to infant headache. Doctors of chiropractic can also advise you in making nutritional and dietary changes to minimize allergic reactions that may also be an underlying cause of colic.

References

Miller J, Newell D, and Bolton J. Efficacy of Chiropractic Manual Therapy on Infant Colic: A Pragmatic, Single-Blind, Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics 2012; 35 (8): 600-607.

Marchland AM, Miller JE, Mitchell C. Diagnosis and Chiropractic Treatment of Infant Headache Based on Behavioral Presentation and Physical Findings: A Retrospective Series of 13 Cases.  Journal of Manipulative and Physiological Therapeutics 2009; 32 (8): 682-686.

 

 

 

Chiropractic Offers Holistic Approach to Carpal Tunnel Syndrome

Many patients with chronic carpal tunnel syndrome are told they need surgery to relieve the pain. While surgical interventions aim to relieve pressure on the irritated median nerve, the treatment may be too narrow in scope for some patients. Case in point: nearly a third of patients who receive surgery for carpal tunnel report a return in symptoms within two years of surgery.1

Recent research suggests there's more to carpal tunnel than wrist and arm pain: CTS could be related to problems in the neck.

A recent study from Journal of Orthopaedic and Physical Therapy assessed the cervical range of motion in 71 women with carpal tunnel syndrome. Compared to women without CTS, women with carpal tunnel had significantly restricted range of motion. The greater the pain intensity women experienced, the less able they were to perform lateral flexion away from the affected side. There were no major difference among women with minimal, moderate, or severe CTS.

This study confirms what chiropractors have known for years: that wrist pain can often be related to problems in the cervical spine. In fact, the cervical spine may be the source of wrist and arm pain for patients with cervical radiculopathy. That's why chiropractors use a more holistic approach to treating carpal tunnel syndrome, one that involves relieving irritation of the median nerve in addition to addressing any underlying concerns in the neck. Chiropractors can draw on a combination of spinal adjustments, trigger point therapy, exercises, and advice on ways to prevent overuse injuries.

Research shows that this holistic approach is successful for many patients with carpal tunnel. A 2010 study found that trigger point therapy administered by chiropractors resulted in 67% improvement in symptoms.2

In another study published earlier, CTS patients who received soft tissue mobilization and other chiropractic treatments had significantly reduced hand pain intensity after just a week of treatment. They also showed signs of reduced pain sensitivity in certain joints of the cervical spine.3

Case studies also suggest that chiropractic can be effective for chronic CTS patients who failed to improve with other methods like surgery, wrist splints, and drugs.4

If you suffer from ongoing wrist pain and CTS, remember that surgery is not your only option for relief. Chiropractic care could address the multifaceted nature of your pain to provide lasting relief of carpal tunnel syndrome.

 References

1. Bessette L, Keller RB, Liang MH, Simmons BP, Fossel AH, Katz JN. Patients’ preferences and their relationship with satisfaction following carpal tunnel release. Journal of Hand Surgery 1997;22:613–20. Quoted in Hains G, et al (2010).

2. Hains G, Descarreaux M, Lamy AM, Hains F. A randomized controlled (intervention) trial of ischemic compression therapy for chronic carpal tunnel syndrome. Journal of the Canadian Chiropractic Association 2010; 54(3): 155–163.

3. De-la-llave-Rincon, A. Response of pain intensity to soft tissue mobilization and neurodynamic technique: a series of 18 patients with chronic carpal tunnel syndrome. Journal of Manipulative and Physiological Therapeutics 2012; doi:10.1016/j.jmpt.2012.06.002.

4. Crafts GJ, et al. Chiropractic management of work-related upper limb disorder complicated by intraossesous ganglion cysts: a case report. Journal of Chiropractic Medicine 2011; 10(3): 166-172.

 

Chiropractic and Exercise is Perfect Combination for Back Pain Treatment

An estimated 60-80% of people will suffer from low-back pain at least once in their lifetime. However, the treatment of chronic lower back pain is complex, and the outcome remains unpredictable. Doctors are advised to recommend that patients follow a program of active exercise to alleviate their symptoms. However, patients may be reluctant to do so because of their pain.

A recent study compared the effects of chiropractic treatment followed by exercise versus a placebo or 'sham' treatment followed by the same exercise. The researchers hypothesize that chiropractic adjustments – which are believed to induce an immediate analgesic effect – may enhance the benefits of exercise for patients with lower back pain.

The study involved patients with chronic, non-specific lower back pain. The first group received spinal adjustments plus active exercise therapy. The second group received a detuned ultrasound 'sham' treatment followed by active exercise. Both groups underwent eight treatment sessions over 4 to 8 weeks.

The analgesic effect of spinal adjustments were measured by evaluating pain intensity both before and immediately after each therapeutic session. Periodically, researchers also evaluated participants' disability, fear-avoidance beliefs, and erector spinae and abdominal muscle endurance (measured with Sorensen and Shirado tests).

The participants who received spinal adjustments experienced a better immediate analgesic effect, along with lower disability and a trend toward lower pain levels. The researchers concluded that manual therapy, immediately followed by active exercise, tends to induce a more significant decrease in pain reduction in patients with chronic lower back pain. These results confirm that chiropractic is an appropriate treatment for chronic low-back pain.

While exercise has long been a crucial component of chiropractic care, this study provides further evidence of the efficacy of combining exercise with chiropractic adjustments for relieving chronic pain.

Reference

Balthazard P, et al. Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. BMC Musculoskeletal Disorders 2012; 13: 162. doi:10.1186/1471-2474-13-162.

 

Chiropractic for Kids

More and more children are receiving chiropractic care and there's a good reason why: chiropractic provides safe, natural treatment for a number of conditions while promoting wellness.


 

 

Multiple studies point to the safety of chiropractic for kids. In a 2012 survey of European chiropractors, fewer than 1% of children experienced side effects from chiropractic treatments, and those side effects were all mild,1 This confirms the results of three other studies in which no serious side effects were reported in pediatric patients receiving chiropractic treatment.

Research suggests that chiropractic can safely relieve musculoskeletal pain in children. In a 2003 study, 62% of pediatric patients had substantial reductions in back pain after receiving chiropractic adjustments.3 Treatment of musculoskeletal conditions continues to be the number one reason why children receive chiropractic care.

But chiropractic does more than treat conditions, it can help children improve their health through wellness care. In a 2009 survey, one of the primary reasons why parents took their child to see a chiropractor was for wellness care.4

Current research shows that chiropractic can reduce blood pressure, heart rate, and stress hormones, release endorphins, and boost the immune system.

Whether you're hoping to ease your child's pain or improve their health, chiropractic can help.

 

References

1. Marchland A. Chiropractic care of children from birth to adolescence and classification of reported conditions: an Internet cross-sectional survey of 956 European chiropractors. Journal of Manipulative and Physiological Therapeutics 2012; 35 (5):372-380.

2. Humpheys BK. Possible adverse events in children treated by manual therapy: a review. Chiropr Osteopat. 2010;18: doi:  10.1186/1746-1340-18-12.

3. Hayden Ja, Mior SA, Verhoef MJ. Evaluation of chiropractic management of pediatric patients with low back pain: a prospective cohort study. J Manipulative Physiol Ther. 2003 ;26(1):1-8.

4. Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009; 5(5): 290-5.

 

College Football Players Improve Athletic Performance with Manual Therapy

Manual Therapy and Athletes

New research suggests that improved athletic performance could be among the benefits of manual therapy. A recent study sought to gain increased understanding about the potential benefits of spinal adjustments in college football players.

Research Summary

The research involved 115 football players at Virginia Tech who were provided with a total of 1,976 osteopathic manipulative treatments over the course of two football seasons. The players received adjustments in the cervical, lumbar, thoracic, and sacral sections of the spine. After each game, the players’ performance was graded by their coaches.

Performance Improvements

Both offensive and defensive players showed improved performance following pre-competition manipulative treatments. While the association was relatively small, and not considered statistically significant, the positive correlation suggests that regular spinal adjustments could help athletes’ long-term performance.

Chiropractic and Athletic Performance

Preliminary results from the study were recently published in the Journal of American Osteopathic Association. A similar study, published earlier this year, showed that regular chiropractic treatments improved the performance of professional judo athletes.

Reference

Brolinson PG, et al. Precompetition manipulative treatment and performance among virginia tech athletes during 2 consecutive football seasons: a preliminary, retrospective report. Journal of the American Osteopathic Association 2012: 112(9):607-15.

 

Headaches Might Be Caused by Neck Dysfunction

​Do you ever experience neck stiffness or pain with your headaches? Recent research suggests that neck and head pain are more related than you think.

One study examined whether headaches and cervical spine impairment were linked in patients with head pain. Of the patients evaluated, 90% had cervicogenic headaches, or headaches linked to neck pain. Furthermore, the severity of patients’ headaches impacted the range of motion in their necks. This study demonstrates the strong relationship between cervical spine (neck) impairment and cervicogenic headaches.

Visit a chiropractor in your area to determine whether your headaches are related to impairment and pain in your neck.

Hall TM, Briffa K, Hopper D, Robinson KW. The relationship between cervicogenic headache and impairment determined by the flexion-rotation test. Journal of Manipulative Physiological Therapy. 2010 Nov-Dec; 33(9):666-71.