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Health Articles Articles from February 9th, General Meeting: "The Subluxation" by Sandra Doman, DC, RYT. 1. "Spinal Manipulation Compared with Back School" 3. "A Prevention of the Vertebrobasilar Accidents Following Cervical Thrust Manipulations" ________________________________________________________________________________________________________________ Other Articles...
1. Featured Article - Just Try Walking While some fitness enthusiasts relentlessly seek out the latest, trendiest exercise crazes, many others are returning to good, old-fashioned walking to help them feel great and get into shape. Whether enjoying the wonder of nature, or simply the company of a friend, walking can be a healthy, invigorating experience. And thanks to its convenience and simplicity, walking just might be right for you too, according to the American Chiropractic Association (ACA). BENEFITS You don't need to become a member of an expensive gym to go walking. And except for a good pair of walking shoes, it requires virtually no equipment. "A sedentary lifestyle has debilitating influence on people's health as they age" says Dr. Jerome McAndrews, national spokesperson for the ACA. "Exercise is imperative." Walking accomplishes all of the following and more:
The first item of business when beginning your walking program is to select the right pair of shoes. Here are some tips: Make sure the shoes you purchase fit properly. The balls of your feet should rest exactly at the point where the toe end of the shoe bends during walking. Avoid high-top shoes, that, often cover the entire ankle, limiting your foot's ability to move freely and naturally. Opt instead for shoes that offer your ankle a fuller range of motion. Select shoes with plenty of cushioning in the soles to absorb the impact of your walking. GETTING STARTED Walking just 12 minutes every other day can offer important health benefits. Walking 20 minutes every other day is even better. But in order to increase your longevity, try to eventually work up to 30 minutes, five days per week. The following tips should help you get started safely and smoothly:
Keep in mind that, if you have not previously been physically active, you should consult your doctor before. Begin slowly with a walk of perhaps half of a mile at a pace that does not cause discomfort. Continue this for about two weeks, then start to increase the pace and length of time walking. Eventually - depending on your age - you can build your "target" heart rate/pulse to either 120 beats per minute or, if younger, as many as 140 beats per minute. For the average adult, a heart rate of 120 beats per minute would require walking at about 2 miles per hour, while a heart rate of 140 beats per minute would require a pace of 4 1/2 miles per hour. HYDRATION Drink 10 eight-ounce glasses of water a day to help keep the kidneys active, dilute and remove toxins from the body, and replace lost fluids. (Coffee, tea, soft drinks and alcohol are diuretics/dehydrators. Don't substitute them for water.) If you perspire during walking, you may need to drink even more. SURFACES Some walking surfaces are better than others on your musculoskeletal system. Walking on a cushioned or rubberized track is ideal, because the cushioning of this type of track absorbs most of the impact of your walking. Many recreation centers offer this type of track free of charge. Grass is another good surface, but watch out for hidden dips or holes in the ground. Walking on a surface with no give, such as concrete or a mall floor, is not your best choice, because this type of surface will not absorb much of the impact your body will experience. If you do choose to walk on such a surface, be extra careful to select highly cushioned shoes. PAIN AND INJURY Dr. McAndrews explains that while you may experience pain or injury in a particular area, such as a knee or a hip, the root of the problem may lie somewhere else. "Injuries of this nature are not regional, or isolated, but systemic," says Dr. McAndrews. "A problem in the foot or ankle can create an imbalance in every step, leading to discomfort or injury that moves to the knees, hips, low back, or elsewhere." If you suffer from pain beyond typical muscle soreness, your doctor of chiropractic can diagnose and treat your pain or injury and get you back into the swing of your walking routine. "Your doctor of chiropractic can also help customize a wellness program that is right for you and has the expertise to help keep you in the mainstream of life," adds Dr. McAndrews. Information provided courtesy of the
2. Featured Article - BACK To The Stats Although doctors of chiropractic (DCs) care for more than just back pain, many patients visit DCs looking for relief from this pervasive condition. Thirty-one million Americans have low back pain at any given time (1). One half of all working Americans admit to having back symptoms each year (2). One third of all Americans over age 18 had a back problem in the past five years severe enough for them to seek professional help (3). And the cost of this care is estimated to be a staggering $50 Billion yearly— and that's just for the more easily identified costs! (4). These are just some of the astounding facts about Americans and their miserable backs! Is there any wonder why some experts estimate that as many as 80% of all of us will experience a back problem at some time in our lives? (5). Because back problems are this common it's probably going to happen to you too! Shouldn't you find out what to do about it before it happens rather than after? Why wait until you're hurting to learn about your treatment options? When you're hurting you may not give this important decision the time and attention it needs to make the best choice. Here are the facts about manipulation as a treatment for back problems: Manipulation is one of several established forms of treatment used for back problems. Used primarily by Doctors of Chiropractic (DCs) for the last century, manipulation has been largely ignored by most others in the health care community until recently. Now, with today's growing emphasis on treatment and cost effectiveness, manipulation is receiving much more widespread attention. In fact, after an extensive study of all currently available care for low back problems, the Agency for Health Care Policy and Research— a federal government research organization— recommended that low back pain suffers choose the most conservative care first. And it recommended spinal manipulation as the ONLY safe and effective, DRUGLESS form of initial professional treatment for acute low back problems in adults! (6). Chiropractic manipulation, also frequently called the chiropractic adjustment, is the form of manipulation that has been most extensively used by Americans for the last one hundred years. (7). Satisfied chiropractic patients already know that DCs are uniquely trained and experienced in diagnosing back problems and are the doctors most skilled in using manipulation for the treatment of back pain and related disorders (8). As a public service, the American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about the federal government's recommendations. References: 1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116. 2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98. 3. Finding from a national study conducted for the American Chiropractic Association. Risher P. Americans' Perception of Practitioners and Treatments for Back Problems. Louis Harris and Associates, Inc. New York: August, 1994. 4. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD, Summer 1994. 5. In Vallfors B, previously cited. 6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No. 14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994. 7. The RAND Corporation reported from its analysis of spinal manipulation research literature that 94% of all spinal manipulation is performed by chiropractors, 4% by osteopaths, and the remainder by medical doctors. 8. In Risher P, previously cited. Chiropractic Care Can Help... Our goal is to manipulate the spine and help stimulate your body's natural healing process. Information provided courtesy of the 3. Featured Article - Strong Lower Backs: Having One That Works You never know until you hurt it how much you use your lower back all day long. When your lower back is injured, every movement becomes painful. Simple actions, such as getting out of a chair or bending over the sink, become excruciating, and your daily routine becomes difficult and frustrating. Back pain affects 60 to 80 percent of U.S. adults at some time during their lives, and up to 50 percent have back pain within a given year.1,2 Some of these problems are easily treated and never return, but in five to ten percent of patients low back pain becomes chronic and the person continues to have recurrences and exacerbations.3 Effective treatment of uncomplicated lower back pain involves treatment in a chiropractor’s office and beginning and continuing an exercise program. A recent study conducted by the Medical Research Council, a research organization based in the United Kingdom, has found that patients given a combination of spinal manipulation and exercise experienced greater improvement in back function and greater reduction in pain compared to those treated with spinal manipulation or exercise only.4 Most mechanical lower back pain is associated with tight leg muscles and weak abdominal muscles. Leg muscles need to be stretched and abdominal muscles need to be strengthened to avoid recurrences of lower back pain. People are generally not aware of these relationships. You may know you “should be exercising”, but you may be unaware of the importance of stretching. Also, abdominal strengthening is usually the last thing a person thinks of when he or she thinks of doing exercise. Exercise is a three-step process: stretching, exercising, and abdominal strengthening. Stretching prepares you for the work of exercise, and is done first — before anything else — gently and gradually. You may be tighter than usual on a particular day. This is not important — you should never try to stretch to where “you think you should be”. Just stretch, making sure to pay attention to what you’re doing. It’s easy to injure a muscle if you’re thinking about something else, or if you’re rushing, trying to squeeze in some stretching before dashing off to the gym. Abdominal strengthening helps support the lower back. Spinal muscles are not designed to carry your body weight. If your abdominal muscles are weak, then your back muscles will be used to carry your body weight, and eventually you’ll have a lower back injury. Abdominal strengthening not only helps keep your lower back healthy, but also helps maintain good posture. Postural benefits include an easy, relaxed gait; muscles that are long and supple, rather than short and tight; and an open chest that allows for easy, smooth breathing. Your body is a machine. Everything’s connected. A lower back problem affects many other areas, ultimately. By making sure to stretch regularly and by including abdominal exercises in your gym routine, you can help ensure having a lower back that works. Liebenson CS. Pathogenesis of chronic back pain. J Manipulative Physiol Ther 1992;15:299-308.
4. Featured Article - Chiropractic Advice for Moms-to-Be The weight gain, the bloating, the nausea... Most new mothers will tell you that the aches and pains of pregnancy are a small price to pay for the beautiful bundle of joy they're rewarded with nine months later. But as many new mothers can attest, the muscle strains of pregnancy are very real and can be more than just a nuisance. The average weight gain of 25 to 35 pounds, combined with the increased stress placed on the body by the baby, can sometimes result in severe discomfort. In fact, studies have found that about half of all expectant mothers will develop low back pain at some point during their pregnancy. This is especially true during late pregnancy, when the baby's head presses down on a woman's back, legs and buttocks, putting pressure on her sciatic nerve. And for those who already suffer from low back pain, the problem can become even worse. During pregnancy, a woman's center of gravity almost immediately begins to shift forward to the front of her pelvis, according to Dr. Jerome McAndrews, spokesperson for the American Chiropractic Association (ACA). Although a woman's sacrum— or posterior section of her pelvis— has more depth than a man's to enable her to carry a baby, the displaced weight still increases the stress on her joints. "As the baby grows in size," Dr. McAndrews explains, "the woman's weight is projected even farther forward, and the curvature of her lower back is increased, placing extra stress on her spinal disks in that area. As a result, the spine in the upper back area must compensate— and the normal curvature of her upper spine increases as well." While these changes sound dramatic, Mother Nature does step in to help accommodate them. During pregnancy, hormones are released that help loosen the ligaments attached to the pelvic bones. But even these natural changes designed to accommodate the growing baby can result in postural imbalances, causing pregnant women to be more prone to awkward trips and falls.
What Can You Do? The following tips are recommend for pregnant women looking for relief from the discomforts of pregnancy:
Visit the Chiropractor Visit your doctor of chiropractic. Before you become pregnant, your doctor of chiropractic can detect any pre-existing imbalances in the pelvis or elsewhere in your body that could make pregnancy discomfort even worse— or leave you with additional neuromusculoskeletal problems after childbirth. Many pregnant women have found that chiropractic adjustments provide relief from the increased low back pain brought on by pregnancy. Also, scientific studies have found that spinal manipulation carries no increased risk to the pregnant woman or her baby. Chiropractic's non-drug, non-surgical approach to back pain can be especially attractive to pregnant women who are trying to avoid over-the-counter and prescription drugs. Doctors of chiropractic can also offer nutrition, ergonomic and exercise advice that will help you avoid the discomforts of pregnancy. Chiropractic care can also be helpful after childbirth. In the eight weeks following labor and delivery, the ligaments that loosened during pregnancy begin to tighten up again. Ideally, joint problems brought on during pregnancy from improper lifting or reaching should be treated before the ligaments return to their pre-pregnancy state. In addition, as the upper and lower spine return to normal, muscle tension, headaches, rib discomfort and shoulder problems can result. Your doctor of chiropractic can help. Our goal is to stimulate your body's natural healing process. Information provided courtesy of the As millions of kids get ready to go back to school, many will pull out old backpacks or purchase new ones. While the books, homework assignments, lunches, and other school gear those bags carry may be important for success in school, some experts point to backpack use as the leading cause of a growing trend in back pain among youngsters. In fact, a recent study conducted in Italy found that nearly 60 percent of children carrying heavy backpacks experienced back pain as a result. Some states, such as California and New Jersey, have taken legislative action to reduce the weight of students’ backpacks in their school districts. However, even for residents of those states, government regulation may not be enough. Whether you are looking out for your child’s welfare or you use a backpack yourself, here are some steps recommended by the American Chiropractic Association to lighten the load. Tips for purchasing a new pack:
How to use a backpack wisely:
If you or your child experience tingling or numbness in the hands, or discomfort in the back or neck after wearing a backpack, discontinue use and seek the advice of your doctor of chiropractic.
6. Featured Article - Childhood Sports Injuries Kids and Fitness It's never too early to get your kids into a fitness routine. This is a habit that will last a lifetime. Without regularly scheduled exercise and sports activities, children will automatically default to watching television, playing on the computer, and playing video games. These pastimes are great for stimulating creativity and developing hand-eye coordination, but contribute nothing to a child's level of fitness. One out of three American children are overweight, obese, or at risk for being overweight. This appalling public health information indicates a much greater risk of diabetes and heart disease as the child becomes a young adult. Regular exercise and good nutrition will help a child maintain an appropriate weight and will promote longlasting health benefits. Kids get hurt all the time. They're running, they're jumping, they're crashing into things. Kids want to have fun, and when they play, they play full-out. So, when kids play real sports, stuff happens.1,2 Whether your kid plays soccer, baseball, football, or studies karate, a broken bone, sprained ankle, or twisted knee is just the natural fallout of learning new skills and having a good time. The treatment for most childhood sports injuries is straightforward and standard.3 For strains and sprains that involve only mild to moderate swelling and pain, the time-honored RICE protocol is followed - rest, ice, compression, and elevation. Pediatric orthopedists get involved when the injury is more severe or when an arm or leg bone is broken. But there are other issues, and every parent needs to be aware of these possibilities. In one of the unusual chains of circumstances that make the practice of medicine and the practice of chiropractic so interesting, a physical trauma (like a sports injury) can reveal an underlying serious problem. In other words, various disorders of bone may not show themselves in terms of symptoms until a physical trauma makes them apparent. Such problems include metabolic disorders, growth and development problems, and even benign and malignant tumors. What would make a parent suspect such an issue? First, if the child's pain seems out-of-proportion to the degree of injury. A mild knee sprain - for example, caused by tripping over second base while trying to stretch a double into a triple - should not be causing significant pain. Also, mild-to-moderate injuries should not be warm to the touch. A parent can evaluate this. And, a child should not be running a fever after an activity-related injury. It would also be suspicious if the pain did not improve daily. For the majority of injuries, pain that lingers beyond several days suggests an underlying problem. Children are resilient. Healthy kids heal quickly. They want to shrug off an injury, forget it happened, and get back to playing. If your child isn't getting better in a few days, seems lethargic, or feels ill following an injury, warning bells should go off. Your family chiropractor is familiar with all such conditions and scenarios. He or she is always alert to unusual situations and will recommend the appropriate steps to take, including a complete physical and x-ray examination. If necessary, your chiropractor will be able to recommend appropriate specialists for follow-up, including hematologists, endocrinologists, and pediatric orthopedists. These more serious problems are uncommon. And, of course, well-informed parents help their kids grow up healthy and strong. 1Caine D, et al: Incidence and distribution of pediatric sports-related injuries. Clin J Sport Med 16(6):500-513, 2006 7. Featured Article - Soccer Kids Need Protection Although soccer can be a great overall sport for children, some youngsters are enduring mild to severe head traumas, neck injuries, damage to the cervical spine, headache, neck pain, dizziness, irritability, and insomnia as a result of their participation, according to the September 2000 issue of the Journal of the American Chiropractic Association (JACA). Each year, in fact, youths under age 15 suffer more than 227,100 soccer-related injuries, according to recent reports. Heading the Ball: A Risk for Children "People have this misconception that soccer has no risk," says Scott Bautch, DC, past president of the American Chiropractic Association's (ACA) Council on Occupational Health, who has five children playing soccer. "I think soccer is too aggressive too early, which is leading to potential problems. It's not as though we can fix brain damage later on in these kids' lives." Soccer requires three basic skills - kicking (striking the ball with the feet), trapping (similar to catching the ball, only using different parts of the body), and heading the ball, (the deliberate use of the head to redirect the ball). It's that last one - heading - that stirs concern and controversy over possible permanent damage. Philip Santiago, DC, who was an All-American soccer player in college and a professional player for five years, says that heading is safe only when children are given "proper coaching in proper technique." Dr. Santiago has also served for five years as head soccer coach at both New York Institute of Technology and Montclair State University, and was the chiropractor for the United States Olympic Team in 1992. Dr. Santiago's opinion on proper technique is backed up in a study of elite soccer players at the 1993 Olympic Festival. "While properly executed heading was not found to result in any concussive episodes, 18 percent (18 of 102) of the concussions were a result of heading," the study found. Dr. Santiago would like to see youngsters hold off heading until age 10 or 11. Dr. Bautch prefers age 14 to 16, based on maturation and development of the spine. Helmets: Not A Complete Solution Some school districts are now requiring helmets for young soccer players. However, Dr. Bautch, who says helmets are "a positive," worries that helmets don't protect the spine and don't make up for too-aggressive play. "They are just a small piece that may give some protection," he explains. "I'd hate to see kids wear helmets and have people think that the kids are safe and that they don't have to teach safety and prevention. I would rather see no heading without helmets in young kids, and let helmets be introduced later." Prevention and Treatment of Injuries Parents should also encourage a broad spectrum of sports - like soccer, skating and skiing, for example - to develop the whole body. Over-playing and over-training are problems exacerbated by ambitious parents, peer pressure and adult role models. Children need their rest time. If an injury occurs, think RICE - rest, ice, compression, and elevation of the injury - which is the recommended procedure. Keep the injury iced until the swelling is down, applying ice no longer than a 20-minute session. After 20 minutes, ice fatigues the blood vessels and causes a heat reaction that actually increases swelling. Leave the ice off for about an hour and reapply. Then, try to get the child to move the injured area as soon as possible. If pain persists, consider taking your child to a chiropractor or other health care professional. Other Recommendations for Soccer Safety Parents can help protect their children from soccer injuries. Many of the participants at a recent Consumer Product Safety Commission roundtable insisted that parents and coaches already have the tools at their disposal. Among them are:
Doctors of chiropractic are trained and licensed to treat the entire neuromusculoskeletal system and can provide advice on sports training, nutrition and injury prevention to young athletes. Information provided courtesy of the
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Just Try Walking
BACK To The Stats
Strong Lower Backs: Having One That Works
Chiropractic Advice for Moms-to-Be
Backpacks: Lighten Your Child’s Load
Childhood Sports Injuries ... 
Soccer Kids Need Protection
