Everett Chiropractic Center Blog

October 5, 2017

What is the point of a Nobel Prize?

Well, it is too honor the contribution of the folks who receive the prize. But it is also to apply what has been learned to our daily lives – and thereby enrich those lives – or that might be one point, anyway.

So think about this year’s Nobel prize in terms of what it means to do all the things that people do that messes with their circadian rhythms – because it is profoundly impactful to their health and well fair.

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July 29, 2017

The Importance of Breath

“For many people it seems difficult to believe that changing breathing patterns can have such significant impact on mental and physical health. Not to mention performance and recovery.
It is the lowest hangning fruit and very few poeple are picking it. Instead many are looking for complicated methods or become dependent of pharmaceuticals.”

– Paul Silfverstrale, Wudang Practical Tai Chi Chuan

Here is his recent Blog Post entitled Nasal Breathing: https://wudangtaichichuan.wordpress.com/2017/07/29/tai-chi-chuan-qi-nasal-breathing/

It compliments, perfectly, all that I have said on this Blog on the subject, including the very recent Post on mouth breathing (the problem).

July 5, 2017

Maybe you too?

“I feel amazing” she said. And “doing stuff that I haven’t done in years… and on my knees too!”

When I met this patient in December of last year, it was: “I sometimes have to pull over…” while driving due to knee pain. She said that her back was “always really tight” and it had been that way for two years.

Now?

She is going a month between visits. She knows how to brace and breathe, and how to bend and lift, as well as get up and down off the ground. She does the exercises to keep the joints that I adjust moving between visits; and she is helping her husband build a 40 foot deck – with no pain anywhere!

This is a woman who has had back surgery for lower back disc herniations – twice.

Not every patient does this well. Not all chiropractors check and adjust hip, knee, and ankle/foot joints. But all chiropractors who use the Activator Method properly can check all the joints. If you need help finding a decent chiropractor in your area, just let me know. Maybe I can help.

And if you are within striking distance of Everett, WA., then give us a call at (425) 348-5207.

July 4, 2017

Spear Chiropractic Hospital

I attended a seminar in Olympia this past weekend. It was noteworthy in that we were reminded of a history that includes the Spears Clinic. A step back in time.

June 27, 2017

The Castanza Effect

http://neurosciencenews.com/sleep-fighting-inflammation-6984/

June 26, 2017

Genesis 3:2

The Medscape article below reminds me of that verse. By starting with a rhetorical question based on a lie, the author plants doubt. By being “more crafty than any other beast of the field” (Genesis 3:1), authors can put ideas in our heads with subtle insinuation, association, and other techniques, leading us to arrive at conclusions and beliefs that the author prefers. Here the article is a fine article as far as the facts go – but the article doesn’t really go far enough; by starting and ending with a physical therapist, one is supposed to be left with a certain idea about what the basis of choosing between these different provider types ought to be. That needs to be thought through a couple of more steps.

Spinal Manipulation for Back and Neck Pain: Does It Work?

Spinal Manipulation: A Valid Technique?

In her office at McMaster University in Toronto, Anita Gross, MSc, has logged paper after paper showing that spinal manipulation can help control neck pain. “The evidence keeps growing and growing,” she says.

Gross, a physiotherapist and associate professor of rehabilitation science, helped write a 2015 Cochrane review of the literature and is already at work on updating that paper.[1]

Mounting evidence also supports spinal manipulation for low back pain, says Roger Chou, MD, professor of medicine at Oregon Health & Science University in Portland, Oregon, who led a similar review for the Agency for Healthcare Research and Quality last year.[2]

 Orthopedists can confidently refer many neck and back patients for this type of treatment when surgery is not indicated, these and other experts agree. The findings counter decades of accusations of quackery mounted against healers who massage or manipulate patients’ muscles or joints.

But other therapies, particularly exercise, may work just as well. And the research so far leaves big questions unanswered. For example, does one technique for spinal manipulation work better than another? What is the mechanism of these techniques? Are patients better off being treated by physical therapists, chiropractors, osteopathic physicians, massage therapists, or some other category of practitioner? How long should a patient keep trying spinal manipulation before deciding that no more benefits are likely?

Osteopathic vs Chiropractic Approaches

Spinal manipulation—along with manual therapy involving other anatomical structures—has evolved over thousands of years, starting with bone-setting practices that probably preceded recorded history. Mention can be found in ancient Egyptian and Chinese texts, as well as in the writings of Hippocrates.[3,4]

Two prominent traditions in the United States arose in the late 19th century, when Andrew Taylor Still, MD, a physician and surgeon, founded osteopathy and osteopathic medicine, and Daniel David Palmer, a practitioner of magnet healing (a pseudoscientific alternative medicine practice), founded chiropractic.

These founders cited different influences: Palmer ascribed his knowledge to visitations from the spirit world,[5] whereas Dr Still made a more conventional study of both allopathic and alternative medicine current in his day. (Because Dr Still’s publications preceded Palmer’s, some authorities have speculated that Palmer based his approach on Dr Still’s.[3]) The founders of both modalities believed that they could treat not only joint and muscle pain, but also many other apparently unrelated ailments.

Perhaps because of the differences in their founders’ inspirations, chiropractic and osteopathy have diverged. In the United States, osteopathic medical schools now resemble allopathic medical schools, although musculoskeletal manipulation therapy remains part of the curriculum. Osteopathic physicians in the United States have the same scope of practice as medical doctors. Many don’t practice manual therapy at all, and most of those who do confine those therapies to treatment of musculoskeletal and neuromuscular disorders. In many other countries, there are osteopaths who practice manual therapies but not medicine.

Chiropractors in most US states cannot prescribe drugs or perform surgery. Some focus entirely on manual therapy, whereas many others incorporate other modes of alternative medicine into their practices, such as herbal medicine or acupuncture. Some chiropractors confine themselves to musculoskeletal and neuromuscular disorders, especially for back pain, but others treat a broader range of disorders.

Physical therapists and physiatrists may also use manual therapy, including spinal manipulation, among other techniques.

June 9, 2017

Foam Rolls

Filed under: Back pain, Exercise — Tags: , , , — doctordilday @ 1:54 pm

I am putting this here so that patients can find both the phone number and the description/item number to place Orders.

Power Systems

(800) 321-6975

Closed-Cell Foam Roller 36 in. Long X 6 in. diameter    $20.95

This may also be available on Amazon. I don’t know.

Teens and TV (in the bedroom)-> Obesity

http://neurosciencenews.com/obesity-tv-children-6836/

Think of it as a “risk factor”.

I was talking with a friend not too long ago about raising kids; his came out as near perfect and any parent could hope for. He took very little credit for it, in fact in one case he said that it was an honor even knowing that kid. Mostly, he said, it was about not messing it up.

His trick was to always use just one standard: what is in their best interest.

Not always easy, admittedly, but the consequences for indulging youthful excesses isn’t really that easy either. It is kind of like health: pay for health now, or pay for sickness later. Choose.

May 12, 2017

All NSAIDs Linked to Increased MI Risk: Medscape Article

Published in Medline, by Pauline Anderson, May 10, 2017

Use of nonsteroidal anti-inflammatory drugs (NSAIDs), including naproxen, considered by some as one of the safest drugs in this class, is associated with a significantly increased risk for myocardial infarction (MI), results of a new patient-level meta-analysis show.

The analysis showed the heightened MI risk occurred as early as the first week of use and the risk was greater with higher doses.

“This new research on NSAIDs reinforces what physicians know already, that patients should use the smallest possible dose for the shortest possible time,” Michèle Bally, PhD, an epidemiologist in the Department of Pharmacy and Research Center, Centre hospitalier de l’Université de Montréal, Quebec, Canada, told Medscape Medical News.

Even though the research suggests the increased MI risk lessened over time, “the findings were not conclusive enough about longer duration,” said Dr Bally.

But for most patients, the risk is very small, she noted. “If you average people with different baseline heart risks, the risk specifically due to an NSAID is only about 1% per year, so out of 100 people treated continuously for a year, there will be one extra heart attack.”

The research was published online May 3 in BMJ.

Although previous studies have linked both traditional and cyclooxygenase-2 (COX-2) selective NSAIDs to increased MI risk, the timing of the risk, the effect of dose and treatment duration, and the comparative risks between different drugs are poorly understood, the researchers note.

The recently reported Prospective Randomized Evaluation of Celecoxib Integrated Safety Vs Ibuprofen Or Naproxen (PRECISION) study found that at moderate doses, celecoxib was noninferior to ibuprofen or naproxen with regard to cardiovascular safety.

May 11, 2017

More Sleep and Caffeine Help With Pain

Filed under: Back pain, Be careful who you listen to!, General Health & Wellness — Tags: , , , — doctordilday @ 2:27 pm

http://neurosciencenews.com/caffeine-sleep-pain-6619/

 

May 10, 2017

Consumer Reports: Real Relief from Back Pain

WSDOTworker150x150   (How many safety features can you find on this WSDOT site photo – arguably the largest organization in the State dedicated to safety? Yet, he doesn’t bend over correctly at all.)

I keep forgetting to mention that the current issue of Consumer Reports features a cover story on back pain. It is a very good review of what most of mainstream medicine recommends, and therefore what most people are doing – the lack of effectiveness, cost, and risks associated with that approach. And it covers alternative methods of addressing back pain, the proven effectiveness (which is why it is the cover story), cost savings, and safety. All of that is old news if you have been reading this Blog long (and if you search any of the key words in this Post you will find many posts – there are over a thousand here – on that subject).

Two things are interesting to me about the article: what is right in plain sight, but missed entirely due to mindset; and how, still, the recommendations regarding how to bend and lift are erroneous – harmful even.

First, the mindset thing. Modern medicine is about treating symptoms: some will argue that but just look at what is said and what is the object of all the focus – back pain (a symptom) in this case, but it is everywhere all of the time if you look. And while they fairly accurately talk about the causes, they fail to conclude that substantially addressing these causes would be a means of preventing the symptom. Instead they point out, for example, that abnormal findings on X-rays is common among people who do not suffer with back pain. (That should be a clue, why isn’t it?)

Secondly, but related, is this whole business of correct bending and lifting technique – how could they get it so thoroughly wrong so consistently. How could they not connect the dots – remember the ‘they’ is the authoritative bodies of professional experts spewing opinions, guidelines, and recommendations (shifting gazillions of dollars within the economy)… but let’s not go down the cynical path.

I share all of this because we have a copy in the reception room – with the best parts highlighted (be me:-). Read it, but ignore the part about how to bend and lift, and talk with me about that.

DrD

March 30, 2017

A Memo On Preventing Back Pain Injury

I sent the following out just now… If you know an employer interested in preventing back injuries, please share it.

 

Greetings,

(You are getting this because either you have already shown an interest in preventing work place back injury, or there is some reason for me to belief that you might be interested.)

Last month the Annuals of Internal Medicine published the newest guidelines for the management of acute, sub-acute, and chronic low back pain (from the American College of Physicians).

You may be interested to know that Tai Chi made the list of recommendations.

Tai Chi has been referred to as “the perfect exercise”, and when researchers at the Mayo Clinic studied it in 2011, Tai Chi became their number one recommendation for Employee Wellness Programs. Researchers at the Harvard Medical School were so impressed that they wrote The Harvard Medical School Guide to Tai Chi in 2013.

I mention all of this because the epiphany that I had six years ago that I could help employers measure the risk of, and prevent, back injuries among their employees, was heavily informed by my, then, 15 years of Tai Chi practice. So far, while there has been expressed interest, my efforts to reach out have not resulted in meaningful conversations with those who have both the courage to advocate for a tested solution, and the authority to make a decision. (This is not about everyone doing Tai Chi: It is about measuring risk of back injury and then doing something about it that will measurably reduce that risk.)

My hope is that the growing impact of the problems of back pain injury (both direct costs and indirect costs) and the growing evidence of simple and efficient solutions will someday intersect with your priorities and the priorities of your employers. I would like to help, when/if that time comes.

Dennis Dilday, D.C.

Everett Chiropractic Center

Health – Naturally, through Chiropractic, Fitness & Whole-Food Nutrition

8625 Evergreen Way, #210

Everett, WA 98203

(425) 348-5207

http://www.doctordilday.com

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