Everett Chiropractic Center Blog

July 12, 2017

Pony Tails and Headaches

http://neurosciencenews.com/headache-ponytails-7065/

 

 

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 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

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.

June 6, 2017

Hearing What Isn’t Said

 

Yesterday a new patient with a fairly typical bad low back story, told me that he wasn’t much for going to doctors. His current episode of back pain was just about over – the pain was worse when he made the appointment – and he is getting good physical therapy (they recommended he come here).

He had already told me about his lifestyle, which is good: diet conscious – with a full garden, fit, and active – a thoughtful guy. I suggested that there is another way to think of doctoring when it comes to chiropractic: more like exercise, something that he would never think of starting and then not continuing in the sense that he might not want to continue “going to doctors.”

It was an attempt on my part. Today my first phone message was him saying that he has had a change of heart, and cancelling his next appointment.

It occurs to me that he heard something that I did not say, namely that, like exercise, he would need to come in for chiropractic care often (like exercise). He missed the point, failed to stay in the conversation long enough to get clarification, and may end up missing out on the benefits of chiropractic care.

After that message my first patient arrived. A guy who started his care here 7 weeks ago and has no symptoms at all now – hasn’t for weeks. He has been shown and is compliant with doing the things that will help him hold his adjustments (keep the joints that I adjust moving properly). He was shown how to properly bend and lift (knee rule, neutral spine, and hip hinge) and how to get up and down off the ground safely (knee rule) – something that he needed. And he as been given the exercises he needs to work on spinal stabilization (core strength) if he wants to.

He now goes two weeks between visits, and soon will be going a month between visits. It is possible that someday he will go three months between visits, enjoying little to no symptoms, and fully confident that every day he is using his back properly and maintaining his health. He is using chiropractic like exercise: regularly, and for the right reasons.

 

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

April 28, 2017

Exciting Image

Filed under: Chiropractic, General Health & Wellness — Tags: , , — doctordilday @ 11:29 am

 

vegas-nerve-parkinsons-neurosciencenews

I saw this image while reading about this research on Parkinson’s Disease and the gut.

If you think that this picture is amazing, think how amazing it is for us (chiropractors):-)

February 9, 2017

A Nice Article on Sleep and Injury

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This is from the Advocate, a newsletter of the Adler-Giersch law firm. It is a good review, and might contain information not familiar to you.

http://campaign.r20.constantcontact.com/render?m=1116637109108&ca=53cbd67d-5c9e-4de6-b8b3-3faaeb43d5d4

 

February 3, 2017

Soccer Mom News From Neurosciences.com

I have always told the story about how this issue relates to chiropractic, courts, and car accidents. Here is the latest update from the scientific community:

http://neurosciencenews.com/headers-soccer-concussion-6046/

And if you are saying to yourself, “Well, it’s better than football,” you are right. But being right in this case doesn’t get you the prize – safety.

January 25, 2017

Left Knee Pain

Today a patient wanted me to know that her left knee pain, a pain that she didn’t even tell me about (that part impressed her the most), went away immediately after her last visit – and she hasn’t had that pain since.

Patients often like to hold back from telling me what is bothering them when they come in for any particular visit; and I don’t always  ask. They like to see if I can ‘find’ it without them telling me. Then, when I do, they make a big deal out of that.

When we accept people as patients we try to explain that ours is an “alternative” approach. That we are looking for something (the subluxation complex), and if that have that, they can be a chiropractic patient – as long as it is safe for us to address the subluxation with what we do (in our case the Activator Method). If they do not have that particular condition, they do not qualify as a chiropractic patient; if it wouldn’t be safe to adjust them in the way that we do in this office, they still do not qualify as a chiropractic patient, in this office at least.

Most all of that is lost on most people. They hurt, that is the problem. And they think that it is critically important for them to tell us where they hurt for us to do our job. We go along with the conversation and keep trying to help them understand the difference between a symptom-based approach and the chiropractic approach. First patients have to feel better. We know that. The rest is a bonus.

 

January 8, 2017

Tips for choosing the right Chiropractor

The Val-U-Pak coupons came in the mail last week; I just throw them in Helen’s IN basket. Today I saw that she had pulled one out and put where I could find it: “5 Tips for choosing the right Chiropractor” – I had to read it.

And now I am compelled to share my thoughts on it with you – no, I am not going to address the marketing dynamics, or the low ball offer, and all that that implies. But let’s just look at the tips and go from there.

Tip #1:  Get a thorough consultation – Make sure your doctor truly listens to your problems and concerns. Now who going to argue with that: not me. (Falls under ‘goes without saying’ though I know it may not be what many patients have encountered in the offices that they have visited, chiropractic or otherwise.)

Tip #2: Detailed Computerized Examination – The doctor should provide you with access to the latest technology. Gosh that sounds good on the face of it, doesn’t it? All I can say it think this one through, all the way through. The trouble for patients is that they are way over their head when it comes to this and are ripe for picking for those who with less than stellar ethics.

Tip #3: On-Site X-Ray Facility – see your problems for the most effective care. This presupposes quite a bit. Nowadays it is pretty well recognized that most of the time the problems that we chiropractic doctors are addressing directly are safely and effectively addressed without having to expose the patient to either the radiation risks, or the expense of x-rays. Sometimes we do, then, having an on-site x-ray facility makes sense. The most “effective” care is the care the gets the results both the patient and doctor want in the least amount of time, for the least amount of money, and in the safest way possible. I would put ‘see’, ‘problems’ and ‘most effective’ in quotes and go from there:-)

Tip #4: Report of Clinical Findings – Prior to receiving care, you should know what’s wrong, if they can help, how long the process will take, and how much it will cost. Great ideal, but this promises more that any of us can deliver. First, you should know if the chiropractor believes that you have the problem/condition that chiropractors’ attempt to prevent, correct, or manage and if they think that it is safe to address it in the way that they specifically work. And those, by the way, are the two questions that the doctor is trying to answer in the consult and exam: do they have the problem we fix; and would it be safe to fix it the way we fix things around here? That is the “if they can help” part. But don’t be fooled – it isn’t if they can help. It’s if they think that they can help. We don’t really know if we can help for sure until we try. Which leads to how long the process will take: no one knows! In our office we make the following “promise”: that the patient will feel different in two weeks and better in four weeks. We offer that knowing full well that the vast majority will feel different and better before they get to the door to leave on their first visit. BUT, there is no guarantee! I tell them that’s the promise, and that that way if results come quickly chiropractic is a hero, if not, we are still on schedule weeks into it – it’s a reality check. Patients bring us spinal conditions that have been developing, often pain-free, for years (sometimes decades). They have developed degenerative changes, habits, lifestyles, and other conditions that affect recovery. But we live in a society that expects instant results, so… it’s an attempt to interject the truth about their conditions seriousness and the potential limitations to recovery.

Tip #5: Education – it is critical to be instructed on how to get better faster, stay better longer, and achieve maximum results for less money. Yep. And I dedicated a whole Category of our office Blog to “Be Careful Who You Listen To”. In our office we offer the following basic education to all patients, not all want all of it, some don’t want any; some want some of it, but it is always offered: (a) The problem(subluxation): how it was created, what makes it worse, and what makes it better; (b) Our solution (the adjustment via the Activator Method) to restoring function to the joints; this includes the use of basic back first aid tricks, such as the proper use of ice; (c) how their lifestyle might be the cause of or a contributing factor, and what they might be able to do about it; (d) how to correctly move and use their back, knees, and shoulders (as a minimum) because often their history is that they do not know – and/or it is revealed in our examination – and moving poorly prevents recovery and promotes relapse; (e) exercises that the patient can do at home to promote joint motion in the joints that we had to adjust, so they can go longer between visits. From there, and not before covering that ground, we will go into strengthening, flexibility, balance or coordination exercises addressing whatever is revealed as the weak areas, or according what will help the patient hold their adjustments longer.

So, for $38, you can have a posture analysis (computerized no doubt), consultation, examination and two X-rays, and save $172 – and you can get $10 off a one hour massage to boot! And… well, stop by the office if you want this coupon (it’s first come – first served).

I hope that my comments were helpful to you and that you choose a chiropractor that delivers on all their promises and gives you all the results that you seek. Happy New Year!

 

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