Everett Chiropractic Center Blog

June 2, 2018

Back Pain Brain

The brain doing what the brain does.

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April 30, 2018

News You Can Use…

http://campaign.r20.constantcontact.com/render?m=1116637109108&ca=e6b4386d-9203-4043-bdad-835531c164a4

April 16, 2018

Finally, the media is saying it, and it is true…

Some would say that if the national, mainstream, media say it, it must be true.

Others would say that if the mainstream media said it, it can’t be true.

Well, there is a middle ground. Sometimes, some of what the mainstream media says is somewhat true. This article highlights the media, finally, giving some coverage of a national disgrace, a crime actually. But all of that is old news if you have been reading this Blog (search the main topics, or words from the article, here by using the Search box, and you will find many, many Posts covering these very same issues – going back 13 years).

April 2, 2018

“You have ruined me for using other Chiropractors.”

The words of a patient on Friday.

Nice to know.

February 3, 2018

The Opioid Crisis: Who Is/Is Not Guided By The Guidelines?

As far back as 1994, spinal manipulation has been a leading approach for managing low back pain in national care guidelines, and chiropractic care was the only approach that was also noted to improve function. (AHCPR Clinical Guideline #14: Acute Low Back Pain for Adults)

The 2017 American College of Physicians guidelines continued to point to spinal manipulation as a preferred initial non-drug therapy selection for chronic low back pain, along with other chiropractic services such as exercise, mindfulness, and low-laser therapy. (Annual of Internal Medicine; February 24, 2017)

So what percent of medical providers recommend spinal manipulation? Two. (OPTUM Insurance Study 2012 (retrospective review of 16,000,000 musculoskeletal cases)

“259 MILLION opioid painkiller prescriptions were written in 2012 – enough for one bottle for every adult in the U.S. 2016 data suggests that opioid problem is WORSENING, not improving.” (Centers for Disease Control; https://www.cdc.gov/vitalsigns/opioid-prescribing)

January 30, 2018

What is the leading cause of death for adults under age 50 in America?

It isn’t too much chiropractic care…

According to June 6, 2017 CBS Evening News, it is…

January 26, 2018

When Does Addiction Become a Risk with Opioids?

Long-term addiction becomes a major risk after only 5 days of opioid use. (https://www.vox.com/science-and-health/2017/3/23/14987892/opioid-herion-epidemic-charts:(citing CDC); Accessed May 2017)

259 MILLION opioid painkiller prescriptions were written in 2012 – enough for one bottle for every adult in the U.S. 2016 data suggests the opioid problem is WORSENING, not improving. (Boscarino, et al, Addiction, 2010

January 25, 2018

Who gets the Opioid Prescriptions?

Well, first, “To understand just how bad the opioid epidemic has gotten, consider these statistics: Drug overdoses in 2015 were linked to more deaths than car crashes or guns, and in fact killed more people than car crashes and gun homicides combined.”

Pain complaints are a leading reason for medical visits. The most common pain complaints are musculoskeletal, and back pain, is the most common of these. (Roafi, et al, VITAL HEALTH STAT 2016)

More than half of “regular” prescription opioid users have back pain. (Sullivan, et al: PAIN, 2005)

As far back as 1994, spinal manipulation has been a leading approach for chronic low back pain in national guidelines, and chiropractic care was the only approach that was also not to improve function. (AHCPR Clinical Guideline #14: Acute Low Back Pain for Adults)

“Chiropractors are the only physician-level health care providers that have always specialized in non-opioid, non-pharmacological musculoskeletal pain management. Chiropractors are also the leading health care providers specializing in conservative, highly effective, low-risk approaches such as spinal manipulation that have been demonstrated to be high value both for pain management and functional improvement. The chiropractic profession has always been centered on naturally effective pain management and functional improvement in patient care, especially in respect to back, neck and musculoskeletal pain.” (Pain Killers: The Opioid Crisis; A prescription-induced public health care catastrophe, Austin McMillin, DC, 2017)

What if treatment protocols, in Hospital and medical clinics, were aligned with the authoritative management guidelines? National guidelines recommendation a shift away from prescription painkillers and a move toward non-pharmacological alternative, such as chiropractic, as the first option for pain relief (at the CDC, the National Safety Council, and the Food and Drug Administration).

October 25, 2017

“I had no idea chiropractic was covered by insurance.”

That from today’s new patient. If you know anyone suffering from back pain, neck pain, or headaches (or knee pain, or shoulder pain, or… or…), you would be doing them a great service to mention that chiropractic might help them.

A chiropractic patient is qualified as a chiropractic patient because they need chiropractic care, not because of their complaints, or lack of complaints.

We look for a condition that is often no painful – it will likely eventually become painful. It may be painful, it may not. The condition we look for and attempt to prevent, correct, or manage is a progressive condition: it will get worse if it is left uncared for. It will lead to degenerative changes, eventually. And this process will lead to disease labels.

If a patient waits too long, there may be little that chiropractic care can do. But you will not know that without an examination, and usually a trial of care.

And if someone you know, work with or are related to is suffering, does have the condition that chiropractors look for and correct, and does not get chiropractic care, there is a good chance that, symptom relief or not, they will still have that condition afterwards. By this I mean medication, physical therapy, massage, may give symptomatic relief; if may not correct the underlying condition causing the symptoms.

It is an old story. We who have been telling it for decades tend to assume everyone knows it. But like insurance coverage, which has been standard for chiropractic care since the early 70’s, not everyone knows.

You need to tell them.

October 16, 2017

I Am Not The Only One Who Gets Frustrated

hip-hinge

 

Here, an elder tai chi brother of mine from Brussels, Wim Demeere, goes off on the subject of poorly trained professional athletes.

Is it any wonder that the average guy or gal on the street, working, recreating, and performing all the activities of life doesn’t have a clue how to move correctly. They merrily march on toward their next (or first) episode of injurious pain.

Notice: he doesn’t break the Knee Rule; he maintains Neutral Spine (Even in the neck!). And he pointing to his heels – where the majority of the weight lands.

And, finally, notice that he talks about the “Hip Crease” – of the three Elements of Bending & Lifting, this is the KEY element: without it you can not achieve the other two.

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.

 

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