Sometimes you just see the perfect little spoof that sums up what you think is going on a little too much in America. Below is a great and short add by an independent chiropractic commercial from a guy practicing in Beverly Hills California. Sadly, it may offend a few, but in reality most of the good medical docs out there know that this is a real problem within the profession. Stay Healthy. Dr. Chipley
Scientists have discovered an additional risk factor for developing sciatic pain: your genes. Though researchers suspected that genes play a role in this often debilitating back problem, a 2012 study examined the impact of familial history on the risk of lumbar disc disease, which frequently causes sciatica. A group of orthopedists from the University of Utah School of Medicine analyzed records from the Utah Population Database, which includes data dating back to early settlers. Using familial genealogy of 1, 264 patients, the researchers track the presence of lumbar disc disease over several generations. They found that having a close relative quadrupled your risk for lumbar disc disease. But if you’re parents didn’t have lumbar disc disease, you’re not off the hook: even having a distant cousin can elevate your risk.
Genetics isn’t the only cause of sciatica; mechanical stress on the spine, occupational loading, aging, and even smoking has been linked to sciatica. Learning whether you have a genetic risk of lumbar disc disease can help you take additional steps to prevent or minimize sciatic nerve pain. Contact a chiropractor to find out ways to ease sciatica and prevent it from returning.
Patel, Alpesh. William Ryan Spiker. Michael Daubs, Darrel Brodke, and Lisa A. Cannon-Albright. Evidence for an Inherited Predisposition to Lumbar Disc Disease. The Journal of Bone and Joint Surgery. February 2011; 29(3): doi
Written by: Marissa Luck on August 8, 2014.on August 6, 2014
The cause of migraines is still somewhat a mystery. Scientists have found a number of neurological and even genetic factors at play in regard to these often life-altering headaches, but haven’t yet identified a primary cause. Unfortunately, since the research is constantly changing, this essentially forces patients to accept treatments that temporarily ease their pain, but don’t offer any long-term solutions. However, the first step to preventing migraines is discovering the triggers that bring them on. And beyond wine, stress, and chocolate, there’s an extremely common migraine trigger that may just surprise you. It involves tiny knots of muscles in your neck, called myofascial trigger points.
In a study published in the Journal of Bodywork and Movement Therapies, researchers found that migraine sufferers had increased muscle stiffness and myofascial trigger points in their right sternocleidomastoid and right trapezius neck muscles when compared to headache-free patients.
Myofascial trigger points create a “cycle of pain” in which your migraine headache causes you tense your neck muscles, which leads to knots, which further forces you to constrict your muscles, leading to even more headaches. How can you break this cycle? Through regular spinal manipulations, a chiropractor may be able to provide you migraine relief, if not take your head pain away entirely.
For instance, a recent case study involved a 15-year old male who had a migraine for over a month, along with suffering from a whole other host of issues such as attention deficit hyperactivity disorder (ADHD) and Tourette syndrome. He engaged in chiropractic care over the course of 19 weeks and, not only did his migraine go away, but his other conditions improved as well.
Beyond this case study, studies involving larger sample sizes show that patients with migraine can expect to experience a 68-90 percent decrease in headache severity by using chiropractic care.
If you suffer from migraines, make an appointment with your chiropractor today. It may be just the treatment you need to become pain-free!
Tali D, et al. Upper cervical mobility, posture and myofascial trigger points in subjects with episodic migraine: Case control study. Journal of Bodywork and Movement Therapies 2014.
Jahangiri JN, Vatankhah N, and Baradaran HR. Reduction of Current Migraine Headache Pain Following Neck Massage and Spinal Manipulation. Journal of Therapeutic Massage and Bodywork 2012; 5(1): 5–13.
Kuhn K and Cambron J. Chiropractic management using a brain-based model of care for a 15-year-old adolescent boy with migraine headaches and behavioral and learning difficulties: a case report. Journal of Chiropractic Medicine (2013) 12, 274-280.
Tuchin P, Pollard H, Bonello R. A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics 2000; 23 (2) 91-95.
About Author Christina DeBusk Christina DeBusk is a health and wellness writer with a certification in fitness and nutrition. She is the author of The 15 Minute Total Life Makeover, Life Lessons, and Rock Solid Abs. Her goal is to educate, motivate, and inspire people to live healthy now so they can live healthy later. Regular chiropractic care is part of her own health regimen and she encourages everyone else to make it part of theirs too.
Think you have to live with back pain just because you’re growing old? You’re not alone. Research shows that although older adults are more likely to experience back pain, they are less likely to seek care for their pain than younger adults. Even though everyone can expect to experience more aches and pain with age, there’s no reason why that pain should hamper your ability to enjoy life to its fullest. There may be no fountain of youth, but there are simple yet effective ways to keep your body functioning well in spite of age. More and more older adults are turning to chiropractic to fend off pain in their golden years. A 2009 study found that older patients receiving chiropractic adjustments experience significantly less disability and pain compared to patients not receiving chiropractic.
Chiropractic works best when combined with exercise and nutrition. A recent study of older adults showed that those involved in physical activity had substantially less pain-related disability than non-active adults. By improving balance, gait, and strength, exercise and chiropractic can also play an important role in fall prevention.
The researchers pointed out that adequate nutrition and supplementation can also support fall prevention. Your chiropractor can coach you in making the right dietary and vitamin choices.
Chiropractic care is more than just treating pain. It’s also about helping you lead a fulfilling, healthy life – regardless of age.
Dougherty PE, Hawk C, and Weiner D, et al. The role of chiropractic care in older adults. Chiropractic and Manual Therapies 2012; 20 (3): doi:10.1186/2045-709X-20-3.
Written by: Marissa Luck on August 18, 2014.
Chipley Chiropractic in Beckley has quietly continued to build our Occupational Medical Services Department. We have been performing DOT CDL Medical Fitness Exams since 2012. Dr. Chipley is on the National Registry. He has received contact by multiple employers concerned about Body Mass Index Testing based on height and weight and also on neck circumference. the Following is an update from July of 2014 related to this issue:
***Sleep Apnea Guideline Delayed Indefinitely
US Congress Passes Public Law 113-45 To ensure that any new or revised requirement providing for the screening, testing, or treatment of individuals operating commercial motor vehicles for sleep disorders is adopted pursuant to a rulemaking proceeding, and for other purposes.
Those opposed to new guidelines being developed for FMCSA lobbied for passage of Public Law 113-45 which requires the DOT to use the "Rule Making" process before making any change to the current sleep apnea guidelines. The rule is a long and arduous process. You should not expect any new sleep guidelines for quite some time.
Definition of Sleep Apnea: 30 hypoapnea events per hour
Neck Circumference: 17" males, 16" female
Reported Pauses in Breathing
Report of/or testing indicating daytime sleepiness
FMCSA is encouraging "Best Practice" for drivers with Sleep Apnea and they have removed all reference to Sleep Apnea from the FMCSA Medical Examiner's Handbook and their website.
The following guidance that has been provided in the past several years from FMCSA and as recommendations from the Medical Review Board. These could be used as a "Best Practice" basis for Certified Medical Examiners to support their requirements for drivers with suspected sleep apnea.
So what is the best practice for sleep apnea? Dr. Chipley has reviewed the literature and come to the following conclusions and recommendations: (Of course, none of this is binding on TeamCME members and should not be consider as medical advice. This is not required... but is reccomended)
Those who should be referred for a Sleep Test:
1. Drivers who disclose they have been told they pause in breathing when asleep should have a sleep test.
2. A driver with a Body Mass Index (BMI) over 35 with a history of hypertension, diabetes, MI or stroke should have a sleep test, but if they do not report or have testing that indicates daytime sleepiness that does not specifically mean they must be disqualified from driving unless you believe they have undiagnosed sleep apnea and could pose a risk. Other factors to consider would be loud snoring and whether they awake refreshed and the results of a current Epworth. If an Epworth indicated OSA testing is in order, disqualify until testing is obtained.
Drivers with a BMI over 35 without a history of hypertension, diabetes, MI or stroke should have a current Epworth. If indicated, testing should be performed. Other things to consider are loud snoring, awaking refreshed, or other sleep questionnaires, small jaw, and overall large body stature.
3. Drivers who have a 17" (male) or 16" (female) neck should not be required to have OSA testing on that basis alone.
4. Yearly testing should at least include a current Epworth to be conducted by the sleep specialist along with yearly clearance.
We hope this helps those with questions about the current policies and recommendations for certifying those who are concerned about loosing certification due to body mass index alone. For more information about the occupational services at Chipley Chiropractic: Click Here
There’s more to weight loss than fitting into your favorite jeans — it just may be your ticket out of chronic pain. So, how?
Research shows obesity not only increases your risk of lumbar disc herniation and pain in the lower back, it inhibits the effectiveness of back pain treatment. Like a smoker who continues to blow through a pack a day even as she receives cancer treatment, overweight people who fail to shed pounds cannot expect to get the full benefits of spinal treatments. When the spine is loaded with additional weight, the space between the spinal discs decreases, compressing or irritating surrounding nerves.
A 2008 study from the journal Spine sought to see just how much slimming down could impact treatment outcomes for back pain. A team of orthopedists studied 30 morbidly obese people who had just undergone a major weight loss procedure (bariatic surgery). Researchers then tracked the progress of pain as patients shed pounds. As BMI levels dropped, the space between the discs in the lumbar spine expanded. This freed up pressure on pinched nerves, and over time, reduced pain.
Fortunately you don’t have to resort to weight loss surgery to experience similar results. Exercise, diet and chiropractic care can often do the trick for many patients, according to recent research. So if you’re looking to rid yourself of pain while squeezing into those skinny jeans, give us a call at Chipley Chiropractic. Dr. Chipley and Dr. McMillen continue to work to lead the field of chiropractic healthcare in Southern WV. Their practice at 409 N. Kanawha Street in Beckley, WV is open Mon
Reference: Djurasovic M, Bratcher KR, Glassman S, et a. The Effect of Obesity on Clinical Outcomes After Lumbar Fusion. Spine 2008; 33(16): 1789-1792.
Written by: Marissa Luck on August 1, 2014.on August 4, 2014.
If you’ve noticed that you always feel better after a chiropractic adjustment, there is now scientific documentation of why that is happening. To verify what occurs physiologically after spinal manipulation, scientists at the University of Spain took 30 graduate students with no symptoms and assigned them to receive cervical adjustments, thoracic adjustments, or no manipulation at all. Blood samples were taken before the manipulation, immediately after it, and two hours later. The scientists sought to understand how hormones change in response to chiropractic adjustments.
What Happened Physiologically?
Researches tracked four chemicals in the blood plasma: neurotensin, oxytocin, cortisol, and orexin A. Neurotensin is thought to play a role in neutralizing pain induced from stress. It interacts with the serotonin neurons of the brain, those ones that keep you calm and cool as a cucumber when times get rough. Neurotensin also affects the activity of the oxytocin cells in the brain.
Oxytocin is the hormone that acts as a neurotransmitter in the brain. When levels are high, you want to bond with the people around you. Oxytocin levels are high when moms are giving birth, breastfeeding their babies, and when you kiss your loved ones. It’s anti-inflammatory, and its levels increase the trust you feel from others.
Cortisol acts to decrease local edema and pain by blocking early stages of inflammation. High levels also promote wound healing. Studies show that an increase of cortisol is a good painkiller. Orexin-A is a neuropeptide that is associated with pain control.
How Spinal Manipulation Changed Hormones
After the spinal manipulation, the levels of cortisol, neurotensin, and oxytocin rose. This tells you that the manipulation can cause definite increases in these neurotransmitters and hormones. The body interpreted the chiropractic manipulation as a mechanical force on the tissues that caused them to synthesize the neuropeptides.
They also found that cervical manipulation increased levels of neuropeptides higher than thoracic manipulations.
What this whole study tells us is that you are getting more than just a better range of motion when you get a spinal manipulation. You’re getting positive effects on the entire nervous system that are making widespread changes in your entire body. You’re getting pain control in an instant from educated human touch.
And now it can’t be disputed. Chiropractic works and now we know why it’s better than pain-killing drugs with side effects.
Reference: Plaza-Manzano, G., et al. Changes in biochemical markers of pain perception and stress response after spinal manipulation. Journal Orthopaedic and Sports Physical Therapy 2014;44(4):231-9. doi: 10.2519/jospt.2014.4996.
Written by: Donna Schwontkowski on August 4, 2014.
Last revised by: Marissa Luck
Cervicogenic headaches, or headaches that originate in the neck, are usually more than a little bothersome. Not only do they cause you a decent amount of pain, but they can also reduce your quality of life – especially if you start avoiding certain events or activities you used to love due to the hurt. Fortunately, according to a study published in The Spine Journal, relief may be just a few chiropractic visits away. Researchers took 80 people who suffered with regular, chronic cervicogenic headaches and split them up into two groups, with some individuals participating in eight weeks of light massage and the rest receiving spinal manipulation therapy for the same amount of time. Then each group was split yet again with some members receiving treatment once a week and others receiving double that amount, or twice a week sessions, totaling 16 visits all together.
Individuals treated by a chiropractor were more likely to see a 50% improvement in the amount of pain they were experiencing. They also experienced a 50% reduction in headache frequency compared to the group who had light massage. Additionally, the gains experienced by the subjects who received 16 chiropractic adjustments were only slightly higher than those who received eight adjustments.
So if you’re suffering from cervicogenic headaches and want to find relief, call us at Chipley Chiropractic in Beckley. We’ll do what it takes to help you feel better!
Haas M, et al. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. The Spine Journal. 2010; 10: 117-128.
This Blog is a Group Effort from all of the Staff of Chipley Chiropractic:
Kay, Kathy, Cheryl,