The Illusive Pop of Spinal Manipulation
“To Pop or Not to Pop” is of course a turn on an age-old Shakespearean quote for an age-old chiropractic spinal manipulation question. Today’s answer is that it is not a required indicator of back pain relief via spinal manipulation treatment (SMT), but back pain and neck pain patients undergoing SMT want and need to know all they can. Current guidelines for handling low back pain highlight patient education and exercise as important topics of discussion. Healthcare practitioners are pretty good (72% overall) at sharing information. By profession, though, chiropractors lead in delivering patient education for 76% of patients with physical therapists at 74% and general practitioners at just 44%. The more emotional distress a patient showed or pain presented below the knee, information was shared with 78% of patients. (1) A valuable topic for Augusta back pain and neck pain patients undergoing spinal manipulation treatment (SMT) is this sometimes-audible pop. A systematic review of published studies revealed that regardless of the spinal area or follow-up time after the SMT, there was no research evidence of improved pain outcomes or success of the treatment associated with an audible pop. (2) Good thing since some patients experience it, and some don’t. Patients whose practitioners explained the audible pop to them - and others who were not spinal manipulation patients - reported interesting theories of what made that sound and had overemphasized ideas of its importance. (3) Instead of the question “To pop or not to pop?” the more appropriate question for you and your Augusta chiropractor may well be “Is there pain relief or not?” With our gentle chiropractic care, there is pain relief for many Augusta back pain and neck pain sufferers. Let’s talk about all of this at your next chiropractic visit at Lombardy Chiropractic Clinic!
Listen to this PODCAST with Dr. Kurt Olding on The Back Doctors Podcast with Dr. Michael Johnson as he details the gentle spinal manipulation treatment of spinal stenosis with The Cox® Technic System of Spinal Pain Management.
[[CHIROPRACTIC]] TIP OF THE MONTH:
Vitamin D for Adrenal Gland Support
Vitamin D enjoys a favored reputation and is abundantly researched beyond its earlier role of supporting phospho-calcium metabolism and skeletal bone disorders. Today, research has well-established vitamin D as a hormone and recounted vitamin D as influential in a variety of diseases from cancer, inflammation, and autoimmunity (Hashimoto’s, Graves’, diabetes) to adrenal gland health and disease (Cushing’s, Addison’s). (4) The adrenal gland has two main parts: (A) The adrenal cortex makes cortisol which regulates the sleep/wake cycle, body’s utilization of fats/proteins/carbs, inflammation, blood pressure as well as raises blood sugar and reduces bone formation. (B) The adrenal medulla makes “stress hormones” epinephrine (adrenaline) and norepinephrine (noradrenaline) in charge of the fight or flight response. (5) Adrenal gland issues keep people awake at night…literally! Although not yet definitive, 800-2000IU a day was proposed in a new study to support adrenal health. (6) Lombardy Chiropractic Clinic is ready to discuss vitamin D and any adrenal gland issues you may be having.
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Schedule your next Augusta chiropractic visit with Lombardy Chiropractic Clinic now! We have so much to talk about!