Fibromyalgia Helped Following Chiropractic: A Case Study

What is Fibromyalgia? Can Chiropractic Care Help Fibromyalgia Pain?

On March 13, 2017, the Annals of Vertebral Subluxation Research published a case study documenting the improvement from chiropractic of a woman who had been suffering with fibromyalgia, widespread pain, fatigue, depression, and headaches.

Fibromyalgia Helped Following Chiropractic Austin TX Chiropractor Best Reviews Yelp Google Facebook NextdoorFibromyalgia is a chronic, widespread pain syndrome with an unknown medical cause. The word itself is actually a descriptive term that can be broken down into three words. “Fibro” is a Latin word meaning fibrous tissues such as tendons and ligaments. The middle part “my” is short for “myo” which is Latin for muscles. And the word “algia” is Latin meaning pain. The study authors note how common this problem is by stating that, “It is estimated to affect 2-3% of the American population and is the second most common diagnosis made in rheumatology clinics in the United States.”

Fibromyalgia is about ten times more common in women than men, and commonly starts between the ages of 60 to 79 years. Due to many patients with fibromyalgia also suffering from depression, common medical treatment is low-dose antidepressants as well as pain medication.

In this case, a 40-year-old woman went to the chiropractor with an 8-year history of medically diagnosed fibromyalgia. Her symptoms included widespread pain, including neck pain, mid and upper-back pain, and arm and shoulder pain. She was also suffering from headaches, high blood pressure, and depression. The medical care she had been receiving for her condition included three non-steroidal anti-inflammatory drugs (NSAID) per day, seizure medication, and a series of three cortisone injections.

A chiropractic examination was performed to access the woman’s spine and nervous system. This consisted of postural evaluation, x-rays of the spine, paraspinal surface electromyography (sEMG), paraspinal thermography, range of motion (ROM), and motion and static palpation. Additionally, a 36-question short-form (SF-36) questionnaire was given. This questionnaire is a standard and verifiable measurement of quality of life as stated by the patient. It is often used to gauge the overall improvement of a patient in their abilities to have a normal and function life. The scores that the patient can give themselves in each of the areas range from 0 for the worst possible, to 100 representing the highest level of functioning possible.

The woman received a total of 44 chiropractic visits over a 5 month period after which a re-examination was performed and all tests were compared to the original findings. The study records that all objective findings showed improvement including the patient’s range of motion, the sEMG tests, as well as x-ray findings.

The SF-36 patient questionnaire showed considerable improvement in most all the areas as reported by the woman. Her emotional well-being improved 10 points from 39.6 to 49.6. Her reported energy/fatigue improved 37.5 points from a 16.6 to 54.1. She reported that her general health improved 35.0 points from a 3.0 to 38.0. As for pain, her original rating was a complete 0, which improved 36.7 points. Likewise she rated her physical functioning at 0 before her care which improved to 39.4 after chiropractic. Her limitations due to emotional problems improved 8.3 points from 50.9 to 59.2. The woman reported that her social functioning improved 37.5 points from an original 21.2 to 58.7 after chiropractic.

In their conclusion the authors wrote, “Reduction in radiographic vertebral subluxations and improvements in spinal alignment and posture, ranges of motion, musculoskeletal pain, headaches, and health-related quality of life were achieved using [chiropractic] on a patient diagnosed with fibromyalgia.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. Austin chiropractor located in north central Austin, TX.


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Reduction of Labor and Delivery Time Due to Chiropractic Care

Do Chiropractor’s Help Pregnant Patients? Can Chiropractic Help Delivery?

The Journal of Pediatric, Maternal & Family Health published a case study on April 3, 2017, documenting the case of a woman who experienced a shorter and easier birth due to chiropractic care. This improvement was compared to her first pregnancy and delivery where she did not receive any chiropractic care.

Reduction of Labor and Delivery Time Due to Chiropractic Care - Austin-TX-Pregnancy-Chiropractor-Prenatal-Postnatal-Care-Childbirth-ATXThe study begins by noting that chiropractic care has been involved in the care of pregnant women since the early days of the profession over a century ago. The authors note that over 76% of practicing chiropractors report that the care of pregnant women is a part of their practices. This care is rendered for both musculoskeletal issues related to pregnancy as well as care for overall wellness during pregnancy.

In this study, a 28-year-old woman went to the chiropractor for evaluation and possible care. She sought chiropractic for a pain in her tailbone area as well as for wellness care. The woman believed that her pelvis had shifted due to her first pregnancy. She reported that after the delivery of her firstborn, she experienced pain and discomfort at her tailbone any time she sat on a hard surface. The woman reported that her first pregnancy went well, but that her delivery was very long and difficult. This was one of the factors in her desire to receive chiropractic care in anticipation of her second pregnancy.

Her history revealed that between the ages of eight and sixteen, she was a competitive gymnast and was receiving chiropractic intermittently during that time. She also noted that she did not receive any chiropractic care during her first pregnancy. Prior to her first pregnancy, she did not have tailbone pain. She later attributed her long and difficult labor and delivery as being the cause of the tailbone pain.

A chiropractic examination was performed and it was determined that multiple vertebral subluxations were present. Care was started to address the subluxations through a series of adjustments to the areas involved. After a number of adjustments, the woman reported a 50% reduction in the tail bone pain. She then became pregnant for the second time. The chiropractic care was continued to, hopefully, facilitate an easier delivery process.

As with her first birth, the woman decided to have her second child at home. She was supervised by the same Certified Professional Midwife (CPM) that attended her first home birth. According to the midwife, the woman’s first labor and delivery time combined was 32 hours and 25 minutes. After chiropractic care, the midwife reported that the woman’s labor and delivery times for her second child was only two hours and 45 minutes combined.

In their conclusion, the study authors note that chiropractic care during pregnancy is far more valuable than just symptomatic relief of musculoskeletal pains, and should be considered for the overall wellness and process of pregnancy. They stated, “This case report provides supporting evidence that subluxation centered chiropractic care on pregnant patients can have beneficial effects on the birthing process.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. Austin chiropractor located in north central Austin, TX.


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Reduction of Blood Pressure in a Patient Receiving Chiropractic Care

Can Chiropractic Care Reduce High Blood Pressure?

The Annals of Vertebral Subluxation Research published a case study with a review of pertinent literature on March 6, 2017, documenting the positive effect chiropractic has on people with hypertension. The study defines hypertension as a systolic blood pressure of greater than 140 mm Hg or a diastolic blood pressure greater than 90 mm Hg.

Reduction of Blood Pressure in a Patient Receiving Chiropractic Care Austin TX Chiropractor for HBP Better Function of Body Nervous System Best Reviews on Yelp Google NextdoorTreatment of hypertension is one of the most expensive components of medical care in the U.S., costing a total of $50 billion in the year 2009. Upwards of 78 million Americans are being treated for hypertension. According to the study, it is estimated that by the year 2030, the cost as a result of hypertension and related illness will reach $343 billion per year. It is estimated that 30.5% of men and 28.5% of women are hypertensive.

Hypertension itself is not the major concern. Of more concern are the health issues that come from long term hypertension which can be serious or even deadly. In reporting data on years of life lost due to related condition from hypertension, the study states, “…related diseases in 2010 was estimated at: 7.2 million as a result of ischemic heart disease, 1.9 million as a result of stroke, and 2.2 million as a result of the combination of chronic kidney disease, other cardiovascular and circulatory diseases, and hypertensive heart disease.”

In this case, a 50-year-old man went to the chiropractor with no health complaint other than hypertension. He had been diagnosed with hypertension 24 years prior. His only other history concern was resolved back and neck pain 5 years earlier. He was previously taking a hypertensive medication which he self-discontinued due to his observation that it was not working. He had previously been under chiropractic care and was seeking care on this occasion for wellness purposes.

A chiropractic and general examination was performed on the man. At the time of the examination, his blood pressure measured 155/100 mm Hg. Additional findings of the examination showed a restricted cervical range of motion. Thermography and spinal palpation also showed spinal areas of concern that led to the diagnosis of multiple subluxation in the cervical, thoracic, and lumbar spine.

The man began receiving chiropractic adjustments at the rate of one per week. Blood pressure was measured before and after the chiropractic adjustments to record any changes. Palpation and thermography were also performed regularly to access progress of care.

The study reports that there was an average 8.39 mm Hg drop in systolic and 3.56 mm Hg drop in diastolic blood pressure measured pre- and post-adjustment over the course of the chiropractic care.

The study authors reported on the literature available on the subject of blood pressure related to chiropractic and related care. They found that there were 40 articles in the current literature under the umbrella of chiropractic adjustments, spinal manipulative therapy, and osteopathic manipulation’s effects on blood pressure. They point out that the variety of research on chiropractic and blood pressure makes it difficult to make specific statements related to the type of chiropractic care best suited to affect blood pressure. However, they were able to conclude that “Results from these studies are largely varied as well with studies suggesting the chiropractic as effective in managing hypertension as the use of a two-drug combination therapy.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. Austin chiropractor located in north central Austin, TX.


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World Health Organization Lists Twelve Highest Priority Antibiotic-Resistant Bacteria

When Do I Need An Antibiotic? Do Antibiotics Work?

The World Health Organization (WHO) issued a list of twelve “Priority Pathogens” that pose a great health risk to mankind. The WHO is asking that researchers focus on development of new antibiotics to fight these bacteria.

World Health Organization Lists Twelve Highest Priority Antibiotic-Resistant Bacteria Austin TX Chiropractor Natural Healthcare without Drugs or MedicineIn a February 27, 2017, release titled, “WHO publishes list of bacteria for which new antibiotics are urgently needed”, the WHO points out that this list represents a growing concern about the ineffectiveness of antibiotic usage against bacteria that have been evolving and adapting quickly.

Dr. Marie-Paule Kieny, WHO’s Assistant Director-General for Health Systems and Innovation stated, “Antibiotic resistance is growing, and we are fast running out of treatment options. If we leave it to market forces alone, the new antibiotics we most urgently need are not going to be developed in time.” In an interview, Dr. Kieny continued, “This list is not meant to scare people about new superbugs. It’s intended to signal research and development priorities to address urgent public health threat.”

Just two days earlier, the Washington Post ran an article titled, “Dangerous antibiotic-resistant infections on the rise for children in the U.S., study finds.” This new study published in the Journal of the Pediatric Infectious Diseases Society highlighted how big the problem of antibiotic resistance has become. This study found that 3 out of 5 children admitted to hospitals already had an antibiotic-resistant infection.

Dr. Sharon Meropol, the study’s lead author and an assistant professor of pediatrics, epidemiology and biostatistics at Case Western Reserve University School of Medicine commented, “Antibiotic resistance increasingly threatens our ability to treat our children’s infections.”

Part of the concern is the over usage of antibiotics not only in human illness, but also in agriculture. Animals are given antibiotics in many cases just as a prevention. The issue is that the bacteria in them become resistant and then find their way to human populations.

According to the U.S. Centers for Disease Control, (CDC) for every 1000 people in the US who see a doctor, 842 are given antibiotics. Dr. Theoklis Zaoutis, professor of pediatrics at the Children’s Hospital of Philadelphia states that, “About 30 percent of antibiotic use is either inappropriate or unnecessary in the U.S.”

The CDC highlights this growing issue on their website. “Antibiotic resistance is one of the world’s most pressing public health problems. Illnesses that were once easily treatable with antibiotics* are becoming more difficult to cure and more expensive to treat. Infections from common antibiotic-resistant food borne bacteria, such as Salmonella, can cause more severe health outcomes than infections with bacteria that are not resistant to antibiotics.”

The WHO ended their release on this issue with a stern warning that speaks to an overall re-thinking of how we use antibiotics. “While more R&D is vital, alone, it cannot solve the problem. To address resistance, there must also be better prevention of infections and appropriate use of existing antibiotics in humans and animals, as well as rational use of any new antibiotics that are developed in future.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. Austin chiropractor located in north central Austin, TX.


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Sense of Smell Returns with Chiropractic Care

What is Anosmia? Can Chiropractic Care Affect Senses?

On February 27, 2017, the Annals of Vertebral Subluxation Research published a case study documenting a patient suffering a loss of the sense of smell (anosmia), which was corrected with chiropractic care. According to the Anosmia Foundation, between 2 and 5 million American adults suffer from some form of this condition.

Sense of Smell Returns with Chiropractic Care Austin ATX Chiropractor Nervous System Musculoskeletal System Body Care Health WellnessThe study reports that a loss of smell can be either partial or complete, and can be temporary or permanent. A complete loss of smell is rarer. The condition is more common in the elderly population. Some of the associated causes can include head trauma, sinus or nasal diseases, pathologies, toxic exposures such as cocaine abuse, and some very rare congenital anomalies. Several medical conditions have also been associated with a loss of the sense of smell. These include: Alzheimer’s disease, Multiple Sclerosis, Parkinson’s disease, and depression.

In this case, a 58-year-old woman came to the chiropractor for care related to her high blood pressure as well as symptoms from a recent car accident a month earlier. Her blood pressure condition had been present for 20 years since the birth of her son, and she was taking medication since that time. Since her car accident, she had been suffering with right shoulder and mid-back pain.

The woman reported that she had been involved in another car accident 9 years prior. It was immediately after this accident that she had lost her sense of smell. Her ability to smell had not returned since that time.

A chiropractic examination was performed which included palpation, a posture assessment, paraspinal surface EMG, and x-rays. Based on the findings, specific forms of chiropractic care were initiated.

The results of the care were objectively documented by improvements in the paraspinal surface EMG, the spinal x-rays and the other examination procedures that were performed.

Over the course of care, the woman reported that the pain from her most recent accident was dramatically reduced. Additionally, she noted that her sense of smell had completely returned.

The study authors noted that there is no standard medical care for anosmia. Many times, this condition is overlooked because of the concern of more severe injuries in post-traumatic accidents. A common medical treatment for this condition is the use of oral steroids. However, published studies on this type of treatment has shown that the use of steroids is just as effective as spontaneous recovery, but carries significant risk of side effects.

Because of the lack of successful medical treatment, and the increased risk due to steroid usage, the authors believe that additional studies into chiropractic for people with a loss of their sense of smell is warranted.

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. Austin chiropractor located in north central Austin, TX.


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Meniere’s Disease Resolved with Chiropractic: A Case Study

What is Meniere’s Disease? Can Chiropractic Care Help Inner Ear Disorders?

The Journal of Upper Cervical Chiropractic Research published a case study on January 9, 2017, documenting the resolution of symptoms in a patient suffering from Meniere’s Disease. The American Hearing Loss Foundation defines this condition as, “Meniere’s Disease is a disorder of the inner ear that causes episodes of vertigo, ringing in the ears (tinnitus), a feeling of fullness or pressure in the ear, and fluctuating hearing loss.”

's Disease Resolved with Chiropractic - Dizzy Austin Chiropractor Best Reviews Yelp Google Facebook Nextdoor AppSymptoms of Meniere’s Disease include vertigo (dizziness), tinnitus (ringing in ears), feeling of fullness in the affected ear, loss of balance, nausea, vomiting, and sweating. Estimates are that about 0.2% of the U.S. population, or about 615,000 suffer from this condition. Meniere’s is most common between the ages of 30 and 60 years. The symptoms can occur all at once or individually. Intermittent episodes can last anywhere from minutes to hours with varying intensity.

In this case, a 45-year-old man went to the chiropractor to see if he could be helped with his previously diagnosed condition of Meniere’s Disease. The man reported suffering from unpredictable episodes of fullness of the ear, tinnitus, and vertigo. He was taking Valium to try to control his symptoms. He reported that he would go a few months without symptoms but then they would return. He had been in two car accidents ten to fifteen years prior which he claimed caused a “pinched nerve” in his neck.

A chiropractic examination was performed which included a combination of x-rays, postural analysis, leg length measurements, manual palpation and thermography. From the findings, it was determined that subluxation was present in his upper neck. Specific chiropractic adjustments were begun to address the subluxation.

On the 24th visit, a re-examination was performed. At that time, the patient reported that his condition had improved 85% since starting chiropractic care. The patient noted that his quality of life had dramatically improved and he stated, “My most serious issues, vertigo and hearing loss, have been eliminated or drastically reduced.”

His secondary complaints of tinnitus and ear fullness had also improved, but were still minimally present and fluctuated from time to time. He remained under care to continue to improve. Follow-up x-rays confirmed an improvement in the subluxations noted on the first x-rays.

In the study’s conclusion, the authors gave an overview of the results by stating, “This case report outlines the subluxation based chiropractic care of a 45-year-old male suffering from Meniere’s disease following five months of care and twenty-four visits. The patient reported an 85% improvement of his condition with his primary complaints being completely eliminated or significantly reduced while his secondary complaints greatly improved.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. Austin chiropractor located in north central Austin, TX.


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Stroke Risks While Under Chiropractic Care; No Evidence For Causation

With the recent headlines of chiropractic manipulation allegedly causing stroke we have listed some recent and relevant meta-analysis studies that have been done on this topic.  Below is a summary of the conclusions of some recent studies as well as a more in depth overview of the topic.

  • We found no significant association between exposure to chiropractic care and the risk of VBA stroke. We conclude that manipulation is an unlikely cause of VBA stroke. The positive association between PCP visits and VBA stroke is most likely due to patient decisions to seek care for the symptoms (headache and neck pain) of arterial dissection. We further conclude that using chiropractic visits as a measure of exposure to manipulation may result in unreliable estimates of the strength of association with the occurrence of VBA stroke. http://chiromt.biomedcentral.com/articles/10.1186/s12998-015-0063-x

stroke-risks-while-under-chiropractic-care-no-evidence-for-causation-austin-tx-chiropractor

According to the American Heart Association (2010), a stroke “…is a disease that affects the arteries leading to and within the brain. It is the No. 3 cause of death in the United States, behind diseases of the heart and cancer. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When that happens, part of the brain cannot get the blood (and oxygen) it needs, so it starts to die…Stroke can be caused either by a clot obstructing the flow of blood to the brain (called an ischemic stroke) or by a blood vessel rupturing and preventing blood flow to the brain (called a hemorrhagic stroke)…The brain is an extremely complex organ that controls various body functions. If a stroke occurs and blood flow can’t reach the region that controls a particular body function, a stroke will ensue, then that part of the body won’t work as it should” (http://www.strokeassociation.org/STROKEORG/AboutStroke/About-stroke_UCM_308529_SubHomePage.jsp).

The AHA (2010) also posts signs and symptoms of an impending stroke. These include numbness or weakness of one side of the face, sudden confusion, difficulty speaking or understanding, problems seeing out of one or both eyes, sudden trouble walking, dizziness, loss of balance or coordination, and severe and sudden headaches with no known cause.

The blood supply to the brain is provided through the vertebral arteries and the carotid arteries. Problems in any of these arteries can result in the development of a thrombus (clot) or an embolism. If the thrombus is large enough it can occlude the normal blood flow. If an embolism occurs, it can move through the circulation into the brain and occlude blood flow. Either way, a stroke can be the result of these situations. One of the unique characteristics of strokes of this nature is that they can involve neck pain and headache.

Many patients will seek chiropractor care for neck pain and headaches. In the great majority of cases, the pain involved is not related to a stroke. However, on occasion, it may be. When the pain is related to a stroke, some of these patients developed a full range of stroke symptoms. Over the years, reports in the popular press and the scientific literature have suggested or stated outright that in patients who experience a stroke following chiropractic care, the stroke was caused by the chiropractor! We now know that this is very unlikely to be the case. What is far more likely is that the patient developed a thrombus or embolism in their vertebral arteries, producing neck pain and headache. This person sought health care for the pain. Whether they saw a chiropractor or their medical provider, they would progress on to a stroke at virtually the same rate. While the argument that the chiropractor caused the problem is convenient, the science indicates that it is in all likelihood a mistake to draw such a conclusion.

In 2008, Cassidy, Boyle, Côté, He, Hogg-Johnson, Silver, and Bondy  studied the occurrence of this problem in the province of Ontario over a nine year period with a database representing almost 110 million person-years (12.2 million people, studied over 9 years equals 110 million person-years). The purpose of this study was to investigate if an association between chiropractic care and vertebral basilar artery stroke exceeded the association between medical primary care providers and vertebral basilar artery stroke. The premise was that if there was a greater association between chiropractic care and this stroke then one could logically say there was a cause and effect relationship between chiropractic care and this problem. There was no greater likelihood of a patient experiencing a stroke following a visit to his/her chiropractor than there was after a visit to his/her primary care physician. The results were conclusive; there was no greater association between manipulation (chiropractic adjustments) and ischemic stroke or TIA’s (transient ischemic attacks).

The research did conclude that overall, 4% of stroke victims had visited a chiropractor within 30 days of their strokes, while 53% of the stroke cases had visited their medical primary care providers within the same time frame. The authors offer the perspective that because neck pain is associated with some stroke, patients visit their doctors prior to the development of a full-blown stroke scenario. Cassidy et al. (2008) noted, “Because the association between chiropractic visits and [vertebral basilar artery] stroke is not greater than the association between PCP [medical primary care providers] visits and [vertebral basilar] stroke, there is no excess risk of [vertebral basilar] stroke from chiropractic care” (p. S180). In fact, the incident of chiropractic vs. medical care was substantially lower in certain situations based upon the data.

In 2010, Murphy considered the argument that a chiropractic manipulation could cause stroke and concluded, “…if this is a possibility, it would have to be considered so rare that a case-control and case crossover study covering over 109,000,000 person-years failed to detect it” (http://www.chiroandosteo.com/content/18/1/22). He also reports that “… in 20% of cases of [vertebral artery dissection and stroke] the individual does not have neck pain or headache and in a very small percentage of vertebral artery dissections can occur in a person who has no symptoms of any kind. Thus, in cases in which an asymptomatic individual experiences [vertebral artery dissection and stroke] after [chiropractic manipulation] it is not clear whether manipulation was a cause or contributing factor to the dissection or whether the patient had an asymptomatic arterial dissection prior to the chiropractic visit” (Murphy, 2010, http://www.chiroandosteo.com/content/18/1/22). He concluded his report with the following, “…current evidence indicates that [vertebral artery dissection and stroke] is not a ‘complication to [chiropractic manipulation]’ per se. That is, the weight of the evidence suggests that [chiropractic manipulation] is not a cause of [vertebral artery dissection and stroke]…” (Murphy, 2010, http://www.chiroandosteo.com/content/18/1/22).

The real issue is not whether chiropractic or medical primary care causes stroke, as the research conclusively refutes this, but rather it is an issue of public awareness and perception. The argument must shift to the real issue of protecting the public and making people aware of the importance of recognizing risk factors and of getting immediate care to avoid long term disability or death.

Murphy (2010) offers the following advice, “…engage in a public health campaign to educate the public about the warning signs and symptoms of this uncommon but potentially devastating disorder…public education materials regarding stroke in general are available from organizations such as the American Stroke Association

 

(http://www.strokeassociation.org/presenter.jhtml?identifier=3030387 accessed 1 April 2010) the National Stroke Association

(http://www.stroke.org/site/PageServer?pagename=HOME accessed 1 April 2010) the British Stroke Association

(http://www.stroke.org.uk/information/index.html accessed 22 May 2010), the Heart and Stroke Association of Canada

(http:/ / www.heartandstroke.com/ site/ c.ikIQLcMWJtE/ b.2796497/ k.BF8B/ Home.htm?src=home accessed 22 May 2010) and the National Stroke Foundation – Australia

(http://www.strokefoundation.com.au/ accessed 22 May 2010)…” (http://www.chiroandosteo.com/content/18/1/22).

References:
1. American Heart Association, Inc. (2010). About stroke. Retrieved from http://www.strokeassociation.org/STROKEORG/AboutStroke/About-stroke_UCM_308529_SubHomePage.jsp
2. American Heart Association, Inc. (2010). Warning signs. Retrieved from http://www.strokeassociation.org/STROKEORG/WarningSigns/Warning-Signs_UCM_308528_SubHomePage.jsp
3. American Heart Association, Inc. (2010). Ischemic (clots). Retrieved from http://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/IschemicClots/Ischemic-Clots_UCM_310939_Article.jsp
4. Cassidy, J. D., Boyle, E., Côté, P., He, Y., Hogg-Johnson, S., Silver, F. L., & Bondy, S. J. (2008). Risk of vertebrobasilar stroke and chiropractic care: Results of a population-based case-control and case-crossover study. Spine, 33(45), S176-S183.
5. Murphy, D. R. (2010). Current understanding of the relationship between cervical manipulation and stroke: What does it mean for the chiropractic profession?Chiorpractic & Osteopathy, 18(22),
http://www.chiroandosteo.com/content/18/1/22

Written by Gerard Clum DC, Past President, Life Chiropractic College West & Mark Studin DC, FASBE (C), DAAPM, DAAMLP

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Older Americans Taking More Medications

What is Polypharmacy? Can Chiropractic Care Reduce My Need For Medication?

The headline above comes from a March 21, 2016, Reuters news story published in response to a pre-released study on this subject published in the April 2016 issue of JAMA Internal Medicine. This article, and several others on this same subject, reported on the growing usage of medication by the increasing elderly population.

Older Americans Taking More Medications - Austin Texas Chiropractor help for car accident injuryThe study showed that 87.7% of the population 62 to 85 years old used at least one prescription medication in 2010-2011. This was up from 84.1% in 2005-2006. Even more alarming was that the study showed that people using five or more prescription medications increased from 30.6% to 35.8% in the same five year period.

The Reuters article begins by noting that people using multiple medications, known as polypharmacy, was associated with an increase in major drug interactions in older Americans. Dr. Dima M. Qato, the study’s lead author from the University of Illinois at Chicago, commented, “That’s a concern from a public health standpoint, because it’s getting worse.”

The study showed that because of the increase in polypharmacy, the percentage of people at risk for serious or even life-threatening drug interaction has gone from 8 percent in 2005-2006 to 15 percent in 2011-2012.

Dr. Qato also stated in a CBS interview on this issue, “Many of these potentially deadly drug interactions involve prescription and non-prescription medications and supplements that are not commonly used, but are increasingly being used by older adults. While it is not known how many older adults in the U.S. die of drug interactions, the risk seems to be growing and public awareness is lacking.”

“It is time to take the next leap forward. We need to create systems that support an ongoing process of monitoring medications,” said Michael A. Steinman, M.D., of the University of California, San Francisco, in an accompanying editorial. “Such systems would help us periodically assess the benefits, harms and ongoing need for each of a patient’s medications, as well as the reasonableness of the medication regimen as a whole. These systems could also help physicians with deprescribing, for example by supporting gradual down-titration of a medication and monitoring patients for adverse drug withdrawal reactions after a drug is stopped.”

“As much as we need to support reforms in medication monitoring, we seriously need to examine the culture of taking so many medications,” says Robert Braile D.C. chairman of the International Chiropractors Association Public Relations Committee. “Americans represent about 5% of the world’s population, yet we consume about 50% of the prescription medication in the world. This, coupled with the fact that the U.S. ranks far below many other nations in almost all health statistics except spending, should lead us to question whether or not the culture of a pill for every ill is a healthy and prudent direction.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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More Chiropractic Equals Less Opioid Use

Can Chiropractic Care Help My Pain? How Does Chiropractic Work Without Using Medications?

A study published in the Journal of Manipulative and Physiological Therapeutics (JMPT) on March 28, 2016, showed that when there was more spent on chiropractic services, or more chiropractors in an area, there was overall less opioid usage.

More Chiropractic Equals Less Opioid Use - Austin TX Chiropractor personal injury for car and truck accidentsRecently, there have been a number of studies and articles showing that there is a growing problem with opioid usage and addiction in the United States. According to the CDC, nearly 2 million Americans abused or were dependant on prescription opioids in 2014. Between 1999 and 2014, 165,000 people died from prescription opioids. In response to this problem, the CDC issued their new “Guideline for Prescribing Opioids for Chronic Pain.”

The purpose of the JMPT study was twofold: to see if either the ratio of chiropractors to the general public, or the amount spent on chiropractic services had a correlation with opioid use among younger, disabled Medicare beneficiaries.

This study looked at the number of chiropractors per 1,000 Medicare beneficiaries as well as per-capita spending for chiropractic care on Medicare beneficiaries in the year 2011. The results showed that more chiropractors, or more spending on chiropractic services was associated with a decrease in the usage of opioid medication in younger, disabled Medicare beneficiaries.

“When people choose chiropractic, there is a less chance that they will turn to opioid pain medications,” states Dr. George Curry, president of the International Chiropractors Association. “Chiropractic has always offered drug free choice to a population that is being continually bombarded with pharmaceutical advertising.”

The Foundation for Chiropractic Progress (F4CP) issued a release on the problem of opioid usage on April 4, 2016, which stated, “With 72 percent of doctors prescribing opioids for back pain and 67 percent prescribing these potentially addictive drugs for chronic joint pain, the F4CP points to the value of evidence-based, drug-free chiropractic care as a safe and effective alternative for pain management often resulting from back, neck, musculoskeletal conditions and headaches.”

The F4CP release continued, “Given the high prevalence of these musculoskeletal conditions — an estimated 126.6 million Americans (one in two adults) validated by a March 2016 report from the United States Bone and Joint Initiative (USBJI).” the care provided by doctors of chiropractic (DCs) becomes even more important.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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Resolution of Infantile Colic in Infant after Chiropractic

What Do I Do With A ColiCky Baby? Does Chiropractic Care Help Colic? Do Chiropractors Treat Infants and Babies?

The Journal of Pediatric, Maternal & Family Health published a study on March 7, 2016, documenting the case of an infant with colic being resolved under chiropractic care. It is estimated that colic occurs at a rate of between 10% and 40% of infants up to 3 months of age.

Resolution of Infantile Colic in Infant after Chiropractic - Austin TX Chiropractor Pediatric Infants Babies Kids Children TeensThe study begins by noting that infantile colic was defined in 1954 by Dr. Morris Wessel who determined that a series of “threes” were needed to make the determination of colic. The “threes” were: an infant crying and/or fussing for more than three hours a day, on three or more days per week, for three weeks or more, in an infant less than three months of age who was well-fed and otherwise healthy.

Excessive crying seems to be the chief characteristic of infants suffering from colic. The authors note that the crying is usually difficult to console and associated with feeding problems that include spitting, poor sleep, and passing excessive gas.

In this case, a three-month-old baby boy was brought to the chiropractor with symptoms of colic and frequent crying spells. The baby would scream and cry without any noticeable reason. The boy’s parents described their baby’s situation by saying he “…screams and cries out of nowhere, not sure if its personality or something hurts, screams like he’s in pain.”

The history reported that the baby had severe signs of colic that seemed to reduce at seven weeks but then returned. The baby was also suffering from an overactive gastrointestinal and urinary tract that included increased frequency of bowel movements and increased urination. His colic issues were causing sleep issues as he would wake up crying in pain.

Chiropractic care was begun on the boy with specific modifications for his size and youth. Dietary recommendations were also given to the mother. By the fourth visit, it was reported that the baby boy was improving and was crying and screaming less. His sleep patterns had not yet improved at that point.

Over the next several visits, the boy continued to improve and was “doing great” according to his parents. The boy returned to normal and did not have a return of his colic or any other problems.

In their conclusion the author wrote, “This case study reports on the successful resolution of colic following the introduction of chiropractic care to reduce subluxations in a three-month-old infant.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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