The Illusive Pop of Spinal Manipulation
“To Pop or Not to Pop” is understandably a
twist on an age-old Shakespearean quote for an age-old chiropractic
spinal manipulation discussion point. Today’s answer is that it is not a required
indicator of back pain relief via spinal
manipulation treatment (SMT), yet back pain and neck pain patients undergoing SMT want and need to know all they can. Current
guidelines for managing low back pain
emphasize 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
providing patient education for 76% of patients with
physical therapists at 74% and general practitioners at just 44%. The
more emotionally distressed a patient was or the pain
extended below the knee,
information was shared with 78% of patients. (1) A valuable
topic for Tonawanda back pain and neck pain patients undergoing spinal
manipulation treatment (SMT) is this sometimes-audible pop. A systematic
review of published studies found that regardless of the spinal
area or follow-up time after the SMT, nothing was found that showed evidence
of improved pain outcomes or treatment success related to an audible pop. (2) Good
thing since some patients experience it, and some don’t.
Patients whose practitioners told them
about the audible pop - and those who weren’t spinal manipulation patients - reported
interesting theories of what caused that sound
and had overemphasized ideas of its importance. (3) Instead of
the question “To pop or not to pop?” the better question
for you and your Tonawanda chiropractor may well be “Is
there pain relief or not?” With our gentle chiropractic care, there is
pain relief for many Tonawanda back pain and neck pain sufferers. Let’s talk about all of this at your
next chiropractic visit at Chiropractic Spine Sports And Rehabilitation!
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 well- 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 described 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 use of
fats/proteins/carbs, inflammation, blood pressure as well as
increases blood sugar and decreases bone formation.
(B) The adrenal medulla produces “stress hormones”
epinephrine (adrenaline) and norepinephrine (noradrenaline) in charge
of the fight or flight response. (5) Adrenal gland issues
keep people awake at night…for real! Although not yet
conclusive, 800-2000IU a day was proposed in
one recent study to support adrenal health. (6)
Chiropractic Spine Sports And Rehabilitation is excited to discuss vitamin D
and any adrenal gland issues you may be having.
CONTACT Chiropractic Spine Sports And Rehabilitation
Make your next Tonawanda
chiropractic visit with Chiropractic Spine Sports And Rehabilitation now! We
have a lot to talk about!
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."