Chiropractic

Chiropractic Treatments for Whiplash

spine-health — Wed, 12 Dec 2007 00:07:12 -0800

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Chiropractic Treatments of the Sacroiliac Joint

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

Introduction to chiropractic treatments of the sacroiliac joint

Chiropractic/osteopathic

spine-health — Wed, 12 Dec 2007 00:07:07 -0800

Chiropractic and osteopathic medicine represent another conservative treatment option for patients with low back pain. The overall philosophy for chiropractic and osteopathic manipulations is that joint dysfunction in the lower (lumbar) spine can produce low back pain.

Chiropractor educational requirements

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

Chiropractor examination and diagnosis

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

The patient history helps the chiropractor to identify the area(s) of complaint. Questions about family history, dietary habits, past history of other treatment(s) (chiropractic, osteopathic, medical and other), occupational history, psychosocial history, and other areas will be asked by the chiropractor to help determine the nature of the illness.

Chiropractors

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

Conservative care for back pain

spine-health — Wed, 12 Dec 2007 00:34:06 -0800

Introduction

For most people back pain tends to get better within two weeks to three months. During this time period that an episode of back pain is resolving, or if the back pain is chronic, it is important to consider the appropriate course of conservative treatment in order to:

reduce pain and spasm
provide conditioning for the back
assist in managing issues frequently associated with back pain, such as sleeplessness or depression
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Evaluation of the patient

spine-health — Wed, 12 Dec 2007 00:07:09 -0800

Candidates are selected for manipulation under anesthesia after obtaining an adequate history, thorough physical examination, and the appropriate diagnostic imaging and laboratory procedures necessary for an accurate diagnosis of the underlying condition.

Exercise and Chiropractic Care

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

Cardiovascular and strengthening exercise combined with chiropractic care are important in the management of low back pain (4). If a chiropractic patient has a history of heart problems, it is important for the patient to consult with their primary care physician to be certain that they can tolerate cardiovascular fitness- promoting activities.

How to Choose a Chiropractic Clinic

spine-health — Wed, 12 Dec 2007 00:07:09 -0800

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In addition to the chiropractor’s technique, education and case management approach, it is a good idea to consider the chiropractic clinic’s setup and several other factors before selecting a chiropractor.

Indications and contraindications for chiropractic manipulation

spine-health — Wed, 12 Dec 2007 00:07:09 -0800

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Integration of care

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

The future of health care is dependent upon the cooperation between the various professions that offer non-surgical care in the treatment of low back pain.

Health care consumers are becoming more demanding with respect to the type and quality of health care service they receive. For this, as well as other reasons, a new market is developing where health care providers are integrating into multi-disciplinary groups to provide the consumer with a multi-professional approach to their health care issues in one location.

Less forceful chiropractic manipulation techniques

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

At times, a less forceful chiropractic treatment approach for sacroiliac joint problems may be favored. There are several treatment approaches of this variety that can be utilized. These techniques include, but are not limited to:

Stretching
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Manipulation Under Anesthesia for Pain

spine-health — Wed, 12 Dec 2007 00:07:09 -0800

This procedure, manipulation under anesthesia (MUA), is a non-invasive procedure increasingly offered for acute and chronic conditions, including: neck pain, back pain, joint pain, muscle spasm, shortened muscles, fibrous adhesions and long term pain syndromes. It is generally considered safe and is utilized to treat pain arising from the cervical, thoracic and lumbar spine as well as the sacroiliac and pelvic regions.

Manipulation Under Anesthesia References

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

Greenman, PE: Manipulation with the patient under anesthesia. J. Amer. Osteopathic Assoc., 92(9):1159 -1167, Sept. 1992.
West, D.C., C.C.R.D., Mathews, M.D., Miller, PA-C, Kent, M.D. "Effect of Management of Spinal Pain in 200 Patients Evaluated for Manipulation Under Anesthesia." J. Neurol Oethop Med Surg. (1998) 18: pp. 31-42.
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Manipulative techniques

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

Techniques under anesthesia may vary from patient to patient as medical necessity indicates by the involved tissues and existing relative contraindications and/or possible complications that may exist. Some of the techniques include:

Soft tissue procedures - lateral stretching, linear stretching, deep pressure, traction and/or separation of muscle origin and insertion.

Physiologic therapeutics and chiropractic care

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

The spinal adjustment is what makes doctors of chiropractic unique in their approach to treating patients with spinal complaints. The chiropractic adjustment, however, may not be the only procedure a chiropractor may employ in managing a patient’s care.

Post operative care

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

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Preventing chronic pain from a whiplash injury

spine-health — Wed, 12 Dec 2007 00:07:12 -0800

After sustaining a whiplash injury, it is fairly common for people to suffer from chronic back pain and neck pain. A chiropractor can detect certain factors in a patient’s history and chiropractic examination. This process will help the chiropractor identify the patient who is at risk of developing chronic pain resulting from a whiplash injury, so that aggressive preventative measures can be taken.

The chiropractor’s general approach to managing the patient’s chiropractic treatment is critical to the success of preventing chronic pain from a whiplash injury.

Procedural skills in spinal manipulation: do prerequisites matter?

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

Proposed Effects

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

The proposed effects of manipulation under anesthesia therapy include the following:

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Reactions following a chiropractic adjustment

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

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References

spine-health — Wed, 12 Dec 2007 00:07:12 -0800

Murphy DR. History and physical examination. In: Murphy DR, ed. Conservative Management of Cervical Spine Syndromes. New York: McGraw-Hill, 2000:387-419.
Travell JG, Simons DG. Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol. 1, 2nd ed. Baltimore, MD: Williams and Wilkens, 1999.
Murphy DR. Dysfunction in the cervical spine. In: Murphy DR, ed. Conservative Management of Cervical Spine Syndromes. New York: McGraw-Hill, 2000:71-104.

References

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

Withington, ET. Hippocrates, with an English translation. Cambridge, Mass:Harvard University Press;1928.
Anderson R. On doctors and bonesetters in the 16th and 17th centuries. Chiropractic Hist 1983;3:11-15.
The Research Status of Spinal Manipulative Therapy: A Workshop held at the National Institutes of Health, February 2-4, 1975, M Goldstein, Ed, DHEW Publication No. NIH 76-998).
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Sources of pain from whiplash

spine-health — Wed, 12 Dec 2007 00:07:12 -0800

When the cervical spine (neck) is subject to a whiplash injury, there is usually a combination of factors that contribute to the back pain and neck pain. These factors must be addressed individually by a chiropractor, while maintaining a "holistic" view of the patient.

The most significant factors resulting from the whiplash injury may include one or more of the following:

Chiropractic treatment for joint dysfunction from a whiplash injury
Chiropractic treatment for muscle dysfunction from a whiplash injury
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Spinal Decompression for Back Pain Relief - Patients' Advice: Part I

spine-health — Wed, 12 Dec 2007 00:03:17 -0800

Back-to-Back: Patients share tips on experiences with spinal decompression

Want to know more about spinal decompression from those who have been affected most? In our Back-to-Back section, patients share tips and advice about using non-surgical spinal decompression to treat their back problems. Please read through our Back-to-Back pages or discuss spinal decompression in our message boards

The right price for my treatment

Spinal Decompression Patients' Advice: Avoiding Herniated Disc Surgery and Decompression Providers

Ben Parr — Mon, 14 Jul 2008 08:17:06 -0700

Back-to-Back: Patients share tips on experiences with spinal decompression

Spinal Decompression Patients' Advice: Inversion Tables and is the Therapy for Everyone?

Ben Parr — Mon, 14 Jul 2008 08:17:00 -0700

Back-to-Back: Patients share tips on experiences with spinal decompression

Want to know more about spinal decompression from those who have been affected most? In our Back-to-Back section, patients share tips and advice about using non-surgical spinal decompression to treat their back problems. Please read through read through our Back-to-Back pages or discuss spinal decompression in our message boards

Spinal Decompression Patients' Advice: Pricing and Degenerative Disc Disease

Ben Parr — Mon, 14 Jul 2008 08:17:03 -0700

Back-to-Back: Patients share tips on experiences with spinal decompression

Spinal Decompression Patients' Advice: The Benefits and Spinal Nerve Pressure

Ben Parr — Mon, 14 Jul 2008 08:17:09 -0700

Back-to-Back: Patients share tips on experiences with spinal decompression

Spinal manipulation and chiropractic research

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

Subluxation and chiropractic manipulation

spine-health — Wed, 12 Dec 2007 00:07:08 -0800

Defining subluxation - a chiropractic term

Supporting studies

spine-health — Wed, 12 Dec 2007 00:07:11 -0800

There are several research studies about the effectiveness of manipulation under anesthesia, including:

83% of 600 patients with EMG verified radiculopathies reported significant improvement - Robert Mensor, MD
Patients that had back pain for a minimum of 10 years reported an 87% recovery rate after MUA - 1987 with Ongly et al
51% of patients with unrelieved symptoms after conservative care had been exhausted reported good to excellent results three years post MUA - Donald Chrisman, MD
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The Graston Technique: a new manual therapy for back pain

spine-health — Wed, 12 Dec 2007 00:07:12 -0800

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