Effective Approach to Resolve Headaches

Headaches & Migraines: Chiropractic vs. Medication; Effectiveness &

Safety

In randomized clinical trials, chiropractic was 57% more effective in the reduction of headaches and migraines than drug therapy.

As previously reported in the US Chiropractic Directory, after 8 weeks of randomized clinical trials with chiropractic vs. medication for headache and migraine sufferers, the chiropractic group scored 42% vs. 24% effective for medication. This research indicates that chiropractic is 57% more effective than medication for headaches and migraines. The medical approach has a place in healthcare, but based upon evidenced based outcome studies, research concludes that for headaches and migraines, the path is chiropractic first and drugs second.

See the study here:

http://www.uschirodirectory.com/index.php/chiropractic-research/item/268-headaches-a-migraines-chiropractic-vs-medication-effectiveness-a-safety

If you’re serious about resolving headaches, check out our advanced technologies by calling 565-7474 or visits w.ww.nevadachiro.com.

May 17, 2011November 8, 2016

Important After a Car Accident

FIG. 513 – The internal carotid and vertebral ... — Image via Wikipedia

Last year (2010), a study published in the journal European Neurology retrospectively analyzed the data on 500 consecutive patients with whiplash injury/ The authors noted that cervical arterial dissection* can become symptomatic months after a whiplash injury.
*refers to a tear in the inner wall of a major artery in your neck.

In this study, 37.5% occurred between 4 -12 months post whiplash injury.

In this study, the authors found that head-on collisions and rear-end collisions were equally likely to produce a cervical artery dissection; and that low speed collisions were just as likely as higher speed collisions to create a post-traumatic cervical artery dissection.

Most importantly, they found that there is an increased risk of posttraumatic cervical artery dissection within 12 months after whiplash injury by about 400 times compared to the uninjured population.

Car accidents are an important risk factor for arterial dissections. The victims of car accidents should be screened for arterial dissections.

Need more information? Call 565-7474 or visits www.nevadachiro.com.

February 2, 2011November 8, 2016

Brain Function (Sensorimotor Cortex) Increases with Chiropractic Care

topography of brain cortex — Image via Wikipedia

by Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Chiropractic care improves brain function and the body’s motor or movement ability

Research findings that redefine care for every rehabilitation patient for all motor disorders

According to the Sensory Processing Disorder Foundation (2011), “Sensory processing (sometimes called ‘sensory integration‘ or SI) is a term that refers to the way the nervous system receives messages from the senses and turns them into appropriate motor and behavioral responses. Whether you are biting into a hamburger, riding a bicycle, or reading a book, your successful completion of the activity requires processing sensation or ‘sensory integration'” (http://www.learningrx.com/sensory-motor-integration-faq.htm)

According to Wikipedia (2011), “A motor skill is a learned sequence of movements that combine to produce a smooth, efficient action in order to master a particular task. The development of motor skill occurs in the motor cortex, the region of the cerebral cortex that controls voluntary muscle groups” (http://en.wikipedia.org/wiki/Motor_skill).

According to LearningRX (2010), “Sensory motor integration is the synergistic relationship between the sensory system and the motor system. Since the two communicate and coordinate with each other, if one is problematic, the other can suffer as a result. The two involve receiving and transmitting the stimuli to the central nervous system where the stimulus is then interpreted. The nervous system then determines how to respond and transmits the instructions via nerve impulses to carry out the instructions (e.g. a hand-eye coordination movement)” (http://www.learningrx.com/ sensory-motor-integration-faq.htm).

The synopsis of the above 3 paragraphs is that the human body senses information (sensory processing), processes the information in the brain (sensorimotor cortex), and then sends the information to the part of the body that has to perform a function, such as moving your thumb, walking, talking, picking something up or any other function we do in our lives. As the above paragraph eloquently stated, if any of the 3 areas are not working properly or working not optimally, every part of the system suffers.

In 2010, Taylor and Murphy concluded in their research that chiropractic care improves the functional levels of the motor cortex, premotor areas, and that this improved measurement was maintained after a 20-minute training task, indicating that it wasn’t a transient finding. The authors further offered that the practical applications suggesting that:

1. this alters the way the central nervous system responds to motor training

2. a chiropractic spinal adjustment/manipulation alters the neurological integration at the cortical (brain) level

3. this explains the mechanism responsible for reducing pain levels and increased functional ability after the adjustment/manipulation

4. this explains the mechanism of overuse injuries and chronic pain conditions

The above 4 areas change the way we should approach strategies in rehabilitation for all neurodegenerative and congenital motor and sensory disorders. A list of potential disorders that could benefit in rehabilitation from this research is:

1. muscular dystrophy

2. Duchenne muscular dystrophy

3. myasthenia gravis

4. Parkinson’s disease

5. fibromyalgia

6. multiple sclerosis

7. Huntington’s disease

8. stroke victims

9. all other neuro-muscular diseases

On a clinical note, this author, having cared for muscular dystrophy patients for 30 years, can report that in every instance, the patients were able to ambulate (walk) with greater ease and had significantly more motor control (movement) while under chiropractic care. The goal of rehabilitation in the neurodegenerative patient is to both increase muscle tone and through repetition of activities of daily living, gait training, balance training, speech training and all other motor functions, to help retrain the muscles to maximize the body’s ability to regain those functions. The rehabilitation is essential in most cases and critical to the person regaining an independent life.

The therapist in rehabilitation creates a setting similar to a car or kitchen so that the patient can re-create activities of daily living. In doing these activities with the help of the therapist, the patient is activating stimuli in the sensory nervous system. Touching and movement are senses that the brain has to process and then send impulses back to the muscles to move in order to perform daily tasks. In order for function to be regained maximally, there can be no dysfunction at the spinal level. That dysfunction is defined in chiropractic as subluxation or a vertebrate out of place, negatively affecting the nerve and fixed in the wrong position.

Based upon the research by Taylor and Murphy (2010), if there is a spinal dysfunction (subluxation) it prevents normal impulses from the sensory system and lowers the ability of the brain from functioning at its optimal. Therefore, the most rehabilitation can offer is maximization of the body’s ability at reduced capacity. The implications are staggering as in many cases that could mean no matter the expertise of the therapist or the diligence of the patient, the rehabilitation would not be as successful or could fail if the brain could not function at a higher level.

Through chiropractic care, the patient can have the ability to function at a higher level and live a “more normal life” with neurodegenerative disorders. The implications go well beyond neurodegenerative disorders and cross over to industry, sports and everyday life. However, that will be discussed in another article.

References:

1. Sensory Processing Disorder Foundation (2011). About SPD. Retrieved from http://spdfoundation.net/about-sensory-processing-disorder.html

2. Wikipedia (2011). Motor skill. Retrieved from http://en.wikipedia.org/wiki/Motor_skill

3. LearningRX (2010). Sensory motor integration. Retrieved from http://www.learningrx.com/sensory-motor-integration-faq.htm

4. Taylor, H. H., & Murphy, B. (2010). The effects of spinal manipulation on central integration of dual somatosensory input observed after motor training: A crossover study. Journal of Manipulative and Physiological Therapeutics,　33(4), 261-272.

If you have any further questions. call or contact us at www.nevadachiro.com

January 19, 2011November 8, 2016

Beyond Antibiotics: Are There Healthier Options?

by Dr. Michael Schmidt

For decades, antibiotics have been the cornerstone of treatment for bacterial infections. Antibiotics have saved many lives during this time. However, doctors have come to rely too heavily on these miracle drugs and the overuse of antibiotics has led to serious problems.

For all of the potential benefits of antibiotics, a growing list of adverse health consequences has emerged because of overuse. A sample of these is listed below:

Children with chronic earaches who take many series of antibiotics experience 2-6 times more recurrent ear infections.
Antibiotic overuse can upset intestinal integrity.
Antibiotic overuse can suppress immune function.

Factors that Lower Immunity . We know that there are many factors that lower immunity and thus make the body more susceptible to infection. These include:

Nutrition: Low vitamin C and zinc lead to sluggish Immune response.
Diet: Excess sugar consumption slows the ability of white blood cells to engulf and destroy bacteria.
Lifestyle: Sedentary people tend to have more sluggish immune systems than active people.
Environment: Solvent chemicals and heavy metals such as lead increase susceptibility to infection.
Psychological: People under stress are more likely to have frequent infections, while those with better coping skills are less sensitive to the effects of stress on their immune systems.

Are there Natural Remedies that can Help? For many common ailments, scientific research is confirming time-honored traditions.

Ear infections: The vast majority of children with recurrent ear infections improved after removing food allergens from their diets. Warm sesame oil drops can help ease the pain.
Bladder infections: Unsweetened cranberry juice clears bacteria from the bladder. Yogurt and acidophilus are also helpful.
Respiratory infections: A sauna once a week can reduce respiratory problems by one- half.
Intestinal infections: Homeopathic medicine has been helpful in reducing diarrhea in children.

Live Healthfully and Be Informed. Remember, antibiotics can save lives and reduce suffering. They are vital components of the healing arsenal. However, they must be used wisely. Your goal should be to optimize the health of your family to reduce the need for drug intervention and to make wise, informed decisions should drug intervention become necessary.

Are Antibiotics Being Overused in Your Care? Does your doctor:

Prescribe antibiotics over the phone?
Refill a prescription without an examination?
Prescribe without taking a blood count?
Neglect to ask about diet, nutrition or lifestyle factors?- Prescribe after only a cursory examination?
Write off or ignore concerns about negative side effects?
Remark that antibiotics are harmless?
Try to intimidate or frighten you into following orders?
Prescribe several courses of antibiotics when there is no improvement?
Prescribe antibiotics when illness is viral such as a cold?
Seem overworked or overbooked?
Cut your visit short by handing you a prescription?

If you answered “yes” to more than five items, you or someone in your family may be receiving antibiotics needlessly. Ask your doctor for a full re-evaluation or seek another opinion.

Dr. Schmidt‘s books Beyond Antibiotics: Strategies for Living in a World of Emerging Infections & Antibiotic-Resistant Bacteria -Third Edition and Healing Childhood Ear Infections: Prevention, Home Care, and Alternative Treatment . Both can both be ordered through DDR‘s Amazon Associates account which provides financial support to the organization.

If you would like more information call 565-7474. Or go to our website: www.nevadachiro.com

January 7, 2011November 8, 2016

Blood Pressure and Your Spine

: Image via Wikipedia

Journal of Human Hypertension 2007 (May); 21 (5): 347–352 ~ FULL TEXT

Bakris G, Dickholtz M, Meyer PM, Kravitz G, Avery E, Miller M, Brown J, Woodfield C, Bell B

Department of Preventive Medicine, Rush University Hypertension Center, Chicago, IL, USA

Anatomical abnormalities of the cervical spine at the level of the Atlas vertebra are associated with relative ischaemia of the brainstem circulation and increased blood pressure (BP). Manual correction of this mal-alignment has been associated with reduced arterial pressure. This pilot study tests the hypothesis that correcting mal-alignment of the Atlas vertebra reduces and maintains a lower BP. Using a double blind, placebo-controlled design at a single center, 50 drug naive (n=26) or washed out (n=24) patients with Stage 1 hypertension were randomized to receive a National Upper Cervical Chiropractic (NUCCA) procedure or a sham procedure. Patients received no antihypertensive meds during the 8-week study duration. The primary end point was changed in systolic and diastolic BP comparing baseline and week 8, with a 90% power to detect an 8/5 mm Hg difference at week 8 over the placebo group. The study cohort had a mean age 52.7+/-9.6 years, consisted of 70% males. At week 8, there were differences in systolic BP (-17+/-9 mm Hg, NUCCA versus -3+/-11 mm Hg, placebo; P<0.0001) and diastolic BP (-10+/-11 mm Hg, NUCCA versus -2+/-7 mm Hg; P=0.002). Lateral displacement of Atlas vertebra (1.0, baseline versus 0.04 degrees week 8, NUCCA versus 0.6, baseline versus 0.5 degrees , placebo; P=0.002). Heart rate was not reduced in the NUCCA group (-0.3 beats per minute, NUCCA, versus 0.5 beats per minute, placebo). No adverse effects were recorded. We conclude that restoration of Atlas alignment is associated with marked and sustained reductions in BP similar to the use of two-drug combination therapy.

From the Full-Text Article:

Discussion

The findings of this pilot study represent the first demonstration of a sustained BP lowering effect associated with a procedure to correct the alignment of the Atlas vertebra. The improvement in BP following the correction of Atlas misalignment is similar to that seen by giving two different antihypertensive agents simultaneously. [11, 12] Moreover, this reduction in BP persisted at 8 weeks and was not associated with pain or pain relief or any other symptom that could be associated with a rise in BP.

Other studies support the notion that changes in the cerebral circulation that is related to the position of the Atlas vertebra can affect BP. Coffee et al. [9] reviewed MR images and demonstrated a significant association between pulsatile arterial compression of the ventrolateral medulla and presence of hypertension. They concluded that subjects with hypertension should have an evaluation of their posterior fossa for evidence of anatomic abnormalities. [9 ] In fact, data linking changes in Atlas anatomy and posterior fossa circulatory changes associated with hypertension date back more than 40 years and are reviewed by Reis. [4]

The mechanism as to why this improvement in BP occurs is unknown and cannot be determined by this study. What is clear is that a significant change in sympathetic tone is probably not a major contributing mechanism as heart rate was not significantly changed. The data presented, however, raises a number of important questions including: (a) how does misalignment of C1 affect hypertension? (b) If there is a cause and effect relationship between C1 misalignment and hypertension is malposition of C1 an additional risk factor for the development of hypertension?

What is clear is that misalignment of the Atlas vertebra can be determined by assessment of the alignment of the pelvic crests. This should be considered in those who have a history of hypertension and require multiple medications for treatment. Additionally, it should be considered in those with refractory hypertension and a history of neck injuries, independent of the presence of pain. Note that pain was not present in any of the patients randomized in this study.

As discussed in the Methods section of this paper, techniques are now available to screen for atlas misalignment. This type of screening should be the responsibility of the primary care physician and should be performed on patients who have a history of head and neck trauma even if it is deemed insignificant. Those patients who present with pain related to head and neck trauma should not be screened. At a time when the prevalence of hypertension is increasing and its control more difficult due to a variety of factors, linking the correction of C1 misalignment to the subsequent lowering of BP may represent an important advancement in the screening of such patients.

This pilot study has limitations including the fact that it was dependent on the skill of one practitioner to do the manipulation. It was designed, however, to test the concept that nonsurgical manipulation can alleviate elevations in BP, thus it cannot be generalized until confirmed in a larger trial, which is being planned.

What is known about this topic:

The relationship between hypertension and presence of circulatory abnormalities in the area around the Atlas vertebra have been known for more than 40 years [3–5]

Recent studies by Akimura et al. [8] noted compression of the ventrolateral branches of the vertebral artery in the area around the Atlas vertebra in 90.6% hypertensive cases

Thus, alterations in Atlas anatomy can generate changes in the vertebral circulation that may be associated with elevated levels of blood pressure

What does this study add

This pilot study provides evidence that nonsurgical interventions to align the Atlas vertebra provide long-term amelioration in blood pressure

It provides the first nonsurgical approach to alleviating elevations in blood pressure

References

1 Randomization of patients Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure
Hypertension 2003; 42: 1206–1252

2 Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988–2000
JAMA 2003; 290: 199–206

3 The C1 area of the brainstem in tonic and reflex control of blood pressure. State of the art lecture
Hypertension 1988 (Feb); 11 (2 Pt 2): 18-13

4 The brain and hypertension: reflections on 35 years of inquiry into the neurobiology of the circulation
Circulation 1984; 70: III31–III45

5 Two specific brainstem systems which regulate the blood pressure
Clin Exp Pharmacol Physiol 1975; 12(Suppl 2): 179–183

6 Neurogenic hypertension: etiology and surgical treatment. I. Observations in 53 patients
Ann Surg 1985; 201: 391–398

7 Microvascular decompression in the treatment of hypertension: review and update
Surg Neurol 2001; 55: 2–10

8 Essential hypertension and neurovascular compression at the ventrolateral medulla oblongata: MR evaluation
AJNR Am J Neuroradiol 1995 (Feb); 16 (2): 401-5

9 Arterial compression of the retro-olivary sulcus of the medulla in essential hypertension: a multivariate analysis
J Hypertens 2005 (Nov); 23 (11): 2027-31

10 Arterial compression of the retro-olivary sulcus of the ventrolateral medulla in essential hypertension and diabetes
Hypertension 2005; 46: 982–985

11 Combination drug treatment for hypertension with nondiabetic renal disease
Curr Hypertens Rep 2005; 7: 358–359

12 Achieving goal blood pressure in patients with type 2 diabetes: conventional versus fixed-dose combination approaches
J Clin Hypertens 2003; 5: 202–209

January 6, 2011November 8, 2016

Why You NEED to Care About Your Spine

: Image via Wikipedia

The following is deep and steeped with big words. However, the words also include definitions, so don’t let it stop you from reading. It’s written by a mentor of mine and I wanted you to get a much fuller and deeper understanding of what chiropractic is and why you NEED to know!

If you have any questions go to www.nevadachiro.com or call 565-7474.

A Four-Dimensional Model of Vertebral Subluxation

By Christopher Kent, DC, Esq.

Vertebral subluxation represents the heart and soul of chiropractic, yet to many chiropractors, it remains a clinical conundrum. I believe that the controversy and confusion surrounding the chiropractic concept of vertebral subluxation is due, in part, to the lack of an operational definition compatible with most techniques.

A review of models of vertebral subluxation has been published elsewhere.¹ However, regardless of the elegance of a theoretical model, it must be capable of being operationalized if it is to be used to develop clinical strategies. The four-dimensional model was developed as an initial step in the operational definition of vertebral subluxation. It incorporates traditional chiropractic constructs and serves as a bridge to contemporary technology.

The First Dimension

The traditional safety-pin cycle (SPC) consists of the transmission of afferent information from the tissue cell (periphery) to the brain cell (epiphery) on one side, and on the efferent side, from brain cell to tissue cell.² In the 4-D model, the first dimension is dysafferentation, representing the afferent portion of the SPC. Aberrant afferent input to the CNS may result in qualitatively and/or quantitatively inappropriate responses to changes in the internal or external environment.1 In the contemporary jargon of the computer industry, there is “garbage in – garbage out.” Dr. Fred Barge, in his book One Cause, One Cure, stated that the cause of disease is “The body’s inability to comprehend itself and/or its environment.”³ Such “comprehension” is dependent upon interference-free afferent input.

Dye⁴ quoted remarks, attributed to B.J. Palmer in August 1935, which express this concept, noting the result of an adjustment: “[T]he restoration of the normal transmission of mental impulse supply from its point of origin within the brain to its point of expression in the diseased part of the body, or vice versa, that the Innate Intelligence within the brain may receive correct, accurate, exact messages as to the external conditions existing at the periphery so that it may direct either the necessary reparative forces or the necessary cooperative forces from that the tissues may be repaired or that the organ or structure may be properly directed that it may perform the normal functioning desired and indicated by the incoming message from me part without.”

The authors of the remarkable book Segmental Neuropathy, published by Canadian Memorial Chiropractic College, proposed the concept of a “neural image,” dependent upon the integrity of neural receptors and afferent pathways. This “neural image” is a representation of the organism’s perception of the external and internal environment. If afferent input is compromised, efferent response may be qualitatively and quantitatively compromised.⁵

The clinical implications of aberrant or suboptimal afferent go beyond short-term homeostatic regulation. Dysafferentation may result in anatomical and functional changes in the brain itself. Merzenich⁶ noted, “The brain was constructed to change.” This challenge to the conventional world view that the mature adult brain is stable and unchanging, the only exception being the death of brain cells, has profound implications for the chiropractor.

Gage⁷ stated, “Researchers first demonstrated that the central nervous systems of mammals contain some innate regenerative properties in the 1960s and 1970s, when several groups showed that axons, or main branches, of neurons in the adult brain and spinal cord can regrow to some extent after injury.” The ability of the brain to change both anatomically and functionally is known as neuroplasticity. Three types have been described:⁸

Experience-independent plasticity refers to changes which are not the result of environmental changes or influence.
Experience-expectant plasticity occurs when the brain uses input from the external environment to effect normal developmental changes in its structure.
Experience-dependent plasticity is when a modification to the internal or external environment produces change in a feature of the brain.

Holloway⁶ explained how the brain reconfigures itself and the implications of doing so: “Change the input, be it a behavior, a mental exercise … or a physical skill and the brain changes accordingly. Magnetic resonance imaging machines reveal the new map: different regions light up … [T]he brain can be extensively remodeled throughout the course of one’s life, without drugs, without surgery. Regions of the brain can be taught to do different tasks if need be … This sort of thing will be a part of normal future life … healing plasticity can be driven by behavior.”

The 2nd-4th Dimensions

The remaining three dimensions represent the efferent portion of the safety-pin cycle. Each component may be reliably measured. These measurements provide objective evidence concerning manifestations of vertebral subluxation. The three components are:

Dyskinesia. Dyskinesia refers to distortion or impairment of voluntary movement.9 Spinal motion may be reliably measured using inclinometry.¹⁰ Alterations in regional ranges of motion are associated with vertebral subluxation.¹¹
Dysponesis. Dysponesis is abnormal involuntary muscle activity. Dysponesis refers to a reversible physiopathologic state, consisting of errors in energy expenditure which are capable of producing functional disorders. Dysponesis consists mainly of covert errors in action potential output from the motor and premotor areas of the cortex and the consequences of that output. These neurophysiological reactions may result from responses to environmental events, bodily sensations, and emotions. The resulting aberrant muscle activity may be evaluated using surface electrode techniques.¹² Typically, static surface electromyography (SMEG) with axial loading is used to evaluate innate responses to gravitational stress.¹³
Dysautronomia. The autonomic nervous system regulates the actions of organs, glands, and blood vessels. Acquired dysautonomia may be associated with a broad array of functional abnormalities.^14-19 Autonomic dystonia may be evaluated by measuring skin temperature differentials.²⁰ Uematsu, et al., determined normative values for skin temperature differences based upon asymptomatic “normal” individuals. The authors stated, “These values can be used as a standard in assessment of sympathetic nerve function, and the degree of asymmetry is a quantifiable indicator of dysfunction … Deviations from the normal values will allow suspicion of neurological pathology to be quantitated and therefore can improve assessment and lead to proper clinical management.”²¹ Skin temperature differentials are associated with vertebral subluxation.²² Autonomic tone and balance may also be evaluated by measuring heart rate variability.²³

This four-dimensional model may be used with any technique which has, as its objective, the detection, management or correction of vertebral subluxation. Correction or reduction of vertebral subluxation facilitates the restoration of proper tone throughout the nervous system. Alterations in the tone of the somatic system may be objectively evaluated using surface EMG. Altered autonomic tone may be evaluated using skin temperature measurements. Changes in ranges of motion may be measured to assess dyskinesia. Such objective assessments have the potential to make chiropractic the dominant strategy of 21^st century health care.

References

Kent C. Models of vertebral subluxation: a review. Journal of Vertebral Subluxation Research, 1996;1(1):11.
Stephenson RW. Chiropractic Textbook. The Palmer School of Chiropractic: Davenport, IA. 1948 edition, page 9.
Barge FH. One Cause, One Cure. LaCrosse, WI, 1990.
Dye AA. The Evolution of Chiropractic. Published by A.A. Dye, DC: Philadelphia, 1939, page 266.
Segmental Neuropathy. Canadian Memorial Chiropractic College. Toronto, Ontario. No date. Presumed to be written in the 1960s primarily by H.M. Himes and A. Peterson.
Holloway M. “The Mutable Brain.” Scientific American, 2002;289(3):79.
Gage FH. “Brain, Repair Yourself.” Scientific American, 2002;289(3):47.Neuroplasticity. PowerPoint lecture. www.snl.salk.edu/~nikoosh/Lecture_5.ppt
Dorland’s Pocket Medical Dictionary., 25th Edition. WB Saunders Company, 1995.
Saur PM, Ensink FB, Frese K, et al. Lumbar range of motion: reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility. Spine, 1996;21(11):1332.
Blunt KL, Gatterman MI, Bereznick DE. Kinesiology: An Essential Approach Toward Understanding the Chiropractic Subluxation. Chapter 11 in Gatterman MI (ed): Foundations of Chiropractic Subluxation. Mosby: St. Louis, MO, 1995.
Whatmore GB, Kohi DR. Dysponesis: a neurophysiologic factor in functional disorders. Behav Sci, 1968;13(2):102.
Kent C. Surface electromyography in the assessment of changes in paraspinal muscle activity associated with vertebral subluxation: a review. Journal of Vertebral Subluxation Research, 1997;1(3):15.
Backonja M-M. Reflex sympathetic dystrophy/sympathetically mediated pain/causalgia: the syndrome of neuropathic pain with dysautonomia. Seminars in Neurology, 1994;14(3):263.
Goldstein DS, Holmes C, Cannon III RO, et al. Sympathetic cardioneuropathy in dysautonomias. New Engl J Med, 1997;336(10):696.
Vassallo M, Camilleri M, Caron BL, Low PA. Gastrointestinal motor dysfunction in acquired selective cholinergic dysautonomia associated with infectious mononucleosis. Gastroenterology, 1991;100(1):252.
Baron R, Engler F. Postganglionic cholinergic dysautonomia with incomplete recovery: a clinical, neurophysiological and immunological case study. J Neurol, 1996;243:18.
Soares JLD. Disautonomias. Acta Medica Portuguesa, 1995;8(7- 8):425. Written in Portuguese. English abstract.
Stryes KS. The phenomenon of dysautonomia and mitral valve prolapse. J Am Acad Nurse Practitioners, 1994;6(1):11.
Korr IM. The Collected Papers of Irvin M. Korr. American Academy of Osteopathy: Indianapolis, IN, 1979.
Uematsu S, Edwin DH, Jankel ER, et al. Quantification of thermal asymmetry. J Neurosurg, 1988;69:552.
Kent C, Gentempo P. “Instrumentation and Imaging in Chiropractic: A Centennial Retrospective.” Today’s Chiropractic, 1995;24(1):32.
Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Circulation, 1996;93:1043-1065.

January 4, 2011November 8, 2016

What You Need to Know About Belly Fat

: Image via Wikipedia

The abdominal region has two types of fat: 1. Subcutaneous fat, which lies directly beneath the skin and on top of the abdominal muscles, and 2. Visceral fat, which is deeper in the abdomen beneath your muscle and surrounds the organs. Visceral fat is what gives men their “beer belly”. This beer belly looks soft but is quite hard to touch. This is an enormous storage area of toxins and indicates blood sugar problems.

Subcutaneous fat and visceral fat are a health risk, but studies have shown the excessive visceral fat is even more dangerous than subcutaneous fat. Both types of excessive fats increase the risk of developing heart disease, diabetes, high blood pressure, stroke, sleep apnea, various forms of cancer, and other degenerative diseases.

The reason visceral fat is the most dangerous is that it releases more inflammatory molecules into your body on a consistent basis. Bad fats create more bad fats and other toxins. Because the body cannot eliminate the toxins via the liver and kidneys, the body puts the toxins back into the blood stream, which will surround toxins with fluid and fat to dilute and insulate the poisonous effect.

The ONLY solution to consistently lose your abdominal fat and keep it off for good is to combine a sound nutritious diet full of unprocessed natural foods with a specific nutritional supplementation program, designed for that person’s individual needs. Nutritious foods and proper individualized supplementation needs to be combined with a consistent exercise program that stimulates the necessary hormonal and metabolic response within your body. Your food and supplement intake, as well as your training program is important for your looks and your health.

We have the key to unlocking the body’s ability to properly and efficiently clean up the damage and nutrient the body for permanent and lasting weight loss.

For more information, go to www.nevadachiro.com or call 565-7474.

December 21, 2010November 8, 2016

Forward Head Posture and TMJ

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Forward head posture creates a domino effect in the body:

Moving forward, the head shifts the center of gravity.

To compensate, the upper body drifts backward.

To compensate for the upper body shift, the hips tilt forward.

So, the forward head position can be the cause of not only the head, neck and TMJ problems, but also mid back and low back problems. We can gain a better understanding of the interaction between the mouth opening and closing, TMJ bio-mechanics, and neck function with an overview of the structures involved.

According to Rene Cailliet, Physical Medicine and Rehabilitation Director at U.S.C. states: “It’s an axiom … that the body follows the head … You can realign your entire body by moving your head … your head held in a forward position can pull your entire body out of line.” He goes on to explain that the vital lung capacity is reduced as much as 30%. The gastrointestinal system is affected, particularly the large intestine. When a hunched position is assumed, the body becomes rigid, and range of motion is affected. Since endorphin production is reduced, an increase in pain and discomfort results.

Another researcher Kapandji, in his classic text on spinal function states, “The anterior muscles of the neck … act as the long arm of a lever … they are powerful flexors of the head and cervical column … flattening the cervical column.”

Additionally, numerous investigators describe the effect of altered jaw position on head posture. Forward and side to side head position changes the jaw, throat, and tongue. It compresses the neck joints causing muscular nerve entrapments. Nerve root compression or posterior neck vertebral joint irritation or restriction result in peripheral entrapment neuropathies. One common entrapment is the greater or lesser suboccipital nerves that pass between the occiput and atlas. This may cause headaches or refer pain to the facial region.

General Symptoms by Head Forward Posture problems
A. Chronically tired (lowered hemoglobin, immature cells) 89%
B. Increased nervous tension 86%
C. Malaise 61%
D. Restless sleep (awaken tired) 78%
E. Numbness in hands (awaken with arm or leg asleep) 32%
F. Cold hands and feet (poor circulation) 67%
G. Back aches and leg aches (tired, ache-all-over feeling) 47%
H. Thirsty (much water doesn’t satisfy) 43%
I. Restless nibbling at food (never satisfied)
J. Blood (variations in count and quality; many irregularly formed cells; cell walls even thickness one week after treatment)
K. Lowered hemoglobin
L. Lower thyroid activity (an almost constant finding)
M. Facial pallor
N. Dull, non-sparkling eyes

Forward head posture is an enormous problem of our society. Nearly 100% of new patients presenting in my office have it. If you have it and don’t correct it, it will lead to neck arthritis and damaged discs.

If you are interested in being checked for forward head posture or want more information visit www.nevadachiro.com.

December 13, 2010November 8, 2016

Why Health Care Costs for LBP Are So High

Initiating care with an MD for back pain results in much higher health care costs than going to a DC, says study.

By Peter W. Crownfield

With the much-touted Choudhry/Milstein study already putting insurers and other health care stakeholders on notice that chiropractic care for back pain “is highly cost-effective [and] represents a good value in comparison to medical physician care and to widely accepted cost-effectiveness thresholds,” along comes “Cost of Care for Common Back Pain Conditions Initiated With Chiropractic Doctor vs. Medical Doctor / Doctor of Osteopathy as First Physician.”

Published in the December 2010 issue of JMPT, the study, a retrospective claims analysis of Blue Cross Blue Shield of Tennessee’s intermediate and large group fully insured population, determined that paid costs for episodes of care were 40 percent lower when care was initiated with a doctor of chiropractic compared to an allopathic provider. Even when risk-adjusting each patient’s costs to account for severity, paid costs for chiropractic patients were 20 percent lower than medical patients treated for low back pain.

“Our results support a growing body of evidence that chiropractic treatment of low back pain is less expensive than traditional medical care,” stated the study authors in their conclusion. “We found that episode cost of care for LBP initiated with a DC is less expensive than care initiated through an MD. … Our results suggest that insurance companies that restrict access to chiropractic care for LBP may, inadvertently, be paying more for care than they would if they removed these restrictions.”

Health Care Cost In their study, the researchers identified Blue Cross Blue Shield of Tennessee members with an LBP claim based on the presence of any of the following ICD-9 codes on a paid claim: 722 Intervertebral disk disorders, 724 Other and unspecified disorders of back, 729 Other disorders of soft tissues, 739 Nonallopathic lesions not elsewhere classified, 846 Sprains and strains of sacroiliac region, and 847 Sprains and strains of other and unspecified parts of back. Of more than 650,000 members during the two-year period analyzed (Oct. 1, 2004 – Sept. 30, 2006), 85,402 had been diagnosed using one of the above codes.

Plan members had open access to MDs and DCs through self-referral (ER visits were categorized as MD-initiated care), without any limit to the number of visits. Co-pays did not vary between provider type.

Total episode costs for each episode of LBP were determined by calculating the cost paid by the insurer for all services provided during the episode by the same and other providers. Costs per episode were $452.33 (paid) for patients initiating care with a chiropractor and $1,037.04 for patients initiating care with a medical provider; risk-adjusted paid costs were $532.54 (DC) vs. $661.10 (MD).

“As doctors of chiropractic, we know firsthand that our care often helps patients avoid or reduce more costly interventions such as drugs and surgery. This study supports what we see in our practices every day,” said ACA President Rick McMichael, DC, in an ACA release reporting on the study findings. “It also demonstrates the value of chiropractic care at a critical time, when our nation is attempting to reform its health care system and contain runaway costs.”

December 6, 2010November 8, 2016

Dizziness in Older Adults and Chiropractic Care

: Image via Wikipedia

I found this information by Mark Studin DC, FASBE(C), DAAPM, DAAMLP
83% of Dizziness sufferes showed improvement or eradication of under chiropractic care

According to Maarsingh and co-researchers as reported in BMC Family Practice in 2010, A Bio Medical Research organization, dizziness in older patients is a very common occurrence as reported by family medical practitioners. They reported that an 8.3% prevalence of dizziness was reported with females having a higher incidence. It was also reported that the number could be higher as this is a symptom reported by the patient.

According to Web MD in 2010 “ Dizziness is a word that is often used to describe two different feelings. It is important to know exactly what you mean when you say “I feel dizzy” because it can help you and your doctor narrow down the list of possible problems.

 Lightheadedness is a feeling that you are about to faint or “pass out.” Although you may feel dizzy, you do not feel as though you or your surroundings are moving. Lightheadedness often goes away or improves when you lie down. If lightheadedness gets worse, it can lead to a feeling of almost fainting or a fainting spell (syncope). You may sometimes feel nauseated or vomit when you are lightheaded.

 Vertigo is a feeling that you or your surroundings are moving when there is no actual movement. You may feel as though you are spinning, whirling, falling, or tilting. When you have severe vertigo, you may feel very nauseated or vomit. You may have trouble walking or standing, and you may lose your balance and fall.

Although dizziness can occur in people of any age, it is more common among older adults. A fear of dizziness can cause older adults to limit their physical and social activities. Dizziness can also lead to falls and other injuries.”

As reported in Hearing Review (2003) dizziness has become such a prevalent problem, that in spite of rising health care costs, Medicare introduced in 2003 that routine screenings for hearing loss, balance disorders and dizziness will be a covered item. The reason is that the government is looking long-term to save money; something that rarely happens, but in this case is the best solution.

The Center for Medicare Services create “RUG,” a classification of patients in nursing facilities by disability and other care needs, for the purpose of determining coverage and rates in the Medicare system and dizziness is one of the prime criteria in determining the reimbursement rates for skilled nursing facilities. According to the text “Improving Care for the End of Life” the costs for a skilled nursing home depending upon the RUG Score ranges from $424.97 to $156.66 per day and the variable is the documented impairment of the resident and the amount of care needed to support that population of residents.

From a financial perspective the Federal Governmental and Medicare have a very high stake in ensuring that hearing and dizziness is cared for and corrected at as early an age as possible to save the system large significant money.

In 2009 Hawk and Cambron studied the relationship between chiropractic care and dizziness over an 8 week course of manipulative (chiropractic spinal adjustments) care. The patients having a “Dizziness Handicap Inventory” baseline score indicating significant dizziness reported an 83% improvement or eradication of the dizziness as a direct result of chiropractic care. Hawk and Cambron did report that more research is needed, but their findings give solutions to a growing problem among older adults in American and can positively impact both the lives of Americans and the financial burden of our economy.

References:

1. Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics, Otto R Maarsingh, Jacquelien Dros, François G Schellevis, Henk C van Weert,Patrick J Bindels, and Henriette E van der Horst, BMC Family Practice. 2010; 11: 2. Also Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2817676/

2. Dizziness: Lightheadedness and Vertigo-Topic Overview, Retrieved from: http://www.webmd.com/brain/tc/dizziness-lightheadedness-and-vertigo-topic-overview

3. New Medicare Benefit Includes Screening for Hearing Loss and Dizziness, Retrieved from: http://www.hearingreview.com/issues/articles/2005-03_07.asp

4. 9.1 Medicare Payments for Fee-for-Service Programs : 9.1.2 Skilled Nursing Facilities, Retrieved from: http://www.mywhatever.com/cifwriter/content/66/4332.html

5. Cheryl　Hawk, DC, PhDa, Jerrilyn　Cambron, DC, PhD, Chiropractic Care for Older Adults: Effects on Balance, Dizziness, and Chronic Pain, Journal of Manipulative and Physiological Therapeutics, (32 ) (6) Pgs. 431-437 (July 2009)