The Illusive Pop of Spinal Manipulation
“To Pop or Not to Pop” is understandably a turn on an age-old Shakespearean quote for an age-old chiropractic spinal manipulation discussion point. The answer today is that it’s not a necessary indicator of back pain relief via spinal manipulation treatment (SMT), but back pain and neck pain patients undergoing SMT want and need to know more. Current guidelines for handling low back pain emphasize patient education and exercise as important topics of discussion. Healthcare practitioners are fairly good (72% overall) at providing information. By profession, though, chiropractors lead in delivering patient education for 76% of patients with physical therapists at 74% and general practitioners at only 44%. The more emotionally distressed a patient was or the pain was below the knee, information was shared with 78% of patients. (1) An important topic for Nashua back pain and neck pain patients undergoing spinal manipulation treatment (SMT) is this sometimes-audible pop. A systematic review of published studies revealed that regardless of the spinal area or follow-up time after the SMT, there was no research evidence of improved pain outcomes or success of the treatment related to an audible pop. (2) This is good to know since some patients experience it, and some don’t. Patients whose practitioners explained the audible pop to them - and others who weren’t spinal manipulation patients - reported interesting theories of what created that sound and had overemphasized ideas of its importance. (3) Rather than the question “To pop or not to pop?” the better question for you and your Nashua chiropractor may well be “Is there pain relief or not?” With our gentle chiropractic care, there is pain relief for many Nashua back pain and neck pain sufferers. Let’s talk about all of this at your next chiropractic visit at Moriarty Chiropractic!
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 is popular and abundantly researched beyond its longer term reputation in supporting phospho-calcium metabolism and skeletal bone disorders. Today, research has well-established vitamin D as a hormone and described vitamin D as influential for various 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 produces cortisol which regulates the sleep/wake cycle, body’s utilization of fats/proteins/carbs, inflammation, blood pressure as well as increases blood sugar and decreases bone formation. (B) The adrenal medulla makes “stress hormones” epinephrine (adrenaline) and norepinephrine (noradrenaline) in charge of the fight or flight response. (5) Adrenal gland issues keep people awake at night…literally! Although not yet definitive, 800-2000IU a day was proposed in one recent study to support adrenal health. (6) Moriarty Chiropractic is excited to talk about vitamin D and any adrenal gland issues you may be having.
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Schedule your next Nashua chiropractic appointment with Moriarty Chiropractic soon! We have a lot to talk about!