Posted tagged ‘low back pain’

Another Low Back Pain Road Map

June 21, 2013

1076818_folded_map[originally published in KCN, January 2008]

In our ever changing healthcare environment, doctors are constantly learning  — so much so, that the treatments they hold fast to today, may be surpassed by another, more effective means tomorrow.  To not recognize this would be like freezing a physician in a time capsule with his dated professional diploma.  In an effort to stay abreast of the latest research regarding effective treatments for the myriad of conditions out there, doctors will often turn to the latest published practice guideline to assist them in their decision making process.  Why am I telling you all this?  Because a fresh set of guidelines just crossed my desk for Low Back Pain.  And chiropractic — as it has in guidelines past — has managed to find itself a comfortable spot in this set of recommendations, even if it was written for doctors of internal medicine.

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Waiting for Pain

January 31, 2011

Just as the dip stick tells us when it's time to add oil, so too the spinal check tells us when its time to adjust. Of course, in both cases we always have the option of forgoing these proactive checks and waiting for breakdown!

[originally published in KCN, February 2011]

If you are waiting for pain to dictate how often you should see your chiropractor —or whether or not to see one in the first place — you’re waiting too long.  Because without a spinal check from a chiropractor, you simply don’t know if your spine needs to be adjusted — as  there is no reliable way to truly know.  Spinal misalignments often crop up and cause little to no pain.  And while this might not seem like a big deal, it is when you realize that these off-kilter vertebrae are slowly sapping the health of the body by robbing its effectiveness to function correctly. (more…)

No, Dr. Hoffman, I Salute You!

December 31, 2010

[originally published in KCN, January 2011]

Having just celebrated the first anniversary of my internet radio show, Spinal Column Radio, I have a heightened awareness and interest in other health radio programs — especially when another professional makes a positive reference to chiropractic.  So you’ll understand when I tuned my ear to Dr. Ronald Hoffman’s long-standing, nationally-syndicated, medical broadcast, “Health Talk,” as he “saluted his chiropractic colleagues” in a recent live show. (more…)

Off Label Chiropractic

October 29, 2010

[originally published in KCN, November  2010]

Every day in the practice of medicine doctors prescribe their patients “off label” medications.  And while some might confuse the term “off label” with “generic,” it really is quite different.  In fact, according to a study in the Archives of Internal Medicine, as many as one-fifth of all drugs are prescribed off label.

Basically, what this means is that the doctor has found a use for the medication other than its “on label,” or intended, purpose.  Examples of this include antiseizure medications to treat migraines, antidepressants to treat certain types of pain, and antianxiety medications to treat nausea.  A classic example of off label drug use is that of Rogaine.  Many are unaware that Rogaine is actually a blood pressure medication — a blood pressure medication that doctors (and their patients) soon found had an interesting side effect:  hair growth in balding men.

As common as the practice of off label prescribing is in medicine, it’s my contention that something very similar is practiced in chiropractic.  And while “off label chiropractic” isn’t actually a term… it should be. (more…)

Crowbars and Chiropractic

August 30, 2010

[originally published in KCN, September 2010 / cartoon provided by TomLamarCartoon.com]

“Crowbars and chiropractic.”  Two words that have sort of an odd relationship at first glance.  But as a chiropractor, I contend it is because of crowbars, new clientele seek me out.  Let me explain.

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Growing Pains

April 23, 2010

[originally published in KCN, Febuary 2002]

If the mere mention of “Growing Pains” reminds you of the popular 80’s Alan Thicke and Kirk Cameron sitcom, then you probably weren’t one of the select 10-20% that were tagged with this misleading medical diagnosis when you were a child.  Misleading in that, from a physical sense, it doesn’t hurt to grow.  But then, why do children experience this reoccurring “vague leg pain”? — with pain so intense at times that it actually causes some to cry themselves to sleep.

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Low Back Pain…yeah we do that.

April 16, 2010

[originally published in KCN, January 2002]

It may come as a surprise, but after authoring some 46 Spinal Column articles over the past 5 years, I have yet to dedicate one to the condition that we chiropractors most often see — low back pain.  Sure, I’ve made reference to it many times, but I’ve never given it the spotlight.  Perhaps, that’s exactly what I have been afraid of — giving it the “spotlight.”  Much of the media and scientific journals have made lower back pain and chiropractic one and same.  And while we are grateful for the validation and coverage, many in our profession, and rightfully so, are afraid that we might get pigeon-holed into becoming known as “low back doctors” when chiropractic really has so much more to offer.

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The “Elvis Pelvis”

March 26, 2010

[originally published in KCN, April 2010]

Every chiropractor who has been in practice for some time has had a population of patients that did not respond as he would have expected.  Oh sure, many of them got relief from the chiropractic care provided, but it only lasted for a few hours — a day, tops.  And mind you, we’re not talking about the first few visits, but, rather, a well-established pattern.  Or the patient did well with the adjustments, only to have the back misalign again from a trivial event.  It’s been my experience that not every patient falls into the typical “restore-motion-to-stuck-spinal-joint-and-watch-patient-get-better” category.  Sometimes we chiropractors need to acknowledge that not every case of mechanical back pain is due to spinal joints being” stuck” or “locked” — instead, sometimes it’s just the opposite: the joints are too loose.

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