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), but back pain and neck pain patients undergoing SMT want and need to know all they can. Current
guidelines for handling low back pain
stress patient education and exercise as important
issues. Healthcare practitioners are
pretty good (72% overall) at delivering
information. By profession, though, chiropractors lead in
sharing patient education for 76% of patients with
physical therapists at 74% and general practitioners at just 44%. The
more emotionally distressed a patient seemed or the pain
extended below the knee,
information was shared with 78% of patients. (1) A valuable
topic for Auburn 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, nothing was found that showed evidence
of improved pain outcomes or treatment success associated with an audible pop. (2) This is good to know since some patients have it, and some don’t.
Patients whose practitioners told them
about the audible pop - and those who were
not spinal manipulation patients - reported
interesting theories of what created that sound
and had overemphasized ideas of its importance. (3) Instead of
the question “To pop or not to pop?” the more appropriate question
for you and your Auburn chiropractor may well be “Is
there pain relief or not?” With our gentle chiropractic care, there is
pain relief for many Auburn back pain and neck pain sufferers. Let’s talk about all of this at your
next chiropractic visit at Dr. Le's Chiropractic & Wellness, L.L.C.!
Listen to this PODCAST
with Dr. Kurt Olding on The
Back Doctors Podcast with Dr. Michael Johnson as he describes
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
in favor and abundantly 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 recounted 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 use of
fats/proteins/carbs, inflammation, blood pressure as well as
raises blood sugar and reduces bone formation.
(B) The adrenal medulla produces “stress hormones”
epinephrine (adrenaline) and norepinephrine (noradrenaline) responsible for 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 suggested in
one new study to support adrenal health. (6)
Dr. Le's Chiropractic & Wellness, L.L.C. is excited to talk about vitamin D
and any adrenal gland issues you may be experiencing.
CONTACT Dr. Le's Chiropractic & Wellness, L.L.C.
Schedule your next Auburn
chiropractic appointment with Dr. Le's Chiropractic & Wellness, L.L.C. soon! We
have a lot to talk about!