21st Annual YMCA 5 Miler, presented by Swanson Chiropractic & Acupuncture

Cedar Park, TX

Dr. Jeff Swanson will be the presenting sponsor for the 21st Annual Cedar Park 5 Miler/ Kids 1K on Sunday Nov. 6th 2016. This is one of the longest running events in our community.  So plan on coming out to get some great exercise and also raise money for the YMCA “Y Mission”.

All kids running the Kids 1K will receive a medal! Get them started young!!

Click here to register online!

Five-Miler-2016-(web)

WHERE YOUR MONEY GOES : Our Annual Campaign (formerly known as the Strong Kids Campaign) is central to the Y mission. By giving, you can help make sure that every boy and girl as well as their family can participate in life-enriching programs through the Y – regardless of their ability to pay. Every dollar you contribute makes a meaningful difference in the lives of families we serve and helps us give kids the power of values, so that they can grow up to become productive adults. One hundred percent of every dollar goes directly to children and families in need based on income, family size and economic circumstance. By pledging your gift and paying it throughout the year, you can assist more children.

Immediately following the race, we will have awards for top finishers in 16 age categories, plus Overall Male & Female, and Overall Masters Male & Female in 5 Miler. All Kids 1K runners will receive a finisher medal as they cross the finish line.

Directions:

Enter through the Camp Twin Lakes entrance or extra parking at Twin Lakes Family YMCA. Free parking will be available. Start/Finish line will be located at Camp Twin Lakes.

Race Course will be from Camp Twin Lakes down the paved road toward Twin Lakes Family YMCA, this will lead you into the Williamson County Trail, runners will continue to run out to the 5 Miler turnaround and run the same route back to the finish line.

PACKET PICK-UP

Dr. Jeff Swanson

CEDAR PARK CHIROPRACTIC & ACUPUNCTURE
345 Cypress Creek Rd Ste 103 Cedar Park, TX 78613

Friday Nov. 4 (4–6pm) and Saturday Nov. 5  (12–3pm)

REGISTRATION PRICES

5 Miler
Early birds before October 21st: $30
After October 21st: $35
Race Day: $40
No refunds will be given. This is a rain or shine event!

Kids 1K
Early birds before October 21st: $10
After October 21st: $12
Race Day: $15
No refunds will be given. This is a rain or shine event!

Kids 1K & 5 Miler
(Only for kids 12 & under doing both 1K & 5 Miler)
Early birds before October 21st: $30
After October 21st: $35
Race Day: $40
No refunds will be given. This is a rain or shine event!

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Stroke Risks While Under Chiropractic Care; No evidence for Causation.

https://www.acatoday.org/Portals/60/Images/Infographics/risks_infographic.png

With the recent headlines of chiropractic manipulation allegedly causing stroke we have listed some recent and relevant meta-analysis studies that have been done on this topic.  Below is a summary of the conclusions of some recent studies as well as a more in depth overview of the topic.

  • We found no significant association between exposure to chiropractic care and the risk of VBA stroke. We conclude that manipulation is an unlikely cause of VBA stroke. The positive association between PCP visits and VBA stroke is most likely due to patient decisions to seek care for the symptoms (headache and neck pain) of arterial dissection. We further conclude that using chiropractic visits as a measure of exposure to manipulation may result in unreliable estimates of the strength of association with the occurrence of VBA stroke. http://chiromt.biomedcentral.com/articles/10.1186/s12998-015-0063-x

According to the American Heart Association (2010), a stroke “…is a disease that affects the arteries leading to and within the brain. It is the No. 3 cause of death in the United States, behind diseases of the heart and cancer. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When that happens, part of the brain cannot get the blood (and oxygen) it needs, so it starts to die…Stroke can be caused either by a clot obstructing the flow of blood to the brain (called an ischemic stroke) or by a blood vessel rupturing and preventing blood flow to the brain (called a hemorrhagic stroke)…The brain is an extremely complex organ that controls various body functions. If a stroke occurs and blood flow can’t reach the region that controls a particular body function, a stroke will ensue, then that part of the body won’t work as it should” (http://www.strokeassociation.org/STROKEORG/AboutStroke/About-stroke_UCM_308529_SubHomePage.jsp).

The AHA (2010) also posts signs and symptoms of an impending stroke. These include numbness or weakness of one side of the face, sudden confusion, difficulty speaking or understanding, problems seeing out of one or both eyes, sudden trouble walking, dizziness, loss of balance or coordination, and severe and sudden headaches with no known cause.

The blood supply to the brain is provided through the vertebral arteries and the carotid arteries. Problems in any of these arteries can result in the development of a thrombus (clot) or an embolism. If the thrombus is large enough it can occlude the normal blood flow. If an embolism occurs, it can move through the circulation into the brain and occlude blood flow. Either way, a stroke can be the result of these situations. One of the unique characteristics of strokes of this nature is that they can involve neck pain and headache.

Many patients will seek chiropractor care for neck pain and headaches. In the great majority of cases, the pain involved is not related to a stroke. However, on occasion, it may be. When the pain is related to a stroke, some of these patients developed a full range of stroke symptoms. Over the years, reports in the popular press and the scientific literature have suggested or stated outright that in patients who experience a stroke following chiropractic care, the stroke was caused by the chiropractor! We now know that this is very unlikely to be the case. What is far more likely is that the patient developed a thrombus or embolism in their vertebral arteries, producing neck pain and headache. This person sought health care for the pain. Whether they saw a chiropractor or their medical provider, they would progress on to a stroke at virtually the same rate. While the argument that the chiropractor caused the problem is convenient, the science indicates that it is in all likelihood a mistake to draw such a conclusion.

In 2008, Cassidy, Boyle, Côté, He, Hogg-Johnson, Silver, and Bondy  studied the occurrence of this problem in the province of Ontario over a nine year period with a database representing almost 110 million person-years (12.2 million people, studied over 9 years equals 110 million person-years). The purpose of this study was to investigate if an association between chiropractic care and vertebral basilar artery stroke exceeded the association between medical primary care providers and vertebral basilar artery stroke. The premise was that if there was a greater association between chiropractic care and this stroke then one could logically say there was a cause and effect relationship between chiropractic care and this problem. There was no greater likelihood of a patient experiencing a stroke following a visit to his/her chiropractor than there was after a visit to his/her primary care physician. The results were conclusive; there was no greater association between manipulation (chiropractic adjustments) and ischemic stroke or TIA’s (transient ischemic attacks).

The research did conclude that overall, 4% of stroke victims had visited a chiropractor within 30 days of their strokes, while 53% of the stroke cases had visited their medical primary care providers within the same time frame. The authors offer the perspective that because neck pain is associated with some stroke, patients visit their doctors prior to the development of a full-blown stroke scenario. Cassidy et al. (2008) noted, “Because the association between chiropractic visits and [vertebral basilar artery] stroke is not greater than the association between PCP [medical primary care providers] visits and [vertebral basilar] stroke, there is no excess risk of [vertebral basilar] stroke from chiropractic care” (p. S180). In fact, the incident of chiropractic vs. medical care was substantially lower in certain situations based upon the data.

In 2010, Murphy considered the argument that a chiropractic manipulation could cause stroke and concluded, “…if this is a possibility, it would have to be considered so rare that a case-control and case crossover study covering over 109,000,000 person-years failed to detect it” (http://www.chiroandosteo.com/content/18/1/22). He also reports that “… in 20% of cases of [vertebral artery dissection and stroke] the individual does not have neck pain or headache and in a very small percentage of vertebral artery dissections can occur in a person who has no symptoms of any kind. Thus, in cases in which an asymptomatic individual experiences [vertebral artery dissection and stroke] after [chiropractic manipulation] it is not clear whether manipulation was a cause or contributing factor to the dissection or whether the patient had an asymptomatic arterial dissection prior to the chiropractic visit” (Murphy, 2010, http://www.chiroandosteo.com/content/18/1/22). He concluded his report with the following, “…current evidence indicates that [vertebral artery dissection and stroke] is not a ‘complication to [chiropractic manipulation]’ per se. That is, the weight of the evidence suggests that [chiropractic manipulation] is not a cause of [vertebral artery dissection and stroke]…” (Murphy, 2010, http://www.chiroandosteo.com/content/18/1/22).

The real issue is not whether chiropractic or medical primary care causes stroke, as the research conclusively refutes this, but rather it is an issue of public awareness and perception. The argument must shift to the real issue of protecting the public and making people aware of the importance of recognizing risk factors and of getting immediate care to avoid long term disability or death.

Murphy (2010) offers the following advice, “…engage in a public health campaign to educate the public about the warning signs and symptoms of this uncommon but potentially devastating disorder…public education materials regarding stroke in general are available from organizations such as the American Stroke Association

 

(http://www.strokeassociation.org/presenter.jhtml?identifier=3030387 accessed 1 April 2010) the National Stroke Association

(http://www.stroke.org/site/PageServer?pagename=HOME accessed 1 April 2010) the British Stroke Association

(http://www.stroke.org.uk/information/index.html accessed 22 May 2010), the Heart and Stroke Association of Canada

(http:/ / www.heartandstroke.com/ site/ c.ikIQLcMWJtE/ b.2796497/ k.BF8B/ Home.htm?src=home accessed 22 May 2010) and the National Stroke Foundation – Australia

(http://www.strokefoundation.com.au/ accessed 22 May 2010)…” (http://www.chiroandosteo.com/content/18/1/22).

References:
1. American Heart Association, Inc. (2010). About stroke. Retrieved from http://www.strokeassociation.org/STROKEORG/AboutStroke/About-stroke_UCM_308529_SubHomePage.jsp
2. American Heart Association, Inc. (2010). Warning signs. Retrieved from http://www.strokeassociation.org/STROKEORG/WarningSigns/Warning-Signs_UCM_308528_SubHomePage.jsp
3. American Heart Association, Inc. (2010). Ischemic (clots). Retrieved fromhttp://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/IschemicClots/Ischemic-Clots_UCM_310939_Article.jsp
4. Cassidy, J. D., Boyle, E., Côté, P., He, Y., Hogg-Johnson, S., Silver, F. L., & Bondy, S. J. (2008). Risk of vertebrobasilar stroke and chiropractic care: Results of a population-based case-control and case-crossover study. Spine, 33(45), S176-S183.
5. Murphy, D. R. (2010). Current understanding of the relationship between cervical manipulation and stroke: What does it mean for the chiropractic profession? Chiorpractic & Osteopathy, 18(22),
http://www.chiroandosteo.com/content/18/1/22

Written by Gerard Clum DC, Past President, Life Chiropractic College West & Mark Studin DC, FASBE (C), DAAPM, DAAMLP

 

Sleep Disorder Improvements Have Been Linked to Chiropractic Care

 

“A sleep disorder, or somnipathy, is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functioning. Disruptions in sleep can be caused by a variety of issues, from teeth grinding (bruxism) to night terrors. When a person suffers from difficulty falling asleep and/or staying asleep with no obvious cause, it is referred to as insomnia.

Sleep disorders are broadly classified into dyssomnias, parasomnias, circadian rhythm sleep disorders involving the timing of sleep, and other disorders including ones caused by medical or psychological conditions and sleeping sickness. Some common sleep disorders include sleep apnea (stops in breathing during sleep), narcolepsy and hypersomnia (excessive sleepiness at inappropriate times), cataplexy (sudden and transient loss of muscle tone while awake), and sleeping sickness (disruption of sleep cycle due to infection). Other disorders include sleepwalking, night terrors and bed wetting. Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions.” (retrieved from: https://en.wikipedia.org/wiki/Sleep_disorder)

According to the Centers for Disease Control and Prevention “Sleep is increasingly recognized as important to public health, with sleep insufficiency linked to motor vehicle crashes, industrial disasters, and medical and other occupational errors.Unintentionally falling asleep, nodding off while driving, and having difficulty performing daily tasks because of sleepiness all may contribute to these hazardous outcomes. Persons experiencing sleep insufficiency are also more likely to suffer from chronic diseases such as hypertension, diabetes, depression, and obesity, as well as from cancer, increased mortality, and reduced quality of life and productivity.1 Sleep insufficiency may be caused by broad scale societal factors such as round-the-clock access to technology and work schedules, but sleep disorders such as insomnia or obstructive sleep apnea also play an important role.An estimated 50-70 million US adults have sleep or wakefulness disorder. Notably, snoring is a major indicator of obstructive sleep apnea.

According to SleepMed (2015):

Insomnia Statistics

1. 20-40% of all adults have insomnia in the course of any year
 2. 1 out of 3 people have insomnia at some point in their lives
 3. Over 70 million Americans suffer from disorders of sleep and wakefulness
 4. Of those, 60% have a chronic disorder


Narcolepsy Statistics

 1. Affects as many as 200,000 Americans
 2. Fewer than 50,000 are diagnosed
 3. 8 to 12% have a close relative with the disease
 4. Affects men slightly more than women
 5. 20 to 25% of people with narcolepsy have all four symptoms
(excessive daytime sleepiness, sudden loss of muscle function, sleep paralysis, hallucinations)


Children & Sleep Statistics

 1. Over 2 million children suffer from sleep disorders
 2. Estimated that 30 to 40% of children to not sleep enough
 3. Children require an average of 9 to 10 hours of sleep each night


Women & Sleep Statistics

 1. Women are twice as likely as men to have difficulty falling and staying asleep
 2. Pregnancy can worsen sleep patterns
 3. Menopause and hormone changes cause changes in sleep


Older Adult Statistics

 1. Over half of those over the age of 65 experience disturbed sleep
 2. Those over 65 make up about 13% of the US population, but consume over 30% of prescription drug and 40% of sleeping pills


General Statistics

 1. Adults require an average of 8 to 8.5 hours of sleep each night
 2. Sleep problems add an estimated $15.9 billion to national health care costs
 3. 84 classifications of sleep disorders exist

Research done at the University of Madrid Medical School in Madrid Spain and the Department of Health Sciences at the University of Jaen Spain, Plaza-Manzano (2014) and fellow researchers found a link between sleep disorders and chiropractic care. They were studying manipulation, or what chiropractors do when we adjust our patients and the cause for eradication of pain. They concluded that certain neuropeptides, or transmitters in the brain increase when our patients get adjusted. The specific neurotransmitter is called Orexin and is commonly known in medical terms as hypocretins.

According to Ebrahim (2002) and fellow researchers “have an important role in sleep and (mental) arousal states. They state, “The hypocretins are thought to act primarily as excitatory neurotransmitters…suggesting a role for the hypocretins in various central nervous functions related to noradrenergic innervation, including vigilance, attention, learning, and memory. Their actions on serotonin, histamine, acetylcholine and dopamine neurotransmission is also thought to be excitatory and a facilitatory role on gamma-aminobutyric acid (GABA) and glutamate-mediated neurotransmission is suggested” (p. 227). If we focus simply on serotonin, that is responsible for mood, appetite and sleep and regarding the latter effects many sleep patterns if imbalanced or depleted.

A chiropractic adjustment has proven to increase the orexin or hypocretins in the human body, which has a direct effect on the production of serotonin in the human body. Serotonin has been known for many years and recognized in the scientific literature for playing a role in the modulation of sleep.  Although more research is still needed to quantify the results, this now gives a verified scientific explanation to the results chiropractic patients have been experiencing over the last century.

As with all of my articles from here forward, I would like to leave you with a last and seemingly unrelated statement.  I felt it was important to add this at the end since many of our critics negatively portray the safety of chiropractic care.  This statement shall put that to rest leaving only personal biases left standing.  Whedon, Mackenzie, Phillips, and Lurie(2015) based their study on 6,669,603 subjects and after the unqualified subjects had been removed from the study, the total patient number accounted for 24,068,808 office visits. They concluded, “No mechanism by which SM [spinal manipulation] induces injury into normal healthy tissues has been identified”(Whedon et al., 2015, p. 5). This study supersedes all the rhetoric about chiropractic and stroke and renders an outcome assessment to help guide the triage pattern of mechanical spine patients.

By: Mark Studin DC, FASBE(C), DAAPM, DAAMLP

 

 

References:

  1. Sleep Disorder (October 2015), Retrieved from: https://en.wikipedia.org/wiki/Sleep_disorder
  2. Insufficient Sleep is a Public Health Problem (September 2015) Retrieved from: http://www.cdc.gov/features/dssleep/
  3. Sleep Statistics, (2016), retrieved from: http://www.sleepmedsite.com/page/sb/sleep_disorders/sleep_statistics
  4. Plaza-Manzano, G., Molina-Ortega, F., Lomas-Vega, R., Martinez-Amat, A., Achalandabaso, A., & Hita-Contreras, F. (2014). Changes in biochemical markers of pain perception and stress response after spinal manipulation. Journal of Orthopedic and Sports Physical Therapy, 44(4), 231-239.
  5. Ebrahim, I. O., Howard, R. S., Kopelman, M. D., Sharief, M. K., & Williams, A. J. (2002). The hypocretin/orexin system. Journal of the Royal Society of Medicine, 95(5), 227-230.
  6. Whedon, J. M., Mackenzie, T. A., Phillips, R. B., & Lurie, J. D. (2015). Risk of traumatic injury associated with chiropractic spinal manipulation in Medicare Part B beneficiaries aged 66-69 years. Spine, 40(4), 264-270.

Irritable Bowel Syndrome Helped with Chiropractic – A Case Study

In the research periodical, the Journal of Upper Cervical Chiropractic Research, a case study was published on April 18, 2013 documenting the improvement of a case of Irritable Bowel Syndrome with chiropractic care.

The author of the study notes that in the Unites States Irritable Bowel Syndrome (IBS) will affect between 12% and 30% of the population.  It is interesting to note that the rest of the world only reports this issue in between 5% and 10% of their populations. In the US IBS accounts for 12-14% of primary care physician visits and 28% of referrals to gastroenterologists. The authors note that standard medical care is aimed at reducing symptoms like pain, diarrhea, and constipation.

In this case a 32 year old woman, who was an optometrist, went to the chiropractors with complaints of loose, painful, runny stools upon waking with abdominal pain and bloating that began ten years earlier. The woman also suffered from mild depression which began three years earlier, and anxiety that began 10 years prior to her visit to the chiropractor. Her history included being in two car accidents, one at the age of 10, where she was struck as a pedestrian leaving her in a coma for three days, and the second at age twenty where she suffered a fractured pelvis.

A chiropractic examination showed abnormal spinal postural positioning and a decrease in the range of motion in her neck. Thermal (heat-reading) scans were performed which also showed irregularities in the neck area. Spinal x-rays were taken of the neck which showed malpositioning of the first and second bones in her neck. From these findings a determination of subluxations in the upper neck was made. Specific cervical (neck) adjustments were performed to correct the subluxations in the upper neck.

The results showed that on her second visit she reported that she had a pain free, solid bowel movement the morning after her first adjustment which has continued. She also reported that her mood was better and less frequency of anxiety when faced with issues that would normally trigger anxiety in the past.  The study notes that the woman was reassessed three months later in care and she continued to show documented measurable  improvement in her physical and mental issues.

In his conclusion, the author explains that a subluxation in the upper neck can cause nerve system dysfunction that can result in a problem with the bowels. He writes, “Correcting the misalignment at this level restores proper neurological function and thereby proper function of the gastro-intestinal track.”

Chiropractor serves as chief medical officer for Team USA at Rio 2016 Olympic Games

Image result for rio olympics

July 18, 2016—The Foundation for Chiropractic Progress (F4CP), the voice of the chiropractic profession, highlights the role of doctors of chiropractic (DCs) in the care of amateur and professional athletes, citing the continued leadership of William Moreau, DC, DACBSP as managing director of sports medicine for the United States Olympic Committee (USOC) and chief medical officer for Team USA at the Rio 2016 Olympic Games.

With chiropractic care now established as a key component of the health services available to Olympic and Paralympic athletes, experts at the F4CP note that the care provided by a DC helps to maximize overall health and maintain peak performance among athletes.

 

“Olympic and Paralympic athletes access care from a multidisciplinary team of health care professionals, including DCs who hold additional ACBSP certifications in sports chiropractic (an active Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or Certified Chiropractic Sports Physician certification is necessary), as well as advanced techniques in soft tissue cares, joint mobility, active care and others,” said Moreau. “Chiropractic plays an important role in preventive, maintenance or injury specific care, and contributes to enhanced clinical outcomes and high patient satisfaction levels among all athletes.”

 

Doctors of chiropractic – who receive a minimum of seven years of higher level education – are primary care professionals for spinal health and well-being, and are qualified to diagnose, treat and manage a broad spectrum of health conditions.

 

For athletes, chiropractic care can help to reduce the risk of injuries, accelerate recovery time and improve health and performance through enhancements in range of motion, flexibility, balance, muscle strength and other key factors.

 

Sherry McAllister, DC, executive vice president, F4CP, states, “It is gratifying to witness the demand for and growing utilization of chiropractic care among professional athletes. The evidence-based, hands-on chiropractic approach utilizes a variety of techniques, including spinal manipulation, to help restore functionality of the spine and nervous system to ensure optimal well-being, and inevitably fuel competitive athletic performance.”

Please contact our office for an evaluation @ 512-335-0641. www.cedarparkchiro.com.

Chiropractic Utilization Increasing in the U.S. Department of Veterans Affairs

Chiropractic Utilization Increasing in the U.S. Department of Veterans Affairs

The Foundation for Chiropractic Progress (F4CP) issued a release on June 20, 2016, with the headline, “New Study Reports Substantial Growth in the Use of Chiropractic Care by the Department of Veterans Affairs.” The new study appeared in the June 2016 issue of the Journal of Manipulative and Physiological Therapeutics (JMPT).

The F4CP begins by reporting that the U.S. Department of Veterans Affairs (VA) has included chiropractic services as part of the standard medical benefits package offered to all enrolled veterans for more than a decade. The chiropractic care has been available at VA facilities by doctors of chiropractic employed through the VA to offer their services.

As a result, the JMPT study showed a 700 percent increase in chiropractic utilizations over that time period. In the F4CP release, lead author of the JMPT study, Anthony J. Lisi, DC, Director of the VA Chiropractic Program, and Chiropractic Section Chief at the VA Connecticut Healthcare System commented, “Our work shows that VA has steadily and substantially increased its use of chiropractic services each year following their implementation in late 2004.”

The study revealed several facts relative to chiropractic utilization at the VA. The number of patients seen yearly in VA chiropractic clinics increased by 821 percent. As a result, the number of chiropractic visits grew by 693 percent annually. Additionally, the total number of VA chiropractic clinics increased by 9 percent each year, and the number of chiropractor employees increased yearly by 21 percent.

Dr. Sherry McAllister, a chiropractor and executive vice president of the F4CP, commented on the study, “The growing utilization of chiropractic services among veterans for pain management and other health concerns, particularly those in the Operation Enduring Freedom, Operation Iraqi Freedom, Operation New Dawn and older adult populations, showcases the clear-cut demand for chiropractic care and is a direct reflection of the improved clinical outcomes and high patient satisfaction scores that have been documented previously.”

The chiropractic VA program was initially mandated by an act of the US Congress. However, the growth of the program was driven by the need for care and the VA responding to that need. Dr. McAllister noted, “We commend VA for its participation in ongoing chiropractic research to help further improve the health and well-being of our respected and valued veterans.”

Please contact Dr. Jeff Swanson @ 512-335-0641 or online at www.cedarparkchiro.com for further questions.

 


Lower Back Pain with Radiating Pain Down Leg into Foot Helped with Chiropractic

Lower Back Pain with Radiating Pain Down Leg into Foot Helped with Chiropractic

The June 2016 issue of the Chiropractic Journal of Australia published a case study documenting the case of an elderly woman who had been suffering with pain in her lower back and leg being helped with chiropractic. This case was unique due to the woman having an MRI confirming the presence of a synovial cyst in her lower spine.

A synovial cyst is an uncommon occurrence where a cyst or soft tissue lesion forms inside the spinal column just outside the spinal cord. It is usually found in the lower back and is associated with lower back pain with radiating pain into a leg. It is commonly seen with some amount of spinal degeneration, and is more common in elderly patients. When discovered, the most common form of medical care is surgery.

In this case, a retired 76-year-old woman was suffering for the previous 6 months from pain in her buttocks down her right thigh, down her leg into her right foot. She also reported abnormal sensations in her right leg. With ten being the worst, the woman reported that pain as an eight. Standing and walking made her worse while sitting afforded some minimal relief.

A physical examination was performed which included reflexes and observation. An MRI was performed prior to chiropractic care and showed the presence of a synovial cyst along with a mild amount of spinal degeneration in the lower spine.

Initial chiropractic care was begun on the woman followed by supportive care. The study reports that after only a short course of care, the patient reported a complete resolution of her symptoms.

During a six-month follow-up, it was noted that the patient was still symptom free. At this point, a second MRI was performed to check the status of the cyst. The MRI showed that, although the patient was free from the pain, the cyst did not seem to have changed.

The authors noted that this case puts to question whether or not a synovial cyst is the cause of the pain. They stated, “This case report shows that although symptomatic resolution occurred following conservative care, the synovial cyst may not have resolved. This leaves open the question concerning the mechanism of symptom generation in these cases.” They noted the uniqueness of this case and the findings by adding, “This is the first reported case of MR imaging appearances of a lumbar facet synovial cyst pre- and post- successful conservative management resulting in symptomatic resolution.”

Please contact Dr. Jeff Swanson at 512-335-0641 or online at www.cedarparkchiro.com with any questions.

Improvement of Gastroesophageal Reflux Disease (GERD) with Chiropractic

A case study published in the May 2016 issue of the Journal of Clinical Chiropractic Pediatrics documents the recovery of a infant suffering with gastroesophageal reflux disease (GERD) under chiropractic care. According to the Mayo Clinic GERD “…occurs when food backs up (refluxes) from a baby’s stomach, causing the baby to spit up.”

Improvement of Gastroesophageal Reflux Disease (GERD) with Chiropractic

The author of the study begins by noting that medical care for gastroesophageal reflux disease has not been shown to be effective. One study showed that the most common type of medication used for GERD has been shown to be no more effective that a placebo. Because of this, alternative care such as chiropractic is in great need for babies with this condition.

In this case, a four-month-old baby girl suffering from recurrent regurgitation after feeding was brought to the chiropractor. The baby was exclusively breastfed. The baby did not like being carried and often regurgitated after feeding. She also suffered with frequent crying, belching, interrupted sleep, choking, wheezing while sleeping, fussiness, distended stomach, and excessive intestinal gas.

The girl’s mother reported that she noticed these problems from about the second day after birth. In order to better sleep, the baby’s mother would place her on an incline mattress. The baby would also regurgitate almost every time her legs were raised to change her diapers.

A chiropractic examination was performed that included visual inspection, testing of reflexes, neurological testing, range of motion of the spine, palpation of the abdomen, and dynamic palpation of all spinal segments. Most of the test were normal. However, the abdomen was distended and areas of restriction were found in the spine. Subluxations were determined to be present and care was initiated.

The result of the care was the complete resolution of the baby’s GERD. The baby’s distended stomach returned to normal and the wheezing while sleeping stopped.

In the conclusion the author wrote, “Since current evidence fails to support traditional medicinal methods to treat GERD in infants, chiropractic care merits investigation as a safe alternative that might prove more efficient than medication and with fewer side effects.”

Migraines, Tension Headaches, and Arm Pain Resolved with Chiropractic

cedarparkchiropractic

The Chiropractic Journal of Australia published a case study in their June 2016 edition documenting the resolution of long term migraine headaches, tension headaches, and arm pain through chiropractic.

According to the study authors, headaches are the most common neurological problem affecting people. According the World Health Organization, about 47 percent of the population will suffer at least one headache in any given year. Headaches can affect any age group. The study reports that there have been numerous studies showing chiropractic being effective for patients suffering from headaches. However, they note that few studies are available on chiropractic helping the elderly with headaches.

In this study, an 89-year-old man presented himself to the chiropractor for care. The man was suffering from chronic daily tension-type headaches in the front of his head. His headaches had developed into incapacitating migraine headaches every 2 to 3 weeks over the past several years. He also reported suffering from years of chronic right arm and neck pain.

The man’s history included significant trauma, including multiple motor vehicle accidents in 1957 and 1962 in which he suffered fractures in his right arm and spine respectively. The man was a World War II veteran and had suffered a blast injury during an artillery bombardment.

A chiropractic examination was performed which included spinal palpation, a postural and balance assessment, range of motion (ROM), orthopedic and neurological tests, muscle strength and stretch reflexes tests, and sensory and cranial nerve testing. Spinal x-rays were also performed.

Based on the examination findings and x-rays, the diagnosis given was “…chronic daily tension-type headaches, episodic migraines without aura, musculoskeletal neck and arm pain, and concomitant vertebral subluxations.” Chiropractic care was started using a specific adjusting protocol to address the subluxations found.

The study reports that following the first adjustment the patient almost immediately noticed a considerable decrease in the intensity and frequency of his headaches, and arm and neck pain. After six weeks of care, the patient reported that he was continuing to improve and that his headaches were no longer daily and were much less in severity. He also noted that he had not gotten any migraine headaches.

After 12 weeks of care, the patient reported a complete cessation of all headaches and migraines, and also that his arm pain had completely subsided. He commented that he felt a lot more comfortable walking and he had more energy for daily activities. In a one-year follow up, the man reported no further headaches, neck pain, or arm pain.

In their conclusion, the authors wrote, “This case study describes the presentation, chiropractic care provided, and outcomes of care of an 89-year-old male experiencing medically diagnosed chronic daily tension-type headaches, episodic migraines and co-existing musculoskeletal neck and arm pain. The patient reported a cessation of longstanding headaches and musculoskeletal complaints after 12 weeks of – chiropractic care.”

For further information please contact Dr. Jeff Swanson at 512-335-0641 or online at www.cedarparkchiro.com

Chiropractic now a focus in concussion treatment

Trainers and doctors told him to find a quiet place, sit still and just wait. No outside activity, no exercise, no television. Merely rest and wait for the symptoms to subside.

Well, times have changed.

This AHL season, Rallo, a veteran forward for the Texas Stars, missed nearly two months with a concussion. It was a lengthy, frustrating process that included a headache that lingered for six weeks, but instead of sitting quietly in a dark room, Rallo tackled his symptoms head-on.

“It’s very different than it was last time,” Rallo said. “That was four years ago, and the rule was to sit still. Don’t watch TV, don’t do anything, until your symptoms are gone. This time I was working on eye exercises and improving throughout (my recovery).”

Rallo was injured Jan. 29, when Lake Erie’s Jamie Sifers took out his legs after Rallo scored a goal in a 3-2 loss. Rallo slammed his head on the ice and didn’t return to the Stars’ lineup until March 23.

After suffering his first concussion in four years as a result of Sifers’ hit, Rallo started down the road to recovery by working with a chiropractic neurologist. Through simple exercises — one called for him to put his hands straight out, close his eyes and march in place — Rallo worked to improve the tracking of his eyes, his heart rate and his cognition.

“Early on, I would open my eyes and I would be facing the complete opposite direction, having no idea I had moved,” Rallo said. “They would also do this thing were they would spin me in a chair real slow, and my heart rate would go up to 170, just for a slow spin. Eventually it was worked back to where I could spin in the chair and my heart rate would stay normal, even for a fast spin.”

The exercises helped him return to the ice, said Rallo, whose club will try to even its first-round playoff series against San Diego when the teams play Saturday night at the newly renamed H-E-B Center at Cedar Park.

During the AHL regular season, Stars coach Derek Laxdal became quite accustomed to dealing with players who had concussions.

Rallo and Travis Morin each missed more than a month with concussion symptoms, and Mattias Backman missed a couple of weeks earlier in the season. And just last week, Laxdal said forward Branden Troock’s season had come to an end after he suffered a concussion in a fight against San Jose defenseman Gus Young.

“It’s all about the health of the player now,” Laxdal said. “This is a game, and it’s their job, but you have to make sure a guy has a life after hockey. It’s changed how we treat it. When I played, you could get (hit) pretty hard and no one would think about it. Today, we know it’s important to protect your brain.”

During his playing career, which stretched from 1982 to 2001, Laxdal said he hardly ever heard the word “concussion” mentioned.

“I remember during a game in junior (hockey), I got hit at center ice, had my head down and had to be taken off on a stretcher,” the coach recalled. “I spent the night in the hospital but still played two nights later. Think about that: I ran into a 6-foot-6-inch brick wall on skates with my head down and still played two days later.”

While the recognition of concussions and the treatment of them might have changed in hockey, the public transparency about head injuries in the sport remains cloudy.

The AHL doesn’t track concussions, and the league’s teams aren’t required to publicly disclose injuries. The teams that do disclose injuries often describe the ailments simply as “upper-body” or “lower-body” injuries.

While there aren’t hard numbers across the AHL, NHL officials claim the number of concussions suffered by players is declining.

According to league records, 2011 saw the largest number of concussions in NHL history. Among the players stricken was Pittsburgh’s Sidney Crosby, the game’s marquee name, who missed 15 months while recovering.

Crosby’s injury raised awareness of the concussion issue in hockey circles, and the subject remains a hot-button topic. Former NHL enforcers Bob Probert, Derek Boogard and Steve Montador all died before age 50, and autopsies found that all three were suffering from chronic traumatic encephalopathy, a degenerative disease of the brain found in those with a history of repetitive brain trauma.

A class action lawsuit has been filed against the NHL, with more than 100 players alleging that the league failed to protect them from the long-term effects of head trauma.

“The biggest thing is people want change, and they want to be safer and know a player will be all there when they retire,” said a former NHL player from the mid-1990s who didn’t want to be identified. “I think this is bringing (the issue) the attention it deserves, and hopefully it continues to improve.”

The NHL and AHL have worked to reduce the occurrence of concussions by slowly weeding fighting out of the sport. This season, Texas had a league-low 16 fights, and this season was just the second time since 2000 that the AHL didn’t have a team with 100 major penalties for fighting.

“The age of two donkeys going out and swinging at each other is over,” Texas Stars defenseman Brennan Evans said. “Fighting is declining. It’s still part of the game, but not what it used to be by a long shot.”

In the AHL, if a player engages in two fights during a game, he’s ejected. Approved before the 2014-15 season, the rule change has been positive for the league, said AHL President and CEO Dave Andrews.“The number of players fighting multiple times has gone down, and that’s good,” Andrews said in a phone interview. “It’s always been part of the game, but I don’t think any of our teams market fighting to sell tickets. It’s a very good product on the ice. People don’t need a fight to enjoy it.”

There also are concussion spotters in each NHL press box who watch for players who take hits to the head, and players recovering from concussions face stricter standards before being cleared to return to the ice.Add all these changes together, a number of AHL and NHL players said, and they feel more comfortable reporting concussion like symptoms to a team trainer or a doctor.

“I’m not a doctor, and I can’t say exactly what happens in each case, but across our league players are treated with the best possible care,” Andrews said. “There are a few slight modifications, just from the number of personnel we have in the league, but overall if a player has a head injury, it’s treated just as seriously, if not more (in the AHL).”

The Texas Stars follow the same concussion protocol used in the NHL. If a player suffers a significant hit to the head or reports concussion like symptoms, his symptoms are assessed. If diagnosed with a concussion, the player must complete a six-step process before returning to game action. Twenty-four hours must pass after the completion of each step in the process, so any player recovering from a concussion is sidelined for at least a week.Before resuming full-contact practice — the fifth step in the process — the injured player’s results on his latest cognitive assessment must at least equal the baseline score he recorded before training camp opened.

Shay McGlynn, head athletic trainer for the Texas Stars, said 90 percent of players dealing with concussions see them subside within two weeks. If the symptoms linger longer, players are referred to a neurologist or neuropsychologist for additional treatment. That was the case for both Rallo and Morin, who was injured against Lake Erie on Feb. 14 and didn’t return to action until March 26.

“You understand why you wait,” Rallo said. “At least now it’s a better process.”

http://www.mystatesman.com/news/sports/hockey/heads-up-concussion-awareness-growing-in-hockey/nq9fy/

If you have questions regarding concussion treatment and how chiropractic plays an important roll, please contact Dr. Jeff Swanson, DC, CSCS, at 512-335-0641 or online at www.cedarparkchiro.com.  Dr. Swanson is the official team chiropractor for the Texas Stars Hockey Team.