Back Pain Facts and Statistics

Although chiropractors care for more than just back pain, many patients visit chiropractors looking for relief from this pervasive condition. In fact, 31 million Americans experience low-back pain at any given time.1

A few interesting facts about back pain:
· One-half of all working Americans admit to having back pain symptoms each year.2
· Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
· Most cases of back pain are mechanical or non-organic—meaning they are not caused by
serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
· Americans spend at least $50 billion each year on back pain—and that’s just for the more
easily identified costs.3
· Experts estimate that as many as 80% of the population will experience a back problem at
some time in our lives.4

What Causes Back Pain?
The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries, or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.

Manipulation as a Treatment for Back Problems
Used primarily by Doctors of Chiropractic (DCs) for the last century, manipulation has been largely ignored by most others in the health care community until recently. Now, with today's growing emphasis on treatment and cost effectiveness, manipulation is receiving more widespread attention.

Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5

In fact, after an extensive study of all currently available care for low back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. It recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6

The American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about how chiropractic manipulation may help you, contact a Doctor of Chiropractic in your area. Dr. Brenda Rooney, a member of the American Chiropractic Association, as well as a member of the Association of New Jersey Chiropractors (ANJC) recommends the following tips for back pain prevention in accordance with the ACA.

Tips to Prevent Back Pain:
· Maintain a healthy diet and weight.
· Remain active—under the supervision of your doctor of chiropractic.
· Avoid prolonged inactivity or bed rest.
· Warm up or stretch before exercising or other physical activities, such as gardening.
· Maintain proper posture.
· Wear comfortable, low-heeled shoes.
· Sleep on a mattress of medium firmness to minimize any curve in your spine.
· Lift with your knees, keep the object close to your body, and do not twist when lifting.
· Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to
spinal tissues.
· Work with your doctor of chiropractic to ensure that your computer workstation is
ergonomically correct.

References:
1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.
2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD, Summer 1994.
4. In Vallfors B, previously cited.
5. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.
6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.

Optimal Family Chiropractic to Participate in Rotary Club Fundraiser

The Netcong-Stanhope Rotary Club will be sponsoring a Spa & Wellness Luncheon to benefit local elementary and high school scholarships. The luncheon will be held at The Black Forest Inn in Stanhope on Saturday, January 9. This will be an afternoon of pampering that includes a delicious German style lunch and the sampling of many different Spa and Wellness Services. Services will include chiropractic consultations, facials, makeovers, massage, bioimpedance analysis, body energizing, shiatsu, weight management, photo portraits, reiki, intuitive readings and much more! Each practitioner’s service has a minimum value of $65 - $85.

Dr. Brenda Rooney will provide spinal scans and answer questions about the benefits of chiropractic therapy for a variety of conditions.

Only 55 tickets will be sold priced at only $75 which includes 10 Door Prize Tickets, German buffet and dessert, and a choice to sit with at least 3 different health and beauty practitioners. There will be a cash bar. Attendees must be 18 or over. Please dress for comfort.

January 9, 2010
Snow Date: January 23, 2010
12:00 Noon – 3:00 PM
The Black Forest Inn
249 Route 206
Stanhope, NJ 07874
973-347-3344

For tickets, please contact Robin Olson of the Netcong-Stanhope Rotary Club at (973) 713-8402.

Dr. Rooney is a member of the American Chiropractic Association and the Association of New Jersey Chiropractors. For more information about chiropractic, please contact Optimal Family Chiropractic, LLC at (973) 584-4888 or visit www.optimalfamilychiropracticllc.com.

Chiropractic: A Safe Treatment Option

Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of back pain, neck pain, joint pain of the arms or legs, headaches, and other neuromusculoskeletal complaints says the American Chiropractic Association. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects.

The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may sometimes experience mild soreness or aching, just as they do after some forms of exercise. Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours.1

In addition to being a safe form of treatment, spinal manipulation is incredibly effective, getting patients back on their feet faster than traditional medical care. A March 2004 study in the Journal of Manipulative and Physiological Therapeutics found that chiropractic care is more effective than medical care at treating chronic low-back pain in those patients who have been experiencing the symptoms for one year or less. In addition, a study published in the July 15, 2003, edition of the journal Spine found that manual manipulation provides better short-term relief of chronic spinal pain than a variety of medications.

Neck Adjustments
Neck pain and some types of headaches are sometimes treated through neck adjustment. Neck adjustment, often called cervical manipulation, works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension. Neck adjustment is a precise procedure that is generally applied by hand to the joints of the neck. Patients typically notice a reduction in pain, soreness, stiffness, and an improved ability to move the neck.

Neck manipulation is a remarkably safe procedure. Although some reports have associated upper high-velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, there is not yet a clear understanding of the connection. While we don’t know the actual incidence of stroke associated with high-velocity upper neck manipulation, the occurrence appears to be rare—1 in 5.85 million manipulations2— based on the clinical reports and scientific studies to date.

To put this risk into perspective, if you drive more than a mile to get to your chiropractic appointment, you are at greater risk of serious injury from a car accident than from your chiropractic visit.

It has also been suggested that sudden, severe upper-neck pain and/or headache, which may indicate a pre-stroke condition, could cause someone to visit a doctor of chiropractic. In addition, some common activities, such as stargazing, rapidly turning the head while driving, and having a shampoo in a hair salon may cause an aneurysm—a widening of an artery resulting from the weakening of the artery walls—of the neck arteries, resulting in stroke. Such events remain very difficult to predict.

It is important for patients to understand the risks associated with some of the most common treatments for neck and back pain—prescription nonsteroidal anti-inflammatory drugs (NSAIDS)—as these options may carry risks significantly greater than those of manipulation. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen.3
Furthermore, surgery for conditions for which manipulation may also be used carries risks many times greater than those of chiropractic treatment. Even prolonged bed rest carries some risks, including muscle atrophy, cardiopulmonary deconditioning, bone mineral loss and thromboembolism.4

Dr. Brenda Rooney obtains very specific information about symptoms from her patients with upper-neck pain or headache. “This will help me provide the safest and most effective treatment,” says Dr. Rooney. "If the issue of stroke concerns you, do not hesitate to discuss it with me. Depending on your clinical condition, instead of manipulation, I may recommend joint mobilization, therapeutic exercise, or soft-tissue techniques.”

Research Ongoing
Today, chiropractic researchers are involved in studying the benefits and risks of spinal adjustment in the treatment of neck and back pain through clinical trials, literature reviews and publishing papers reviewing the risks and complications of neck adjustment.

All available evidence demonstrates that chiropractic treatment holds an extremely small risk. The American Chiropractic Association points out that the chiropractic profession takes this issue very seriously and engages in training and postgraduate education courses to recognize the risk factors in patients, and to continue rendering treatment in the most effective and responsible manner.

Dr. Rooney is a member of the American Chiropractic Association. For more information about chiropractic and the issues mentioned above, contact Optimal Family Chiropractic, LLC at (973) 584-4888 or visit www.optimalfamilychiropracticllc.com.

References
1. Spine 1997 Feb 15; 435-440.
2. Can Med Assoc J 2001; 165(7):905-906.
3. Am J Gastroenterol 2005;100:1685–1693.
4. Contemporary Chiropractic. New York: Churchill Livingstone, 1997, p. 230-238

Chiropractic Effective Treatment for Headaches

This October, during National Chiropractic Month, the American Chiropractic Association (ACA) is encouraging families to consider chiropractic care as a treatment for several types of headaches.

While many people associate chiropractic care as a treatment for bad backs, there is growing documentation that chiropractic is also effective in the treatment of cervicogenic headaches, migraines and cluster headaches.

“Research shows that spinal manipulation is an effective treatment option for headaches,” says Dr. Brenda Rooney of Optimal Family Chiropractic in Mount Olive and a member of the American Chiropractic Association. “Not only does drug-free, conservative chiropractic care provide almost immediate relief from pain, but it has significantly fewer side effects and longer-lasting relief than many commonly prescribed medications.”

Additionally, doctors of chiropractic are trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling—all of which are important components in the management of chronic headache pain.

If you frequently suffer from headaches, Dr. Rooney and ACA recommend the following tips.

• If you spend a large amount of time in one fixed position, such as in front of a computer, take a break and stretch every 30 minutes to one hour.
• Low-impact exercise may help relieve the pain associated with primary headaches.
• Drink at least eight 8-ounce glasses of water a day to help avoid dehydration, which can lead to headaches.
• Avoid slouching.
• Try a low-fat, high-complex carbohydrate diet. A recent study demonstrated that such a diet can dramatically lower the frequency, intensity, and duration of migraine headaches.
• Reduce stress at home and work by planning ahead and engaging in relaxation and breathing exercises.
• Get plenty of sleep and maintain a regular sleep schedule.

This October, during National Chiropractic Month, talk with a doctor of chiropractic about how you can obtain headache relief through spinal manipulation and chiropractic care. “When it comes to managing headache pain, there’s no magic solution that works for everyone, but chiropractic care is certainly an effective treatment option every patient should keep in mind.” said Dr. Rooney.

Dr. Rooney is working in collaboration with the American Chiropractic Association to observe National Chiropractic Month. For more information on chiropractic or any of the tips mentioned above, contact Optimal Family Chiropractic at (973) 584-4888.

Healthy Fashion Tips

Looking your best might not always be the best thing for you. Today’s society is extremely fashion and style conscious. Unfortunately, clothing designers and stylists aim to please by creating unique looks that might not always be practical or even comfortable.

The look of the season shows runway models in high platform heels and tight skirts or pants. Models have perfected the runway “walk,” but the popular looks and accessories are frequently impractical and could create leg, back, and spine or neck problems.“Sometimes I see a woman walking down the street with high heels and a two-ton bag, and I want to stop her and make her aware of what she is doing to her body,” said Dr. Jerome McAndrews, former Vice President of Professional Affairs for the American Chiropractic Association and an advocate for the chiropractic profession.

Women generally wear high heels to complement an outfit, not for comfort, but some might not realize that these shoes can cause serious discomfort in the feet and can also exacerbate back pain. High heels alter the balanced position of a person’s body. When a woman wears high heels, a new dynamic equilibrium occurs.

Dr. McAndrews compared the musculoskeletal system to a mobile, hanging in dynamic equilibrium, each part balancing the other. If one part becomes ‘fixed,’ the whole system will compensate with a movement or restriction. Essentially, wearing high heels for any length of time increases the normal forward curve of the back and causes the pelvis to tip forward. This alters the normal configuration of the pelvis and spine necessary for the body to maintain a center of gravity.

“The legs are the foundation of the musculoskeletal system, and a person standing flat-footed or bare-footed would be completely balanced,” said Dr.McAndrews. “While standing, the ham strings are taut and both parts of the pelvis are stabilized so that the support is normal. By bringing the heel up, you encourage the shortness of the ham string muscles.

”Women and men alike fall into the fashion trap. However, women, more than men, tend to wear clothes that are too tight. Stylish tight tube skirts and tight pants can be attractive, but are often too restrictive. Clothing that is too tight can throw a person off-balance, and can make simple everyday tasks such as bending, sitting and walking become difficult. Tight clothes restrict a person from moving comfortably, resulting in poor posture and misalignment of the spine,” said Dr. McAndrews. Another unhealthy fashion statement is the use of heavy purses, backpacks and handbags.

Women and men tend to carry too many items in one bag, or briefcase, and are often not aware of the potential health risks associated with toting an excessive amount of “stuff.” Carrying a bag with detectable weight more than 10 percent of your body weight can cause improper balance. When hiked over one shoulder, it interferes with the natural movement of the upper and lower body. “The person carrying the bag will hike one shoulder to subconsciously guard against the weight, holding the other shoulder immobile,” said Dr.McAndrews. “This results in the unnatural counter balance movement of one shoulder and little control over the movements of the arms and legs. Even worse, the spine curves toward the shoulder."

More and more people carry their credit cards, ATM cards and personal identification in the back pocket of their pants. This might be a convenient way of carrying the necessary items with you each day, but carrying your wallet in the back pocket of your pants can cause discomfort. Dr. McAndrews suggested men and women remove their wallets or other items before sitting for long periods of time. “Sitting on your wallet or card holder for the entire day will create a pocket in the muscle lying underneath the wallet, and whether your pants are tight or loose-fitting, this can result in discomfort or pain.”

In today’s society, it might be important to you to look fashionable, but it is more important to choose clothes, shoes and bags that are comfortable and that suit your style. By following and remembering these simple steps, it is possible to look and feel your best.

• Choose comfortable shoes. If you must wear high heels, bring a pair of flat shoes along with you to change into should you become uncomfortable. If you walk to work, wear flat shoes and change into your more fashionable shoes when you arrive to alleviate any pain or discomfort.
• If the shoe is uncomfortable while standing, chances are it will not be any more comfortable while walking. The wrong shoe can affect the body’s center of gravity.
• Choose supportive shoes. Designer spikes or non-supportive loafers may look nice but do not allow for easy, symmetrical walking.
• While sitting, whether or not you are wearing heels, it is important to take frequent stretch breaks to alleviate atrophy of the hamstring muscles.
• Avoid excessive wear of tight pants or clothing. If you prefer tighter clothes, choose styles that allow you to perform daily tasks with ease.
• Select a briefcase or purse with a wide adjustable strap. Ideally, the strap should be long enough to place over the head. This evenly distributes the bulk of the weight across the body.
• When carrying a bag, or briefcase, switch sides frequently to avoid placing the burden of the weight on one side of your body.
• Take the time to empty unnecessary items from your bag.
• Place all necessary items such as wallets and cellular phones in the front pockets of the bag. Stretching around to reach for your wallet can result in a pulled neck or back.
• If you are driving or sitting for long periods of time, remove your wallet or card holder from the back pocket of your pants.

Designers and stylists tend to be more concerned about the way something looks rather than the way it feels. Listen to your body. One of the most important aspects of being in style and looking your best is to maintain healthy judgment. By following simple suggestions, being fashionable can be comfortable.

Chiropractic Adjustments Alleviate Menstrual Pain

A prospective case series demonstrates that chiropractic adjustments significantly ease menstrual pain.

The study enrolled 13 women with an average age of 26 years who had suffered from dysmenorrhea for an average of 12 years. Treatment consisted of treating lumbosacral flexion and extension restrictions using drop table. Treatments took place 3 times during each of the 2 consecutive menstrual cycles.

“At baseline, all subjects reported pain severity scores of 5 or higher for at least 2 of 3 anatomical sites: lower or general abdominal pain and/or lower back pain,” according to the study. “Using the 95% confidence interval (CI) as an estimate, clinically meaningful changes (<5) in general abdominal pain and lower back pain were evident for most patients during the treatment phase, whereas for lower abdominal pain, the improvements were subject and cycle dependent. Menstrual pain associated with primary dysmenorrhea may be alleviated with treatment of motion segment restrictions of the lumbosacral spine with drop table technique,” conclude the study’s authors.

JMPT – March 2008;31:237-46

Fibromyalgia Education and Wellness

Fibromyalgia (pronounced fie-bro-my-AL-juh) is a common condition characterized by widespread pain in joints, muscles, tendons, and other soft tissues. Some other problems commonly linked with fibromyalgia include fatigue, morning stiffness, sleep problems, headaches, numbness in hands and feet, depression, and anxiety.

Fibromyalgia can develop on its own, or secondary to other musculoskeletal conditions, such as rheumatoid arthritis, or systemic lupus. Diagnosis of fibromyalgia requires a history of at least three months of widespread pain, and pain and tenderness in a least 11 of 18 tender-point sites. These tender-point sites include fibrous tissue or muscles of the neck, shoulders, chest, rib cage, lower back, thighs, knees, arms (elbows) and buttocks.

The overwhelming characteristic of fibromyalgia is long-standing, body-wide pain with defined tender points. Tender points are distinct from trigger points seen in other pain syndromes.(Unlike tender points, trigger points can occur in isolation and represent a source of radiating pain, even in the absence of direct pressure).

Fibromyalgia pain can mimic the pain experienced by people with various types of arthritis. The soft-tissue pain of fibromyalgia is described as deep-aching, radiating, gnawing, shooting or burning, and ranges from mild to severe. Fibromyalgia sufferers tend to waken with body aches and stiffness.

Symptoms include:

• Multiple tender areas
• Sleep disturbances
• Reduced exercise tolerance
• Fatigue
• Body aches
• Chronic muscle pain or aching

Chiropractic Care and Fibromyalgia
Chiropractic care including simple adjustments to the neck and spine have proven to be an effective treatment that can significantly reduce pain and symptoms associated with fibromyalgia.

Dr. Rooney is a member of the American Chiropractic Association and the Association of New Jersey Chiropractors.