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 question. Today’s answer is that it is not a necessary
indicator of back pain relief via spinal
manipulation treatment (SMT), yet back pain and neck pain patients undergoing SMT want and need to know all they can. Current
guidelines for handling low back pain
highlight 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
providing patient education for 76% of patients with
physical therapists at 74% and general practitioners at only 44%. The
more emotional distress a patient
showed or pain described as below the knee,
information was shared with 78% of patients. (1) An important
topic for Plainville back pain and neck pain patients undergoing spinal
manipulation treatment (SMT) is this sometimes-audible pop. A systematic
review of published studies found 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 related to an audible pop. (2) This is good to know since some patients have 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 more appropriate question
for you and your Plainville chiropractor might “Is
there pain relief or not?” With our gentle chiropractic care, there is
pain relief for many Plainville back pain and neck pain sufferers. We
look forward to talking with you at your
next chiropractic visit at Layden Chiropractic!
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 enjoys a favored reputation and is well- 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 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 use of
fats/proteins/carbs, inflammation, blood pressure as well as
raises blood sugar and decreases 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…literally! Although not yet
definitive, 800-2000IU a day was proposed in
one recent study to support adrenal health. (6)
Layden Chiropractic is ready to talk about vitamin D
and any adrenal gland issues you may be experiencing.
CONTACT Layden Chiropractic
Set your next Plainville
chiropractic visit with Layden Chiropractic now! We
have so much to talk about!
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."