The Illusive Pop of Spinal Manipulation
“To Pop or Not to Pop” is of course a
twist on an age-old Shakespearean quote for an age-old chiropractic
spinal manipulation discussion point. The answer
today is that it is not a necessary
gauge of back pain relief from spinal
manipulation treatment (SMT), yet back pain and neck pain patients undergoing SMT want and need to know more. Current
guidelines for handling low back pain
emphasize patient education and exercise as important
issues. Healthcare practitioners are
pretty good (72% overall) at sharing
information. By profession, though, chiropractors lead in
delivering patient education for 76% of patients with
physical therapists at 74% and general practitioners at just 44%. The
more emotional distress a patient
exhibited or pain described as below the knee,
information was shared with 78% of patients. (1) An important
topic for Orchard Park, NY 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, there was no research evidence
of improved pain outcomes or success of the treatment linked
to an audible pop. (2) Good
thing since some patients have it, and some don’t.
Patients whose practitioners told them
about the audible pop - and those who weren’t spinal manipulation patients - reported
curious theories of what caused 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 Orchard Park, NY chiropractor might “Is
there pain relief or not?” With our gentle chiropractic care, there is
pain relief for many Orchard Park, NY back pain and neck pain sufferers. We
look forward to talking with you at your
next chiropractic visit at Novelli Wellness Center!
Listen to this PODCAST
with Dr. Kurt Olding on The
Back Doctors Podcast with Dr. Michael Johnson as he details
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
popular 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 described vitamin D
as influential in a variety of 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 makes cortisol which
regulates the sleep/wake cycle, body’s utilization 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
definitive, 800-2000IU a day was suggested in
a new study to support adrenal health. (6)
Novelli Wellness Center is excited to discuss vitamin D
and any adrenal gland issues you may be having.
CONTACT Novelli Wellness Center
Set your next Orchard Park, NY
chiropractic visit with Novelli Wellness Center soon! We
have a lot to talk about!