“Once you go to a chiropractor, you ALWAYS have to go.”

Dr. Stephanie Maj discusses some important new research about chiropractic care for back pain and the benefits of maintenance care.

Many people are told by friends that once you start going to the chiropractor  you have to keep going in order to keep the pain away. Chiropractors often advise their patients to go on “maintenance care” in which regular spinal adjustments are given every two or four weeks. This is thought to keep the spine and low back healthy and prevent re-injury and pain. New research further confirms this.

This new, single blinded placebo controlled study, conducted by the Faculty of Medicine at Mansoura University, conclusively demonstrates that maintenance care provides significant benefits for those with chronic low back pain.

BACKGROUND: Spinal manipulation (SMT) is a common treatment option for low back pain. Numerous clinical trials have attempted to evaluate its effectiveness for different subgroups of acute and chronic LBP previously, but the efficacy of maintenance SMT in chronic non-specific LBP has never been studied.

In this study, 60 patients with chronic, nonspecific LBP lasting at least 6 months were randomized into 3 groups:

1. One third of them received 12 treatments of sham SMT over a one-month period.

2. One third of them received 12 treatments of SMT during a one-month period, with no follow-up care during the next nine months, and

3. One third of them received 12 SMT visits during the first month, followed by “maintenance” SMT every two weeks, for the next nine months.

To determine any difference among these 3 care groups, researchers measured pain and disability scores, generic health status, and back-specific patient satisfaction at baseline, and at 1-month, 4-months, 7-months, and at 10-months

RESULTS: Patients in manipulative groups (groups 2 & 3) experienced significantly lower pain and disability scores than the sham group at the end of the first 1-month period.

At the 10-month follow-up, only the maintenance group maintained improvements in pain and disability, while the group that only received 1-months care had reverted to their pretreatment pain and disability levels.

CONCLUSIONS: This is the first medically managed trial that clearly demonstrates that maintenance care provides significant benefits to those who suffer from chronic low back

To summarize that information above: the group that received chiropractic maintenance care experienced better health and less pain. The group that received just one month of care for their back pain experienced improvement, but less than the group that stayed on for maintenance care. And both chiropractic groups did better than the group that was not adjusted at all.

Headache and Neck Pain Research Update

Here at Park Bench Chiropractic in Frederick we think it’s very important to stay up-to-date with the latest scientific research regarding chiropractic and conditions like neck-related headaches. From time to time we will summarize recent research on topics we find important for our patients as a service to the community. We believe that knowledge is power – especially with your health – and this will help people make informed decisions about their health options.

Today’s article is about the difference between headaches that originate from the head and those headaches that originate from the neck. Many times you can get a headache and the cause of that headache is a problem in your neck muscles or spinal misalignment.

While neck-related headache (“cervicogenic headache”) can have symptoms very similar to a migraine, one of the main differences is the presence of pain down to the shoulder or arm and a history of neck trauma.

This makes sense when you consider that for a headache to be cervicogenic it must be one that has a source in the neck which refers pain to the head. This means that a source must be identified. Restricted range of cervical motion, tenderness over the zygapophyseal joints, and occipital tenderness have all been used as diagnostic criteria, although interobserver reliability is low.

Studies have been done that completely anesthetize different nerve root levels, and some of these studies were successful in completely eliminating the pain. This clearly demonstrates that the pain was being referred from nerves in the neck. Other similar studies doing the same thing weren’t successful.

Perhaps the best way to definitively diagnose a headache as cervicogenic is to treat the supposed neck condition and then, if the treatment is successful, then researches concluded that the headache must have been from a pain source in the neck.

Source: Distinguishing primary headache disorders from cervicogenic headache – Clinical and therapeutic implications, University of Newcastle Department of Clinical Research, Newcastle Hospital, New South Wales, Australia

MDs Admit Low Confidence In Diagnosing Musculoskeletal Complaints in Children

No one in the medical or chiropractic community should be surprised to learn that MD’s have low confidence in their own abilities to properly diagnose musculoskeletal complaints in children.

Let’s look at the educational background of an MD (medical doctor) vs. that of a DC (doctor of chiropractic). I am not making this comparison to say one is better than the other – in fact that would be incorrect. I simply want to point out that MD’s are well-trained in knowing which pills to prescribe and chiropractors are well-trained to recognize and address problems in the muscles, joints, and nervous system. Due to that obvious difference in training and education, MD’s aren’t very adept at diagnosing musculoskeletal complaints and chiropractors are very good at making those diagnoses.

Hours spent on anatomy and diagnose of musculoskeletal courses in Medical and Chiropractic school:
Anatomy/physiology – Chiropractic: 456; Medical: 215.
Physiology – Chiropractic: 243; Medical: 174.
Diagnosis – Chiropractic: 408; Medical: 113.
Orthopedics – Chiropractic: 168; Medical: 2.

Full Original Article Here:  MDs Admit Low Confidence In Diagnosing Musculoskeletal Complaints in Children

References Here:
1. http://www.chiro.org/ChiroZine/ABSTRACTS/Low_Confidence.shtml
2. http://www.chiro.org/pediatrics/ABSTRACTS/Safety_and_Effectiveness_of_Pediatric_Chiropractic.shtml
3. http://www.chiro.org/ChiroZine/End_Medical_Mis-Management_of_Musculoskeletal_Complaints.shtml

Frederick Chiropractors Show How Chiropractic Can Help Sciatica

Two chiropractors in Frederick that are practicing at Park Bench Chiropractic are known for helping their patients get rid of nagging sciatica, a type of pain caused by pressure or irritation of the sciatic nerve. This nerve that is found in the low back, buttocks, and leg can cause sharp pain, tingling and numbness, or other problems. Frederick chiropractors Dr. Romano and Dr. Schooley are trained in methods to reduce or eliminate back or leg pain or numbness due to sciatica.

Frederick Chiropractors offer treatment for Sciatica Pain

From a recent patient (N.R.):

At a recent visit to their warm and inviting office in Frederick, Dr. Romano showed how patients can get relief from low back or sciatic nerve pain. I was examined to make sure that the problem really is the sciatic nerve, and what exactly is causing the nerve pain, and then a treatment was recommended involving chiropractic adjustments. Sometimes the problem is caused by a muscle, sometimes by the disc, and sometimes just by the bones being misaligned and causing inflammation. I never knew it could be all those things! For me, it was the disc and this involved coming in to the office three times per week for a few weeks and being “adjusted”. The doctor places you on a padded table and adjusts your low back with his hands. Sometimes there is an audible “pop” and sometimes there isn’t.

It isn’t as scary as I thought it might be, and the relief is amazing. While chiropractic isn’t what everybody needs for their sciatic nerve pain, for me it sure did the trick. Both doctors are very similar in the way they treat patients, and they are very gentle – much more gentle than I thought this would be!

If you are suffering from sciatica or low back pain, stop by or call our office to set up a consultation. Park Bench Chiropractic is located in Frederick, Maryland at 1780 North Market St. Our office phone number is (301) 378-0334. We look forward to hearing from you soon!