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 required
measure of back pain relief from spinal
manipulation treatment (SMT), but back pain and neck pain patients undergoing SMT want and need to know all they can. Present-day
guidelines for handling low back pain
highlight patient education and exercise as important
issues. Healthcare practitioners are
fairly good (72% overall) at delivering
information. By profession, though, chiropractors lead in
sharing patient education for 76% of patients with
physical therapists at 74% and general practitioners at only 44%. The
more emotionally distressed a patient seemed or the pain
was below the knee,
information was shared with 78% of patients. (1) A valuable
topic for Toronto back pain and neck pain patients undergoing spinal
manipulation treatment (SMT) is this sometimes-audible pop. A systematic
review of published studies revealed 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 associated with 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 - as well as those who were
not 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 better question
for you and your Toronto chiropractor might “Is
there pain relief or not?” With our gentle chiropractic care, there is
pain relief for many Toronto back pain and neck pain sufferers. Let’s talk about all of this at your
next chiropractic visit at Yorkville Chiropractic and Wellness Centre!
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 is
in favor and abundantly researched beyond its
longer term reputation in supporting phospho-calcium
metabolism and skeletal bone disorders. Today, research has
well-established vitamin D as a hormone and recounted 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 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 reduces bone formation.
(B) The adrenal medulla produces “stress hormones”
epinephrine (adrenaline) and norepinephrine (noradrenaline) in charge
of the fight or flight response. (5) Adrenal gland issues
keep people awake at night…literally! Although not yet
conclusive, 800-2000IU a day was suggested in
a recent study to support adrenal health. (6)
Yorkville Chiropractic and Wellness Centre is ready to discuss vitamin D
and any adrenal gland issues you may be having.
CONTACT Yorkville Chiropractic and Wellness Centre
Set your next Toronto
chiropractic appointment with Yorkville Chiropractic and Wellness Centre soon! We
have a lot 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."