We see quite a few patients in our Sacramento office with ankle sprains but Dr. Armstrong has had a lot of success helping them recover more quickly. Why are ankle sprains so common and how can chiropractic help?
According to the American College of Sports Medicine (ACSM), an estimated 25,000 people in the US sprain their ankles daily. As a matter of fact, these injuries make up almost half of all sports injuries, causing people to spend time away from the activities they enjoy most.
Like any injury, there are many causes of ankle sprains. The most common is inversion, or when the ankle rolls inward. This injury can occur due to one forceful movement, or it can develop over time, and activities that increase the risk for this type of ankle sprain include running and jumping. You're also at risk if you have past ankle injuries, poor posture or balance, weak muscles, and reduced range of motion.
How Can Chiropractic Treatments and Dr. Armstrong Help?
A study published in the Journal of Manipulative and Physiological Therapeutics set out to determine chiropractic's role when it comes to ankle sprain recovery. The authors enrolled 33 people between the ages of 18 and 45 who had a history of ankle inversion sprains, who were reporting tenderness and/or pain, and had not re-injured the ankle in the previous six weeks.
Eighteen of the participants were assigned to receive rehabilitation and the other 15 individuals received chiropractic adjustments in addition to rehab. Each individual had five full weeks of treatment, with the rehab group receiving therapies seven days a week and the rehabilitation plus chiropractic group receiving therapy six out of the seven days.
Research Shows Chiropractic Helps With Ankle Sprains
The study found that the people who had both rehabilitation and chiropractic fared the best at the 4-week mark when it came to pain and joint restriction. Additionally, no negative effects were reported, showing that this treatment option is safe.
If you're near our location in Sacramento and you're suffering from an ankle injury, give us a call. We'll do what we can to keep you up and running... literally!
- American College of Sports Medicine. (n.d.). Ankle sprains and the athlete. Retrieved from https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf
- Lubbe, D et al. (2015, January). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of Manipulative and Physiological Therapeutics, 38(1), 22-34, doi:10.1016/j.jmpt.2014.10.001
Dr. Armstrong sees a lot of patients troubled with carpal tunnel syndrome in our busy Sacramento chiropractic office. While some people think that the source of this wrist-related pain is muscular, it's actually a syndrome that stems from the nerves--and not just the nerves in your hands.
Research Supports Chiropractic Helps With Carpal Tunnel Syndrome
Recent research printed in the Journal of Orthopaedic & Sports Physical Therapy assessed 71 women between the ages of 35 and 59 who were diagnosed with carpal tunnel syndrome. Upon investigating the subjects' neck range of motion, the authors found that the women had reduced cervical mobility when compared to a healthy control group.
Furthermore, they also found that the level of the women's reported carpal tunnel discomfort was related to the lateral flexion of the cervical spine. In other words, the less range of motion in the neck, the greater the level of pain.
This study is extremely important, as you can't effectively treat a condition until you fully understand its cause. By recognizing that the root of carpal tunnel symptoms is in the neck, this means that natural approaches such as chiropractic can often restore normal function, reducing the need for risky operations.
If you suffer with carpal tunnel pain, call our Sacramento office and ask how Dr. Armstrong can help you get relief!
De-la-Llave-Rincon A et al. (2011, May). Women with carpal tunnel syndrome show restricted cervical range of motion. Journal of Orthopaedic & Sports Physical Therapy;41(5):305-10.
Simon H. Carpal Tunnel Syndrome. University of Maryland Medical Center. Updated May 6, 2012. Retrieved from https://umm.edu/health/medical/reports/articles/carpal-tunnel-syndrome on November 2, 2015.
In our Sacramento practice, we see a lot of people who are troubled with back pain, and a few of these patients have been advised they might need surgery to recover. Thankfully, Dr. Armstrong has helped many people get relief without the need for any type of operation. The science confirms the success we see in our practice. One medical study published in the medical journal Spine found that seeing a chiropractor as your first step in dealing with your back pain may literally keep you off of the operating table.
In this research study, medical researchers from Dartmouth analyzed data from about 1,900 workers from Washington state who first saw either a surgeon or a chiropractic doctor for their back-related issues. They then examined three years' worth of follow-up medical data to ascertain whether the subjects wound up having back surgery in an effort to treat the issue.
What the authors found was that 42.7% of the patients who first consulted with a surgeon for their back issues ended up in surgery in that 3-year time frame, whereas only 1.5 percent of those who first saw a chiropractor had the same fate. The authors wrote:
"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."
These are impressive outcomes. Seeing a chiropractor drastically decreases your odds of having back surgery, plus the chiropractic patients in this scientific study "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.
Let's also keep in mind this important detail: this study was performed by orthopedic surgeons from Dartmouth College, and published in the world's most prestigious medical journal on spinal injuries.
The Risks of Surgery
Any surgery has risks, but a serious downside related to spinal surgery is that there is a very high failure rate. In an important analysis in the European Spine Journal, researchers wrote:
"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."
The authors of this same study concluded:
"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."
As a chiropractor, Dr. Armstrong believes that surgery should be the absolute last choice for treating back pain. Chiropractic works to restore your spine to its normal function--without the need of risky surgery or drugs--and many scientific studies have demonstrated the efficacy of chiropractic for back pain.
If you live in Sacramento and you need care for your back pain, give our practice a call today at (916) 483-8441 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!
- Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
- Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
We tend to a large number of people in our Sacramento office, and Dr. Armstrong has helped many people overcome a wide array of health issues. In spite of this, the primary worry that seems to stop a lot of men and women from getting care is whether or not chiropractic is safe. Luckily, according to three different studies (out of many on the issue), the answer to this question is a clear: "Yes! Chiropractic is safe!"
Chiropractic is Safe, According to Australian Study
The first study(1) was published in Spine and included 183 men and women between the ages of 20 and 85. Each person was suffering from spine-related pain, and half of the people received real chiropractic adjustments while the remaining patients received two sham chiropractic adjustments. Data was obtained after each real or fake adjustment to see whether or not any undesirable negative effects occurred as a result of the actual chiropractic adjustments.
Researchers found that no one documented any serious adverse adverse reactions at all after getting one or two sessions of chiropractic care. Some people did state that they experienced a headache (9 percent) or muscle stiffness (37%) after treatment, but the results were not of a serious nature.
Large US Survey Reports that Chiropractic Adjustments are Safe
The next research study(2), also published in the distinguished medical journal, Spine, was performed in an attempt to determine the safety of chiropractic. The test group was much larger as it involved just under 20,000 individuals. Each participant received chiropractic adjustments of the cervical spine, with over 50,000 total adjustments for all patients.
Once again, the experts found no serious negative side effects. The authors computed the risk of total adverse reactions to be about six out of every 10,000 consultations or every 100,000 treatment sessions. Plus, just as with the first study, some volunteers did report non-serious, milder, side effects such as dizziness (about 1.6%) or a headache (4%), and this caused the authors to determine that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Care Is Safe for Your Children
The third research paper(3) is unique from the first two reports, as it focuses on the safety of chiropractic care for children. In this article, researchers investigated results reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic adjustments.
Out of 5,438 chiropractic appointments made for the children, chiropractors answering the survey reported only three cases where there were negative side effects. When parents were surveyed, they indicated only two adverse side effects out of 1,735 visits. Additionally, both chiropractors and parents reported "a high rate of improvement with respect to the children's presenting complaints."
Based on these three studies (and many more!), chiropractic has been judged safe and effective for everyone. To learn what chiropractic can do for you, call our Sacramento office and schedule an appointment today at (916) 483-8441.
- Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD. Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events. Spine 2013;38(20):1723-9.
- Thiel HW1, Bolton JE, Docherty S, Portlock JC. Safety of chiropractic manipulation of the cervical spine: a prospective national survey. Spine 2007;32(21):2375-8.
- Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009;5(5): 290-5.
According to experts, around 5 percent of the population will experience painful conditions like frozen shoulder syndrome at some time in their lives. That makes shoulder-related pain a common problem and one that Dr. Armstrong sees in our Sacramento practice on a regular basis.
Research Shows Chiropractic Helps With Shoulder Pain
Usually, this issue is more common for people in their 40s, 50s, and 60s, and it tends to affect women more frequently than men. While ice, heat, and gentle stretches can sometimes help relieve the discomfort, so too can chiropractic.
For instance, one study released in the Journal of Chiropractic Medicine looked at 50 patients with frozen shoulder who were given chiropractic care. The duration of care varied from 11 days to 51 days, with 28 days being the average.
The doctors found that almost all of the patients fared extremely well with chiropractic care. Here are the results:
8 of the subjects reported 50-75 percent improvement
25 indicated improvement ranging from 75- 90 percent
1 participant had complete resolution of their frozen shoulder pain
Only one patient reported an improvement of 50 percent or less, so reports like this show just how effective chiropractic care can be when it comes to decreasing shoulder pain and increasing quality of life.
We Can Help Patients Find Comfort From Shoulder Pain
Let Dr. Armstrong help you decrease your suffering by contacting our Sacramento office and scheduling your appointment today.
Murphy F et al. (2012, December). Chiropractic management of frozen shoulder syndrome using a novel technique: a retrospective case series of 50 patients. Journal of Chiropractic Medicine;11(4):267-272
According to The American Academy of Pain Medicine, more people in the US suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. Furthermore, neck pain is the third most documented type of pain, beat out only by back pain and headaches.
Not surprisingly, a lot of people come to our Sacramento office seeking neck pain care, and Dr. Armstrong has helped many of them find relief. This is a smart decision, as some research indicates that over 90% of neck pain patients benefit from chiropractic.
Studies Confirm Chiropractic Works
A study published in The Journal of Orthopaedic and Sports Physical Therapy included 64 men and women who were suffering with neck problems. Around half were placed in an experimental group and the other half were designated to a comparison group. Both received chiropractic adjustments of the neck as well as a home exercise plan, while the experimental group also received thoracic spine adjustments.
Data was gathered before treatment began and one week post-treatment. Researchers found that 94 percent of the experimental group reported "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the individuals who received neck adjustments showed the same level of improvement, illustrating that evaluating the entire spinal column is an important part of restoring the body's normal function.
Yet another study posted in Physical Therapy involved 60 adults who reported suffering with neck pain. Each individual was randomly assigned to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with examinations occurring two and four days after the adjustments.
Researchers discovered that the study patients who received the thrust manipulations (the same adjustments that provided such positive results in the first report) "experienced greater reductions in disability" than the patients who received the non-thrust manipulations. Their pain was lower as well, which shows that this type of technique offers many benefits.
Help After Failed Medical Procedures
One study also found the same sort of positive results after thoracic adjustments in a patient who had a failed neck surgical treatment. This specific case involved a 46-year-old patient who had recently had neck surgery but still suffered with neck pain, headaches, pain in her elbow, and muscle fatigue.
The patient reported reduced pain in her neck and reduced headache intensity, right after the first chiropractic treatment session. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still rated her pain at a zero on a scale of 1 to 10. Her neck disability reduced as well, with a rating score that represented that it was a "great deal better."
It is scientific studies like these that prove the advantages of chiropractic care, even if you've already attempted neck surgery that didn't provide relief. So, if you are suffering with neck discomfort and would like to find a solution that has a high success rate, try chiropractic. It may just be the help you're looking for.
We're located in Sacramento and Dr. Armstrong can help you recover from neck pain. Give us a call today at (916) 483-8441.
- AAPM facts and figures on pain. The American Academy of Pain Medicine.
- Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
- Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
- Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.
With the Migraine Research Foundation reporting that migraines affect 38 million people in the U.S. (more than diabetes and asthma put together), it's no surprise that Dr. Armstrong sees a lot of headache sufferers in our Sacramento office. Although some folks try to relieve migraine pain with drugs, chiropractic care is a terrific, all-natural approach that usually produces positive results.
Research Supports Chiropractic Care Helps With Migraines
For example, one study published in the Journal of Manipulative and Physiological Therapeutics involved 127 people ranging in age from 10 to 70-years-old who suffered with regular (at least monthly) migraines. Each subject engaged in up to 16 chiropractic sessions. The subjects noted that their headache frequency, duration, and disability two months before the treatments began, during the duration of the sessions (which was two months), and two months post-treatment.
What the investigators discovered is that chiropractic adjustments reduced the frequency, duration, and disability of the migraine pain when compared with the control patients who didn't receive chiropractic. Furthermore, this enabled them to take less medication for the pain, offering them an all-natural answer for a chronic condition.
Another article found that a combination of chiropractic and neck massage reduced migraine pain almost 68%.
If you have migraine pain and are looking for relief, call Dr. Armstrong today and request an appointment in our Sacramento chiropractic office. We'll do what we can to help you become pain-free!
Migraine Fact Sheet. Migraine Research Foundation. Retrieved from http://www.migraineresearchfoundation.org/fact-sheet.html on November 2, 2015
Noudeh Y et al. (2012). Reduction of current migraine headache pain following neck massage and spinal manipulation. International Journal of Therapeutic Massage & Bodywork;5(1):5-13
Tuchin P et al. (2000, February). A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics;23(2):91-5
We see a great number of people with headaches in our Sacramento office, and Dr. Armstrong has been able to assist many of them. In fact, the World Health Organization (WHO) estimates that one half of all adults have difficulty with some type of headache problem, so this really isn’t shocking. One of the most common kinds of headaches that our patients experience is cervicogenic headache which, fortunately, chiropractic can generally help.
What is a Cervicogenic Headache?
A cervicogenic headache is one that originates from a problem in the cervical spine. It might be due to a problem with either the spine itself (in particular, the vertebrae, joints, or discs), or it may be caused by a problem in the muscles and tendons of your neck. This problem in your spine produces squeezing or irritation of the spinal nerves, which can contribute to headache pain.
How can you tell if the headache you are being affected by is a cervicogenic headache? Aside from being given a diagnosis from a healthcare expert, a typical symptom of cervicogenic headaches is tenderness or discomfort in your neck. This is sometimes accompanied by pain in the back of your head or between your shoulder blades.
How Chiropractic Helps with Cervicogenic Headaches
Seeing that cervicogenic headaches will not go away until whatever issue is causing them is corrected, it is important to get treatment rather than just trying to "wait it out." Chiropractic care is an effective solution, and one that provides a great deal of relief.
In one study circulated in Chiropractic & Osteopathy, experts followed 80 people who had regular cervicogenic headaches. Half of them were given chiropractic care and the other half underwent light massage therapy. Each participant was examined 12 and 24 weeks after the treatment and it was found that chiropractic provided the best results.
In particular, this study noted that chiropractic adjustments provided patients greater pain relief and reduced the number of headaches that occurred. Moreover, it also lessened the disability that resulted from these painful headaches.
To find out what Dr. Armstrong can do for you and your headaches, call us today. We'll do our best to get you the pain relief you deserve!
- Haas M, Schneider M, Vavrek D. Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache. Chiropractic & Osteopathy 2010 18(9).
- World Health Organization. (2012, October). Headache disorders. Retrieved from http://www.who.int/mediacentre/factsheets/fs277/en/
Regrettably, quite a few of our Sacramento patients know the pain caused by a herniated disc all too well. On a positive note, Dr. Armstrong has helped many people with disc pain, and a number of scientific studies have confirmed that chiropractic care can help patients recover from this kind of problem.
Research on Herniated Discs and Chiropractic
In one study, doctors from Switzerland recruited 148 patients who were suffering with pain in their lower back and legs due to a disc herniation (which was confirmed through magnetic resonance imaging, or MRI). Each individual then received chiropractic adjustments that focused on the location of his or her disc problem.
Data was collected after the first treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to establish what kind of short-term and long-term effects, if any, chiropractic care offers when it comes to resolving this particular problem. Among the data gathered was the individual's self-reported changes in both lumbar and leg pain.
Investigators found that, overall, the study participants reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the study participants claimed that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those patients who were defined as "chronic" still reported an improvement in pain at a rate of 89 percent one year beyond when treatment first began. This is the same positive result that was found in the following case study.
Case Study Results
In this paper, a 26-year-old man had presented with disc herniation symptoms such as pain in the lower back, left leg, and left groin area, along with left foot drop and muscle weakness. He had suffered with these symptoms for more than two years after sustaining an athletic injury, and his disc herniation was confirmed via MRI.
After receiving chiropractic care, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." In addition, the patient was still experiencing relief one year after the chiropractic intervention.
Studies like these show how useful chiropractic can be when it comes to alleviating herniated disc pain and reducing the symptoms they cause. So, if you are suffering from back pain caused by a herniated disc and want to find some relief, chiropractic may be an effective solution.
Don't suffer from chronic herniated disc pain. Give our Sacramento office a call today at (916) 483-8441 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
We see many people with back pain in our Sacramento office, and Dr. Armstrong has been able to help many of them find relief with chiropractic care. At the same time, recovering from back pain doesn't necessarily mean having to decide between chiropractic care and medical care, as many individuals use both types of care with great results.
Study Confirms Chiropractic and Medical Care Work Well Together
In a study published by the medical journal Spine experts1 looked at a group of active-duty military personnel between the ages of 18 and 35 who reported both acute soreness and restricted function due to back symptoms. Some of the patients received treatment via standard medical therapy, while the rest received chiropractic care in addition to standard medical care, as researchers wanted to see which group fared better.
Researchers discovered that the patients who got standard medical care in combination with chiropractic care scored "significantly better" than the group that got medical care alone; 73% reported positive benefits compared to just 17% of the medical treatment only group who reported the same amount of improvement. This was true regarding both pain and level of function at the two- and four-week marks.
Thus, integrating these two forms of treatment can greatly benefit you--the patient--offering advantages when compared to medical care alone. However, while chiropractic care and medical approaches can work together, chiropractic offers some unique advantages over medical treatment.
Where Chiropractic Care Pulls Ahead
Although it may seem as if each method plays a 50/50 role, there is one major benefit that chiropractic has over medical care and that is in patient satisfaction. In fact, one bit of research from UCLA2 that was published in the American Journal of Public Health found that, on average, chiropractic patients are generally more satisfied with their recovery than people undergoing medical treatment.
According to the researchers, the main aspects that patients liked over medical treatment were "self-care advice and explanation of treatment." This isn't surprising, as chiropractors tend to spend much more time advising their patients as to how they can better their health on their own, as well as outlining more carefully what to expect from chiropractic care.
Chiropractic Offers a Holistic Approach
Without a doubt, the strategies associated with chiropractic are quite different than those provided with medical therapy, but a large amount of the difference is the fact that chiropractic is a natural approach to health and wellness. Rather than focusing on just relieving the symptoms, chiropractic means tracking down the primary cause of your pain, which often means greater improvement as you are tackling the problem at its source.
In addition, while medication is sometimes helpful for managing certain conditions, many health issues respond well to a natural approach such as chiropractic care. This means fewer negative side effects from prescriptions and lasting results.
You don't have to suffer from back pain or other health issues. Give our Sacramento office a call today at (916) 483-8441. We'll do our best to help you get and continue to be free from back pain.
- Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine 2013;38(8):627-634.
- Hertzman-Miller RP1, Morgenstern H, Hurwitz EL, Yu F, Adams AH, Harber P, Kominski GF. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. American Journal of Public Health 2002;92(10):1628-1633.