Healthy News November 2022
“To Pop or Not to Pop” is of course a twist on an age-old Shakespearean quote for an age-old chiropractic spinal manipulation question. The answer today is that it is not a necessary indicator of back pain relief via spinal manipulation treatment (SMT), but back pain and neck pain patients undergoing SMT want and need to know more. Present-day guidelines for handling low back pain emphasize patient education and exercise as important issues. Healthcare practitioners are fairly good (72% overall) at providing 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 showed or pain described as below the knee, information was shared with 78% of patients. (1) An important topic for La Grande 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) This is good to know since some patients have it, and some don’t. Patients whose practitioners explained the audible pop to them - and those who were not spinal manipulation patients - reported interesting theories of what caused 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 La Grande chiropractor might “Is there pain relief or not?” With our gentle chiropractic care, there is pain relief for many La Grande back pain and neck pain sufferers. We look forward to talking with you at your next chiropractic visit at Dr. Paulette Hugulet, DC, LLC!
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.
Vitamin D is in favor and 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 suggested in one new study to support adrenal health. (6) Dr. Paulette Hugulet, DC, LLC is ready to discuss vitamin D and any adrenal gland issues you may be having.
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Make your next La Grande chiropractic visit with Dr. Paulette Hugulet, DC, LLC soon! We have so much to talk about!