Lancet Medical Journal Points to Chiropractic for Low Back Pain

The Lancet Defines Low Back Pain 

and Calls for Effective Care in Brand-New Three-Part Series

San Jose, Calif. – March 23, 2018 – This week, The Lancet, a peer-reviewed medical journal, published a three-part series on low back pain, which addresses the associated ailment, the disability caused by low back pain and provides call-to-actions to meet the challenges associated with the prevention and management of low back pain. The Foundation for Chiropractic Progress (F4CP), a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, notes that Good Morning America – the most watched morning show for most of 2017– referred to The Lancet’s series as the Magnum Opus of low back pain, and referenced spinal manipulation as a recommended approach to manage low back pain.

“Ninety-four percent of spinal manipulations in the U.S. are performed by a doctor of chiropractic,” shares Sherry McAllister, DC, executive vice president, F4CP, who notes that chiropractic care is proven to yield improved clinical outcomes, reduced costs and high patient satisfaction. “With

approximately 80 percent of the population bound to experience back pain at some point in their lives, the Foundation commends The Lancet for publishing a series that accurately communicates the education and action items necessary to establish more effective, patient-centered care, which may include spinal manipulation, surrounding low back pain to a global audience.”

Key findings from each of the three papers published in The Lancet:

• What low back pain is and why we need to pay attention
• Low back pain is the leading cause of disability worldwide and is common among individuals of all ages, demographics and socio-economic statuses. The burden of low back pain must be addressed through amplified research and global initiatives.
• Prevention and treatment of low back pain: evidence, challenges, and promising directions
• Potential solutions to effectively manage low back pain may include but are not limited to focused strategies that can implement best practice, the redesign of clinical pathways, integrated health and occupational interventions to reduce work disability, changes in compensation and disability claims policies, and public health and prevention strategies.
• Low back pain: a call for action
• One call to action encourages the promotion of living well with low back pain through enhanced, patient-centered care which focuses on self-management and healthy lifestyles as a means of restoring and maintaining function and high-quality of life.

Doctors of chiropractic (DCs) receive a minimum of seven years of higher education and are specifically trained to diagnose, evaluate and provide non-pharmaceutical care and rehabilitation to individuals suffering from acute and chronic back, low back and neck pain, headaches, neuro-musculoskeletal conditions and general health and wellness.

Dr. McAllister continues, “With the number of individuals effected worldwide by low back pain, The Lancet’s new published series should spark an interest among providers across all disciplines to collaborate and provide patients with the safest, most effective care for the management of low back pain.”

About Foundation for Chiropractic Progress

A not-for-profit organization, the Foundation for Chiropractic Progress (F4CP) informs and educates the general public about the value of chiropractic care and its role in drug-free pain management. Visit www.f4cp.com; call 866-901-F4CP (3427). Social media: Facebook, Twitter, LinkedIn, Pinterest, YouTube.

Chirpractic Care For All Over Better Health

Most everyone thinks of chiropractic for the care of back or neck pain. Some may turn to chiropractic for sport and leisure activity injuries.  Truth be told the benefits of regular chiropractic care are so far reaching is is one of the best kept secrets of the healthcare world.

Even our friends at TTAC understand how chiropractic helps the body function better to be healthier.

Check out the link below.

10 Reasons You Should Consider Chiropractic Therapy

The Importance of Water and Proper Hydration

The First Lady has announced her new social campaign and is taking alot of heat for the simplicity of it.  While I do not agree with many of her ideals, I can give her a nod of approval on this one.  

For as simple as the concept sounds, it is a fact that most people DON'T drink enough water through the day. For many people, sufficient water intake can be one of the most important steps to improving their health and well-being.

Soda pop, coffee, juice, sports drinks just aren't the same.

So with this in mind I have dug through my archives to find an article which I wrote several years ago for a rodeo magazine when I was more active in the circuit caring for the participants.  The article is written specifically for the rodeo athlete but has valid points and information for all walks of life.

***************************************** 

Water and Your Physical Endurance.                           

By Dr. Russell Heller

As a competitor in the rodeo and rough stock sports, like any athlete, you constantly strive to maintain your endurance and top performance.

Water, and maintaining proper hydration, are an important step in doing this.  Anyone who has ever competed in the Midwest and southern climates during the summer and early autumn months can attest to the difficulty of maintaining body fluid levels (hydration) and avoiding dehydration.  

Most of us have come to take the sign of the dry mouth as a signal that the body needs water, at its also assumed that fluid levels are well regulated yet the symptoms of dry mouth are not noticed.  Dry mouth, however is one of the last outward signs of extreme dehydration.  Other signs to watch for are: persistent/recurring heartburn, stomach ache, headache and mental irritation.  Dehydration over a long period of time can lead to: recurring and/or chronic pain, low back pain and water retention (believe it or not).

                          

Water, for as simple as it is, is a very important part of us.  It makes up about 60% of the young males weight and 50% of a females.  Two-thirds of this water is found in our blood cells the rest is outside the cells and includes the plasma of the blood.  Proper hydration is important in regulating body temperature energy metabolism and cardiovascular stress.  Therefore, it has a vital role in maintaining athletic & physical performance.

So the question to answer is, How do we avoid dehydration?

·      Drink before you feel thirsty.  We must remember that the thirst mechanism is too inefficient and slow for proper hydration purposes.  By the time your body senses the need for water to maintain mineral balance, dehydration has already started.  An estimated proper level of water intake can be calculated at 50-75% of your body weight in ounces.  50% for sedentary people, 75% for active people.  Example:  An active 150 lb. person would require 112.5 oz of water per day (75% of body wt. in oz.)   Divide this by the number of hours you're awake to find your hourly water requirement; 112¸16= 7 oz./hr awake.     **During strenuous work an additional 16 oz. per day should be consumed plus an additional 16 oz. per day in dry climates.

·      Avoid caffeine.  While caffeine does have some properties that can enhance athletic performance, it also acts as a diuretic, causing your body to get rid of fluid instead of retain it.

·      Avoid high calorie drinks like sodas.  Even though they do contain large amounts of water, the large amounts of sugar in these drinks make the water more slowly absorbed.  Also many sodas contain caffeine.  Sports Drinks offer little benefit over water during the first 90 minutes of heavy activity,  after 90 minutes of strenuous activity they can facilitate the replacement of minerals and sugars.

·      Avoid regular use of Non-steroidal Anti-inflammatory Drugs (NSAID's) such as aspirin, ibuprophen, acetaminophen, etc.  Under tough conditions the kidney's need to function at 100%.  These drugs interfere with kidney function and can cause an excess loss of minerals in the urine and upset the electrolyte balance of the body which can be quite serious.

·      Avoid taking just water.  Especially during periods of heavy, extended labor.  To avoid diluting the mineral and electrolyte balances of the body we also need to replace the sodium lost through perspiration and glucose loss through physical activity.  Along with water, it's a good idea to snack on salty, high carbohydrate foods such as pretzels, snack crackers, tortilla chips, etc.

These recommendations can help prevent and avoid dehydration, heat exhaustion and heat stroke during the intense heat of the summer while competing; however, these points should also be kept in mind when working long hours, outdoors in the summer.  

******************************* 

Enjoy the outdoors, enjoy your activities and be safe.

Yours for better health,

Dr. Heller

Tylenol: The not so safe pain reliever

Even though we consider acetaminophen (e.g., Tylenol) a safe pain reliever for both children and adults it can be extremely dangerous and causes significant side effects.  Acetaminophen has been linked to over 100,000 calls to poison control centers; 50,000 emergency room visits, 26,000 hospitalizations, and more than 450 deaths from liver failure each year.

The folks at GreenMedInfo.com have once again done a wonderful job of reviewing the problems and history of acetaminophen.  Below is the exerpted article.

Enjoy. 

*********************************************************

The Dangers of Tylenol: Is it Time for the FDA to Remove it From the Market?

www.greenmedinfo.com

Posted on:  Thursday, August 8th 2013 at 1:00 pm

Written By:  Dr. Michael Murray     

                                                            

photo from Wikicommons

Introduction

Most people consider acetaminophen (e.g., Tylenol) as being an extremely safe pain reliever for both children and adults. The reality is that it can be extremely dangerous and causes significant side effects. Each year acetaminophen causes over 100,000 calls to poison control centers; 50,000 emergency room visits, 26,000 hospitalizations, and more than 450 deaths from liver failure. In addition, regular use of acetaminophen is linked to a higher likelihood of asthma, infertility, and hearing loss (especially in men under 50 years of age).

The FDA has done a poor job alerting the public to the dangers of acetaminophen. In my opinion, it is a drug that serves no real medical purpose in the 21^st century. Its use should be curtailed or even eliminated entirely.

Background Data

Acetaminophen is the only remaining member of the class of drugs known as "aniline analgesics" that is still on the market. The rest were discontinued long ago. Acetaminophen only blocks the feelings of pain and reduces fever, it exerts no significant anti-inflammatory action.

Acetaminophen is very hard on the liver and is known to reduce the liver's store of the important detoxifying aid and antioxidant glutathione. When acetaminophen is combined with alcoholic drinks or other compounds toxic to the liver including other medications, its negative effects on the liver are multiplied. It should definitely not be used in anyone with impaired liver function.

Acetaminophen is often the drug of choice in children to relieve fever. However, use for fever in the first year of life is associated with an increase in the incidence of asthma and other allergic symptoms later in childhood. Asthma appears to be another disease process that is influenced greatly by antioxidant mechanisms. Acetaminophen severely depletes glutathione levels not only in the liver, but presumably other tissues as well and should definitely not be used in people with asthma.

New Data

On August 1, 2013 the FDA released a notification on acetaminophen that it is now associated with rare, but severe and sometimes fatal skin reactions even at recommended dosages.

These skin reactions, known as Stevens-Johnson Syndrome (SJS), toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis (AGEP) are associated with reddening of the skin, rash, blisters, and detachment of the upper surface of the skin. These reactions can occur at any time while acetaminophen is being taken – they can happen the first time it is used or after long-term use. Other drugs used to treat fever and pain/body aches (e.g., non-steroidal anti-inflammatory drugs, or NSAIDS, such as aspirin, ibuprofen and naproxen) also carry the risk of causing serious skin reactions, which is already described in the warnings section of their drug labels.

The FDA's solution is that they will now require that a warning be added to the labels of prescription drug products containing acetaminophen to address the risk of serious skin reactions. FDA will also request that manufacturers of OTC acetaminophen drug products to add a warning about serious skin reactions to the product labels.

Comment

It just might be time to pull the plug on acetaminophen. Can you imagine if the side effects and risks associated with acetaminophen were associated with a dietary supplement? It would be yanked from the market immediately. The FDA needs to quit following a double standard and instead look after the public's best interest not only by calling for more warnings on labels, but also by pulling from the market outdated, potentially dangerous drugs especially those available over-the-counter.

******************************************************

Here is one more reason to not cover the pain with medication and over-the-counter pain relievers.  To be truely healthy and avoid unnecessarly side effects visit your doctor of chiropractic to have those lingering aches and pains evaluated.  Through proper spinal care you may find the pain relievers are no longer necessary and you can confidently enjoy life again.

If you or a loved one is regularly taking acetaminophen or other pain reliever call our office to schedule a no cost, no obligation initial consultation to find out what we may be able to do to help you live life to the fullest.  

Yours for better health,

Dr. Heller

 

Reference

http://www.fda.gov/Drugs/DrugSafety/ucm363041.htm