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.

Avoid NSAID's, Reduce Inflammation, Live Better

My readers may have seen in past blogs and Facebook posts information regarding the dangers of analgesics (pain reducers), over the counter and prescription.  The question then arises, what can I do to help control pain.  Aside from addressing the body's structural problems, which lead to pain, with chiropractic evaluation and care, one of our recommendations is Turmeric.  Turmeric has been proven to reduce or eliminate pain better than leading prescription medications. [1]

A 2004 study published in the journal Oncogene [2] found that turmeric was an effective alternative to the drugs; aspirin, ibuprofen, sulindac, phenylbutazone, naproxen and diclofenac and the like, generally considered NSAID's (non-steroidal anti-inflammatories).

Turmeric does not just fight pain and inflammation, it does so much more. [3]

Simple root, Profound action

Most researchers agree that the turmeric’s profound healing abilities can be traced to its powerful anti-inflammatory action.

Full-spectrum turmeric (whole root, as opposed to an isolated curcumin extract) is especially effective because it operates by both mechanisms of anti-inflammatory action.

Most anti-inflammatory foods, work in one of the following ways...

1. They neutralize free radicals in the body which causes inflammation, with a flood of antioxidants or

2. They stop the body from producing the chemicals that initiate inflammation in the first place (this is how aspirin and OTC pain meds work)

What is unique about turmeric is that it combats inflammation through both of these mechanisms.... simultaneously! Its multi-pronged approach allows it to work wonders for aches, pains, and arthritis (by stopping inflammation at the source), while also strongly supporting the immune system with antioxidants.
 

Nearly all diseases and ailments can be traced back to inflammation and oxidative stress…it appears there’s almost nothing that turmeric can’t help.

Not all forms of turmeric are created equal…

Most of the turmeric supplements you see in stores come in the form of encapsulated powders. Many are just the isolated curcuminoids and as we mentioned above the whole root, with complimentary components appear to be most beneficial.

 

The truth is with turmeric powder you may be getting very little actual benefit.  Turmeric powder has a fairly low bioavailability (meaning that a good portion of it isn’t properly absorbed by your body), it often isn’t very fresh, and it’s sometimes made with harsh processes that can destroy or degrade turmeric’s healthful components.

 

Our recommendation;  buy a quality, full spectrum (whole root) supplement or what my family prefers is buying fresh whole root and grate it ourselves as needed. You can crush it or grind it, we purchased an inexpensive "micro grater", it works wonderfully and easy to clean up.  You can also use it for other root foods like garlic and ginger.   It can be difficult to find turmeric root in smaller communities and expensive when you do find it in major chain grocery stores.  We have great luck at Asian markets.  Most usages in cooking or dosing call for a teaspoon or less.  

 

Through experimentation our family has learned to use it in a number of home cooked dishes.  We also enjoy "Golden milk" or "Turmeric tea".   By using turmeric in these ways you can also increase its bioavailability (absorption).  Studies have found that absorption of turmeric components can be increased by either heating the ground up root, adding healthy fats or adding black pepper. Golden milk can do all three.

So, save your liver and kidneys from the abuse of NSAID use and consider giving turmeric a try.  Aside from the pain relieving properties tumeric has also been found to protect the brain, repair the liver, protect the heart after surgery, helps asthma patients and the list could go on and on.  Turmeric has been found to be as effective as 25 drugs, without the side effects.

 

 

 

References:
1. Analgesic Efficacy and Safety of Curcuminoids in Clinical Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials: Pain Med. 2015 Dec 14. Epub 2015 Dec 14. PMID: 26814259
2. Green Med Info: greenmedinfo.com/blog/science-confirms-turmeric-effective-14-drugs
3. Zingiberaceae extracts for pain: a systematic review and meta-analysis: Nutr J. 2015 ;14:50. Epub 2015 May 14. PMID: 25972154

Chronic Pain and Depression

Stress, disappointments, feelings of inadequacy are all common at this time of year and can lead to or add to depressions which are not uncommon this time of the year.   Feelings of depression can be more intense and disabling if accompanied by chronic pain.

Our friends at the American Chiropractic Association put together some information for recognizing and dealing with chronic pain.

Depression is thought to be 3 to 4 times more common in people with chronic pain than in the general population. In addition, 30 to 80% of people with chronic pain will have some type of depression. The combination of chronic pain and depression is often associated with greater disability than either depression or chronic pain alone.

Signs and Symptoms

Some of the common signs and symptoms of chronic pain include:

• Pain beyond 6 months after an injury
• Allodynia—pain from stimuli which are not normally painful and/or pain that occurs other than in the stimulated area
• Hyperpathia—increased pain from stimuli that are normally painful
• Hypersensation—being overly sensitive to pain

Signs of major clinical depression will occur daily for 2 weeks or more, and often include many of the following:

• A predominant feeling of sadness; feeling blue, hopeless, or irritable, often with crying spells
• Changes in appetite or weight (loss or gain) and/or sleep (too much or too little
• Poor concentration or memory
• Feeling restless or fatigued
• Loss of interest or pleasure in usual activities, including sex
• Feeling of worthlessness and/or guilt

What is the treatment for chronic pain and depression?

The first step in coping with chronic pain is to determine its cause, if possible and addressing the problem.  Consult with your doctor of chirpractic, they are very knowledgeable and effective in helping control many types of chronic pains.  Aside from that:

• Stay active and do not avoid activities that cause pain simply because they cause pain. The amount and type of activity should be directed by your doctor, so that activities that might actually cause more harm are avoided.
• Relaxation training, hypnosis, biofeedback, and guided imagery, can help you cope with chronic pain. Cognitive therapy can also help patients recognize destructive patterns of emotion and behavior and help them modify or replace such behaviors and thoughts with more reasonable or supportive ones.
• Distraction (redirecting your attention away from chronic pain), imagery (going to your “happy place”), and dissociation (detaching yourself from the chronic pain) can be useful.
• Involving your family with your recovery may be quite helpful, according to recent scientific evidence.
   
   Stay well, be safe and enjoy the Holiday season with friends and family.
   
  For your better health,
  Dr. Heller