We see quite a few people with back pain in our St. Louis, MO practice, and Dr. Holland has helped a lot of them get relief with chiropractic care. However, dealing with back problems doesn't necessarily mean having to make a choice between chiropractic care and medical treatment, as many people use both types of care with great results.
Research Confirms Chiropractic and Medical Treatment Work Well with One Another
In a report published by the medical journal Spine researchers1 looked at a group of active-duty military personnel between the ages of 18 and 35 who were suffering from both acute soreness and limited function due to back symptoms. Some of the study participants received treatment via standard medical therapy, while the remainder were given chiropractic care together with standard medical care, as researchers wanted to see which group fared better.
Researchers found that the group that got standard medical care in combination with chiropractic care scored "significantly better" than the group that received medical care alone; 73 percent reported positive benefits in comparison to just 17 percent of the medical care 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.
Therefore, integrating these two forms of care can greatly benefit you--the patient--offering advantages when compared to medical care alone. However, while chiropractic care and medicine can work alongside each other, chiropractic offers some distinct advantages over medical therapy.
Where Chiropractic Pulls Ahead
Although it might seem as if each method plays a 50-50 role, there is one significant advantage that chiropractic care has over medical treatment and that is in patient satisfaction. In fact, a piece of research from UCLA2 that was published in the American Journal of Public Health reports that, on average, chiropractic patients are generally more satisfied with their recovery than patients undergoing medical care.
According to the researchers, the main aspects that patients liked over medical care 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 improve their health on their own, as well as discussing more carefully what to expect from chiropractic care.
Chiropractic Offers a Holistic Approach
Certainly, the strategies associated with chiropractic are quite different than those available with medical therapy, but a large amount of the distinction is the fact that chiropractic is a holistic approach to health and well-being. In contrast to focusing on just relieving the symptoms, chiropractic means searching for the primary cause of your pain, which often results in greater improvement as you are tackling the problem at its source.
Additionally, while medication is sometimes helpful for managing certain conditions, many health issues respond well to a natural approach like chiropractic. This means fewer negative side effects from medications and lasting results.
You don't have to endure back pain or other health issues. Give our St. Louis, MO office a call today at (314) 588-9100. We'll do our best to help you get and remain 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.
Thoracic Outlet Syndrome is a common symptom after an auto injury, and it's something that Dr. Holland sees often in our St. Louis, MO office. Chiropractic care can be very helpful for thoracic outlet syndrome symptoms after a crash. Let's see what causes thoracic outlet syndrome and why chiropractic works.
The thoracic outlet is a bundle of blood vessels and nerves that pass through your neck and shoulder to your arm. These vessels don't have a lot of space, so they travel underneath and through the strong bands of muscles that support your head.
In a collision, these muscles can be stretched and strained. If injured, the muscles become inflamed and sore, and they can develop scar tissue which limits movement and puts pressure on the tissues of the thoracic outlet. Pressure on the nerves can cause tingling or numbness in the shoulder, elbow and even the hand. Pressure on the blood vessels can also cause problems in the arm.
St. Louis, MO Thoracic Outlet Treatment
Chiropractic adjustments can be an effective way to treat thoracic outlet syndrome, as Dr. Holland will help improve mobility in your spine and restore normal nerve function in your neck and shoulder.
Dr. Holland has been helping patients in St. Louis, MO since 2000, so we know what you're suffering from. We're here to help you, too. Dr. Holland will first determine what's causing your pain and then work to restore your body to its natural functioning. Ready to make an appointment? Give us a call at (314) 588-9100 and we'll get you back on the road to health.
We care for a large number of patients in our St. Louis, MO clinic, and Dr. Holland has helped many people overcome a wide array of health issues. However, a frequent concern that seems to prevent some men and women from seeking care is whether or not chiropractic care is safe. Fortunately, according to three separate studies (out of countless on the issue), the answer to this concern is a clear: "Yes! Chiropractic is safe!"
Australian Study: Chiropractic is Safe
The first study(1) was published in Spine and involved 183 men and women between the ages of 20 and 85. Each individual reported suffering from some kind of back pain, and half of the individuals received real chiropractic adjustments while the other half received two sham chiropractic adjustments. Information was collected after each real or fake adjustment to see if any undesirable reactions were caused by the actual chiropractic adjustments.
Researchers found that nobody documented any serious adverse side effects in any way after getting one or two sessions of chiropractic. Some individuals did report that they got a headache (9 percent) or muscle stiffness (about 1 out of 3) post-treatment, but the effects were not of a serious nature.
National Survey Finds that Chiropractic is Safe
The next research study(2), also published in the distinguished medical journal, Spine, was conducted in an effort to establish the safety of chiropractic care. The study group was much larger -- 20,000 individuals. Each participant received chiropractic adjustments of the cervical spine, with over 50,000 total adjustments for all study participants.
Again, the investigators found no serious adverse side effects. The experts calculated the risk of total side effects to be about six out of every 10,000 consultations or every 100,000 treatment sessions. Plus, just as with the first study, some people did report non-serious, milder, unwanted effects such as dizziness (16 out of every 1,000 treatment consultations and 15 out of every 1,000 treatment sessions) or a headache (4 out of every 100), and this caused the researchers to determine that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Is Safe for Children
The third research paper(3) is different from the previous two reports, as it concentrates on the safety of chiropractic care for children. In this case, the authors 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 documented only three cases where there were adverse 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 studies like these, chiropractic has been deemed safe and effective for everyone. To learn what chiropractic can do for you, call our St. Louis, MO clinic and schedule an appointment today at (314) 588-9100.
- 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 The American Academy of Pain Medicine, more Americans 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 headache.
Of course, a lot of patients come to our St. Louis, MO office looking for neck pain treatment, and Dr. Holland has helped many of them find relief. This is a smart choice, as some research indicates that over 90% of neck pain patients get relief with chiropractic care.
Studies Confirm Chiropractic's Positive Effects
A report published in The Journal of Orthopaedic and Sports Physical Therapy involved 64 individuals who were suffering with neck pain. Roughly half were placed in an experimental group and the other half were assigned 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 collected before treatment began and one week post-treatment. The authors found that 94% 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, showing that evaluating the entire spine is an important part of restoring the body's normal function.
Another study posted in Physical Therapy involved 60 participants between the ages of 18 and 60 who reported dealing with neck pain. Each individual was randomly allocated to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with examinations occurring two and four days after the adjustments.
Researchers found that the study participants who received the thrust manipulations (the same adjustments that provided such positive results in the first study) "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
Another study even found the same type of positive outcomes 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 reported neck pain, headaches, pain in her elbow, and muscle fatigue.
The woman documented decreased pain in her neck and lower headache intensity, right after the first chiropractic adjustments. 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 improved as well, with a rating score that represented that it was a "great deal better."
It is studies like these that prove the effectiveness of chiropractic techniques, even if you've already attempted neck surgery that didn't provide relief. So, if you are suffering with neck pain 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 St. Louis, MO and Dr. Holland can help you recover from neck pain. Give us a call today at (314) 588-9100.
- 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.
In our St. Louis, MO office, we see many people who are suffering from back pain, and a few of these patients have been told they might need surgery to recover. Fortunately, Dr. Holland has helped many people get relief without the need for any type of surgical treatment. The science confirms the success we see in our practice. One study published in the medical journal Spine found that seeing a chiropractor as your first move in overcoming with your back issues may actually keep you off of the operating table.
In this scientific study, medical professionals from Dartmouth analyzed statistics from 1,885 workers from the state of Washington who first saw either an orthopedic surgeon or a chiropractic doctor for their back pain issues. They then used three years' worth of follow-up medical records to ascertain whether the subjects wound up having back surgery in an effort to treat the issue.
What the authors determined was that 42.7% of the patients who first consulted with a surgeon for their back pain ended up having a surgical procedure 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 remarkable outcomes. Visiting a chiropractor considerably reduces your odds of getting 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 consider this important detail: this study was conducted by orthopedic surgeons from Dartmouth College, and printed in the world's most prestigious medical journal on spinal injuries.
Why You Should Avoid Surgery
Any surgery has risks, but a major downside linked to spine surgery is that there is a very high rate of failure. 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 experts in 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. Holland believes that surgery should be the absolute last resort for treating back pain. Chiropractors work to restore your spine to its normal function--without high-risk surgery or drugs--and many scientific studies have documented the effectiveness of chiropractic for back pain.
If you live in St. Louis, MO and you need relief for your back pain, give our practice a call today at (314) 588-9100 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.
Unfortunately, quite a few of our St. Louis, MO patients are familiar with the pain caused by a herniated disc all too well. Fortunately, Dr. Holland has helped many people with disc pain, and a number of medical studies have confirmed that chiropractic can help people recover from this kind of condition.
Research on Herniated Discs and Chiropractic
In one report, researchers from Switzerland recruited 148 patients who were dealing with pain in their low 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 area of his or her disc herniation.
Results were obtained after the first treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to find out what type of short-term and long-term effects, if any, chiropractic offers when it comes to resolving this particular condition. Among the data collected was the individual's self-reported changes in both low back and leg pain.
Investigators found that, as a whole, the patients reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the patients claimed that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those people who were defined as "chronic" still claimed an improvement in pain at a rate of 89 percent one year beyond when treatment first began. This is the same positive effect that was found in the following case study.
Case Study Shows that Chiropractic Benefits Chronic Disc Herniation Symptoms
In this study, a 26-year-old male had presented with disc herniation symptoms such as pain in the low back, left leg, and left groin area, along with left foot drop and muscle weakness. He had endured these problems for more than two years after sustaining an athletic injury, and his disc herniation was confirmed via MRI.
After receiving chiropractic, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." In addition, the patient was still enjoying 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 relieving the symptoms they produce. So, if you are suffering from back ache caused by a herniated disc and wish to find some relief, chiropractic can be an effective solution.
Don't suffer from chronic herniated disc pain. Give our St. Louis, MO office a call today at (314) 588-9100 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 a great number of individuals with headaches in our St. Louis, MO office, and Dr. Holland has been able to assist many of them. Actually, the World Health Organization (WHO) states that half of all adults have difficulties with some type of headache disorder, so this really isn’t surprising. One of the most frequent types of headaches that our patients are afflicted with is cervicogenic headache which, thankfully, chiropractic can usually help.
Cervicogenic Headaches Defined
A cervicogenic headache is one that stems from problems in the cervical spine. It can be caused by a condition with either the spine itself (particularly, the vertebrae, joints, or discs), or it can be brought on by a problem in the muscles and tendons of your neck. This problem in your spine contributes to compression or aggravation of the spinal nerves, which can bring about headache pain.
How can you find out if the headache you are experiencing is a cervicogenic headache? Aside from receiving a diagnosis from a healthcare expert, a frequent symptom of cervicogenic headaches is tenderness or discomfort in your neck. This is sometimes associated with pain in the back of your head or between your shoulder blades.
How Chiropractic Helps with Cervicogenic Headaches
Since cervicogenic headaches will not subside until whatever problem is triggering them is remedied, it is essential to get treatment rather than just trying to "wait it out." Chiropractic care is an effective approach, and one that offers a great deal of relief.
In one study released in Chiropractic & Osteopathy, specialists followed 80 people who had regular cervicogenic headaches. Fifty percent were given chiropractic care and the other fifty percent engaged in light massage therapy. Each participant was assessed 12 and 24 weeks after the procedures and it was found that chiropractic delivered the optimum results.
Specifically, this study noted that chiropractic adjustments gave patients greater pain relief and diminished the frequency of headaches that occurred. In addition, it also reduced the disability that resulted from these painful headaches.
To find out what Dr. Holland can do for you and your headache pain, call our office 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/
If you suffer from back pain after a car accident, you're not alone. Dr. Holland sees this type of condition frequently in our St. Louis, MO office. Chiropractic is a great way to treat back pain. Let's look at how back pain is caused by a crash and how Dr. Holland can help you.
During a rear-end auto collision, your car and car seat are quickly accelerated forward against your torso. Since car seats don't perfectly align with the curve of your spine, the seat can put uneven force on your lower back. This can cause some of your spinal vertebrae to move in one direction while an adjacent vertebrae might move in another direction. This differential movement can sprain or strain the ligaments that hold your spine together. This type of injury can cause chronic back pain if not treated promptly. Thankfully, chiropractic is one of the most effective ways to treat back pain.
Dr. Holland is here in St. Louis, MO to help you recover from back pain. We've been helping patients since 2000 and we can probably help you, too. Dr. Holland will first determine what's causing your pain and then work to restore your body to its natural functioning. Call us today at (314) 588-9100 if you have questions or would like to make an appointment.
Chiropractic is centered on the approach of allowing your body to heal naturally through spinal adjustments and lifestyle changes that encourage wellness. For Dr. Holland, this means working to restore your body's healthy functioning to prevent the need for drugs or surgical treatments. We see that most of our St. Louis, MO patients are happy to find a natural approach for their health issues.
One advantage of chiropractic care is that it helps people decrease or even eliminate the use of narcotics. Prescriptions are frequently issued to individuals who have back pain. This is such a serious crisis that the American Academy of Neurology (AAN) issued a report stating that opioid (painkiller) dangers overshadow the benefits when prescribed for back pain.
Some of the most popular narcotics, according to the National Institute on Drug Abuse, include hydrocodone (Vicodin), oxycodone (OxyContin and Percocet), morphine, and codeine. Numbers provided by the AAN mention the fact that roughly half of the people taking these types of substances for a period of three months are still taking them five years down the road. This can further complicate the difficulty of back pain and recovery, particularly if an opiate dependency occurs.
Contrast that to chiropractic care which incorporates natural healing and the advantages are evident. While a pill might be useful at temporarily reducing the discomfort of a health issue, it's not a solution to the problem. A drug won't mend your injured spine; it will only mask the pain.
Dr. Holland will first examine you to get to the origin of your back problems and then work with you to address the problem -- without risky drugs.
If you're ready for relief of your pain, naturally, give our St. Louis, MO office a call at (314) 588-9100 to make an appointment with Dr. Holland.
- Risk of opioids outweigh benefits for headache, low back pain, other conditions. American Academy of Neurology;September 29, 2014.
- What are opioids? National Institute on Drug Abuse. Retrieved from http://www.drugabuse.gov/publications/research-reports/prescription-drugs/opioids/what-are-opioids
We see many auto injury patients in our St Louis office, and a common problem is shoulder injury. Shoulder soreness is a condition experienced by many car wreck patients, and there are two basic explanations.
The first is direct damage to the shoulder during the crash. If your shoulder hits something directly, it can injure the joint capsule. In addition, if you are gripping the steering wheel firmly during a rear-end impact, your body can lag behind the car, applying tension on your wrists and shoulders.
The second cause of shoulder pain is not so direct and can be harder to identify. Injury to the neck or spine can produce pressure on the nerves that travel from the spine to your shoulder, arm, and hands. This can be baffling, as the discomfort or numbness is felt in one part of your body, while the problem is actually in your spine.
Chiropractic is a tried and tested, reliable way to help men and women with shoulder pain, and we've been helping these types of injuries in St. Louis, MO since .
If you've been in a motor vehicle accident and have signs of shoulder injury, Dr. Holland is here to help. We can help pinpoint the root source of your pain and formulate a plan of action to help you restore your health. We have helped many patients in St. Louis, MO heal from these sorts of injuries.
Call our office today at (314) 588-9100 for an appointment or for more information.