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The Spinal Column
Dear Patients and Friends,
Some of you know what to do when your back hurts: Go to the
chiropractor and get an adjustment! But the majority of
American adults do not have a chiropractor, and some that do
still have back pain.
A number of published studies have concluded that the only
treatments that consistently work for both acute (short-term)
and chronic (long-term) back pain are exercise and chiropractic
adjustments, and that the two together work best.
A new review of research on the effectiveness of exercise for
treatment and prevention of back pain in the Journal of the
American Medical Association found that 80 percent of us
experience at least one episode of lower back pain in our lives,
and that when someone experiences back pain once, the chances
are 24 to 80% that they’ll have it again within a year. They
found that exercise alone, done appropriately and over time,
reduces the risk of back pain recurrence by a very significant
25 to 40%. The exercise studies included various combinations
of aerobic exercise with either stretching or strengthening, and
they all worked nearly just as well. The typical time and
frequency of exercise session was 30 minutes three times
weekly. The subjects needed to keep the exercise regimen going,
because the benefits gradually disappeared if the exercise was
not continued.
A study published in Spine in 2011 looked at the benefits of
chiropractic adjustments on patients with chronic lower back
pain and found that two groups of patients who both had 12
treatments in one month improved significantly, but that nine
months later only the group who continued with twice monthly
treatments stayed better, while the group who discontinued
treatment gradually regressed.
Over my many years in practice I have found that if you have a
problem with back pain and get some chiropractic treatment, you
will probably get better, and your chances of staying better are
greater if you continue with occasional treatment. If you have
a problem with back pain and you do the right exercises, you
will likely improve, and your chances of maintaining your
improvement are much higher if you keep doing the exercises. If
you combine chiropractic treatment with doing the right
exercises and keep doing at least one of those long term, your
chances of staying good are even better, and if you keep up with
the exercise and the chiropractic, your chances are really good.
If you also switch to an anti-inflammation diet (primarily
fruit, vegetables and nuts and, optionally, moderate amounts of
lean healthy animal protein) and supplements (vitamin D,
magnesium and omega-3 fatty acids), your chances of feeling much
better and staying that way are the highest of all.
Why not give yourself the very best chance to feel good and stay
healthy? And why not share this vital formula with others?
Yours for better health, naturally,
Mha Atma S. Khalsa, D.C.
Another prominent study showing benefits of chiropractic for
back pain —A
new study published recently in the leading orthopedic
medical journal SPINE added to the growing body of research
documenting the effectiveness of chiropractic care in
treatment of lower back pain. One group of patients
received chiropractic adjustments to their lower back twice
weekly for four weeks, and another were given “usual medical
care”: medications along with advice to stay active and
expect their pain to get better. The chiropractic group
showed significantly better improvements in disability and
pain compared to the group receiving usual medical care.
SPINE 2015 40(4)209-217
(Note
from Dr. Mha Atma: If you add to the bare-bones lower back
adjustments given in this study all the other things a good
chiropractor does, including adjusting the whole spine, soft
tissue work, and instruction in exercises and diet, results
may increase from significantly better to dramatically
better!)
New study indicates that chiropractic
treatment of seniors with back pain combined
with other health problems works well and
saves money--Researchers
at the Geisel School of Medicine at
Dartmouth looked at Medicare statistics for
over 72,000 Medicare patients from 2006 to
2012 who were treated for lower back pain
AND suffered from various other health
conditions. Some were treated only by a
chiropractor, some only by MDs, and many by
a chiropractor and MDs. They found that
those treated only by a chiropractor had
very significantly lower overall health care
costs, and that those treated by a
chiropractor and by medical doctors still
had significantly lower overall health care
costs than those treated by MDs alone. The
researchers concluded that these findings
indicate that many older folks with back
pain combined with other health problems
should be treated with chiropractic care
from day one.
DOI: http://www.jmptonline.org/article/S0161-4754(16)00007-5/abstract
Read the abstract
Chiropractic “boot camp” for back and leg
pain caused by spinal stenosis —A
study published last year looked at a group
of patients treated at a major hospital in
Toronto. Patients in the study averaged 70
years old and had an average duration of 11
years of back pain and 8.6 years of leg
pain. Their “boot camp” program included
treatment up to three times weekly for six
weeks consisting of chiropractic
adjustments, exercises, and instruction on
problem solving, relaxation and body
positioning. The researchers concluded that
in these patients “all outcomes demonstrated
statistically significant and clinically
important improvements.”
Journal of Manipulative and Physiological
Therapeutics 2015 38:188-194
For Neck Pain
In a study funded by NIH’s National Center
for Complementary and Alternative Medicine
to test the effectiveness of different
approaches for treating mechanical neck
pain, 272 participants were divided into
three groups that received either spinal
manipulative therapy (SMT) from a doctor of
chiropractic (DC), pain medication
(over-the-counter pain relievers, narcotics
and muscle relaxants) or exercise
recommendations. After 12 weeks, about 57
percent of those who met with DCs and 48
percent who exercised reported at least a 75
percent reduction in pain, compared to 33
percent of the people in the medication
group. After one year, approximately 53
percent of the drug-free groups continued to
report at least a 75 percent reduction in
pain; compared to just 38 percent pain
reduction among those who took medication.
-- Bronfort et al. (2012), Annals of
Internal Medicine
Chiropractic “boot camp” for back and leg
pain caused by spinal stenosis —A
study published last year looked at a group
of patients treated at a major hospital in
Toronto. Patients in the study averaged 70
years old and had an average duration of 11
years of back pain and 8.6 years of leg
pain. Their “boot camp” program included
treatment up to three times weekly for six
weeks consisting of chiropractic
adjustments, exercises, and instruction on
problem solving, relaxation and body
positioning. The researchers concluded that
in these patients “all outcomes demonstrated
statistically significant and clinically
important improvements.”
Journal of Manipulative and Physiological
Therapeutics 2015 38:188-194
Chiropractic adjustments increase blood levels of
anti-oxidants —Researchers
at the Federal University of Riol Grande do Sul, Porto
Alegre, Brazil reported that a course of chiropractic
manipulation twice weekly for five weeks increased the
blood levels of two antioxidant enzymes (superoxide
dismutase or SOD and glutathione peroxidase or GPx) in
23 patients with chronic neck or back pain. The
researchers theorized that this may be one mechanism of
pain relief, since these enzymes reduce the excitability
of nerves when pain is present and may reduce cell
damage as well.
Journal of Manipulative and Physiological Therapeutics 2015
38:119-129
Chiropractic treatment for neck and arm pain with disc
herniation —Researchers
in Switzerland followed treatment of 50 consecutive
patients who had neck and arm pain with MRI-proven disc
herniation. Patients were treated with chiropractic
adjustments 3 to 5 times weekly for 2 to 4 weeks and 1
to 3 times weekly thereafter until pain was gone. At 2
weeks 55.3% of all patients were significantly improved,
at 1 months 68.9% and at 3 months 85.7% were
significantly improved with none being worse. Although
acute (short-term patients) improved faster, at 3 months
76.2% of sub-acute and chronic patients were
significantly improved, which researchers pointed out
was highly significant and far above expectations.
Journal of Manipulative and Physiological Therapeutics
2013;36:461-467
(Note from Dr. Mha Atma: When patients are suffering
from neck and arm pain or from back and leg pain and
have an MRI which shows a herniated disc, they are
usually told by doctors they need drugs, epidurals
and/or surgery and are sometime warned against seeing a
chiropractor. This study illustrated the effectiveness
and safety of chiropractic care in cases of disc
herniation, and is worth sharing with others including
your doctors!)
One more review on safety of chiropractic in treating
herniated discs —Researchers
from Australia and the Netherlands performed a
comprehensive review of scientific literature examining
safety and effectiveness of chiropractic in treatment of
lower back disc herniations. They concluded that
evidence suggests that chiropractic manipulation is as
effective as surgery and that the risk is no more than
the risk of treatment with exercise and less than
treatment with drug therapy.
Journal
of Manipulative and Physiological Therapeutics
2013;xx:1-15
One more interesting study: about lowering cholesterol
by eating just a few brazil nuts, from Michael Gregor,
MD....
Four Nuts Once a Month
One of the craziest studies I
read all year involved feeding people a single serving
of Brazil nuts to see what it would do to the
cholesterol levels of healthy volunteers. They gave ten
men and women a single meal containing zero, one, four,
or eight Brazil nuts, and found that the ingestion of
just that single serving almost immediately improved
cholesterol levels. LDL, so-called “bad” cholesterol
levels in the blood, was significantly lower starting
just nine hours after the ingestion of nuts, and by no
insignificant amount, nearly 20 points within a day.
Even drugs don’t work that fast. It takes statins around
four days to have a significant effect.
But that’s not even the crazy part.
The researchers went back and measured their cholesterol
five days later, and then 30 days later. Now keep in
mind they weren’t eating Brazil nuts this whole time.
They just had that single serving of Brazil nuts a month
before and their cholesterol was still down 30 days
later. It went down and stayed down, after eating just
four nuts… That’s nuts!
And no, the study was not funded by the Brazil nut
industry.
Interestingly, four nuts actually seemed to work faster
than the eight nuts to lower bad cholesterol and boost
good cholesterol. These results suggest that eating just
four nuts might be enough to improve the levels of LDL
and HDL for up to 30 days, and maybe longer—they didn’t
test past 30.
Now normally, when a study comes out in the medical
literature showing some too-good-to-be-true result like
this you want to wait to see the results replicated
before you change your clinical practice, before you
recommend something to your patients, particularly when
the study is done on only ten people, and especially
when the findings are literally just too incredible to
be believed. But when the intervention is cheap, easy,
harmless and healthy—eating four Brazil nuts a
month—then, in my opinion, the burden of proof is kind
of reversed. I think the reasonable default position is
to do it until proven otherwise.
They concluded a single serving was sufficient “without
producing liver and kidney toxicity.” What they’re
referring to is the high selenium content of Brazil
nuts—so high that four eaten every day may actually bump
us up against the tolerable daily limit for selenium,
but not something we have to worry about if we’re just
eating four once a month.
read this online with a few
more links
THANKS
FOR HELPING US HELP OTHERS!
Nearly all our patients first come to our office through
the recommendations of our present and past
patients. We appreciate each of you who take
the time and energy to help another person
experience the benefits of chiropractic. We
couldn't do it without you!
Our thanks to:
Joanna Scott
Roxanne Griffin
Nina Segura
Millie Grijalva
Jessica Hritz
Stacy Abrams
Jesse Wechsler
Oscar Williams
Susan Surran
Brenda Rivera
Linda Yudin
Marigold McFadzen
Amy Van Etten
Donna McCarty
Claire Denis
Sean Weber-Small
Lynn Stephens
Sita Thompson
Anthony Wilson
Nick Weidenfield
Amanda Springer
Felicia Rondeau
Camila Greenbert
Gabriell Horton
Mike Heller
Vanessa Wolf
Anabel Iniguez
Laura & Cesar Roque
Denise Roundfield
Karen Gordon
David Zimmerman
Gail Herendeen
Stefano Della Pietra
Merrinell Phillips
Krishna Khalsa
Andrew Kennedy
Hadiya Kennedy
Scott Baugh
Rahimah Shah
Brooke Senior
Sharmagne Leland-St. John
Walta Smith
Carol Morgan
Margot Hesel
Domonique Generaux
Dave Wolin
Danelle Benari
Sandy Wallace
Maggie and Lexi
Damon
Barbara Gromfin
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Daniel Nelson
Rosa Uribe
Khefri Riley
Jenae Marin
Karen Cooke
Claudio DiFiore
Karen Mbanefo
Jerry & Sandi Jolton
Wendy Moore
Diana Kawin
Myrble Fuller
Karen Cooke
Joyce Miraflor
Rita Franciosa
Starletta DuPois
Carlos Muniz
Angella Wong
Jonathan Tao
Geri Vergara
Pamela D’Pella
Mark Roeder
Celia Beuzieron
Jen-you Hwang
Nina Karakesh
Max Goldberg
Justin Long
Renee Brewster
James Draffen
Rick Smith
Tery Lopez
Venkata Pitchai
Noa Cardelli
Elizabeth McNally
Charles Daniel
Art & Leonie Espinosa
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MY CHIROPRACTIC
STORY
GREG SHEEHAN
I had bad lower back pain as well as pain and
discomfort throughout my entire back. I first
injured my lower back in 1998, and the pain
continued and grew worse over the years and
spread through my entire back. I saw two
previous chiropractors—one I did not like and
the other was great but I could not afford to
continue treatment. I occasionally took
ibuprofen but most of the time just lived with
pain.
I had been thinking about trying chiropractic
again for a while, and then a friend said “Just
go!” and referred me to Dr. Mha Atma. I was
positive it would help. I found Khalsa
Chiropractic to be a very friendly, professional
place, with a helpful staff and a very
knowledgeable and caring doctor. Dr. Mha Atma
recommended twice weekly and then weekly
adjustments for a few months, tapering to less
often after that, along with exercises and
eating right.
It has now been about 10 months since I started
treatment. My back feels so much better. The
bad pain is gone. I now come in every two weeks
for an adjustment to keep myself in good shape.
I can move around better, I sleep better, and I
just feel better in general.
I absolutely recommend chiropractic care because
it helps so much. I have recommended it to a
number of people. I love it. If you have back
pain or discomfort, just go!
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GOOD HEALTH IS A JOURNEY.
STAY ON COURSE WITH REGULAR
CHIROPRACTIC CARE.
PLANT THE SEEDS OF GOOD HEALTH:
SEE YOUR
CHIROPRACTOR REGULARLY!
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