Back Pain and Chiropractic

Walking upright on two feet has advantages, but it also puts intense pressure on the spine, as well as on other muscles and bones. Add to this improper sitting, lifting, or reaching—and the normal wear and tear of working and playing—and you have the perfect recipe for back pain. That’s why back pain is the 2nd most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections. In fact, some experts say, as many as 80% of us will experience a back problem at some time in our lives.1

Back injuries are a part of everyday life. They can cause a sharp pain or a dull ache and can be accompanied by a tingling, numbness, or burning sensation. You may also feel weakness, pain, or tingling in your pelvis and upper leg—a condition known as sciatica. The spine is quite good at dealing with back injuries. Minor injuries usually heal within a day or two. Some pain, however, continues. What makes it last longer is not entirely understood, but researchers suspect that stress, mood changes, and the fear of further injury may prevent patients from being active and exacerbate the pain.

Tips for Back Pain Prevention:
• Maintain a healthy diet and weight.
• Remain active—under the supervision of your doctor of chiropractic.
• Avoid prolonged inactivity or bed rest.
• Warm up or stretch before exercising or other physical activities, such as gardening.
• Maintain proper posture.
• Wear comfortable, low-heeled shoes.
• Sleep on a mattress of medium firmness to minimize any curve in your spine.
• Lift with your knees, keep the object close to your body, and do not twist when lifting.
• Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.
• Work with your doctor of chiropractic to ensure that your workstation is ergonomically correct.
Chiropractic Treatment for Back Pain
If you experience back pain, consult your doctor of chiropractic. More than 30 million Americans sought chiropractic care last year alone. Past studies have indicated that consumers are very happy with the chiropractic care they receive.

With a thorough knowledge of the structure and functioning of the human body, doctors of chiropractic make diagnoses and take steps to correct problems using spinal adjustments, dietary and lifestyle advice, and other natural tools. Spinal manipulation—the primary form of treatment performed by doctors of chiropractic—is a recommended option for back pain treatment, rated as such by many state and workers’ compensation guidelines.

Research has shown that manipulative therapy and spinal manipulation are not only safe and effective, but can cut costs and get workers back on the job faster than other treatments. A recent medical study has also pointed out that manual manipulation offers better short-term relief of chronic back pain than medication.2

When choosing a doctor of chiropractic:
• Be sure the chiropractor has attended an accredited chiropractic college.
• Make sure the chiropractor is licensed to practice in your state. After graduating from an accredited chiropractic college, doctors of chiropractic must pass rigorous state and national board exams before they can practice.
• Talk to your friends, family, and co-workers. The best referrals often come from satisfied patients.
• Talk to the doctor. The chiropractor should be willing to answer your questions and should talk freely with you about your concerns and course of treatment.

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References

1. Vallfors B. Acute, subacute and chronic low back pain: Clinical symptoms, absenteeism and working environment. Scan J Rehab Med Suppl 1985;11:1-98.

2. Giles L, Muller R. Chronic spinal pain: A randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine 2003 July 15;28(14):1490-1502.

Vitamins for Vitality, Castle Rock CO

People often wonder about taking vitamins. Should I bother? Are they worth the money? Which ones should I take? In order, the answers are yes, yes, and ask your chiropractor to recommend the brand best for you.

Why take vitamins at all? The purpose of supplementation is to cover all bases -- to make sure they're covered. How can you be sure your diet contains all the cofactors and trace minerals needed to make your metabolism work correctly? And what about all the antioxidants that fight free radical formation and the phyt­onutrients that seem to have so much benefit in cancer prevention?

Likewise, it would take a lot of effort to be certain that your diet contained sufficient iodine, magnesium, selenium, chromium, folate, and vitamins B1 (thiamin), B2 (riboflavin), B3 (niacin), B6 (pyridoxine), and B12 (cyanocobalamin).Taking a supplement guarantees that these requirements have been met. It's simple, safe, and efficient in terms of both time and cost.

Which brand of supplementation is best? There's no right answer here, it's more of a practical decision. You'll know if a specific brand is right if you feel healthier and more energetic after taking it regularly for four to six weeks. You chiropractor will assist you by providing expert information and recommendations. There are no peer-reviewed, hard statistical data suggesting that one brand is superior. "Results" here are qualitative, not quantitative. The important point is that vitamin/mineral supplementation is necessary to ensure optimal metabolic functioning and physical well-being.

What about using specific supplements for specific things, such as taking calcium supplements after a bone-density study has revealed loss of bone mass (osteoporosis)? Is this an effective therapy? Well, in the postmenopausal setting1, if you're not exercising, the calcium you take will simply be excreted. Completely useless. On the other hand, if you are exercising or begin an exercise program, the additional calcium will be useful in providing raw material for stronger bones, built in response to the stress of exercise.

What about calcium supplementation for younger women? Again, exercise is the key to forestalling osteoporosis2. Of course, this includes taking sufficient daily calcium. The recommended daily requirement for calcium is 1000-1200 mg. So, a vitamin/mineral supplement supplies 500 mg. A cup of yogurt adds another 250 mg. A glass of skim milk or a piece of low-fat cheese adds another 250 mg. Non-dairy sources of calcium include calcium-fortified orange juice, spinach, turnips, and sardines (with the bones). So, dietary sources plus your vitamin/mineral supplements provide close to the recommended dose.

Additional calcium tablets or pills can make up the difference.

Vitamin/mineral supplements are important for busy people. Supplementation ensures a consistent, optimal dose of necessary nutrients. Balanced nutrition, in combination with regular exercise, will help provide vibrant, glowing good health3.

1Rosen CJ: Clinical practice. Postmenopausall osteoporosis. N Engl J Med 353(6):595-603, 2005
2Swanenburg J, et al: Effects of exercise and nutrition on postural balance and risk of falling in elderly people. Clin Rehabil 21(6):523-34, 2007
3Speckerr B, Vukovich M: Evidence for an interaction between exercise and nutrition for improved bone health during growth. Med Sport Sci 51:50-63, 2007