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Weekly Chiropractic Blog

What Huffman Texas Residents Think of Neck Pain Manipulation vs Other Treatments

Posted: March 23, 2015
By: Dr Rob Rosenbaum

    Mechanical neck pain affects an estimated 70% of people at some point in their lives. Many different treatment approaches are available for neck pain, making it difficult for those suffering from neck pain to know which treatment approach(es) to choose. Research in this topic has revealed some very interesting information that places chiropractic and spinal manipulation in a VERY STRONG POSITION - in fact, at the TOP OF THE HEAP!

      One such study looked at benefits of spinal manipulative therapy (SMT) in patients with acute and subacute neck pain. This study compared three study group: 1. SMT only, 2. medication only, and 3. Home exercise and advice (HEA). This study randomized 272 neck pain patients suffering from neck pain for 2 to 12 weeks into a 12 week treatment period using  1 of the 3 treatment approaches tracking the results with the participant-rated pain as the primary treatment outcome measure. Secondary outcome data was obtained from other approaches. The results showed that the group treatd with SMT, "...had a statistical advantage over medication after 8, 12, 26 and 52 weeks. HEA also had a statistical advantage over medication. Lastly, similar benefits were calculated between the SMT and exercise group. The Conclustions upport SMT and exercise/advise to be the choice over medication for acute and subacute neck pain patients. Regarding exercise, a similar study showed that "high-dosed supervised strengthening exercise" with and without SMT, was superior to a "low dose home mobilization exercise and advice group at 4, 12, 26, and 52 weeks"

      Regarding chronic neck pain patients (that means pain that has been present for greater than 3 months), this study evaluated the changes that occurred in 191 patients. These patients ere randomized to 11 weeks of 1 of 3 treatment groups and evaluated at 3, 6, 12, & 24 months after treatment. The 3 treatment options included: 1. Spinal manipuative therapy (SMT) only, 2. SMT treatment with low-tech neck exercises, or 3. A form of exercises using a MedX rehab machine. The results support the highest level of satisfaction was found in the 2nd group (SMT with low-tech exercise), suggesting that when patients present for treatment, spinal manipulation with low-tech exercises results in the most satisified patient. These findings are important as this tudy evaluated the LONG-TERM benefits in patients who have had neck pain for a long time  (i.e., "chronic"), where most studies only look at the short-term benefits.

      Similar conclusions were reported from perhaps the largest scale study on neck pain based on research from 1980 to 2006 on the use, effectiveness and safety of noninvasive treatment approaches for neck pain and associated disorders. Their review of over 350 articles supported manual therapy (manipulation and mobilzation) and supervised exercise to again, SHINE in their conclusions.

      What is important is that ALL these studies support what chiropractors do: manipulate the neck and give supervised exercises! So, what are you waiting for? SPREAD THE WORD to everyone that you know who has neck pain -- CHIROPRACTIC MAY BE THE BEST CHOICE!!!

       We realize you have a choice in where you choose your healthcare services in Crosby, Highlands, Dayton, and the Huffman areas. If you, a friend, or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future. 

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Crosby Chiropractic Center Offers Neck and Headache Pain Relief Through Improved Posture

Posted: March 20, 2015
By: Dr Rob Rosenbaum

     Neck pain is one of the most common complaints for which patients present to chiropractic offices. Headaches are also another very common problem and often go hand-in-hand with the presence of neck pain. So, the question that is frequently asked is, "...why do headaches and neck pain often travel together?"

      There are many types of headaches, some of which are migraine and tension-type headaches being the most common. This week, the focus is on how headaches and the neck are related to each other and what YOU can do about it.

      The relationship between neck pain and headaches is strong! In fact, in some cases, headaches will occur ONLY when the neck hurts. One reason is because the first three nerves that exit out from the top of the cervical spine (C1, C2, and C3) have to travel through the thick group of muscles that insert onto the back/base of the skull along the occipital rim. Because we carry a lot of stress in the neck muscles, when they tighten up, they squeeze or pinch those 3 nerves and pain then radiates into the back of the head and sometimes up and over the vertex to the eyes or behind the eyes. If you take your fingers or thumb and push firmly into those muscles at the very top of the neck or base of the skull, it often feels, "...like a good hurt." This is because they are usually tight since most of us carry our head too far forwards and the muscles have to contract and constantly work to keep the head from gliding even further.

      So, what can YOU do about it? Let's talk about a few GREAT posture training exercises. Tuck in your chin to the point where your voice changes pitch (your voice will start to sound "funny"). At that point, release the chin slightly so the voice clears and stay in that position! That is the posture or head position of choice. Initially, it will be very difficult to remember to hold that position very long because your muscles (and brain) arent used to it, and you'll slip back into the old "forward head carriage" habit or "chin poke" position. So, be patient with yourself because it takes about 3 months of constant self-reminding to "...keep that chin tucked," before this new "habit pattern" is formed in the brain.

       Another great exercise is an "offshoot" of this, where you tuck the chin in as far as you can (making a double or triple chin) holding that position for 3 seconds, and then tip the head back as far as you can without releasing the chin tuck and hold for another 3 seconds. Repeat this 2-3x per "set" and perform this multiple times per day.

      A 3rd great exercise for improving the forward head carriage posture is performed by lying on your back on a bed so that the edge of the bed is at the middle of the neck and your head is dangling off the bed. Take a tightly rolled up towel (a hand size works well) and place it under the neck so that it is resting on the edge of the bed so that your head can fall back towards the floor. Take some deep breaths and concentrate on relaxing all your neck muscles. Periodically, slowly rotate you head left to right, right to left, and "feel" the different muscles stretch as you do this. If you can afford 15 minutes, thats PERFECT! But if you only have a few minutes, it's still GREAT!

       Between maintaining a chin tuck upright posture and retaining the curve in your neck with the head hanging off the bed exercise, you'll feel (and look) much better!

       We realize that you have a choice in where you choose your healthcare services for the Crosby, Huffman, Dayton, and Highlands areas. If you, a friend, or a family member requires care for neck pain or persistent headaches, we sincerely appreciate the trust and confidence shown by choosing our services and look forward to serving you and your family, presently and in the future.

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