The Evidence Based Chiropractor Blog
Hundreds of chiropractic marketing and research articles to help you grow.
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Decreasing Intradiscal Pressure in the Cervical and Lumbar Spine through Chiropractic- by The Evidence Based Chiropractor
Traction, as a treatment, has been used for centuries in an attempt to relieve radiculopathy and pain. Seated, standing, supine, mechanical, manual; there are a vast variety of options when performing traction on a vertebral region.
Nearly every primary care physician and orthopedist refer daily to physical therapy for some form of traction. They refer for traction because they are attempting to decrease intradiscal pressure. What many of them don't know is that a chiropractic technique called flexion/distraction is a far superior treatment choice. It is our responsibility, as chiropractors, to promote and emphasize the effectiveness and safety of this treatment.
Over 65% of chiropractors report using flexion/distraction in their practice. Research studies have proven that flexion/distraction of the cervical and lumbar spine decreases intradiscal pressure with clinical significance. Decreased intradiscal pressure is thought to improve tissue flow gradients, alter nociception, and allow retraction of prolapsed disc material. We have randomized controlled trials (RCT) which have demonstrated the effectiveness of flexion/distraction for treating radiculopathy. Additionally, the traction which many physical therapists use is void of any localizing effect! Essentially, a little bit of the force/traction is applied everywhere; whereas with chiropractic flexion/distraction, we are able to focus at individual vertebral levels with much greater specificity.
The Evidence Based Chiropractor's February 2014 MD Research Brief is going to focus on a piece of research supports the specificity and effectiveness of chiropractic flexion/distraction.
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Is Chiropractic Care for Neck Pain Safe? by The Evidence Based Chiropractor
An on-going topic of discussion, political posturing, and research is the safety of cervical spine manipulation. Throughout the years this has been a hot button issue filled with pseudo-science, myth, and exaggeration.
One of the most thorough research articles relating to the safety of cervical spine manipulation came from the esteemed SPINE Journal in 2007. It obtained data from over 50,000 cervical spine manipulations and showed NO SERIOUS ADVERSE events for up to 7 days post-treatment.
They found that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low". Additionally, they stated "risk rates described in this study compare favorably to those linked to drugs routinely prescribed for musculoskeletal conditions in general practice".
In essence, they concluded that cervical spine manipulation is at least, if not more, safe than the medication you would receive from your primary care physician for neck pain.
Interested in more? See the Top 10 Chiropractic Research Articles which every chiropractor should know about HERE.
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Cervical Spine Adjustment Safety
Do you have patients who are concerned with the safety of having their necks adjusted?
This article touches on why cervical spine adjustment safety remains misunderstood. As a note, you are at least 500x more likely to be struck by lighting than have a vertebral artery compromise due to adjustment.
http://www.ncbi.nlm.nih.gov/pubmed/14589464