Aug 18

Spinal Manipulation Is Effective And Cost Reducing For Spine Care

Spine pain is disconcerting for its sufferers. Chiropractic spinal manipulation helps. Though low back pain is a major cause of disability around the world, its sufferers who have recurrent or persistent episodes of low back pain find chiropractic maintenance care valuable as it is patient-centered care. (1) Neck pain sufferers, too, find help with chiropractic. Neck pain patients treated with spinal manipulation – 90% of which is delivered by chiropractors in the US – were found to be 2.38 times less likely to need escalated and costly care like imaging, injection, emergency room or surgery (just 26%) than patients who were treated with other care (46%). (2) A recent study of Medicare patient claims reports that patients who had reduced access to chiropractic care had an increase in visits (32.3 a year) to primary care physicians for spine pain and an increase in spine surgeries (5.5 a year) costing an extra $114,967 per 1000 Medicare beneficiaries and $391 million nationally. (3) Your chiropractor is well-experienced in performing spinal manipulation. Spinal manipulation is and has been recommended as first-line treatment for low back pain. Reviews of Medicare claims note that chiropractors are the majority of healthcare providers for spinal manipulation and notes that the overall supply of spinal manipulation providers is falling. (4) Have no fear! Your hometown chiropractor has no intention of not providing pain-relieving spinal manipulation, particularly the gentle, research-backed Cox® Technic style of spinal manipulation, any time soon.

Listen to this PODCAST with Dr. Kurt Olding on The Back Doctors Podcast with Dr. Michael Johnson as he explains the role of spinal manipulation in the Cox® Technic System of Spinal Pain Management for the relief of spinal stenosis, a common spine pain condition in the over-65 age group.

TIP OF THE MONTH: Beneficial B Vitamins

B vitamins are beneficial. B12 deficiency is commonly linked with dementia in patients over 65 years of age. It’s also seen in young people who have normal B12 levels but their methylmalonic acid level is high. Testing the MMA level may be considered in patients with symptoms that seem unrelated as such testing for one patient with neuropathy, depression and stomach issues who had a high MMA revealed. (5) Biotin (B7) supplementation is showing potential in treatment of neuropathic pain and could reduce the necessary doses of analgesic drugs. (6) Riboflavin (B2) in foods and via supplements is known for its antioxidant, anti-cancer, and anti-inflammatory effects among others.A new study found B2 to be anti-itch, too. (7) How are your B levels? 

Thank you for sharing this information with friends and family! We are honored to be a part of your healthcare team. 

See you at your next visit!

References for HEALTHY NEWS – August 2021

  1. Hjertstrand J, Palmgren PJ, Axén I, Eklund A. The Nordic Maintenance Care Program: Patient Experience Of Maintenance Care-A Qualitative Study. Chiropr Man Therap. 2021 Aug 2;29(1):28. doi: 10.1186/s12998-021-00388-z. PMID: 34340692; PMCID: PMC8327445.
  2. Anderson BR, McClellan WS, Long CR. Risk of Treatment Escalation in Recipients vs Nonrecipients of Spinal Manipulation for Musculoskeletal Cervical Spine Disorders: An Analysis of Insurance Claims. J Manipulative Physiol Ther. 2021 Aug 5:S0161-4754(21)00035-X. doi: 10.1016/j.jmpt.2021.03.001. Epub ahead of print. PMID: 34366149.
  3. Davis M, Yakusheva O, Liu H, Anderson B, Bynum J. The Effect of Reduced Access to Chiropractic Care on Medical Service Use for Spine Conditions Among Older Adults. J Manipulative Physiol Ther. 2021 Aug 7:S0161-4754(21)00071-3. doi: 10.1016/j.jmpt.2021.05.002. Epub ahead of print. PMID: 34376317.
  4. Whedon JM, Haldeman S, Petersen CL, Schoellkopf W, MacKenzie TA, Lurie JD. Temporal Trends and Geographic Variations in the Supply of Clinicians Who Provide Spinal Manipulation to Medicare Beneficiaries: A Serial Cross-Sectional Study. J Manipulative Physiol Ther. 2021 Mar;44(3):177-185. doi: 10.1016/j.jmpt.2021.02.002. Epub 2021 Apr 10. PMID: 33849727. 
  5. Burlock B, Williams JP. Recognizing Subacute Combined Degeneration in Patients With Normal Vitamin B12 Levels. Cureus. 2021;13(6):e15429. Published 2021 Jun 3. doi:10.7759/cureus.15429 
  6. Abed AR, Abed A, Banafshe HR, Malekabad ES, Gorgani-Firuzjaee S, Dadashi AR. Effect of biotin supplementation on neuropathic pain induced by chronic constriction of the sciatic nerve in the rat. Res Pharm Sci. 2021;16(3):250-259. Published 2021 May 12. doi:10.4103/1735-5362.314823 
  7. Lee K, Choi YI, Im ST, et al. Riboflavin Inhibits Histamine-Dependent Itch by Modulating Transient Receptor Potential Vanilloid 1 (TRPV1). Front Mol Neurosci. 2021;14:643483. Published 2021 Jun 18. doi:10.3389/fnmol.2021.643483