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Spinal Manipulation Treatment for Low Back Pain
Advanced Back and Neck Care • Apr 16, 2017

Spinal manipulation treatment for low back pain associated with modest improvement in pain, function…

Among patients with acute low back pain, spinal manipulation therapy was associated with modest improvements in pain and function at up to 6 weeks, with temporary minor musculoskeletal harms, according to a study published by JAMA.

Back pain is among the most common symptoms prompting patients to seek care. Lifetime prevalence estimates of low back pain exceed 50 percent. Treatments for acute back pain include analgesics, muscle relaxants, exercises, physical therapy, heat, spinal manipulative therapy (SMT) and others, with none established as superior to others. Paul G. Shekelle, M.D., Ph.D., of the West Los Angeles Veterans Affairs Medical Center, Los Angeles, and colleagues conducted a review and meta-analysis of previous studies to assess the effectiveness and harms associated with spinal manipulation compared with other nonmanipulative therapies for adults with acute (six weeks or less) low back pain.

Of 26 eligible randomized clinical trials (RCTs) identified, 15 RCTs (1,711 patients) provided moderate-quality evidence that SMT has a statistically significant association with improvements in pain. Twelve RCTs (1,381 patients) produced moderate-quality evidence that SMT has a statistically significant association with improvements in function. No RCT reported any serious adverse event. Minor transient adverse events such as increased pain, muscle stiffness, and headache were reported 50 percent to 67 percent of the time in large case series of patients treated with SMT. Heterogeneity (differences) in study results was large, and was not explained by type of clinician performing SMT, type of manipulation, study quality, or whether SMT was given alone or as part of a package of therapies.

The authors write that the size of the benefit of SMT for acute low back pain is about the same as the benefit from nonsteroidal anti-inflammatory drugs, according to the Cochrane review on this topic.

17 Apr, 2024
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03 Apr, 2024
https://www.functionalmedicineuniversity.com/public/2006.cfm ** Feel free to use this article on your website. All I ask is to add at the bottom of the article: Compliments from Functional Medicine University and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
By Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP 13 Mar, 2024
https://www.functionalmedicineuniversity.com/public/2000.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://www.youtube.com/watch?v=W__EwtXJkyY Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
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Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP
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18 or 80 most anyone can do these. Remember create a habit first.  Perform these exercises just twice a week.
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Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP Alzheimer's is the most common form of dementia. Its symptoms vary but may start with mild memory loss or difficulty remembering words or names. As it progresses, Alzheimer's causes worsening confusion and memory loss, changes in personality, the inability to perform everyday tasks and more. Alzheimer's is caused by a slow build-up of protein plaques and tangles in the brain that eventually cause brain cells to stop working properly. This build-up usually starts years before a person experiences symptoms. Alzheimer's-related memory loss is caused by brain cells working improperly and dying-a process known as neurodegeneration. Alzheimer's is estimated to account for about 60% of dementia cases. Diagnosing Alzheimer's Until recently, it has been difficult to identify the biological changes that indicate Alzheimer's. The typical evaluation, which includes physical exam, blood and urine tests and cognitive testing may provide ambiguous or conflicting answers, which can result in delayed referrals until symptoms become clearer. That has changed with new technology and testing. Labcorp has developed a new test called the Amyloid-Tau-Neurodegeneration (ATN) Profile ( ATN Profile) to help doctors detect evidence of biological changes consistent with Alzheimer's. These tests are the first objective tools that doctors have to help evaluate Alzheimer's, meaning that with a simple blood test , doctors and other health professionals allowed to order labs can get a clearer answers on Alzheimer's and its progression and get patients on a care plan earlier. This will in fact give physicians a simple, objective test for Alzheimer's disease pathology that can help shorten the time to diagnosis. Labcorp is the first company to make a fully blood-based ATN Profile commercially available. What is ATN? The ATN framework establishes a means for classifying biomarkers based on the biological evidence of Alzheimer's disease that each marker provides These markers are divided into three categories to reflect the three primary biological changes associated with Alzheimer's: A for amyloid plaques: Accumulations of beta-amyloid 42 proteins begin to form plaques in the brain years before initial symptom onset T for tau tangles: The beta-amyloid 42 accumulation causes misfolding of tau proteins, which tangle into knots and disrupt normal brain cell function N for neurodegeneratio : Brain cell functional impairment causes the cells to die, which exacerbates the characteristic cognitive impairment symptoms observed in Alzheimer's patients
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