Posts by Dr. Daniel Pozarnsky
Balance Chiropractic & Rehab works with many sciatica patients here in our Fargo office, and many of these patients were concerned that they might need surgery to treat their pain. The latest research shows that many people don't need surgery for this widespread problem, and that chiropractic is more successful at resolving sciatic nerve pain.
A common surgery for sciatica is microdiscectomy, and in a 2010 study, physicians examined 80 individuals with sciatica who were referred for this procedure.
Forty patients were then randomly placed in one of two groups. The first group received surgical microdiscectomy and the second group was given chiropractic care.
Both groups got better; however, no noticeable difference in results was reported one year post-treatment between either group. Furthermore, around sixty percent of the participating patients who could not find pain relief from any other treatment method "benefited from spinal manipulation to the same degree as if they underwent surgical intervention."
In other words, chiropractic offered the same positive advantages as surgery without having to go through the higher levels of surgery-based pain or suffer through extended recovery times often affiliated with that type of treatment option. Plus, you also don't run the risks affiliated with surgical microdiscectomy, which includes nerve root damage, bowel or bladder incontinence, bleeding, or infection.
Surgery ought to be the last option for sciatica pain. If you live in Fargo and you're suffering from back pain or sciatica, give Balance Chiropractic & Rehab a call today at (701) 893-7878. We'll help identify the start of your pain and work hard to get you relief.
- McMorland, G et al. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics 2010;33(8):576-584.
- Solberg TK, Nygaard OP, Sjaavik K, Hofoss D, Ingebrigtsen T. The risk of "getting worse" after lumbar microdiscectomy. European Spine Journal 2005;14(1):49-54.
According to The American Academy of Pain Medicine, more Americans suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. Furthermore, neck pain is the third most documented type of pain, beat out only by back pain and headaches.
As a result, many patients come to our Fargo office seeking neck pain treatment, and Balance Chiropractic & Rehab has helped many of them find relief. This is a smart choice, as some studies have shown that over 90% of neck pain patients get relief with chiropractic.
Studies Confirm Chiropractic Effective for Neck Pain
A report published in The Journal of Orthopaedic and Sports Physical Therapy involved 64 people who were suffering with neck problems. Approximately half were placed in an experimental group and the other half were designated to a comparison group. Both were given chiropractic adjustments of the neck as well as a home exercise program, while the experimental group also received adjustments of the thoracic spine.
Data was gathered before treatment began and one week after the adjustments. The authors found that 94% of the experimental group claimed "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the individuals who received neck adjustments showed the same level of improvement, illustrating that thinking about the entire spinal column is an important part of restoring the body's normal function.
One more study posted in Physical Therapy involved 60 adults who were dealing with neck pain. Each person was randomly assigned to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with follow-up exams occurring two and four days after the treatments.
Researchers discovered that the study patients who received the thrust manipulations (the same manipulations that offered such positive results in the first study) "experienced greater reductions in disability" than the group that received the non-thrust adjustments. Their pain was lower as well, which shows that this type of technique offers many benefits.
Help After Failed Neck Surgery
One study even found the same sort of positive results after thoracic adjustments in a woman who had a failed neck surgery. This particular case involved a 46-year-old woman who had recently had neck surgery but still reported neck pain, headaches, pain in her elbow, and muscle fatigue.
The patient reported reduced pain in her neck and reduced headache intensity, immediately after the first chiropractic treatment session. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still rated her pain at a zero on a scale of 1 to 10. Her neck disability improved as well, with a rating score that represented that it was a "great deal better."
It is studies like these that substantiate the advantages of chiropractic techniques, even if you've already attempted medical procedures that didn't provide relief. So, if you are suffering with neck problems and would like to find a remedy that has a high success rate, try chiropractic. It may just be the relief you're looking for.
We're located in Fargo and Balance Chiropractic & Rehab can help you recover from neck pain. Give us a call today at (701) 893-7878.
- AAPM facts and figures on pain. The American Academy of Pain Medicine.
- Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
- Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
- Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.
We see many back pain patients in our Fargo office, and Balance Chiropractic & Rehab has been able to provide a lot of them find relief through various chiropractic techniques. However, dealing with back pain doesn't necessarily mean having to decide between chiropractic care and medical therapy, as many individuals utilize both types of care with great outcomes.
Study Confirms Chiropractic and Medical Care Work Well with One Another
In a report published by the medical journal Spine experts1 looked at a group of active-duty military personnel between the ages of 18 and 35 who claimed both acute discomfort and limited function due to back symptoms. Some of the study participants received treatment via standard medical care, while the remainder received chiropractic adjustments in addition to standard medical care, as the authors wanted to see which patients fared better.
Researchers found that the patients who received standard medical care along with chiropractic care scored "significantly better" than the patients who received medical care alone; 73% reported positive benefits in comparison to just 17 percent of the medical care only group who reported the same amount of improvement. This was true regarding both pain and level of function at two and four weeks.
Thus, integrating these two forms of treatment can greatly benefit you--the patient--offering advantages when compared to medical care alone. However, while chiropractic and medical approaches can work together, chiropractic offers some distinct strengths over medical therapy.
Where Chiropractic Wins
Although it might seem as if each approach plays a 50/50 role, there is one major benefit that chiropractic care has over medical care and that is in patient satisfaction. In fact, one bit of research done at UCLA2 that was printed in the American Journal of Public Health found that, on average, chiropractic patients are generally more satisfied with their recovery than people undergoing medical treatment.
According to the experts, the main aspects that patients preferred over medical care were "self-care advice and explanation of treatment." This isn't unexpected, as chiropractors commonly spend much more time advising their patients as to how they can improve their health on their own, as well as outlining more carefully what to expect from chiropractic.
Chiropractic Care Offers a Non-Invasive Approach
Certainly, the strategies associated with chiropractic are very different than those provided with medical care, but a great deal of the distinction is the fact that chiropractic is a natural approach to health and wellness. Instead of focusing on simply relieving the symptoms, chiropractic care involves tracking down the primary cause of your pain, which often means greater improvement as you are tackling the problem at its source.
In addition, while medication is sometimes helpful for treating certain conditions, many health issues respond well to a natural approach such as chiropractic. This means fewer negative responses to prescriptions and more permanent results.
You don't have to deal with back pain or other health issues. Give our Fargo office a call today at (701) 893-7878. We'll work to help you get and remain free from back pain.
- Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine 2013;38(8):627-634.
- Hertzman-Miller RP1, Morgenstern H, Hurwitz EL, Yu F, Adams AH, Harber P, Kominski GF. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. American Journal of Public Health 2002;92(10):1628-1633.
We manage many car accident cases in in our Fargo office, and a common symptom we see in our patients is headache. Why is headache such a common symptom after an auto injury? How can chiropractic care help you heal?
There are many different kinds of headache. Headache that's caused by a car accident, though, typically starts as tension or strain in the muscle tissue of the neck. In a collision, the neck muscles can be damaged, which causes swelling and pain. These types of headache can be felt in different places, including the back of the head or even the temple.
Another common cause of pain after a collision that we see in our Fargo office is cervicogenic headache, or headaches that originate in injured ligaments of the neck. Ligament injury is quite common after a crash, and it's important to get therapy for this type of problem to prevent the development of scar tissue.
Chiropractic care is an effective way to treat headaches, including those caused by car crashes. Balance Chiropractic & Rehab can help reduce the irritation and tension in your neck, which will help alleviate the headache pain.
Let us help you recover from headache. Balance Chiropractic & Rehab has helped many patients with the same problem, and we can probably help you, too. The first step is to get an accurate diagnosis to determine what's causing your pain and then we will determine an appropriate treatment approach. Give our office a call today at (701) 893-7878 to make an appointment.
We tend to a large number of people in our Fargo clinic, and Balance Chiropractic & Rehab has helped many people overcome a range of health challenges. Even so, a frequent worry that seems to prevent many women and men from pursuing care is whether or not chiropractic care is safe. Luckily, according to three different studies (out of quite a few on the subject), the answer to this question is a clear: "Yes! Chiropractic is safe!"
Chiropractic is Safe, According to Australian Study
The first study(1) was published in Spine and involved 183 adults. Each individual reported suffering from some kind of back pain, and half of the patients received real chiropractic care whereas the remaining patients were given two fake chiropractic treatment sessions. Data was gathered after each real or fake adjustment to see if any unpleasant negative effects occurred as a result of the real chiropractic treatments.
The authors reported that none of the patients documented any significant undesirable side effects whatsoever after getting one or two sessions of chiropractic. Some people did state that they got a headache (9% of patients) or muscle stiffness (about 1 out of 3) after treatment, but the effects were not serious.
Large US Survey Reports that Chiropractic Adjustments are Safe
A second study(2), also published in the distinguished publication, Spine, was done in an effort to determine the safety of chiropractic care. The study group was much larger as it involved just under 20,000 patients. Each participant received chiropractic adjustments of the neck, with over 50,000 total adjustments for all study participants.
Once again, the experts found no serious negative side effects. The authors determined the risk of total adverse reactions to be approximately 6 out of every 10,000 consultations or every 100,000 treatment sessions. And, just as with the first study, some people did report non-serious, milder, side effects such as dizziness (16 out of every 1,000 treatment consultations and 15 out of every 1,000 treatment sessions) or a headache (4 out of every 100), and this caused the researchers to determine that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Care Is Safe for Kids
This third research paper(3) is different from the first two reports, as it concentrates on the safety of chiropractic care for children. In this article, researchers analyzed data reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic treatment sessions.
Out of 5,438 chiropractic visits made for the young children, chiropractors answering the survey documented only three cases where there were adverse side effects. When parents were questioned, they indicated only two adverse side effects out of 1,735 visits. Additionally, both chiropractors and parents reported "a high rate of improvement with respect to the children's presenting complaints."
Based on studies like these, chiropractic has been deemed safe and effective for everyone. To discover what chiropractic can do for you, call our Fargo clinic and schedule an appointment today at (701) 893-7878.
- Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD. Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events. Spine 2013;38(20):1723-9.
- Thiel HW1, Bolton JE, Docherty S, Portlock JC. Safety of chiropractic manipulation of the cervical spine: a prospective national survey. Spine 2007;32(21):2375-8.
- Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009;5(5): 290-5.
Regrettably, many of our Fargo patients know the pain caused by a herniated disc all too well. Fortunately, Balance Chiropractic & Rehab has helped many people with disc pain, and a number of medical studies have verified that chiropractic can help patients recover from this kind of condition.
Research on Chiropractic for Disc Herniations
In one report, doctors from Switzerland recruited 148 patients who were suffering with pain in their lower back and legs due to a herniated disc (which was confirmed through magnetic resonance imaging, or MRI). Each person then received chiropractic adjustments that focused on the location of his or her disc problem.
Results were obtained after the preliminary treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to find out what type of short-term and long-term effects, if any, chiropractic care offers when it comes to treating this particular problem. Among the data collected was the person's self-reported changes in both low back and leg pain.
The authors found that, overall, the patients reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the study participants stated that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those people who were defined as "chronic" still claimed an improvement in pain at a rate of 89 percent one year beyond when treatment first began. This is the same positive effect that was found in the following case study.
Case Study Shows that Chiropractic Benefits Chronic Disc Herniation Symptoms
In this report, a 26-year-old man had presented with disc herniation symptoms such as pain in the low back, left leg, and left groin area, along with left foot drop and muscle weakness. He had suffered with these issues for more than two years after sustaining a sports injury, and his herniated disc was confirmed via MRI.
After receiving chiropractic care, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." In addition, the patient was still enjoying relief one year after the chiropractic intervention.
Studies like these show how helpful chiropractic can be when it comes to alleviating herniated disc pain and relieving the symptoms they produce. So, if you are suffering from back pain caused by a herniated disc and want to find some relief, chiropractic might be an effective solution.
Don't suffer from chronic herniated disc pain. Give our Fargo office a call today at (701) 893-7878 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
Over 2 million people are hurt each year in automobile accidents in the U.S. While some people are able to heal from their injuries fairly quickly, others are left to deal with chronic pain and disability. We see many of these patients here in our Fargo office. Thankfully, Balance Chiropractic & Rehab is here to help you recover from your auto injury.
The science confirms what we see in our office: A British study was carried out on 28 individuals diagnosed with chronic whiplash syndrome. Each participant received chiropractic care and 93 percent of them found relief following their adjustments, even though 43 percent of whiplash sufferers overall usually never find relief. This confirms that chiropractic is a great way to avoid long-term pain after a crash.
It's important to note that research has also found that putting off care after a car crash can adversely affect healing time, so getting in to see Balance Chiropractic & Rehab immediately is key to having a quicker recovery.
Balance Chiropractic & Rehab has worked with many auto injury patients, and we're here to help you, too. Call our Fargo office today for more information or an appointment.
- Association for Safe International Road Travel. Retrieved from http://asirt.org/initiatives/informing-road-users/road-safety-facts/road-crash-statistics
- Dies S & Strapp J. (1992, September). Chiropractic treatment of patients in motor vehicle accidents: a statistical analysis. The Journal of the Canadian Chiropractic Association, 36(3), 139-145.
- Woodward M et al. (1996, November). Chiropractic treatment of chronic 'whiplash' injuries. Injury, 27(9), 643-645.
Chiropractic is centered on the approach of helping your body to naturally heal through spinal adjustments and lifestyle changes that promote overall health. For Balance Chiropractic & Rehab, this involves working to reestablish your body's normal functioning to avoid the need for medications or surgery. We find that many of our Fargo patients are happy to find a natural approach for their health problems.
One advantage of chiropractic is that it helps people decrease or eliminate the use of drug treatments. Medications are oftentimes issued to patients who have back soreness. This is such a significant crisis that the American Academy of Neurology (AAN) issued a news release stating that opioid (painkiller) risks overshadow the advantages when prescribed for back pain.
Some of the most well-known narcotics, according to the National Institute on Drug Abuse, include hydrocodone (Vicodin), oxycodone (OxyContin and Percocet), morphine, and codeine. Data offered by the AAN cite the fact that about half of the patients taking these drugs for a period of three months are still on them five years later. This can further complicate the issue of back pain and healing, especially if an opiate addiction arises.
Compare that to chiropractic care which features natural healing and the advantages are crystal clear. While a drug might be helpful at briefly relieving the symptoms of a health problem, it's not a real solution to the problem. A drug won't mend your damaged back; it will only cover up the pain.
Balance Chiropractic & Rehab will first examine you to get to the source of your back problems and then work with you to solve the problem -- without risky drugs.
If you're ready to get out of pain, naturally, give our Fargo office a call at (701) 893-7878 to make an appointment with Balance Chiropractic & Rehab.
- Risk of opioids outweigh benefits for headache, low back pain, other conditions. American Academy of Neurology;September 29, 2014.
- What are opioids? National Institute on Drug Abuse. Retrieved from http://www.drugabuse.gov/publications/research-reports/prescription-drugs/opioids/what-are-opioids
If you have back pain after a car accident, don't despair. Balance Chiropractic & Rehab sees this type of problem frequently in our Fargo office. Let's look at the root cause of back pain after a car crash and see how chiropractic can help.
During a rear-end car crash, your car and car seat are quickly accelerated forward against your torso. Since car seats don't perfectly align with the curve of your back, the car seat can put uneven pressure on your lower back. This can cause some of your spinal vertebrae to move in one direction while an adjacent vertebrae might move in another direction. This differential movement can sprain or strain the tissues that hold your spine together. This kind of injury can cause chronic back pain if not treated right away. Fortunately, chiropractic is one of the most effective ways to treat back pain.
Let us help you recover from back pain. Balance Chiropractic & Rehab has helped many people with the same condition, and we can probably help you, too. Dr. Pozarnsky will first determine what's causing your pain and then work to restore your body to its natural functioning. Ready to make an appointment? Give us a call at (701) 893-7878 and we'll get you back on the road to health.