Jan
4
2010
The World Health Organization defines health as being “a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity”. [ 1 ]
Given this broad definition of health, epistemological constructs borrowed from the social sciences may demonstrate health benefits not disclosed by randomized controlled trials. Health benefits, such as improvement in self-reported quality-of-life (QOL), behaviors associated with decreased morbidity, patient satisfaction, and decreased health care costs, are reported in the following articles, and they make a compelling statement about the effects of chiropractic on general health.
Prevention and health promotion activities administered by chiropractors fall into 2 general categories: those considered orthodox by the medical community (eg, weight loss, exercise, smoking cessation) and those that are not (eg, soft-tissue and osseous manual procedures and some dietary supplementation). Previous research demonstrates that the orthodox activities used by primary care medical providers are also used by chiropractors. The concept that chiropractic care is of value in maintaining health and preventing disease began with the work of Palmer. This preventive treatment is traditionally referred to as maintenance care (MC). MC has been defined as “a regimen designed to provide for the patient’s continued well-being or for maintaining the optimum state of health while minimizing recurrences of the clinical status.” Many chiropractors believe that periodic patient visits permit the doctor to identify joint dysfunction or subluxations and make corrections with spinal manipulation or other manual procedures. These treatments are believed to prevent disease of both neuromusculoskeletal and visceral origin. [ 2 ]
Reference: http://www.chiro.org/research/ABSTRACTS/Wellness_Care.shtml
Dec
30
2009
Benefits of a good mattress
Sleeping on the wrong mattress for your body has detrimental consequences for low back pain. A mattress that does not have the correct back support reinforces poor sleeping posture, strains muscles and does not support spine alignment, which eventually can lead to an increase low back pain. If the wrong mattress is chosen for their particular individual preferences and body type, the person loses sleep comfort. A mattress that provides both sleep comfort and support helps decrease low back pain, allowing the structures in the spine to really rest and rejuvenate during the night.
There are so many mattresses to choose from, finding the right mattress can be confusing and challenging. If you have back pain, it is worth while to take the time to choose the best mattress for your back.
The best mattress for patients with back pain
The following practical guidelines are designed to help patients with low back pain choose the best mattress for back support and sleep comfort.
- Personal preference should ultimately determine what mattress to purchase. Any mattress that helps someone sleep without pain and stiffness is the best mattress for that individual. There is no single mattress that works for all people with low back pain. Patients should choose the mattress that meets their standards for comfort and support and allows them to get a good night’s sleep.
- Understand and inquire about the physical components of the mattress. The coils or inner springs inside a mattress provide back support. Different mattresses vary in their number and arrangement of coils. Padding on top of the mattress provides comfort and comes in many different thicknesses. Mattresses depths typically range anywhere from 7 to 18 inches deep. Choosing the number of coils, type of padding and mattress depth should be determined by the patient’s preferences for back support and sleep comfort.
- Find a mattress with sufficient back support to reduce low back pain. A good mattress should provide support while allowing for the natural curves and alignment of the spine. Proper back support from the mattress also helps the patient avoid muscle soreness in the morning. A recent study indicates that medium-firm mattresses usually provide more back pain relief than firm mattresses.
- Achieve a balance between back support and sleep comfort when buying a mattress. Overall comfort while sleeping on the mattress is equally important as sufficient back support. Sleeping on a mattress that is too firm can cause aches and pains on pressure points. A medium-firm mattress may be more comfortable because it allows the shoulder and hips to sink in slightly. Patients who want a firmer mattress for back support can get one with thicker padding for greater comfort. Choosing a good pillow is another important factor for sleep comfort.
- Know when it’s time to get a new mattress. If an old mattress sags visibly in the middle or if the patient is no longer sleeping comfortably on the mattress, it is probably time to purchase a new one. Putting boards under a sagging mattress is only a short-term fix and may cause more back problems and low back pain in the long run. If the old mattress is still comfortable for the patient, you may choose to wait before buying a new one.
- Shop for the best value and quality of the mattress rather than for price. Finding a high-quality mattress is usually worth the investment, considering the effect a mattress can have on low back pain and sleep comfort. Mattresses with more coils and thicker padding tend to be higher quality and also more expensive. However, a higher price is no guarantee that the mattress is more comfortable or more supportive than a less expensive mattress. Mattress stores often have sales and promotions, so it may pay off to comparison-shop for the best price after finding the right mattress.
- Be aware of mattress advertising gimmicks. Claims that a mattress is “orthopedic” or “medically-approved” should be viewed skeptically. There has not been extensive medical research or controlled clinical trials on the topic of mattresses and low back pain. The individual patient must determine whether or not extra features on a mattress make it more comfortable or supportive for the back.
- Give the mattress a test-run before buying. Patients can try sleeping on different makes and models in hotels or at other people’s homes before going to a mattress store. When shopping at the store, shoppers should lay on the mattress with their shoes off for several minutes to decide if it is a good fit. If two people will be sleeping on the mattress, both should test it at the same time to make sure they have enough space and are both comfortable on the same style of mattress. Testing a variety of mattresses is necessary because mattress companies use different ratings of firmness and padding.
- Purchase mattresses from stores and companies that are trustworthy. Consider the customer service offered by the mattress store, such as delivery options, warranty, removal of old mattresses and especially the store’s return policy. Look for mattress stores where customers can return a mattress if they are not satisfied with the quality or comfort after sleeping on it for a significant amount of time (i.e. a couple of weeks to a month).
- Take good care of the new mattress. It is recommended that owners reposition their mattress every six months to ensure that the mattress is evenly worn. This includes rotating 180 degrees and flipping the mattress lengthwise on a regular basis. The Better Sleep Council advises that putting a mattress on a box spring/foundation that is not made to go with the mattress may decrease the life of the new mattress.
-Written by: PTSolutions http://www.ptsphysio.com/AnnouncementRetrieve.aspx?ID=33640
Dec
10
2009
Cox Flexion distraction is a common chiropractic technique that I use in my office. In a recent study, 235 patients received chiropractic care or participated in an exercise program, and were followed for one year using questionnaires to assess levels of pain and dysfunction.
The patients/subjects had a decrease in their pain and disability after intervention, regardless of which group they were in. However, one year later, subjects who received chiropractic care had significantly lower pain scores than subjects who followed the exercise program.
Resource:
Cambron JA, Gudavalli MR, Hedeker D, McGregor M, Jedlicka J, Keenum M, et al. One-year follow-up of a randomized clinical trial comparing flexion distraction with an exercise program for chronic low-back pain. Journal of Alternative and Complementary Medicine, September 2006;12(7):659-68