Although chiropractors care for more than just back pain, many patients visit chiropractors looking for relief from this pervasive condition. In fact, 31 million Americans experience low-back pain at any given time.1
A few interesting facts about back pain:
- One-half of all working Americans admit to having back pain symptoms each year.2
- Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
- Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
- Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.3
- Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.4
What Causes Back Pain?
The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.
Manipulation as a Treatment for Back Problems
Used primarily by Doctors of Chiropractic (DCs) for the last century, manipulation has been largely ignored by most others in the health care community until recently. Now, with today’s growing emphasis on treatment and cost effectiveness, manipulation is receiving more widespread attention.
Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5
In fact, after an extensive study of all currently available care for low back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6
The American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about how chiropractic manipulation may help you, contact a Doctor of Chiropractic in your area. Search our online database of ACA members to find a doctor of chiropractic near you.
Tips to Prevent Back Pain
- Maintain a healthy diet and weight.
- Remain active—under the supervision of your doctor of chiropractic.
- Avoid prolonged inactivity or bed rest.
- Warm up or stretch before exercising or other physical activities, such as gardening.
- Maintain proper posture.
- Wear comfortable, low-heeled shoes.
- Sleep on a mattress of medium firmness to minimize any curve in your spine.
- Lift with your knees, keep the object close to your body, and do not twist when lifting.
- Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.
- Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct.
1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.
2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville,
4. In Vallfors B, previously cited.
5. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.
6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.
I was looking at the American Chiropractic Assoiciations website and found this article about asthma that I thought was quite interesting and hope you feel the same. For more information visit www.acatoday.org/
In the United States, asthma cases have increased by more than 60 percent since the early 1980s, and asthma-related deaths have doubled to 5,000 a year. What is causing the asthma epidemic and what can we do to stem the tide? A recent series of articles in the Journal of the American Chiropractic Association (JACA) delves into this question and offers advice from doctors of chiropractic and allergists who have helped control asthma symptoms in many patients.
People in their 30s and older can remember that when they were young, it was very unusual for even one child in school to have asthma. Schoolchildren now often know several kids with asthma in a single class. The rapid increase in the number of young people with asthma was brought home to Dr. Scott Bautch, past president of the American Chiropractic Association’s (ACA) Council on Occupational Health, when he went to a football game with his 13-year-old son: “Someone on the field had a breathing problem. It was hard to see whose son it was, and 15 parents ran to the field with inhalers.”
So far, researchers don’t know why cases of asthma are increasing at such an alarming rate. They hypothesize that a combination of genetics and some non-hereditary factors — such as increased environmental exposure to potential allergens — play a role. “Thirty years ago, Windex was the only cleaning solvent used by a few people. Now, we have a special cleaning solvent for every object,” says Dr. Bautch. “In addition, furniture and carpets are produced with formaldehyde as a preservative, and people breathe it,” he says.
Decreased air quality is coupled with the allergy-friendly modern house design, says Dr. William E. Walsh, MD, FACC, an allergist practicing in Minnesota: “Fifty years ago we lived in old, drafty houses, and the breeze dried and freshened the air, and cleared out mold and other allergens. Nowadays, our super-insulated houses don’t breathe adequately. Making basements into a living space increases mold exposure because mold grows in any basement.”
Food has become another source of exposure to allergens. “Food manufacturers put more preservatives in foods now to store them longer,” says Dr. Bautch. Researchers hypothesize that an increase in vaccinations, cesarean births, and antibiotic intake may be playing a role, too.
Asthma is a chronic disease; it can’t be cured—only controlled. For best treatment results, both the primary care physician and an asthma specialist, such as an allergist or pulmonologist, should be involved. According to experts interviewed for the article, the treatment program, in addition to medication intake, should include reducing exposure to the substances that induce acute episodes and identifying specific allergens that affect the patient.
Allergens aren’t the only culprit. Stress factors—such as moving to a new home, or changing jobs—may induce or aggravate asthma attacks. Even emotional expressions such as fear, anger, frustration, hard crying, or laughing can cause an attack as well. To reduce the patient’s stress level and improve the patient’s quality of life, alternative treatments should be incorporated into the treatment program. Various relaxation techniques, such as biofeedback, meditation, yoga, and stress management, as well as massage, chiropractic manipulation, breathing exercises, and acupuncture can be helpful.
A multi-site clinical trial on chiropractic management of asthma is underway in Australia. “The preliminary data are very encouraging. Chiropractic patients are showing decreases in physical asthma symptoms and cortisol levels,” says Dr. Anthony Rosner, director of education and research for the Foundation of Chiropractic Education and Research.
“Doctors of chiropractic can give a full-scale evaluation to asthma patients; assess their physical and neurological status, their lifestyle, diet, and stressors; and help the patients increase motor coordination, and improve the work of respiratory and gut muscles to increase the quality of life,” says Dr. Gail Henry, a chiropractic neurologist, who practices in Houston, Texas. “Doctors of chiropractic can be a great addition to the healthcare team treating the asthma patient.”
Asthma experts offer the following tips for asthma patients:
- Use air filters to help clean air in your home.
- Cover mattresses and pillows with dust covers and use hypoallergenic bed clothing to reduce exposure to dust mites.
- If your condition is getting worse, get checked for viral respiratory infections and different medical conditions, such as flu, rhinitis, sinusitis, and gastroesophageal reflux. When those are treated and eliminated, asthma symptoms improve. Endocrine factors, such as menstruation, pregnancy, and thyroid disease, may exacerbate asthma, as well.
- Some medications—aspirin; beta-blockers, including eye drops; nonsteroidal anti-inflammatory drugs, etc.—can also precipitate or aggravate asthma symptoms.
- If your asthma is exercise-induced, an individually prescribed exercise program carefully chosen under the guidance of your primary health care provider or doctor of chiropractic should be incorporated into the treatment plan.
- Avoid sulfites or monosodium glutamate (MSG) in foods. Since both additives are used in a wide variety of foods, carefully read processed food labels and choose MSG-free foods when eating out.
- Choose a more vegetarian-type diet. Animal proteins found in meat include arachidonic acid—a precursor for inflammation.
- Include foods with omega-3 fatty acids in the diet—such as fish or fish oil.
- Supplement with vitamin C, which helps reduce allergic reactions and wheezing symptoms.
- To reduce stress in your children, spend quality time with them and limit their exposure to TV programs that include violence.