Monthly Archives: December 2014

Outcomes from magnetic resonance imaging-confirmed symptomatic cervical disk herniation patients treated with high-velocity, low-amplitude spinal manipulative therapy: a prospective cohort study with 3-month follow-up.

Outcomes from magnetic resonance imaging-confirmed symptomatic cervical disk herniation patients treated with high-velocity, low-amplitude spinal manipulative therapy: a prospective cohort study with 3-month follow-up.

Authors
Peterson CK1, Schmid C, Leemann S, Anklin B, Humphreys BK.
Author information
Journal
J Manipulative Physiol Ther. 2013 Oct;36(8):461-7. doi: 10.1016/j.jmpt.2013.07.002. Epub 2013 Aug 12.

Affiliation
Abstract
OBJECTIVE: The purpose of this study was to investigate outcomes of patients with cervical radiculopathy from cervical disk herniation (CDH) who are treated with spinal manipulative therapy.

METHODS: Adult Swiss patients with neck pain and dermatomal arm pain; sensory, motor, or reflex changes corresponding to the involved nerve root; and at least 1 positive orthopaedic test for cervical radiculopathy were included. Magnetic resonance imaging-confirmed CDH linked with symptoms was required. Baseline data included 2 pain numeric rating scales (NRSs), for neck and arm, and the Neck Disability Index (NDI). At 2 weeks, 1 month, and 3 months after initial consultation, patients were contacted by telephone, and the NDI, NRSs, and patient’s global impression of change data were collected. High-velocity, low-amplitude spinal manipulations were administered by experienced doctors of chiropractic. The proportion of patients responding “better” or “much better” on the patient’s global impression of change scale was calculated. Pretreatment and posttreatment NRSs and NDIs were compared using the Wilcoxon test. Acute vs subacute/chronic patients’ NRSs and NDIs were compared using the Mann-Whitney U test.

RESULTS: Fifty patients were included. At 2 weeks, 55.3% were “improved,” 68.9% at 1 month and 85.7% at 3 months. Statistically significant decreases in neck pain, arm pain, and NDI scores were noted at 1 and 3 months compared with baseline scores (P < .0001). Of the subacute/chronic patients, 76.2% were improved at 3 months. CONCLUSIONS: Most patients in this study, including subacute/chronic patients, with symptomatic magnetic resonance imaging-confirmed CDH treated with spinal manipulative therapy, reported significant improvement with no adverse events. © 2013. Published by National University of Health Sciences All rights reserved. PMID 23948425 [PubMed - in process] Elsevier Science: Full text

姿勢不當影響脊椎健康 人體工學辦公室有助改善

人體工學辦公室改善姿勢

有不少外國企業標榜五星級的辦公室,以吸引人才。現時,愈來愈多人開始重視工作環境的重要性,人體工學的概念也漸趨普遍。港人生活壓力大、工時長,其工作姿勢對脊椎健康甚具影響力。而人體工學辦公室有助員工改善工作姿勢,從而提升效率和改善脊椎健康。

姿勢不當 都市病頻生

不論在工作還是日常生活中,現代人也長期姿勢不良,最常見的包括頭部向前傾、寒背、彎腰、翹腳等等,由此而引發的都市疾病多不勝數。其中,姿勢疲乏症候群(Posture Fatigue Syndrome)乃因姿勢不良而引起身體失調的都市病之一。由於不良的姿勢會令身體肌肉不平衡,以致身體有部分肌肉太繃緊,而部分的肌肉卻處於無力的狀態。很多人也不會察覺自已的姿勢出現問題,這是因為大腦也會「習慣成自然」,久而久之,即使姿勢不當,大腦也視之為常態。患者通常會出現頭痛、頸肩痛、背痛等病徵,初期只會偶爾出現輕微不適,其後會感到痠痛和麻痺。

一般來說,上班族每天至少有8小時待在辦公室工作,因工作姿勢而引發的健康問題還包括頸椎錯位。很多人會把電腦屏幕放得很遠,以增加桌面的空間,但屏幕距離太遠,令上半身及頭部需要向前傾,最終形成寒背的坐姿。林福傑脊醫表示,人的頭部約重12磅,如頭部經常向前傾,會拉扯肩頸肌肉並令肌肉繃緊,更會增加頸椎的壓力,造成頸椎錯位。初患者期多由肩頸開始感到隱隱作痛,肩頸肌肉繃緊,漸漸地,痛楚會蔓延至手臂,患者感到手痛和手痹。

人體工學 以人為本

要擺脫因姿勢不當而引發的健康問題,上班族首要是改善工作姿勢。而人體工學以人性化、符合人體結構等作為重要的考量,目的是透過舒適的工作環境以提高工作效率、職業安全和健康。人體工學辦公室所牽涉的設置十分全面,難以盡錄,林醫生表示最基本的元素包括以下幾項:電腦屏幕應放置在座位的正前方,身體與屏幕應有約一隻手臂的距離,以免身體過於前傾造成頸痛或腰背痛;屏幕和眼睛保持在同一水平線,避免造成頸椎錯位;常用的物品放置在距離手肘30厘米的範圍內,以免因扭腰或過度伸展的動作而大大增加脊骨的壓力,造成腰椎錯位或椎間盤突出。

現時,市面上有不少人體工學產品,深受用家喜愛。如果想把產品的效用最佳化,最重要是配合用家體型。由於每一位員工的身型各有不同,辦公桌椅的位置、高度和設置亦應因人而異。其實,用家只要把設備稍作調整,若配合得宜,便能相得益彰。

全民「退化」警號 頸痛年輕化

迷戀手機
一般來說,痛症會隨著年紀增長和關節退化而出現。年長一輩經常苦口婆心,勸導年輕人要培養良好生活習慣,否則,老來一身病痛時就後悔莫及。然而,時下年輕低頭族愈來愈多,長期低頭令頸椎承受龐大壓力,容現引致頸椎錯位。頸椎除了支撐頭部重量,更掌控我們的活動能力和幅度,因此,頸椎健康十分重要,家長應引導年輕一輩於日常生活中保護頸椎健康,否則他們可能還未成年就後悔了。

年幼低頭族

有不少家長在照顧小孩時,也會拿著電子產品「傍身」,尤其是帶著小孩外出的時候。因為小孩子喜歡吵吵鬧鬧,有時為了暫時安撫孩子和轉移其視線,不少家長會把手上的電子產品給予小孩作為玩具,讓他們安靜下來。有些小孩子還未學會走路,使已經常低頭使用智能產品。然而,幼兒時期乃是建立正常脊骨弧度的關鍵階段,按照人類正常的脊椎骨發展,嬰兒時間的脊骨弧度呈現C型,後來透過學習抬頭、爬行、站立以至走路,使脊骨的生理弧度慢慢變為S型。假如小朋友於這時期卻只埋首於電子產品,則可能大大影響其脊椎成長,更為日後患上肩頸痛埋下伏線。

現今社會競爭激烈,孩子從小學甚至幼稚園開始,經已面對龐大而沉重的學業壓力,需要埋頭苦幹,而閒時又經常低頭接觸電子產品。若頸部長期姿勢不良或固定某個動作,容易導致頸椎弧度減少,造成寒背,更引發頭痛和肩頸痛。

再加上,由於頭部重量及頸椎負擔增加,會引起部份肌肉繃緊,使頸椎關節處於不正常的位置,引致頸椎錯位,甚至誘發椎間盤突出。倘若錯位的脊骨壓着神經線,視乎錯位的部份,患者的頸部、肩部、手肩等會出現疼痛、麻痺或是無力情況,甚至頭部也有可能痛起來,後果不堪設想。

保護頸椎 後天預防不可少

頸椎健康十分重要,要預防頸椎錯位,必須從後天預防做起,平時除了要培養良好姿勢和生活習慣外,也應多做伸展運動。兒童和青少年都不該有肩頸痛,如果發現有痛症,應盡快求醫。另外,家長亦可從日常生活中觀察孩子的姿勢,良好正確的姿勢是指整條脊骨維持在一個平衡狀態。站立時,從側面看,由耳朵、肩膀到髖關節可呈一直線;如果頸椎退化,頸椎位置會向前傾。另一個初步檢查的方法是,先抬頭,眼睛向上望,如果頸背感到痛楚或有骨凸出,宜就醫作詳細檢查。

朱君璞 脊骨神經科醫生
香港執業脊醫協會主席

12 Pains of Christmas

Pain in the neck – You are going home for Christmas and have to sleep in your old bed. Sounds fine until you wake up after the first night with a stiff neck and realize you have 4 more nights ahead of you. Draeger Chiropractic can offer you some advice to avoid that neck pain, they can give you an adjustment before you leave and one when you get back so you can get back to normal activities faster.
Pain in the shoulders – You spend a day at the mall shopping for the perfect Christmas presents for everyone on your list and find yourself weighed down by armloads of bags. This puts a lot of strain on your shoulders. If you don’t get this taken care of you could have lots of pain and stiffness throughout the holidays and that’s no fun so see a Dr. at Draeger Chiropractic for a quick adjustment.
Pain in the lower back – Standing or sitting for long periods of time can cause pain in your lower back, but so can carrying a Christmas tree and all those packages. You’ll be amazed at how much better you’ll feel after a chiropractic adjustment at Draeger Chiropractic and Laser Center.
Pain in the mid back – You find yourself hunched over sale flyers and while sitting at your computer cyber shopping and that can cause pain in your mid back. Talk to a Dr. at Draeger Chiropractic and they can help you knock out that mid back ache.
Pain in the hips – You may experience pain in your hips from sitting for long periods of time at holiday gatherings or putting in log hours at the office in preparation for your holiday vacation. Draeger Chiropractic can loosen up those stiff hips with a chiropractic adjustment or two and get you feeling right as rain again.
Pain in the knees – You may experience joint pain from standing in long lines at the stores this holiday season or from the amount of walking you’re doing while holiday shopping. Maybe you experience pain because you slipped in a parking lot at a store or at work. Draeger Chiropractic can helpalleviate joint pain.
Pain in the waist – Dr. Kevin at Draeger Chiropractic in Weston offers nutrition counseling to help you get through the holidays in a healthy way to avoid those extra pounds that can put pressure on your joints the rest of the year.
Pain in the head – We are all stressed out and tense this time of year whether it’s crowded stores, slippery driving conditions, money troubles, or family visits it can all cause headaches and sometimes migraines. Draeger Chiropractic can help relieve those headaches in just a few visits.
Pain in the face – Sinus trouble is common in the winter and chiropractors can actually do a sinus adjustment to help ease sinus pain.
Pain in the stomach – Draeger Chiropractic can actually help you avoid the flu by giving your immune system a boost. When you get regular chiropractic care it clears up the nerves to get proper signals to the rest of your body which intern increases communication with your immune system keeping you healthier.
Pain in the wrists – Typing long Christmas letters can give you pain in your wrists. Draeger Chiropractic can give you tips on how to make your work space more ergonomic to avoid wrist pain.
Pain in the wallet – Draeger Chiropractic accepts most insurance plans. If your insurance doesn’t cover chiropractic care they have a great same day pay discount option available.

FDA Reverses Its Position on Daily Aspirin

If you haven’t had a heart attack, step away from the aspirin bottle… If you are one of the 40 million Americans who take an aspirin every day, you may want to heed the latest warning from the US Food and Drug Administration (FDA).

After many decades of promoting aspirin, the FDA now says that if you have not experienced a heart problem, you should not be taking a daily aspirin—even if you have a family history of heart disease. This represents a significant departure from FDA’s prior position on aspirin for the prevention of heart attacks.

On its website, the FDA now says:

“FDA has concluded that the data do not support the use of aspirin as a preventive medication by people who have not had a heart attack, stroke or cardiovascular problems, a use that is called ‘primary prevention.’ In such people, the benefit has not been established but risks — such as dangerous bleeding into the brain or stomach — are still present.”

Their announcement was prompted by Bayer’s request to change its aspirin label to indicate it can help prevent heart attacks in healthy individuals. Aspirin generated $1.27 billion in sales for Bayer last year, and from Bayer’s request, it appears they want everyone to be taking their drug.

But the FDA says “not so fast”—and rightly so. Evidence in support of using aspirin preventatively has gone from weak to weaker to nonexistent. This is why I’ve been advising against it for more than a decade. It looks as though aspirin, even “low-dose aspirin” (LDA), may do far more harm than good.

In fact, it is debatable whether or not aspirin has ANY protective benefits against cardiovascular disease, even if you have suffered a heart attack or stroke. Recent scientific studies have uncovered a number of serious side effects, suggesting that whatever aspirin may offer may be overshadowed by its risks, especially when safer natural alternatives exist.

As is true for nearly all medications, the longer we watch for side effects, the more we tend to find—even for drugs like aspirin that have been around for more than 100 years. Just because aspirin is an over-the-counter drug and has been around for more than a century does not mean that it’s harmless.

Aspirin May Conceal a Cardiac Event in Progress

Roughly 800,000 Americans die from cardiovascular disease annually, which includes heart attacks and stroke. This is why heart health has been such a major focus, and why aspirin was hailed as a “wonder drug” by those who believed it was a safe and effective preventative. But that ship has sailed.

Nearly 10 years ago, Dr. John G. F. Cleland, a cardiologist from the University of Hull in the UK, wrote an excellent article published in the British Journal of Medicine casting doubt upon the efficacy of aspirin therapy for prevention of heart attacks.

Based on a series of meta-analyses from the Antithrombotic Trialists’ Collaboration, which is an enormous body of research following more than 100,000 patients at high risk for cardiac events, Dr. Cleland concluded that aspirin therapy was not saving lives. Rather, aspirin seems to change the way vascular events present themselves.

The number of non-fatal events may be reduced, but the number of sudden deaths is actually increased, because what most physicians don’t realize is that surprisingly aspirin can mask a cardiac event in progress.

Dr. Cleland also found that studies touting aspirin’s benefits are seriously flawed and interpretation of those studies is biased. Since Cleland’s original study, a deluge of scientific studies have further exposed aspirin’s failure, which I have summarized in the next few sections.

Studies Show Aspirin Is a Dismal Failure at Preventing Heart Attacks

The following table lists, chronologically, a sampling of studies showing that taking aspirin may do more harm than good. Regardless of whether you’re a man, woman, or diabetic, aspirin has failed miserably. This list of studies is not comprehensive. You will find much more information in the GreenMedInfo database, which lists more than 60 articles about aspirin’s toxic effects.

American Heart Journal 2004 (WASH) – Patients receiving aspirin treatment showed the worst cardiac outcomes, especially heart failure
New England Journal of Medicine 2005 – Ten-year study at Harvard involving nearly 40,000 women found no fewer heart attacks or cardiovascular deaths among women receiving aspirin therapy
British Medical Journal 2009 – Aspirin therapy for diabetics produced no benefit in preventing cardiovascular events
Pharmacoepidemiological Drug Safety 2009 – Swedish researchers studying individuals with diabetes found no clear benefit for aspirin, but did note it can increase the risk of serious bleeding
Journal of the American Medical Association 2010 – Scottish study found that aspirin did not help prevent heart attacks or strokes in healthy, asymptomatic individuals with a high risk of heart disease
Journal of the American College of Cardiology 2010 – Patients taking aspirin showed ahigher risk for recurrent heart attack and associated heart problems
Expert Opinions in Pharmacotherapy 2010 – British meta-analysis of 7374 diabetics concluded that aspirin does not lower heart attack risk
Aspirin Increases Your Risk of Bleeding

Not only has aspirin failed to reduce the prevalence of heart attacks and strokes, but the list of its adverse effects seems to grow greater the more that it is studied. Chief among these is gastrointestinal bleeding, as aspirin interferes with your platelets—the blood cells that allow your blood to clot. According to one article, long-term low-dose aspirin therapy may double your risk for a gastrointestinal bleed.

Aspirin also increases your risk for a brain bleed, especially if you are older. One study found a high mortality rate for elderly individuals who had been taking aspirin prophylactically when they suffered a head trauma, resulting in deadly brain hemorrhage.

Aspirin Destroys the Lining of Your Gastrointestinal Tract

Regular aspirin use also destroys the lining of your gastrointestinal tract, increasing your risk for duodenal ulcers, H. Pylori infection, Crohn’s disease, diverticular disease, inflammatory bowel disease (IBD), and intestinal perforations. More than 10 percent of patients taking low-dose aspirin develop gastric ulcers. The damage to your duodenum—the highest part of your intestine into which your stomach contents pass—can result in duodenal ulcers, which are prone to bleeding. Even low-dose aspirin is proven to cause problems.

A Japanese study found a higher incidence of bleeding at the ulcer sites of patients with duodenal ulcers taking low-dose aspirin (LDA) therapy, versus those not taking LDA. An Australian study also showed that aspirin causes gastroduodenal damage even at the low doses used for cardiovascular protection (80mg). And Japanese researchers found that aspirin had caused “small bowel injuries” to 80 percent of study participants after only two weeks of aspirin therapy.

Even MORE Bad News for Bayer

Each year, 15,000 people die and 100,000 people are hospitalized as the result of aspirin and other NSAIDs—and these are probably conservative estimates. But aspirin may be one of the oldest killer drugs! Strong historical evidence points to aspirin overdose as a major contributor to high death tolls during the 1918 influenza pandemic. Aspirin toxicity can result in hemorrhage and fluid buildup in your lungs, which can result in death. If you are interested in the evidence for this, please read Dr. Karen Starko’s fascinating paper in Clinical Infectious Diseases.

Lending even more weight to Starko’s work, an animal study in 2010 suggests that treating the flu with antipyretics (such as aspirin) may increase your risk of death. This study involved animals, but the results were compelling enough for the researchers to make an “urgent call” for human studies. Aspirin also depletes your body of important nutrients, including vitamin C, vitamin E, folic acid, iron, potassium, sodium, and zinc, as well as impairing your melatonin production. And in addition to aspirin’s growing list of bodily assaults, routine aspirin use has been associated with even broader health problems, such as:

Increased risk of one type of breast cancer in women (ER/PR-negative)
Increased risk of kidney failure
Cataracts, macular degeneration, and blindness
Hearing loss and tinnitus
Erectile dysfunction: Aspirin and other NSAIDs have been linked to a 22 percent increase in your risk of erectile dysfunction (ED), according to Kaiser researchers who studied more than 80,000 men
The Real Key to Protecting Your Heart Is Reducing Chronic Inflammation

Getting back to the subject of your heart, with all of these adverse effects, why risk taking aspirin when there are safer and more effective alternatives? About one in three deaths in the US are attributed to cardiovascular disease—but 25 percent of those are preventable.

The key is to address chronic inflammation, which can be accomplished by making specific lifestyle changes that encompass diet, exercise, sun exposure, and bare skin contact with the earth. In the remainder of this article, I will focus on heart-health strategies that work FAR better than aspirin. For additional information, please refer to our prior article about cardiovascular disease.

Heart Health Tip #1: Adopt a TRULY Heart-Healthy Diet

My “heart-healthy diet” is vastly different from what government regulators and most conventional cardiologists recommend—because mine is actually based on science. The following table summarizes my basic nutritional recommendations, all of which will help quell chronic inflammation. For further guidance about how to proceed with your diet, I suggest reviewing my Optimized Nutrition Plan.

Limit or eliminate all processed foods and genetically modified foods (GMOs)
Eliminate all gluten and highly allergenic, pro-inflammatory foods
Swap all trans fats (vegetable oils, margarine, etc.) for healthy fats like avocado, raw butter, nuts, seeds, and coconut oil
Eat at least one-third of your food raw, or as much as you can manage
Increase the amount of fresh vegetables in your diet
Consume naturally fermented foods every day, which improves microbial diversity in your gut and helps keep chronic inflammation at a minimum
Avoid artificial sweeteners of any kind
Limit dietary sugar, especially processed fructose. Restrict your fructose to less than 25 grams per day, from all sources, including whole fruits. If you have insulin resistance, diabetes, hypertension, or heart disease, you’d be well advised to keep your fructose below 15 grams per day
Eat organic foods whenever possible to avoid exposure to harmful agricultural chemicals, such as glyphosate
- See more at: http://healthimpactnews.com/2014/fda-reverses-its-position-on-daily-aspirin/#sthash.sFeFNhpi.dpuf