The Illusive Pop of Spinal Manipulation
“To Pop or Not to Pop” is of course a
twist on an age-old Shakespearean quote for an age-old chiropractic
spinal manipulation question. Today’s answer is that it’s not a necessary
indicator of back pain relief from spinal
manipulation treatment (SMT), yet back pain and neck pain patients undergoing SMT want and need to know all they can. Current
guidelines for managing low back pain
highlight patient education and exercise as important
issues. Healthcare practitioners are
fairly good (72% overall) at sharing
information. By profession, though, chiropractors lead in
delivering patient education for 76% of patients with
physical therapists at 74% and general practitioners at only 44%. The
more emotionally distressed a patient was or the pain
extended below the knee,
information was shared with 78% of patients. (1) A valuable
topic for New Roads back pain and neck pain patients undergoing spinal
manipulation treatment (SMT) is this sometimes-audible pop. A systematic
review of published studies found that regardless of the spinal
area or follow-up time after the SMT, there was no research evidence
of improved pain outcomes or success of the treatment linked
to an audible pop. (2) This is good to know since some patients have it, and some don’t.
Patients whose practitioners told them
about the audible pop - as well as others who weren’t spinal manipulation patients - reported
curious theories of what caused that sound
and had overemphasized ideas of its importance. (3) Rather than
the question “To pop or not to pop?” the better question
for you and your New Roads chiropractor may well be “Is
there pain relief or not?” With our gentle chiropractic care, there is
pain relief for many New Roads back pain and neck pain sufferers. We
look forward to talking with you at your
next chiropractic visit at New Roads Chiropractic Center!
Listen to this PODCAST
with Dr. Kurt Olding on The
Back Doctors Podcast with Dr. Michael Johnson as he details
the gentle spinal manipulation treatment of spinal stenosis with The
Cox® Technic System of Spinal Pain Management.
[[CHIROPRACTIC]] TIP OF THE MONTH:
Vitamin D for Adrenal Gland Support
Vitamin D is
popular and abundantly researched beyond its
longer term reputation in supporting phospho-calcium
metabolism and skeletal bone disorders. Today, research has
well-established vitamin D as a hormone and described vitamin D
as influential for various diseases from cancer,
inflammation, and autoimmunity (Hashimoto’s, Graves’, diabetes) to adrenal
gland health and disease (Cushing’s, Addison’s). (4) The adrenal gland has two
main parts: (A) The adrenal cortex makes cortisol which
regulates the sleep/wake cycle, body’s use of
fats/proteins/carbs, inflammation, blood pressure as well as
increases blood sugar and reduces bone formation.
(B) The adrenal medulla manufactures “stress hormones”
epinephrine (adrenaline) and norepinephrine (noradrenaline) responsible for the fight or flight response. (5) Adrenal gland issues
keep people awake at night…literally! Although not yet
conclusive, 800-2000IU a day was proposed in
one recent study to support adrenal health. (6)
New Roads Chiropractic Center is ready to discuss vitamin D
and any adrenal gland issues you may be experiencing.
CONTACT New Roads Chiropractic Center
Set your next New Roads
chiropractic appointment with New Roads Chiropractic Center soon! We
have a lot to talk about!
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."