Dr Garofalo's Blog

Bolingbrook Chiropractor Dr. Jeff of New Life Chiropractic talks about Research and Pregnancy

Posted: June 30, 2015
By: Dr Jeffrey Garofalo/Dr. Mark S

 

Today's blog is from guest blogger Dr. Mark Studin

 

 

Pregnancy, Low Back Pain and Chiropractic

 

 

By: Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Reprinted by: Jeffrey Garofalo DC

It has been this authors personal experience that pregnant woman experiencing low back pain secondary to her pregnancy has been told to “wait and see” over time, with the hope that the back pain would go away. This is predominantly because the “drug option” is off the table with complications to the fetus and most doctors are not willing to take the chance to relieve mechanical (no tumors, fractures or infection) low back pain.  My patients reported to me that their obstetricians told them their pain was a result of altered biomechanics and hormonal changes affecting the muscles and ligament of their spine. Current research has now verified through scientific evidence what practicing chiropractors and their patients have been claiming for decades, that chiropractic work to help relieve pain for pregnant woman with a safe, conservative treatment for both mother and the fetus. As a result of the effectiveness and safety, it now demands that chiropractic be the first referral option for pregnant woman experiencing low back pain.

 

 

According to Petersen, Muhlemann and Humphreys (2014) “Low back and pelvic pain in pregnant women is such a common phenomenon that it is often considered a normal part of the pregnancy [1-3]. However, the high prevalence of this problem (50-80% of women) and the impact that this may have on their quality of life, as well as the fact that back pain during pregnancy is commonly linked to low back pain persisting after pregnancy, mandates that it be taken seriously by health care practitioners. Many of these patients rate their back pain as moderate to severe with a small percentage claiming to be significantly disabled by the pain [6-8]. Pregnancy-related low back pain is most often divided into 3 categories based on location. These are: lumbar spine pain, posterior pelvic pain, or a combination of these two, with posterior pelvic pain reported to be the most common presentation and the location most specific for pregnant patients. Although the etiology of low back pain associated with pregnancy is not definitively known, the predominate theories include biomechanical changes due to the enlarging uterus resulting in an increasing lumbar lordosis and the influence of the hormone relaxin on stabilizing ligaments leading to hypermobility of joints.” [pg. 2]

 

Petersen went on to report “The results of this current study which showed that a high proportion of pregnant patients with LBP undergoing chiropractic treatment reported clinically relevant improvement’ support those published in a recent cohort study as well as the recent randomized clinical trial (RCT) looking at chiropractic treatment for pregnant patients with low back or pelvic pain.” [pg. 5] Meaning, that chiropractic works for low back pain in pregnant woman and it has been proven in many scientific studies. The result showed that at various times during the pregnancy, upwards of 90% of pregnant woman reported positive results. The specific results reported:

 

52% improved at 1 week

70% improved at 1 month

85% improved at 3 months

90% improved at 6 months

 

All of these were with chiropractic care only and no drugs or any other type of intervention beyond patient education by the chiropractor.

 

 

Mullen ET. Al reported that when interviewing midwives, that 88.8% had an experience with chiropractors and 97% was positive. In addition, 94.5% of those had chiropractors treated their children and had a positive experience.  The most revealing statistic is one of safety. 100% of midwives question answered that chiropractic was safe for their pregnant patients.

 

 

We also know that chiropractic is one of the safest treatments currently available in healthcare and when there is a treatment where the potential for benefits far outweighs any risk, it deserves serious consideration.  Whedon, Mackenzie, Phillips, and Lurie (2015) based their study on 6,669,603 subjects after the unqualified subjects had been removed from the study and accounted for 24,068,808 office visits. They concluded, “No mechanism by which SM [spinal manipulation] induces injury into normal healthy tissues has been identified(Whedon et al., 2015, p. 5) 

 

References: 

  1. Petersen C., Muhlemann D., Humphreys B. (2014) Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up, Chiropractic & Manual Therapies 22:15, 1-7
  2. Mullin, L., Alcantara J., Barton D., Dever L. (2011) Attitudes and Views on Chiropractic: A Survey of United States Midwives, Complementary Therapies in Clinical Practice 17 (2011) 135-140
  3. Whedon, J. M., Mackenzie, T. A., Phillips, R. B., & Lurie, J. D. (2015). Risk of traumatic injury associated with chiropractic spinal manipulation in Medicare Part B beneficiaries aged 66-69 years. Spine, 40(4), 264-270.

 

If you or someone you know is pregnant with lower back pain and looking for more information please call us at 630-226-9922 or click here for more articles on natural Pain Relief and Pregnancy

 

 


Bolingbrook Chiropractor Dr. Jeff of New Life Chiropractic talks about A Cause of Neck pain

Posted: June 16, 2015
By: Dr Jeffrey Garofalo

There are many causes of Neck Pain  but today Dr. Jeff a Bolingbrook Chiropractor will discuss one major cause he sees over and over in the office. 

Do you currently have or have you ever had pain in your neck and shoulder that is hard to pinpoint but just aches and throbs and may even cause headaches? Well if you have, you are not the only one! In my clinic, New Life Chiropractic, located in Bolingbrook IL I weekly have this type of condition come in. 

Today's blog is about the casue of that problem known as Facet Capsulitis. Most of us have 24 bones in our spine between the neck, midback, and the low back, and each of those bones connects to the other bones via joints(bone connected to bone). When one of the spinal bones twists turns or bends we call that a Subluxation. Now when the bones move out of its normal alignment, it moves the joint too much or moves the facet joint too much. Protecting that joint is something called a joint capsule which is a ligament type bag that wraps around the joint preventing it from over moving. When the spine rotates or bends past its normal and physiological alignment that bag stretches. When the facet capsule stretches, it then swells and that swelling stretches it even further. The reason you have the diffuse pain you have is because that capsule has nerve endings that feel and when stretched they create a non specific pain in your neck, your shoulder and even perhaps into your head and  your arm.

The pain will persist as long as that capsule remains stretched and irritating the nerves in that capsule surrounding the joint.

Correcting the problem to relieve the pain

Many people at this point will consult their primary care doctor or an orthopedic doctor who will then give them an anti-inflammatory drugs known as an NSAID or non steroidal anti inflammatory drugs for the pain and inflammation. There is a major problem with this because research has shown that taking NSAIDS for ligament inflammation actually casues long term ligament damage(1.)

The natural way we correct this facet capsulitis is to realign the joint through a chiropractic adjustment thereby taking the tension off the capsule and then having our patients use ice allowing the inflammation to calm down naturally so as to heal the ligament capsule properly for the long haul.

Everyday in our Bolingbrook Chiropractic office we help people recover naturally from Facet Capsulitis. 

To learn more about Dr. Jeff Garofalo and his Bolingbrook Chiropractic Clininc and New Life Chiropractic please call 630-226-9922 or go to our website at http//www.newlifechiropracticforyou.com.

 Now Accepting New Patients Call Today!

(1.)Ligament Injury and Healing: A Review of Current Clinical Diagnostics

and Therapeutics

R.A. Hauser*, E.E. Dolan, H.J. Phillips, A.C. Newlin, R.E. Moore and B.A. Woldin

Caring Medical & Rehabilitation Services, S.C. 715 Lake Street, Ste. 600, Oak Park, IL 60301, USA

 


Disc Herniation Sciatica and a Bolingbrook Chiropractor

Posted: June 8, 2015
By: Dr Jeffrey Garofalo

My name is Dr. Jeffrey Garofalo and I am the president of New Life Chiropractic and Bolingbrook Chiropractic and Spine Injury Center located in Bolingbrook, IL. I constantly work to learn and improve my knowledge and skill to improve the results for my patients. Many patients come to my office with disc hernitations in their lower back with accompanying sciatica. In today's blog I would like to describe first what a disc herniation is and then describe what sciatica is and  give you the best possible natural solution to solve both conditions.

A disc herniation is when the cushion inbetween the bones in the lower back collapses under pressure either long term or a trauma like a car accident or fall. The middle of the disc is like a jelly bean and the outside of the disc is made up of concentric cartilage circles of water. A hernaition occurs when the middle jelly bean tears through the outer layers and the material leaks into the area where the nerves or spinal cord are. A herniation can occur over time as the disc becomes weak and then a tear occurs or if a linear tear is present an acute injury is the cause. Either way when that material leaks out it is toxic and cuases chemical irritation and physical pressure upon the sciatic nerve which can cause pain down the leg or into the buttocks or into the groin area. Diagnosing a disc herniation is done through special clinical testing called orthopedic tests like Kemps, Straight leg raise and Braggards tests all indicating a disc herniation and then confirmed with an MRI. For more information about disc herniations click the link below.

https://newlifechiropracticforyou.com/articles/disc+herniaton/

 

The Sciatic nerve is the largest nerve in the body and made up of several nerves that come out of your lower back and bind together and run down the front and back of your legs. When a disc herniates it can chemically irritate or physically put pressure on the sciatic nerve creating sciatica or inflammation of the sciatic nerve which can cause pain and or numbness and tingling down the leg and into the foot and front groin area. For more information about the sciatic nerve please clickthe link below.

https://newlifechiropracticforyou.com/articles/sciatica/

     

A reasearch approach to Disc Herniations and Sciatica and Bolingbrook Chiropractic

One of the best ways to resolve disc herniations non surgically is with a chiropractic adjsutment as opposed to surgery called a micro discectomy.

It was reported by McMorland, Suter, Casha, du Plessis, and Hurlbert in 2010 that over 250,000 patients a year undergo elective lumbar discectomy (spinal surgery) for the treatment of low back disc issues in the United States. The researchers did a comparative randomized clinical study comparing spinal microdiscectomy (surgery) performed by neurosurgeons to non-operative manipulative treatments (chiropractic adjustments) performed by chiropractors. The above study indicates that a conservative non-operative approach of chiropractic care prevented 60% from needless surgery. 

it was concluded that chiropractic is a viable, first line treatment option.

These studies along with many others conclude that a drug-free approach of chiropractic care is one of the best solutions for patients with surgical lumbar discs and sciatic pain.

To review the studies for yourself please go to these foot notes:

 

Studin, M. (2010). Herniated discs, radiating pain and chiropractic. US Chiropractic Directory. Retrieved from http://www.uschirodirectory.com/index.php/patient-information/item/235-herniated-discs-radiating-pain-and-chiropractic

 McMorland, G., Suter, E., Casha, S., du Plessis, S. J., & Hurlbert, R. J. (2010). Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics, 33 (8), 576-584

I, Dr. Jeffrey Garofalo, a chiropractor in Bolingbrook specialize in non surgical solutons for disc herniations and sciatica.

For further help or questions please go to https://newlifechiropracticforyou.com or call 630-226-9922