Is chiropractic treatment safe for people with osteoporosis? View Question: www.spinegroup.com
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"answers" => "Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of back pain, neck pain, joint pain of the arms or legs, headaches, and other neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects.The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may sometimes experience mild soreness or aching, just as they do after some forms of exercise. Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours.Neck manipulation is a remarkably safe procedure. Although some reports have associated upper high-velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, there is not yet a clear understanding of the connection. While we don t know the actual incidence of stroke associated with high-velocity upper neck manipulation, the occurrence appears to be rare 1 in 5.85 million manipulations based on the clinical reports and scientific studies to date.To put this risk into perspective, if you drive more than a mile to get to your chiropractic appointment, you are at greater risk of serious injury from a car accident than from your chiropractic visit.It is important for patients to understand the risks associated with some of the most common treatments for neck and back pain prescription nonsteroidal anti-inflammatory drugs (NSAIDS) as these options may carry risks significantly greater than those of manipulation. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen. "
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"answers" => "Yes, chiropractic is safe for people of all ages. Infants, children and adolescents can all benefit from regular adjustments, especially as their spine is growing and changing during a very physically active time of life. Chiropractic is also helpful with specific childhood ailments such as colic, scoliosis and other disorders."
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"answers" => "Chiropractic care cannot “cure” these conditions, but there is some evidence to indicate that adjustment may have a beneficial effect on a variety of conditions. Adjustment may alleviate some of the secondary, or referred pain, arising from the response of the musculoskeletal structures to the primary cause. For example, research conducted in Denmark resulted in chiropractic treatment being recommended for the relief of infantile colic. Similarly, a recent U.S. study concluded that the application of manipulative techniques in children with recurring ear infections can prevent or decrease surgical intervention or antibiotic overuse."
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"answers" => "No, chiropractic care cannot "cure" these conditions, butthere is some evidence to indicate that adjustment may have abeneficial effect on a variety of conditions. Adjustment mayalleviate some of the secondary or referred pain arising from theresponse of the musculoskeletal structures (muscles and bone) tothe primary cause. For example, research conducted in Denmarkresulted in chiropractic treatment being recommended for the reliefof infantile colic. Similarly, a recent U.S. study concludedthat the application of manipulative techniques in children withrecurring ear infections can prevent or decrease surgicalintervention or antibiotic overuse. [top]28."
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"answers" => "Not unless you do it excessively. To my knowledge there has really only been one study to determine if cracking ones knuckles causes arthritis. The article The Consequences of Habitual Knuckle Cracking was published in The Western Journal of Medicine in May 1975 on pages 377 through 379. The researchers studied a group of elderly people and questioned them about whether they had cracked their knuckles or not. Then they took x-rays of their hands. They found that the ones who reported that they were knuckle crackers were six times less likely to have arthritis in their hands.Cracking a joint requires that the two adjacent bones are moved apart allowing a vacuum to form between the two joint surfaces. The crack is produced when the joint surfaces separate rapidly, like a suction cup being pulled off of a window. This gapping of the joint stretches the surrounding ligaments improving the range of motion and allows lubricating fluid to flow between the joint surfaces. A chiropractic adjustment is essentially the same thing as cracking the knuckles except it is usually done to the joints of the spine. This study seems to support the contention that that receiving regular chiropractic treatment may help reduce the incidence of arthritis in the spine.[top / close]"
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"content" => "Top Osteoporosis is a relative contraindication for spinal manipulation. A treatment is contraindicated for a condition when the treatment is likely to make the condition worse or cause additional problems. When a condition is an absolute contraindication for a particular treatment, then the risk of harming the patient far outweighs any possible benefit from the treatment. If the treatment is only relatively contraindicated, as is the case with chiropractic adjustments and osteoporosis, then the decision to use spinal manipulation must be made on a case by case basis. The most important rule for chiropractors when treating patients with osteoporosis is to be gentle. Fractures can result from manipulation that is too forceful. The spine is particularly susceptible to osteoporotic fracture. Those who are at high risk for osteoporosis, including people with a history of long-term steroid use, should discuss potential dangers of chiropractic treatment with their chiropractor. Of course, a good chiropractor will discover when taking a medical history if someone has or is at risk for osteoporosis and proceed accordingly. For more information, see the brief summary, Compression fractures in patients treated with spinal manipulation. My concern is that my chiropractor who has taken excellent care of my neck is now insisting I come far more often than I was originally told. Once my neck was repositioned properly, I was told 12 years ago that I would just need to come in for maintenance about 4 times a year. I did that and was told I was doing great because of taking care of myself and told I had no sign of arthritis. Now I am told to come once a month for manipulation and I have done that for several months but go in feeling great and then I ache for days afterward. When I stated that I wanted to return to the original plan of 4 visits per year, I was told I must come once a month to keep the arthritis under control. I said I thought I did not have arthritis and was doing all this so I would not get it. I have never had any back pain until after the recent treatments and I worry that these regular poundings are causing more damage than help. I play tennis twice a week, work out 2-3 times a week, yoga once a week and have not slowed down - have no problem running or doing any of the things I did when young. I am 66 and depressed now that I've been told I have the arthritis which I was going to the chiropractor to avoid. I do not think I have much arthritis because I have no pain except after these manipulations. I am afraid too harsh of manipulations are causing me more problems than preventing. I want to stop going so much but still be accepted as a patient when I do need help. Top First, let's consider what you are referring to as arthritis. Most likely you are talking about degenerative or "wear-and-tear" changes that normally develop in everyone's spines as we age. Other terms for this type of arthritis are osteoarthritis, degenerative joint disease or sometimes degenerative disc disease, and spondylosis. This is a normal occurrence as people age and it is not necessarily associated with pain and stiffness. The reason it is normal is that the discs - the cartilagenous pads between the vertebrae - lose their blood supply by the time we are 25 years old. After that, discs absorb fluid from the body much like a sponge. This is not as good as a blood supply, however, so over time the discs start to dry out, become thinner, and form small cracks. Along with changes in the discs, the vertebrae beginning forming spurs and other bony growth. These changes can be seen on x-rays of people over age 35 in most cases, whether or not there are symptoms. There are several other types of arthritis which are more serious and are associated with diseases affecting other areas and systems of the body such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, etc. I suspect you have none of these conditions. As I said, osteoarthritis is a normal, natural occurrence in the spine. Being active can slow this process to some extent, but I'm unaware of any research studies that demonstrate chiropractic treatments will prevent or even slow this process. There are a few studies in which animal vertebrae have been externally fixated (that is, using metal devices to keep the vertebrae from moving). In these studies the animals developed arthritis in the immobile vertebrae in a matter of weeks. But this does not suggest that regular chiropractic treatments will prevent arthritis, only that fixation promotes it. So, my question to you is this:",
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"content" => "Top Osteoporosis is a relative contraindication for spinal manipulation. A treatment is contraindicated for a condition when the treatment is likely to make the condition worse or cause additional problems. When a condition is an absolute contraindication for a particular treatment, then the risk of harming the patient far outweighs any possible benefit from the treatment. If the treatment is only relatively contraindicated, as is the case with chiropractic adjustments and osteoporosis, then the decision to use spinal manipulation must be made on a case by case basis. The most important rule for chiropractors when treating patients with osteoporosis is to be gentle. Fractures can result from manipulation that is too forceful. The spine is particularly susceptible to osteoporotic fracture. Those who are at high risk for osteoporosis, including people with a history of long-term steroid use, should discuss potential dangers of chiropractic treatment with their chiropractor. Of course, a good chiropractor will discover when taking a medical history if someone has or is at risk for osteoporosis and proceed accordingly. For more information, see the brief summary, Compression fractures in patients treated with spinal manipulation. My concern is that my chiropractor who has taken excellent care of my neck is now insisting I come far more often than I was originally told. Once my neck was repositioned properly, I was told 12 years ago that I would just need to come in for maintenance about 4 times a year. I did that and was told I was doing great because of taking care of myself and told I had no sign of arthritis. Now I am told to come once a month for manipulation and I have done that for several months but go in feeling great and then I ache for days afterward. When I stated that I wanted to return to the original plan of 4 visits per year, I was told I must come once a month to keep the arthritis under control. I said I thought I did not have arthritis and was doing all this so I would not get it. I have never had any back pain until after the recent treatments and I worry that these regular poundings are causing more damage than help. I play tennis twice a week, work out 2-3 times a week, yoga once a week and have not slowed down - have no problem running or doing any of the things I did when young. I am 66 and depressed now that I've been told I have the arthritis which I was going to the chiropractor to avoid. I do not think I have much arthritis because I have no pain except after these manipulations. I am afraid too harsh of manipulations are causing me more problems than preventing. I want to stop going so much but still be accepted as a patient when I do need help. Top First, let's consider what you are referring to as arthritis. Most likely you are talking about degenerative or "wear-and-tear" changes that normally develop in everyone's spines as we age. Other terms for this type of arthritis are osteoarthritis, degenerative joint disease or sometimes degenerative disc disease, and spondylosis. This is a normal occurrence as people age and it is not necessarily associated with pain and stiffness. The reason it is normal is that the discs - the cartilagenous pads between the vertebrae - lose their blood supply by the time we are 25 years old. After that, discs absorb fluid from the body much like a sponge. This is not as good as a blood supply, however, so over time the discs start to dry out, become thinner, and form small cracks. Along with changes in the discs, the vertebrae beginning forming spurs and other bony growth. These changes can be seen on x-rays of people over age 35 in most cases, whether or not there are symptoms. There are several other types of arthritis which are more serious and are associated with diseases affecting other areas and systems of the body such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, etc. I suspect you have none of these conditions. As I said, osteoarthritis is a normal, natural occurrence in the spine. Being active can slow this process to some extent, but I'm unaware of any research studies that demonstrate chiropractic treatments will prevent or even slow this process. There are a few studies in which animal vertebrae have been externally fixated (that is, using metal devices to keep the vertebrae from moving). In these studies the animals developed arthritis in the immobile vertebrae in a matter of weeks. But this does not suggest that regular chiropractic treatments will prevent arthritis, only that fixation promotes it. So, my question to you is this:",
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