Monday, May 31, 2010

WebMD reports: Exercise May Buffer Effects of Stress - Banic Chiropractic Blog

Exercise May Buffer Effects of Stress

[So another study that details exactly how little exercise is required to achieve a high level of function and health. Even the most reluctant exerciser should be able to manage 75 to 150 minutes a week. I'm doing it with two young kids, join me at Bally's 9:30am M,W,F without fail!]

In the study, 63 healthy older women were divided into an inactive group and an active group, based on their exercise levels over a three-day period. Many of the women were highly stressed caregivers for spouses or parents with dementia. The women in the inactive group who reported high stress levels had shorter telomeres; the active women in the high-stress group did not have shorter telomeres.

“People know stress is bad for the heart and makes you look tired and haggard and makes us more vulnerable to infections,” Puterman says. “And there is so much accumulating evidence that links stress to health, so to show that there is something we can do when we are stressed that can delay or buffer the impact is exciting.”

As far as a stress-busting exercise prescription goes, Puterman says that the CDC recommendation of 75 minutes of vigorous activity or 150 minutes of moderate activity, plus weight-bearing exercise every week for adults, will suffice.

“That is a great prescription in my mind,” he says.

Tuesday, May 25, 2010

Herbal Supplements Often Have Contaminants, Study finds

Herbal Supplements Often Have Contaminants, Study finds

[Because our general patient demographic is the health and wellness crowd, people are often surprised that as chiropractors, we do not sell vitamins and supplements at Banic Chiropractic Clinic. There are just so many issues similar to that described below with anything you eat or drink. I am even afraid of Italian olive oil after recent stories about toxic waste dumping by mafia in the Italian countryside (Trader Joes has great, cheap olive oil from California). I guess I am posting this as a warning and I can not currently make recommendations regarding which supplements are the best quality. I have to take the time to figure it out soon, as my 2 and 5 year olds take multi's and gummy omega 3.]

Half of the nation’s adult population takes vitamin supplements regularly, and about a quarter take herbal supplements at least occasionally. Annual sales are about $25 billion a year, and the growing popularity has led to an increasing number of imported supplements spiked with illegal drugs.

In 1994, Congress passed legislation that allowed supplement makers to sell products without first getting approval from the F.D.A. for their ingredients or for basic health claims. But scientific organizations have warned repeatedly since then that the F.D.A. should do more to ensure that the supplements are safe and that their health claims are substantiated.

In recent years, a vast majority of supplement suppliers have located overseas — principally in China. Nearly all of the vitamin C and many other supplements consumed in the United States are made from ingredients made in Chinese plants. Those plants are almost never inspected by the F.D.A. because the agency is not required to do so, has little money to do so and does not view the plants as particularly risky.

[There will soon be a hearing regarding greater FDA oversight of vitamin and supplement manufacture.]
Among the witnesses at the hearing will be Dr. Tod Cooperman, president of ConsumerLab .com, a company that has tested over 2,000 dietary supplements made by more than 300 manufacturers and has found that one in four have quality problems. According to Dr. Cooperman’s written testimony, the most common problems are supplements that lack adequate quantities of the indicated ingredients and those contaminated with heavy metals.

Sunday, May 9, 2010

TMJ Temporomandibular joint treatment with chiropractic manipulation and, yes, now even the dentists are trying it.

[While these first two abstracts did not surprise me, chiropractors have described great success in using jaw manipulation to re-align the temporomandibular joint, improve mouth opening and reduce pain. The third abstract, from 2008, was very interesting. In this study, dentists use jaw manipulation to restore pain free function in an individual suffering from TMJ disorder for three years. Gentle jaw manipulation is a safe and effective procedure to improve some types of TMJ dysfunction. At Banic Chiropractic Clinic, we even have massage therapists trained in intra-oral massage for the relief of TMJ pain.]

J Manipulative Physiol Ther. 1995 Sep;18(7):476-81.

The dental-chiropractic cotreatment of structural disorders of the jaw and temporomandibular joint dysfunction.
Chinappi AS Jr, Getzoff H.

OBJECTIVE: To present a case demonstrating the concept of integrated dental-orthopedic and craniochiropractic care for treating structural disorders of the jaw, neck and spine. CLINICAL FEATURES: A 33-yr-old woman sought orthodontic therapy for an overbite and severe crowding of the lower teeth. She reported a history of bilateral headaches and jaw popping. Orthodontic examination revealed degenerative changes in the right temporomandibular joint and restricted jaw opening. While in treatment, the patient began to experience severe temporomandibular joint pain and neck/lower back pain, which convinced her to accept chiropractic care. Initial chiropractic sacro-occipital technique (SOT) evaluation found Category II weight-bearing instability of the sacroiliac joint, specific thoracic and cervical vertebral subluxations, cranial sutural restrictions and temporomandibular dysfunction. Cervical X-rays revealed absence of the anterior cervical curve, characterized by parallel vertebral base lines. INTERVENTION AND OUTCOME: In addition to orthodontic treatment, the patient also received semiweekly (then bimonthly) adjustments of the spine, neck and cranial sutures. The cotreatment approach eliminated pain while improving head, jaw and tooth position. CONCLUSION: The position of the jaw and head and neck are intricately linked. The acute symptoms experienced during the initial dental treatment phase were caused by the inability of the head and neck to adapt to maxillary and mandibular changes. Chiropractic treatments enabled the body to respond positively to the dental changes. As the mandibular position improved, further improvements were indicated by physical testing and X-rays.

J Manipulative Physiol Ther. 1995 Feb;18(2):98-104.

Chiropractic manipulation of anteriorly displaced temporomandibular disc with adhesion.
Saghafi D, Curl DD.

Pacific Coast Faculty Resource Group, Whittier, CA 90609, USA.

OBJECTIVE: This AB, single-subject case study was conducted to investigate the capability of chiropractic manipulation of the temporomandibular joint (TMJ) in treating unilateral anterior displacement of the articular disc with adhesion to the articular eminence. A specific joint manipulation was designed to reduce the anteriorly displaced and adhered TMJ disc. CLINICAL FEATURES: A 21-yr-old woman suffered from a four year history of right-sided temporomandibular joint pain and clicking, with limitation of mandibular opening. The patient reported previous unsuccessful treatments for her condition. An exhaustive history, a complete review of systems and a physical examination (including, but not limited to, eyes, ears, nose, throat and motor, sensory and reflex neurological tests) were obtained. Relevant or contributory findings are extracted for this article. A clinical diagnosis of left-sided anteriorly displaced TMJ disc with adhesion to the articular eminence was made. INTERVENTION AND OUTCOME: Patient's pain level, presence of joint clicking upon mandibular opening and the amount of mandibular opening were used as outcome measures for capability of treatments. An AB, single-subject study was used where A was the baseline period and B the therapeutic intervention period. The patient was treated twice a week for a total of 19 visits. During the baseline period no treatment was given to the TMJ (3 visits) where the patient received cervical manipulation alone. During the experimental period the patient received both cervical spine manipulation and a specific manipulation to the left mandible. There were no physical therapeutic modalities applied to the jaw. The specific TMJ manipulation used requires a very low-amplitude high velocity thrust parallel to the slope of the articular eminence. The results of this study show mandibular opening distance was returned to normal in addition to the abolition of the patient's TMJ pain and clicking. During the three baseline visits mandibular opening showed no significant change, with an average of 25.3 mm (range 25-26 mm). There was also no change in the patient's TMJ pain or clicking during this baseline period. The patient's TMJ clicking was absent following the third treatment and the patient reported significant subjective pain relief as well. Temporomandibular pain was again reported during the fifth, sixth and seventh post-treatment visits due to exacerbations caused by daily activities. There was no pain reported from the beginning of the eighth post-treatment visit to the end of the study. CONCLUSION: The findings of this study show this specific manipulation of the TMJ may be appropriate for the conservative treatment of adhered anteriorly dislocated disc.

PMID: 7790790 [PubMed - indexed for MEDLINE]

J Appl Oral Sci. 2009 Aug;17(4):350-3.

Joint disorder: nonreducing disc displacement with mouth opening limitation - report of a case.
Corrêa HC, Freitas AC, Da Silva AL, Coêlho TK, Castillo DB, Vinholi GH.

Department of Restorative Dentistry and Prosthodontics, Dental School, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.

The internal derangement of the temporomandibular joint (TMJ) represents 8% of all cases of temporomandibular disorders (TMD) posing difficulties to establish an accurate diagnosis and treatment because of its low prevalence. This article presents the case of an 18-year-old Caucasian female patient who came to our Orofacial Pain and TMD Outpatient Service with complaints of intense pain on the right TMJ and limitation of mouth opening (maximum interincisal opening of 29 mm) with deviation to right, which she had been experiencing for the past 3 years. After a detailed clinical interview, a diagnosis hypothesis of nonreducing disc displacement with mouth opening limitation was established. The proposed treatment consisted of intra-joint infiltration with anesthetic in the right TMJ followed by jaw manipulation to recapture the articular disc, which was impeding the complete translation movement of the affected TMJ. After jaw manipulation, a new evaluation was done and showed the re-establishment of jaw dynamics with mouth opening and closing without deviation to the right side, clicking, opening limitation or pain. The patient was followed up at 6 months intervals. Two years after treatment, the patient was reevaluated and her mandibular range of motion without aid increased to 54 mm with no clicking, deviation to right, trismus or pain on the TMJ, indicating success of the treatment approach without recurrence of the pathology.

PMID: 19668996 [PubMed - indexed for MEDLINE]Free Article

Tuesday, May 4, 2010

Spinal Manipulation / Chiropractic cures Irritable Bowel Syndrome PubMed MedLine

Fibromyalgia Gets Worse During Menstruation
Symptoms of irritable bowel syndrome (IBS), fibromyalgia, and a painful bladder condition called interstitial cystitis (IC) seem to get worse in some women right before and during menstruation, researchers report.

[I took note of this study because the researchers describe a relationship between three syndromes characterized by pain of unknown orgins. All three syndromes can be related to a hypersensitivity to stimulus that develops in sensor nerves that tell the brain what is happening in the body. When the brain gets this misinformation from these faulty sensors it can then lead to a reaction that causes disease. Spinal manipulation has been shown to be beneficial in all these conditions with this recent study from a hospital in China providing the most exciting news of all. That chiropractic can cure Irritable Bowel Syndrome.]

Relationship between irritable bowel syndrome and unstable thoracolumbar vertebrae
Article in Chinese
Qu LX.
The Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu, China.
OBJECTIVE: To explore the cause and mechanism of irritable bowel syndrome, and to study the relationship between irritable bowel syndrome and unstable thoracolumbar vertebrae. METHODS: From 2004 to 2006, 82 patients with irritable bowel syndrome were treated with manipulation thoracolumbar vertebrae without any drug using. Among the patients, 24 patients were male and 58 patients were female, ranging in age from 15 to more than 61 years. RESULTS: After the treatment, 75 patients were cured and 7 patients improved. CONCLUSION: Unstable thoracolumbar vertebrae is the cause of irritable bowel syndrome. It is a simple and effective way by manipulation on thoracolumbar vertebrae to release compression and stimulation on peripheral nerve and vascular for treating this disease.
PMID: 19594048 [PubMed - indexed for MEDLINE]

J Manipulative Physiol Ther. 1990 Sep;13(7):406-11.

Mechanically induced pelvic pain and organic dysfunction in a patient without low back pain.
Browning JE.

Previous reports have identified mechanical disorders of the lumbar spine as a cause of pelvic pain and organic dysfunction (PPOD) in patients with low back pain. Less common however, are reports of mechanically induced pelvic pain and organic dysfunction in patients without accompanying low back pain. This report details the examination findings and treatment response of a patient with pelvic pain, organic dysfunction and clinical evidence of lower sacral nerve root compression (LSNRC) in whom low back pain was not an accompanying finding. Despite the absence of low back pain however, clinical evaluation revealed the characteristic findings of mechanically induced pelvic pain and organic dysfunction secondary to lower sacral nerve root irritation or compression as a result of a mechanical disorder of the low back. As in long standing cases of mechanically induced pelvic pain and organic dysfunction in which low back pain is present, this case also exhibited severe and widespread involvement of the pelvic organs. In spite of numerous failed attempts at treatment directed at the symptomatic component of the patients disorder, complete resolution of symptoms was achieved by manipulative treatment directed at the mechanical disorder of the lumbar spine.

PMID: 2212886 [PubMed - indexed for MEDLINE]