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Welcome to FIT CHIROPRACTIC and Wellness

Center
Our principles were founded on the idea of correction and prevention. When
you come into our office, we will provide professional care coupled with
education–teaching you how to correct and prevent future problems. Many
people say we provide the best care. Our clients report back with increased
mobility, decreased pain and a better outlook on life.
FIT Wellness Center in Broomfield, CO is the Chiropractor for Champions.
Brian A. Kenyon, DC, MBA, BS-Exercise Science was the first doctor at the
center in 1999. The practice has grown into an integrative wellness clinic that
treats people of all ages and lifestyles–from newborns to active maturing
adults–from pregnant clients to professional sports teams

CUSTOMIZED TREATMENT PLANS

Not all bodies are alike, that’s why our chiropractors treat each client’s unique
needs and use a variety of adjusting techniques. From traditional hands-on
Diversified techniques to high-tech mechanical Flexion-Distraction, Cox,
Decompression, Thompson Drop and Activator methods, let us help find the
treatment plan right for you.

INTEGRATION OF OTHER DISCIPLINES SETS US APART

We also offer acupuncture, dry needling, nutrition, physical therapy, and
orthopedic massage–an array of services that deliver convenient, high-quality
care with much faster results and thus lower cost than typical clinics. We
provide referrals when needed to other healthcare providers such as an MD,
Pilates or Yoga class.

IMPROVE YOUR LIFE TODAY

Why not make FIT Wellness Center the first stop when assessing your health
needs? Click Request Appointment at the top of the page or email us today
for an appointment! Our clinic is conveniently located in Broomfield, CO–just a
few minutes away from Westminster, Lafayette, Louisville, Thornton, Erie,
Arvada, Superior, Northglenn, and Boulder. Whether you work nearby or live
in the neighborhood stop by to let us “check you out”!

Supporting local athletes with sports

physicals & natural performance
enhancement.
Let us help you perform at a higher level & recover faster!

DIVERSIFIED TECHNIQUE
CHIROPRACTIC TECHNIQUES
Diversified Technique is the classic chiropractic technique, developed by D.D. Palmer, DC.
and taught in all chiropractic colleges. Diversified Technique was refined and developed by
the late Otto Reinert, DC, to address biomechanical failure in each section of the spine, as it
relates to specific subluxation. The focus is on restoration to normal biomechanical function,
and correction of subluxation. In addition, Diversified methods have been developed to
adjust extremity joints, allowing for beneficial applications in treating sports injuries and
other injuries. Diversified adjusting of the spine uses specific lines of drives for all manual
thrusts, allowing for specificity in correcting mechanical distortions of the spine. X-rays and
case histories are used in analysis and diagnosis. No instruments are used in the adjusting
procedure. Motion palpitation and full spine, hands-on techniques are used to deliver a
deeper thrust, which makes an osseous (popping) sound as the adjustment is given. Click
on the subluxation chart at the right to see a larger image.

FLEXION-DISTRACTION
Spinal Decompression

Dr. Cox explains Flexion-Distraction (also known as Cox Technique), as a marriage of

chiropractic principles with the osteopathic principles set forth by Alan Stoddard, DO, in his
book, Manual of Osteopathic Technique, written about the manipulative procedures
developed by John McManis, DO, in the early 1900’s. Since the early 1970’s, Dr. Cox has
refined the technique, developed a manipulation instrument for effective use of the
technique, conducted clinical, as well as participated in experimental, research; lectured
around the world, and written well-received articles, chapters for textbooks, and textbooks.

THOMPSON DROP TECHNIQUE

Thompson Terminal Point Technique is built around the research of Dr. Derifield of Detroit
Michigan . Dr. Derifield noticed that the same adjustment on two patients with the same
analysis did not always give the same results. As he gained more experience, he found that
the answer lay in determining through analysis whether the subluxation was lower spine or
cervical. Analysis of the patient’s subluxations, using the Derifield Technique, depends upon
a very accurate leg check. Dr. Derifield created a set of rules for checking the legs to
determine the point of the subluxation in the pelvic and lumbar area. It was further
determined that turning the head in certain ways helped to balance the legs. Later, Dr. Niblo
added testing various trigger points on the side of the short leg, and adjusting the anterior
ischium, producing astonishing results. Using a Thompson terminal point table, which is
especially designed for the Derifield technique, a special weighing mechanism in the
terminal point table instantly weights the patient and adds only enough tension to hold the
patient in the “up” position before the thrust is given.

Adjustment Table
ACTIVATOR METHODS
Adjuster

Activator Methods is based on the postulate that understanding body mechanics and force
is the key to understanding how to move bones. A leg test is utilized to tell the doctor if the
subluxation exists, chiefly in the lumbo-sacral area or cervical region of the spine. With
further research into body mechanics, W. C. Lee D.C. and A. W. Fuhr D.C. were able to
analyze the body and produce from the analysis consistent changes using a light non-force
specific chiropractic adjustment. Lee and Fuhr understood that force was not necessary to
correct subluxations in the body. Two components are necessary for fast, effective
reduction of nerve pressure caused by subluxations. They are speed and line of drive.
Speed and line of drive are what make chiropractic the distinct and dynamic art and science
that it is. The activator instrument was designed to deliver this specific dynamic thrust. It is a
small hand-held gun-type mechanism that delivers a sharp percussive thrust upon
triggering. The activator instrument controls the force and speed of the adjustment
exceptionally well and with the activator, the line of drive can be more specific.

We also use Manual Adjusting and Neuro Muscular Techniques,

dependi Chiropractic is a health care profession. Chiropractors perform adjustments
(manipulations) to the spine or other parts of the body. The goal is to correct alignment
problems, ease pain, and support the body's natural ability to heal itself. They may also use
other treatments including.ng on what would benefit the pati ent most.

Denver South Chiropractic & Rehab’s mission is to provide Advanced Chiropractic in

Denver and surrounding areas. Our experienced Chiropractic team is committed to
bringing the people in Denver, a better health and a better way of life by practicing the
true principles of Chiropractic care. Our Chiropractic clinic specializes in effectively
treating patients suffering with Neck pain, back pain, headaches, scoliosis, sports
injuries and auto accident injuries.

Our Denver Chiropractor clinic is equipped with modern

Chiropractic equipment and state of the art Spinal Rehab facility, to help you reach
optimum health. At our Denver location, we offer Chiropractic care, Physical therapy,
Spinal rehabilitation, Scoliosis Corrective treatments, Spinal Decompression Therapy,
Trigger Point Dry Needling, Nutritional counseling, Weight loss programs, Posture
analysis, Custom fitted orthotics, Auto accident injury treatments and have an On-Site
Digital X-Ray facility. Our Chiropractic clinic works with most Health insurances and all
Auto accident claims including liens/med-pays. Our goal is to provide Fast, Effective
and Affordable Chiropractic Health Care for our patients in the Denver metro area.

Located just miles from Downtown Denver, in the heart of Stapleton, Natural Balance
Integrative Health strives to provide the best in Chiropractic, Acupuncture, and Massage
Therapy.

Our providers combine skill and expertise to act as guides in your wellness journey.
With over 60 years of combined experience, the practitioners at Natural Balance
Integrative Health are committed to working together in order to ensure that you receive
the most comprehensive care possible and reach all of your wellness goals in a
comfortable and caring environment.

People are recognizing the benefit of seeking an alternative to traditional western

medicine; one that will help them achieve and maintain optimal health. Please take the
time to meet the doctors, therapists, coaches and other members of our wellness team.
To fully understand the nature of your health we recommend you join our free website
membership program. As a patient at Natural Balance Chiropractor we will personally
tailor a wellness program specifically targeted to your wellness needs using the least
invasive yet highly-effective techniques and services. To receive free wellness and
health articles, subscribe to our bi-weekly newsletter. If you are already a newsletter
subscriber, please explore the member wellness section of our website for animated
exercise videos, wellness articles, and health care resources specifically targeted to
your wellness needs.

"The Doctor of the future will give no medicine but will interest his patients in the care of
the human frame, in diet and in the cause and prevention of disease."
Thomas Edison

https://www.nbstapleton.com/articles/general/589249-the-3-most-common-chiropractic-questions-
answered
 The 3 Most Common Chiropractic
Questions Answered
 Created in Newsletter Library

The 3 Most Frequently Asked Chiropractic Care Questions and The Answers to
Them

Most people have a few questions when considering chiropractic care to naturally treat
pain and injuries. If you've been wondering if chiropractic is a good option for you, you'll
want to take a look at these commonly asked questions.

What Kinds of Conditions Do Chiropractors Treat?

Chiropractic treatment focuses on your muscles, vertebrae, joints, tendons, and

ligaments. The treatment may be a good choice if you experience joint, muscle or nerve
pain after a car accident, fall or another type of injury.

Accidents aren't the only cause of pain. Fortunately, your chiropractor can also treat
back, neck or shoulder pain related to poor posture, overuse injuries, tendonitis, bursitis,
arthritis, and other conditions.

Pain and stiffness can occur when your spine becomes misaligned. Spinal
misalignments cause your muscles and joints to become tight and stiff, and are
responsible for pain and decreased range of motion. Misaligned vertebrae in your spine
and tight muscles may also press on your nerves, triggering or increasing pain.

Chiropractic treatments are designed to improve the alignment of the spine, ease
muscle tension and stiffness, relieve pressure on nerves, decrease inflammation, and
improve range of motion and flexibility.

Chiropractic treatment can helpful for many conditions, including:

 Whiplash
 Headaches and Migraines
 Spinal Disc Issues
 Spinal Stenosis
 Osteoarthritis and Rheumatoid Arthritis
 Pinched Nerves
 Dizziness
 Text Neck
 Leg Length Discrepancy
 Fibromyalgia
 Immune System Issues
 Temporomandibular Joint Dysfunction (TMJ)
 Tingling and Numbness in the Hands, Feet, Arms, and Legs
 Sciatica
 Scoliosis
 Pain in the Back, Neck, Head, Shoulders, Arms, Ribs, Hips, Legs, Feet and Pelvis
 Poor Posture
 Sprains and Strains
 Carpal Tunnel Syndrome

What Treatments Do Chiropractors Offer?

If you've ever seen a character on a TV show or movie receive chiropractic care, you
may assume that spinal manipulations are the only treatments chiropractors offer.
During spinal manipulation, your chiropractor uses quick, hands-on pressure to realign
the small vertebrae in your spinal column. Many people refer to this as "cracking the
neck," but the cracking sounds produced during manipulation are actually gas bubbles
released from the joints.

Improving the alignment of the spine with spinal manipulation reduces inflammation,
improves flexibility and range of motion, enhances blood flow and decreases pressure
on the joints, nerves, muscles, and ligaments.

In 2017, the Journal of the American Medical Association published a systematic review
of studies that evaluated the effectiveness of spinal manipulation in treating acute low
back pain. The review noted that manipulation was associated with less pain and
improved function six weeks after treatment.

Other studies have shown spinal manipulation and chiropractic treatments to be

effective in treating whiplash, neck pain, plantar fasciitis, hip and knee osteoarthritis,
migraines and other conditions.

In addition to spinal manipulation, your chiropractor may also offer these treatments:

 Massage. Massage is often used in conjunction with chiropractic treatments and may
be helpful in decreasing pain, easing muscle tension and reducing stress. Massage
increases blood flow to the injured area and promotes healing.
 Soft Tissue Mobilization. Mobilization involves gently moving and stretching the soft
tissues in your body to decrease pain and other symptoms caused by sprains, strains,
stress injuries, scar tissue, plantar fasciitis, bursitis, tendonitis, and other conditions.
 Heat and Cold. Both hot and cold packs may be used at various times during your
treatment.
 Ultrasound Treatment. A small handheld device directs ultrasound waves to your
tissues. The treatments relax your muscles, decrease swelling and improve blood flow.
 Transcutaneous Electrical Stimulation (TENS). TENS treatment uses a gentle, low-
voltage electrical current that blocks pain signals.
 Am I a Good Candidate for Chiropractic Treatment?

Chiropractic care is a safe, effective treatment option for most people. During your first
visit, your chiropractor will perform a thorough examination, order X-rays or other
diagnostic tests, and discuss your medical history and symptoms before recommending
a treatment plan.

Although medication can temporarily dull your pain, your symptoms will return unless
you address the cause. Chiropractic treatment treats the source of your pain,
eliminating or reducing the need for pain killers or other medications. It's a good choice
if you're experiencing sudden or chronic pain or have other symptoms, such as:

 Pain that affects any part of your body or shoots down your arms or legs
 Joint pain
 Muscle pain, weakness, tingling or numbness
 Difficulty walking, maintaining your balance, or sitting or standing without pain
 Frequent headaches, fatigue or difficulty concentrating due to your symptoms

Chiropractic treatment can help relieve your symptoms naturally. Contact us if you're
ready to schedule an appointment.

Sources:

Journal of the American Medical Association: Association of Spinal Manipulative

Therapy with Clinical Benefit and Harm for Acute Low Back Pain, 4/11/17

https://www.ncbi.nlm.nih.gov/pubmed/28399251

Spine Universe: What Disorders Do Chiropractors Treat?

https://www.spineuniverse.com/treatments/chiropractic/what-disorders-do-chiropractors-
treat

U.S. News & World Report: Surprise: Chiropractors Can Treat These 5 Conditions,
11/30/15

https://health.usnews.com/health-news/patient-advice/articles/2015/11/30/surprise-
chiropractors-can-treat-these-5-conditions

American Chiropractic Association: What is Chiropractic?

https://www.acatoday.org/patients/why-choose-chiropractic/what-is-chiropractic
 https://www.nbstapleton.com/articles/general/564684-chiropractic-and-vertigo

Chiropractic and Vertigo

 Created in Newsletter Library

Chiropractic Treatment May Relieve Your Vertigo

It's hard to focus on anything when the room feels as if it's constantly spinning due to
vertigo. The condition affects nearly 40 percent of us at some point in our lives,
according to University of California San Francisco Health. If vertigo has disrupted your
life, chiropractic treatment may offer the relief you desperately need.

When You Can't Get Off the Merry-Go-Round

Vertigo can make you feel as if you're on an amusement park ride that never ends. In
addition to the spinning sensation, you may also experience dizziness, nausea,
vomiting, difficulty walking and speaking, headaches, sweating, and jerky eye
movements.

Medications can stop or reduce nausea and vomiting and help you feel less dizzy, but
your symptoms may return if you stop taking the medication. Chiropractic treatment
targets the source of your problem without the use of medication.

Common Causes of Vertigo

Vertigo can be caused by:

 Injuries. You may first notice vertigo after a head or neck injury.
 Misalignments and Dislocations. Vertigo may be more likely to occur if your spine
isn't aligned properly or your vertebrae are dislocated.
 Inner Ear Problems. Your inner ear plays an important role in balance. Infections and
conditions that affect the inner ear can be the cause of vertigo.
 Meniere's Disease. The disease causes vertigo, ringing in your ears and hearing loss.
 Benign Paroxysmal Positional Vertigo (BPPV). BPPV can be caused by aging or
head trauma and occurs when calcium carbonate crystals in the inner ear become
dislodged and enter the semicircular canals deep inside your ears. The crystals interfere
with the normal movement of fluid in the canals, triggering vertigo symptoms.
 Your Habits. Vertigo can sometimes occur if your diet is unhealthy or you consume or
use caffeine, alcohol or other substances that affect the nervous system.

A Visit to the Chiropractor Can Improve Your Symptoms

Chiropractors offer several treatments that may relieve your vertigo. If you've injured
your neck or head or have a spinal misalignment, a chiropractic adjustment may ease
your symptoms. During the adjustment, your doctor uses his hands or a small
instrument to gently realign your spine. If the joints in your neck don't move properly,
your brain may misinterpret the information it receives from your body. Adjustments can
improve movement in joints and reduce vertigo.

Results of a feasibility study published by the Journal of Chiropractic Medicine

confirmed that spinal adjustments can be helpful in treating vertigo symptoms. After
chiropractic treatment for 13 months, most subjects noticed improved balance. Less
dizziness and neck pain were also reported.

You may benefit from the Epley maneuver if BPPV is the cause of your vertigo. The
maneuver is designed to re-position the crystals in your inner ears. Your chiropractor
moves your body through a series of quick position changes that take advantage of the
effects of gravity to restore normal crystal position. You may also be taught a few
exercises you can do at home that will reduce vertigo.

If your chiropractor believes that diet or stress may cause or contribute to your
condition, he or she can offer healthy eating tips or recommend a few helpful stress-
relief techniques and activities.

Do you suffer from vertigo? Chiropractic care offers a natural solution for your condition.
Contact us to schedule an appointment.

Sources:

Journal of Chiropractic Medicine: Effects of Chiropractic Care on Dizziness, Neck Pain,

and Balance: A Single-Group, Preexperimental, Feasibility Study, 12/09

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786230/

Medical News Today: What’s to Know About the Epley Maneuver, 8/30/17

https://www.medicalnewstoday.com/articles/319171.php

American Chiropractic Association: Essential Skills for Managing Benign Paroxysmal

Positional Vertigo, 10/9/18

https://www.acatoday.org/News-Publications/Publications/ACA-
Blogs/ArtMID/6925/ArticleID/392/Essential-Skills-for-Managing-Benign-Paroxysmal-
Positional-Vertigo

https://www.nbstapleton.com/articles/general/564683-how-to-make-sure-your-chiropractic-
adjustment-lasts
 How to Make Sure Your Chiropractic
Adjustment Lasts
 Created in Newsletter Library

How to Extend the Effects of Your Chiropractic Adjustment

Depending on the things you do after your visit to the chiropractor, the effects of your
treatment can last days or just a few hours. Fortunately, you can extend the positive
effects of your adjustments by following a few simple guidelines.

Pay Attention to Your Posture

Poor posture can contribute to spinal misalignments, tight muscles and other
uncomfortable symptoms. Although you may feel better after the adjustment, your
results won't last very long if you slouch or spend hours hunched over your laptop or
phone. When you use your phone or another digital device, hold it at eye level if
possible. Constantly looking down at devices puts enormous strain on your neck and
may even cause permanent damage to your spine if you don't change your habits.

Use Ergonomic Furniture

Slouching may be unavoidable if your chair and desk force your body into an
uncomfortable position. Ergonomic chairs keep your spine properly aligned, support
your lower back, and distribute your weight evenly. When they're combined with
ergonomic desks and keyboards, you may be much less likely to experience aches and
pains at the end of the day.

Standing desks offer another ergonomic option. Using a standing desk several times
throughout the day can reduce pain in your upper back and neck and may improve your
productivity. The desks are adjustable and move up and down to allow you to move
easily from a seated to a standing position.

Take Regular Breaks

Improving your posture and using ergonomic furniture can help you keep your spine
properly aligned, but pain may still be a problem if you spend long hours at your desk.
Add frequent breaks to your daily schedule to prevent pain and discomfort. Take a short
walk (even if it's only to the end of the hall) and do a few stretches before you return to
your desk.
Avoid Awkward Movements or Lifting

Activities that involve awkward movements or require you to contort your body can
cause aches and pains. Painting the ceiling or digging new posts for your fence the day
after your treatment can reverse the results of your adjustment.

Poor lifting techniques can also ruin the effects of chiropractic adjustments. Don't be
afraid to ask for help and use your knees and legs, rather than your back, when you lift.

Fill Your Water Bottle

Water helps your body get rid of toxins that are released after an adjustment. Increasing
your water intake for a few days after your treatment can be very beneficial. Water
improves joint lubrication, which may help keep your joints become more flexible.
Upping your water intake can also help you avoid dehydration, a condition that can
cause headaches, muscle weakness, dizziness, fatigue, and irritability.

Get a Little Exercise

Although you won't want to participate in strenuous activities soon after an adjustment,
low-impact exercise will help keep your muscles loose and improve your range of
motion. Walking, swimming, biking, yoga, Pilates and other forms of exercise will
enhance your adjustment results.

Your chiropractor may have taught you a few exercises you can do at home to improve
the strength and flexibility of your muscles. These exercises are an important part of
your treatment plan and should be performed as often as your chiropractor
recommends.

Don't Skimp on Sleep

Sleep plays a pivotal role in the healing process. While you're sleeping, your body
repairs muscles and tissues and produces hormones that reduce inflammation. If you
don't get seven to eight hours of sleep every night, you may be unwittingly sabotaging
the effects of your chiropractic treatment.

Do you sleep on your back? This position may be a factor in your pain. The American
Chiropractic Association notes that you put approximately 50 pounds of pressure on
your back when you sleep on it.

Chiropractic adjustments offer a simple, natural way to control pain in your joints and
muscles. Contact us if you're ready to schedule an appointment.

Sources:
CEO World Magazine: 7 Benefits of Ergonomic Office Chairs You Shouldn't Miss

https://ceoworld.biz/2019/03/18/7-benefits-of-ergonomic-office-chair-you-shouldnt-miss/

American Chiropractic Association: Tips for a Healthy Spine

https://www.acatoday.org/Patients/Health-Wellness-Information/Spinal-Health

Spine-Health: Exercise and Chiropractic Therapy

https://www.spine-health.com/treatment/chiropractic/exercise-and-chiropractic-therapy

https://www.nbstapleton.com/articles/general/category/39542

ike conventional medicine, chiropractic is based upon scientific principles of diagnosis

through testing and empirical observations. Treatment is based upon the practitioner's
rigorous training and clinical experience. Unlike conventional medicine, which focuses
on attempting to treat disease once it occurs, chiropractic attempts to improve the
health of the individual in an effort to avoid illness in the first place. Most people would
rather be healthy and avoid illness, if they could. This is one of the main reasons for the
big upsurge in the popularity of chiropractic. People are recognizing the benefit of
seeking an alternative to traditional medicine; one that will help them achieve and
maintain optimal health.

What truly differentiates doctors of chiropractic from any other healthcare professionals
is the fact that chiropractors are the only professionals who are trained to diagnose and
treat what are called spinal subluxations. The word 'subluxation' comes from the Latin
words meaning 'to dislocate' (luxare) and 'somewhat or slightly' (sub). So the term
'vertebral subluxation' literally means a slight dislocation (misalignment) of the bones in
the spine. Although this term was adequate in the 1800s when much was still
misunderstood about the human body, today the word 'subluxation' has changed in
meaning to capture the complex of neurological, structural, and functional changes that
occur when a bone is 'out of place.' For this reason chiropractors usually refer to
subluxations of the spine as the "Vertebral Subluxation Complex", or "VSC" for short.

The chiropractic approach to healthcare is holistic, meaning that it addresses your

overall health. It recognizes that many lifestyle factors such as exercise, diet, rest, and
environment impact your health. For this reason, chiropractors recommend changes in
lifestyle' eating, exercise, and sleeping habits in addition to chiropractic care.

Chiropractic is so much more than simply a means of relieving pain. Ultimately, the goal
of the chiropractic treatment is to restore the body to its natural state of optimal health.
Since the body has a remarkable ability to heal itself and to maintain its own health, the
primary focus is simply to remove those things which interfere with the body's normal
healing ability.

This section explains more about the background of chiropractic care, how it works, who
it can benefit, and more!

https://www.nbstapleton.com/articles/general/592337-chiropractic-and-male-infertility

Chiropractic and Male Infertility

Chiropractic Treatment Can Offer Help for Male Infertility

Male infertility doesn't often get the attention it deserves. Yet more than 1/3 of fertility
problems occur due to male issues, according to the Urology Care Foundation.
Chiropractic care may offer a simple, completely natural way to improve your fertility.

How Spinal Misalignment Can Affect Fertility in Men

The 33 bony vertebrae that make up your spinal column not only support your weight
and allow you to stand upright but also protect your spinal cord. The cord passes
through small openings in the vertebrae called the vertebral foramen.

Nerves attached to the spinal cord exit the vertebrae at multiple points along the spinal
column and branch off to organs and other parts of the body. The complex interaction
between your spinal cord, brain, nerves, and nerve endings ensures that your body
functions optimally. The nervous system controls many of the body's most important
functions, including temperature regulation, heart rate, vision, digestion, pain sensation,
and movement.

If the spinal column becomes misaligned, vertebrae may begin to press on the nerves,
causing pain or disrupting normal function. Called "subluxations," these misalignments
can occur due to falls, accidents, repetitive movements, poor posture, toxins, and even
stress. When you're stressed, the muscles in your back tighten and can disrupt vertebral
alignment.

Subluxations not only cause pain and muscle stiffness but may also affect the nerves
that serve your reproductive system. As a result, you may experience problems with
sperm flow and production or might have difficulty achieving or maintaining an erection.

6 Fertility Benefits of Chiropractic Treatment

Chiropractic treatment corrects subluxations by realigning your vertebrae. In addition to

reducing pain, treatments offer important benefits for male fertility, including:
 Balanced Hormones. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
are produced by the pituitary gland attached to the base of your brain. The hormones
stimulate the production of testosterone and sperm. Subluxations in the upper vertebrae
can result in decreased production of FSH or LH and a low sperm count. Correcting the
subluxations with chiropractic treatment may have a positive effect on hormone
production and balance.
 Less Stress. Stress causes muscle tension and joint pain but can also interfere with
hormone production and reproductive system functioning. Chiropractic treatment, in
addition to stress reduction techniques, may lessen stress and boost your fertility.
 Better Blood Flow. Good blood flow is important for the proper functioning of the male
reproductive system. Unfortunately, subluxations can affect both blood flow and nerve
signal transmission to the testicles and penis, causing or contributing to infertility.
 Improved Pelvic Alignment. Adjustments realign your spine and correct
misalignments in your pelvis. Aligning the pelvis ensures that crucial nerve signals
reach the reproductive system and also relieves stress on the pelvis.
 Reduced Inflammation. Subluxations can trigger inflammation anywhere in the body,
including the reproductive organs. Chronic inflammation may play a role in a multitude
of health problems, ranging from heart disease to cancer to Alzheimer's disease.
Lowering inflammation may improve both erections and fertility.
 Stronger Erections. Misalignments in the lower part of your spine or pelvis may affect
the nerves that travel from your spinal cord to your reproductive system. The problem
can result in decreased blood flow to the penis. Without ample blood flow, it may be
hard to get or keep an erection. A case study published in the Annals of Vertebral
Subluxation Research noted the positive effects of chiropractic treatment for erectile
dysfunction. After two months of treatment, the patient experienced less back pain and
improved erections.

Has male infertility kept you from expanding your family? Chiropractic treatment may
help you and your partner finally conceive. Contact us to schedule an appointment.

Sources:

Healthline: Understanding and Managing Chronic Inflammation

https://www.healthline.com/health/chronic-inflammation#symptoms

Annals of Vertebral Subluxation Research: Reduction in Frequency and Severity of

Erectile Dysfunction and Chronic Low Back Pain in a 53-year-old Male Utilizing the
Gonstead Technique: A Case Study, 11/15/16

https://www.vertebralsubluxationresearch.com/2017/09/04/reduction-in-frequency-and-
severity-of-erectile-dysfunction-and-chronic-low-back-pain-in-a-53-year-old-male-
utilizing-the-gonstead-technique-a-case-study/

Hormone Health Network: Male Infertility

 https://www.hormone.org/diseases-and-conditions/infertility-male

Urology Care Foundation: What is Male Infertility?

https://www.urologyhealth.org/urologic-conditions/male-infertility

https://www.nbstapleton.com/articles/general/557972-can-chiropractic-help-alleviate-anxiety

Can Chiropractic Help Alleviate Anxiety?

 Created in Newsletter Library

Can Chiropractic Help Alleviate Anxiety?

Many people of all ages experience depression and/or anxiety, whether on an

occasional, frequent, or consistent basis. These symptoms may be transient, only
occurring at a particular stage in one's life, or they may represent a specific condition
such as a depressive disorder or a panic disorder.

Panic disorders are characterized by attacks of anxiety and overwhelming fear known
as panic attacks. During a panic attack, a person may experience pounding or racing of
the heart, breathing problems, dizziness, weakness, chills, and nausea. Additionally,
during a panic attack a person may experience a feeling of being out of control and a
feeling of impending doom.

Chiropractic care has a distinct and specific role to play in the management of panic
attacks. Spinal bio mechanical dysfunction and spinal nerve irritation may be implicated
in the causation of panic attacks, as such dysfunction and irritation can heighten
physiological stress and participate in triggering feelings of anxiety. In other words, if
your body is already on high-alert status owing to internal bio mechanical stress and
neurophysiological irritation, then emotional and/or environmental triggers can more
easily shift your adaptive responses into panic mode.

Regular chiropractic care helps one avoid such detrimental, cascading effects by
detecting, analyzing, and correcting sources of spinal biomechanical dysfunction and
spinal nerve irritation. By helping reduce baseline levels of internal physiological stress
and restoring improved function throughout the body, regular chiropractic care helps
mediate one's response to anxiety-provoking phenomena. It also helps alleviate
muscular tension and pain and improve the functioning of one's cardiorespiratory,
gastrointestinal, immune, and hormonal systems. Regular chiropractic care helps one
gain higher levels of health and well-being as well as reduce the overall frequency and
severity of panic attacks.
Engaging in healthy lifestyle choices, such as maintaining a nutritious diet and
participating in regular, vigorous exercise, assists regular chiropractic care in improving
one's health. Daily nutritious food intake enables your body to work properly. Nutritious
foods help build strong cells and tissues and help remove toxins that accumulate from
metabolic activity. Regular, vigorous exercise could include doing at least 30 minutes
per day of activities such as walking, running, bike riding, swimming, and weight training
on a five-day-per-week schedule. These healthful action steps work together to provide
more energy, more restful sleep, and an overall positive mental attitude. There may also
be unexpected benefits as your body and mind begin to work in harmony. Overall, the
combination of healthy lifestyle activities and regular chiropractic care helps to optimize
how your body works and reduces the impact of potentially anxiety-causing internal and
external stressors.

Metzler DH, et al: Anxiety Disorders in Primary Care. Prim Care 43(2):245-261, 2016

Locke AB, et al: Diagnosis and management of generalized anxiety disorder and panic
disorder in adults. Am Fam Physician 91(9):617-624, 2015

Williams JW Jr, et al: An Overview of Complementary and Alternative Medicine

Therapies for Anxiety and Depressive Disorders: Supplement to Efficacy of
Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder.
Washington, DC: Department of Veterans Affairs, VA Evidence-based Synthesis
Program Reports, 2011

https://www.governorsparkchiropractic.com/services/chiropractic/?utm_source=google&utm_medium
=ppc&gclid=Cj0KCQiA2ITuBRDkARIsAMK9Q7MNODrLB5ceklYv4siY9q3M6axCTeFOIu7s_K3A8mGd9ucpP
S9YdW0aAqYfEALw_wcB

DENVER & LONE TREE

CHIROPRACTIC SERVICES
Whether you are in need of Denver chiropractic care, or looking for Lone Tree
chiropractic services, we can help. You are able to perform complex motor activities, such
as walking or playing sports, because of the interaction between your nervous system and
your musculoskeletal system. Your musculoskeletal system provides the structure, or
foundation, for your body through the skeleton and holds this structure in place through your
muscles, tendons, and ligaments. Your nervous system is able to communicate the desire
to hold still or to move through your brain and nerves. Unfortunately, because of activity,
bad positioning, accidents, or overuse, your nervous or musculoskeletal system may not be
able to do its job properly. This is where I come in.
Musculoskeletal pain and discomfort often stems from joints that are fixated, or immobile.
This usually happens from an injury that can be as minor as a sneeze. My job is to find
these joints that are fixated by palpation and by performing over thirty-five specific muscle
strength and proprioceptive tests at each of your visits. Once I find the fixation, I apply a
specific motion using my hands or an instrument to restore motion to the joints. This motion
is known as an adjustment. I have been trained in Diversified, Thompson Drop Table,
Gonstead, SOT, Flexion Distraction, and Biophysics techniques. This just means I can
adjust you in a lot of different ways. The adjustments that I administer can be low or high
force, depending on what you need and your comfort level. Some adjustments are
accompanied by a characteristic popping noise. Most of my patients describe adjustments
as comfortable or even relaxing.

WHAT TO EXPECT AFTER YOUR FIRST

ADJUSTMENT OR AFTER A NEW INJURY
Just as every person is unique, so is his or her reaction to chiropractic care. Some patients
experience great relief after just one adjustment. Other patients experience an increase in
symptoms for a short time after the first adjustment. Most patients experience mild soreness
or achiness. I can recommend palliative, or symptom-relieving, treatment that you can do at
home which may include applying ice or heat, stretches, and exercises. Our Denver
chiropractic office also offers natural pain relievers and anti-inflammatory supplements that
do not have the unwanted side effects of most over the counter medications. Please share
any concerns you may have regarding your reaction to treatment so I can make the best
recommendations or properly modify your treatment plan.
FOR CHIROPRACTIC CARE IN DENVER OR LONE TREE
CO, SCHEDULE AN APPOINTMENT TODAY:

https://www.spine-health.com/treatment/chiropractic/what-a-chiropractor

A chiropractor is a health care professional focused on the diagnosis and treatment of

neuromuscular disorders, with an emphasis on treatment through manual adjustment and/or
manipulation of the spine.

Most chiropractors seek to reduce pain and improve the functionality of patients as well as to
educate them on how they can account for their own health via exercise, ergonomics and
other therapies to treat back pain.

https://www.medicalnewstoday.com/articles/322038.php
What's the truth about
chiropractors?
Chiropractors attend graduate-level health colleges to treat disorders of the bones, nerves,
muscles, and ligaments. They graduate as doctors of chiropractic degrees, but they are not
medical doctors.
While chiropractors are widely known for treating back and neck pain, they
also treat bone and soft tissue conditions.

In this article, we explore myths and truths of chiropractic care. We also

describe the training that chiropractors undergo, how safe these treatments
may be, and the research behind the practice.

What certifications must

chiropractors have?
A chiropractor's work involves making adjustments to reduce back pain.

A common myth is that chiropractors do not undergo a significant amount of

training.

In fact, they typically complete about 8 years of higher education before they
are licensed.

Chiropractors tend to have 4 years of undergraduate education.

They usually graduate with a pre-med major after having taken courses in
sciences, such as biology, chemistry, psychology, and physics.

They then attend a chiropractic graduate program. On average, these involve

4 years of education with a total of 4,200 instructional hours in course credits.
 Chiropractic program specifics
Divided by year, a chiropractic graduate program usually involves:

 First year: Courses in general anatomy, chiropractic principles,

biochemistry, spinal anatomy.

 Second year: Courses in chiropractic procedures, pathology, clinical

orthopedics, imaging interpretation, and research methods.

 Third year: Courses in clinical internships, integrated chiropractic,

pediatrics, dermatology, practice management, and ethics and
jurisprudence.

 Fourth year: A clinical internship, in which a student studies under a

chiropractor and completes rotations in a hospital or veterans' clinic.

Other studies often accompany those mentioned above.

After completing the educational and training requirements, an aspiring

chiropractor in the United States will sit for their state licensing board. Once
they have obtained licensure and certification from the board, they will
become a doctor of chiropractic.

Chiropractors often receive additional training and certification in a

wide variety of specialties, including nutrition, sports medicine, acupuncture,
and rehabilitation.

According to the American Chiropractic Association, the average chiropractic

program involves as many classroom hours as a program that trains medical
doctors.

Are chiropractors legitimate?

 Another common myth is that a chiropractor merely cracks a person's back or
bones.

Chiropractic care is centered around spinal manipulation. However,

practitioners also study how the spine and its structures are related to the
body's function.

What do chiropractors attempt to heal?

Chiropractors attempt to heal whiplash-related conditions.

A majority of a chiropractor's work involves making adjustments to heal:

 lower back pain

 whiplash-related conditions

 neck pain

They may also provide services such as postural testing and analysis, as well
as others designed to promote nutrition and healthful exercise.

Does it work?
According to the National Center for Complementary and Integrative Health in
the U.S., chiropractic therapy is the type most commonly used for back pain.
An estimated 74 percent of Americans with pain in this area have used
chiropractic care at some point in their treatment.

Results of a 2010 review cited by the center suggest that spinal manipulation
may be useful for treating back pain, migraine headaches, whiplash, and other
conditions affecting the upper and lower extremities.
 Like other forms of treatment, chiropractic care will not benefit all injuries.
Sessions should be tailored to a person's needs and performed by a licensed
chiropractor.

How does acupuncture work?

Acupuncture is another popular form of alternative medicine. Here, learn about the
risks, potential benefits, and more.
READ NOW

Who could benefit?

Several myths surround this question. One myth is that chiropractors only
treat back pain. In fact, chiropractic care can also help to heal pain in the foot,
elbow, shoulder, and neck.

The same review cited by the National Center for Complementary and
Integrative Health concluded that chiropractic treatment is not useful in
treating:

 asthma

 hypertension

 menstrual pain

Authors of the review failed to find definitive evidence that chiropractic care
treated musculoskeletal conditions, such as fibromyalgia, temporomandibular
joint disorders, and mid-back pain.

Chiropractors also do not treat traumatic injuries, such as bone fractures. A

chiropractor will usually perform an X-ray to ensure that treatment will not
worsen a traumatic injury.
Science supporting chiropractic
treatment
Studies suggest that chiropractic methods are viable options for managing pain.

A 2018 review included 17 years of studies involving spinal manipulation and

mobilization, which is a more passive form of manipulation.

The studies investigated the effects of these treatments on chronic lower back
pain, and the authors concluded that the chiropractic methods were "viable"
options for pain management.

A 2017 review examined the effectiveness of spinal manipulation in treating

lower back pain.

The authors concluded that treatment improved both function and pain for up
to 6 weeks.

The American College of Physicians recommend that those with lower back
pain use a variety of non-pharmacological treatments, including spinal
manipulation.

Researchers generally agree that more studies are needed to determine the
ideal length and frequency of chiropractic sessions and to identify what
injuries may benefit from specific treatments.

Is it safe?
One of the most common sources of contention regarding chiropractic
treatments concerns safety.

A person may experience side effects of spinal manipulation, including:

 discomfort in areas treated

 fatigue

 headaches

There have been occasional reports of long-term danger related to

chiropractic care.

The National Center for Complementary and Integrative Health reports

that severe complications may include worsening pain and cauda equina
syndrome, which involves nerve damage in the lower spinal cord.

According to the American Chiropractic Association, most discomfort and

soreness subsides within 24 hours of spinal manipulation.

The World Health Organization (WHO) state that it is unsafe for people with
certain health conditions to undergo chiropractic manipulation. These
conditions include:

 bone disease and infections

 broken bones

 inflamed joints, such as in cases of rheumatoid arthritis

 some circulation problems

 infections of the nervous system

https://www.governorsparkchiropractic.com/denver-chiropractic-care-as-a-stress-reliever-and-healer/
DENVER CHIROPRACTIC CARE AS A
STRESS RELIEVER AND HEALER
In today’s world, we have accepted stress as being a normal part of our lives. Unfortunately,
it plays a big role in a lot of the mental and physical health problems we witness across the
nation.
If you are living in a chronic state of stress, your body is continuously releasing cortisol. This
is the hormone that causes you to gain weight and to become sluggish and fatigued. With
the use of Denver chiropractic services, you can reset your body and improve your
nervous system’s communication, while enhancing your immune function.
The stress relieving abilities of chiropractic have already been proven in a three-year study
that monitored the way the body responds to stress. In the study, individuals who received
chiropractic care for four years or longer showed twice the immune competence of those
who didn’t. They also had four times the immune competence of those with cancer and
other types of illnesses.
Other recent research has shown that chiropractic care also can aid in the treatment of
some orthodontic conditions. According to an orthodonist in Pensacola, the link between
chiropractic and orthodontics is real: “there is a strong relationship between body posture
and the way the jaws fit together. Combining an orthodontic approach with an orthodontic
approach leads to powerful results for some patients.”

DENVER CHIROPRACTIC HEALING

Chiropractic care could be the healing solution you’re looking for. Stress has shown to lead
to all types of problems in the body, including depression, unexplained weight loss, stomach
problems and other physical manifestations.
To better understand how chiropractic can help your stressed body, here’s a quick summary
of what it can do:
Promote a healthy immune system. Stress is known to wear out your immune system,
causing you to get sick easier and stay sick longer. With chiropractic adjustments, your
immune system and nervous system communication are improved.
Give you an energy boost. It does so by enhancing your mind and body connection. With
proper alignment of your spine, your nervous system is better able to send and receive
messages. This will improve your sleep, giving you more energy the next day.
Improve your diet. Unhealthy eating habits are the norm for stressed individuals. By
relieving the stress using these techniques, you will go back to normal eating habits. Plus,
our chiropractor will discuss your diet and help you get back to healthy habits.
Need a break from stress? Contact Governor’s Park Chiropractic today to schedule an
appointment!

https://www.governorsparkchiropractic.com/chiropractic-care-is-not-just-for-the-spine/
CHIROPRACTIC CARE IS NOT JUST FOR
THE SPINE!
Many people have asked us what the CCEP that follows Dr. Ferdowsian’s name stands for.
CCEP stands for Certified Chiropractic Extremities Practitioner. Dr. Omid Ferdowsian
completed extensive post-graduate education specific to the diagnosis and treatment of
extremities in order to receive these credentials.
Examples of extremity or extra-spinal adjustments would be adjustments to your shoulder,
elbow, wrist, knee, or foot. Dr. Ferdowsian’s additional education in extremity diagnosis and
adjusting makes him an expert in the treatment of musculoskeletal injuries in these areas.
Following is a list of some examples of musculoskeletal disorders that Dr. Ferdowsian is
able to treat: Canolith Misalignment Temporomandibular Joint Syndrome Rotator Cuff
Syndrome Tennis Elbow Carpal Tunnel Syndrome Anterior Rib Misalignment Hip Bursitis
Iliotibial Band Syndrome Medial Collateral Ligament (MCL) Injury Posterior Cruciate
Ligament (PCL) Injury Anterior Cruciate Ligaments (ACL) Injury Chondromalacia (Runner’s
Knee) Sprained/Strained Ankle Plantar Fasciitis Tarsal Tunnel Syndrome Hyperpronation of
the Feet Hypersupination of the Feet Dropped Arch.
This is definitely not an all-inclusive list of the injuries and syndromes that can be treated
using chiropractic care. This list will give you an idea of the wide array of musculoskeletal
issues that chiropractic can treat.
The best way to determine if chiropractic care is appropriate for your current condition is to
be examined by a chiropractor. You would be surprised how many of our patients have
benefited from Dr. Ferdowsian’s extremity expertise. A lot of misalignments tend to hide
because the area that is misaligned is not always the area that is in pain. Many of our
patients complain of hip or low back pain when the problem originates in their feet or knees.
Other patients complain of shoulder pain when the problem originates in their neck. This is
why it is invaluable to find a chiropractor that has the knowledge to examine and treat your
entire body, not just your spine.

HISTORY OF CHIROPRACTIC
Manual manipulation of the spine and other joints in the body have been around for a long
time. Ancient writings from China and Greece dating between 2700 B.C. and 1500 B.C.
mention spinal manipulation and the maneuvering of the lower extremities to ease low back
pain. In fact, Hippocrates, the famous Greek physician who lived from 460 to 357 B.C.,
published a text detailing the importance of manual manipulation. In one of his writings he
declares, “Get knowledge of the spine, for this is the requisite for many diseases”. Evidence
of manual manipulation of the body has been found among the ancient civilizations of
Egypt, Babylon, Syria, Japan, the Incas, Mayans and Native Americans.
The official beginning of the chiropractic profession dates back to 1895 when Daniel David
Palmer restored the hearing of Harvey Lillard by manually adjusting his neck and something
told him that he was into something good. Two years later, in 1897, Dr. Palmer went on to
begin the Palmer School of Chiropractic in Davenport, Iowa, which continues to train
doctors of chiropractic to this day.
Throughout the twentieth century, the profession of chiropractic has gained considerable
recognition and scientific support. Research studies that have clearly demonstrated the
value of chiropractic care in reducing health care costs, improving recovery rates and
increasing patient satisfaction. In fact, one very large study conducted in Canada, the 1993
Manga Study, concluded that chiropractic care would save hundreds of millions of dollars
annually in work disability payments and direct health care costs. Several major studies
conducted by the U.S. Government, the Rand Corporation and others, have all
demonstrated the incredible value of chiropractic care.

https://www.kearneyhub.com/healthhub/health-hub-video-choosing-the-right-
chiropractor/video_cbd76576-084b-5f81-9f23-96f24b3c681c.html

Health Hub video:

Choosing the right
chiropractor
Doctor John Klinginsmith from Klinginsmith Family Chiropractic in Kearney talks to us about what a
chiropractor does and the best way to choose a chiropractor that will work for you.

https://www.sookenewsmirror.com/news/save-your-spine-saanich-chiropractor-talks-spine-health-for-
office-workers/

Save your spine: Saanich chiropractor talks spine health

for office workers
World Spine Day is on Oct. 16

 DEVON BIDAL
 Oct. 12, 2019 11:30 a.m.
 LOCAL NEWS
 NEWS
 

If you spend the majority of your day sitting in front of a computer, you may have
experienced the tell-tale signs of postural strain – colloquially known as student or office
worker syndrome. Back pain, shoulder pain and a sore neck can all be indicators of
spending too much time hunched over a desk.

In honour of World Spine Day on Oct. 16, Saanich chiropractor Mark Strudwick sat
down to discuss spine health.

Strudwick, who has been practicing in Greater Victoria since 1998, sees folks with
postural strain all the time. It started with government employees and now it’s folks from
all professions and of varying ages, he noted.

READ ALSO: Saanich woman rediscovers love for husband she couldn’t
remember

Sitting in a hunched position while working on a laptop or desktop for prolonged periods
of time can result in pain in various parts of the spine as the neck and shoulder muscles
curve. Studies show that almost half of office workers experience neck pain caused by
poor posture at some point. Looking up can compensate for this as it straightens the
neck and back, Strudwick explained, so moving your monitor to eye level is beneficial.

READ ALSO: Saanich teen racks up another award for redesigned spinal probe

Strudwick also recommends sitting upright with the arm, knee and hip joints at 90
degrees. Standing desks can be a good solution for back pain too, he noted.

While sitting ergonomically at work can relieve postural stress, it’s best to avoid working
on a computer for any longer than you need to, so Strudwick suggests staying off
computers outside of work hours if possible.
The theme for World Spine Day 2019 is “Get spine active!” Folks are encouraged to
think of their spines and find ways manage back and neck pain – it can be as simple as
taking a stretch break every 20 to 30 minutes at work, going for a walk or seeing a
chiropractor, said Strudwick.

https://www.news10.com/news/local-news/doctors-say-chiropractor-okay-for-babies/
Doctors say chiropractor okay for babies
LOCAL

Posted: Oct 25, 2019 / 05:04 PM EDT / Updated: Oct 25, 2019 / 05:04 PM EDT

ROCHESTER, N.Y. (NEWS10) — Many new parents are taking their infants to
a chiropractor, and pediatricians say it’s okay.

According to Dr. Daniel Erickson in Rochester, adjustments on infants has a

place as long as it doesn’t replace traditional medicine.

One of the common conditions chiropractors are able to help in infants is

colic, or excessive crying.

“We see really good results with just one to five treatments with an infant.”

Dr. Erickson said parents should always consult their child’s pediatrician
before turning to a chiropractor. And if you decide to go that direction, he said
to do your research first.

Copyright 2019 Nexstar Broadcasting, Inc. All rights reserved. This material may not be
published, broadcast, rewritten, or redistributed.

https://elemental.medium.com/should-you-see-a-chiropractor-416c38c304d5

THE NUANCE

Should You See a Chiropractor for

Your Back Pain?
The science behind spinal manipulation, and why it
seems to work for some people

ain is a plague on the American populace. According to data from

the CDC’s National Health Interview Survey, nearly 20% of U.S.
adults experience pain most days or every day.
Back pain, neck pain, and headaches are three of the most
common causes of persistent pain. And after factoring in lost
productivity and work absences, these and other pain conditions
cost the United States at least $560 billion annually, finds a 2012
analysis in the Journal of Pain. That’s greater than costs
associated with heart disease and cancer combined.

While pain is the most common and costly medical condition in

the United States, it’s also the one doctors struggle the most to
treat. Prescription pain pills, including opioids, tend to provide
inconsistent and often diminishing relief for people who
experience chronic pain. Some of these drugs also come with
significant risks for addiction, withdrawal, and other dangerous
side effects. For these reasons, many national health authorities
have begun to recommend non-pharmacological treatment
options for common pain conditions. The American College of
Physicians, one of the largest physician groups in the United
States, now advises its members to treat most forms of low-back
pain with massage, acupuncture, and other non-drug
interventions. Among these, chiropractic spinal manipulation is
one of the most widely used and research-supported forms of
“alternative” pain therapy.

A central tenet of chiropractic medicine has always

been that improper spine alignment is the root cause of many
musculoskeletal ailments. By correcting misalignments, which
some chiropractors call “subluxations,” spinal manipulation can
purportedly treat a range of health complaints. The National
Center for Complementary and Integrative Health (NCCIH),
which is a branch of the National Institutes of Health, says that
chiropractic “emphasizes the body’s ability to heal itself.”

Chiropractic was founded toward the end of the 19th century by a

health enthusiast in Iowa with no formal medical training. It was
controversial from the start, and it was widely derided for much of
the 20th century in part because some of its early practitioners
rejected the practice of immunization and refuted germ theory, the
science-backed belief that bacteria, viruses, and other pathogenic
microorganisms cause certain illnesses. While specific practices
and philosophies vary widely among chiropractors today, most
have abandoned those early and contentious positions in favor of
evidence-backed approaches.

“Chiropractic was the original holistic health-care profession,”

says Michael Schneider, a licensed chiropractor and associate
professor in the Department of Physical Therapy at the University
of Pittsburgh. “A deeply held belief among chiropractors is that
you need to treat the whole person, not just the body part that
hurts.”
This mosaic of treatment approaches can make
it hard to pin down chiropractic’s risks and
benefits.

Schneider says there’s good evidence supporting the use of

chiropractic spinal manipulation for low-back and neck pain, and
that it can also help treat conditions that stem from
musculoskeletal issues, such as nerve pain and some types of
headaches.
A 2017 research review in JAMA found that spinal manipulation
was associated with modest improvements among people with
acute low-back pain. While “modest” may not sound like a ringing
endorsement, an editorial accompanying that JAMA review points
out that when pitted against “conventional” medical care —
namely, drugs or surgery — spinal manipulation works at least as
well and comes with fewer risks. Also, a 2013
survey from Consumer Reports found that among patients with
low-back pain, treatment satisfaction rates were almost twice as
high for those who visited a chiropractor compared to those who
met with a primary care physician.

The NCCIH says there’s evidence that spinal manipulation may be

as helpful as or more helpful than drugs for the treatment of neck
pain and migraine headaches, and that it may also help relieve
sciatic nerve pain. The NCCIH also says spinal manipulation is
safe when performed by a licensed chiropractor; while it’s
common for people to experience muscle soreness or stiffness, or
even a temporary increase in pain, serious side effects are “very
rare,” the NCCIH states.

B ut a big question lingers: How does spinal

manipulation work? One theory, Schneider says, is that adjusting
the spine stimulates nerve activity in ways that change how the
body perceives pain. “We’ve measured what happens to spinal
joints during manipulation, and we do see a gaping of joints,” he
says. This gaping may trigger “a very strong neurological reaction
in the body,” which may result in the observed pain benefits, he
adds. But all these findings are preliminary and require more
study.
Some have argued that chiropractic’s benefits are attributable to
the placebo effect. A 2016 study in the Journal of Chiropractic
Medicine found some evidence, albeit inconsistent, that spinal
manipulation outperformed a sham procedure for the treatment of
low-back pain. But as with acupuncture and other alternative pain
treatments, it’s difficult for researchers to design a convincing
sham alternative to chiropractic spinal manipulation. This makes
it tough for them to rule out the placebo effect. “We should be
cautious of making strong inferences based on these results,” says
Rachel Perry, first author of the study and a senior researcher at
the University of Bristol in the U.K.

Also complicating matters is the fact that specific techniques and

approaches vary from one chiropractor to the next. While some
employ “thrust-type” procedures that lead to cracking or popping
sounds and sensations, others use gentler methods to manipulate
the bones of the spine, Schneider says. Still others treat patients
using instruments that deliver small electric pulses or light
therapy. Some use X-ray and other imaging technologies, while
others mostly eschew these tools.

This mosaic of treatment approaches can make it hard to pin down

chiropractic’s risks and benefits. Perry says thrust-type procedures
may come with some additional risks. And the Mayo
Clinic reports that, in rare cases, chiropractic adjustment has been
associated with spinal disk injuries or stroke. The latter is thought
to result from trauma to the arteries of the neck caused by “high-
velocity” adjustments, although new research in the Annals of
Medicine argues that the link between spinal manipulation and
stroke is questionable.

Finally, Schneider says some chiropractors make exaggerated

claims or attempt to treat conditions without the backing of sound
science. “I know some claim they can treat autism and learning
disabilities or conditions like diabetes or high blood pressure, and
this is where a lot of the controversy comes in,” he says. “There is
not good evidence that [chiropractic] can treat non-
musculoskeletal conditions.”

To sum all this up, the evidence to date suggests

chiropractic spinal manipulation may help some people find relief
from back, neck, nerve, and headache pain. The lack of
mechanistic evidence is a sticking point for some medical doctors,
but many now endorse chiropractic methods for pain relief
because there don’t seem to be better alternatives.

“We got most of our new patients from primary care physician
referrals,” Schneider says. For people looking to give chiropractic a
try, he says asking a trusted doctor for a chiropractor
recommendation is a good tack. “There are good and bad
practitioners in any profession,” he says. All chiropractors must be
licensed, which requires a doctor of chiropractic (DC) degree. But
asking around can help you find a good one, he says.

“I think the general public has gravitated toward non-

pharmacologic and alternative treatments,” Schneider adds. “Ten
or 15 years ago, this was still considered voodoo medicine, but the
perception has changed.”

https://www.lifeinmotionchiro.com/Educational%20Brochures/relief-for-your-aching-back-what-
worked-for-our-readers-consumer-reports.pdf
https://www.acponline.org/acp-newsroom/american-college-of-physicians-issues-guideline-for-
treating-nonradicular-low-back-pain

American College of Physicians issues guideline for treating nonradicular

low back pain

Treatment recommendations include massage, acupuncture, spinal

manipulation, tai chi, and yoga

Philadelphia, February 14, 2017 -- The American College of Physicians (ACP)

recommends in an evidence-based clinical practice guideline published today
in Annals of Internal Medicine that physicians and patients should treat acute or
subacute low back pain with non-drug therapies such as superficial heat,
massage, acupuncture, or spinal manipulation. If drug therapy is desired,
physicians and patients should select nonsteroidal anti-inflammatory drugs
(NSAIDs) or skeletal muscle relaxants.

Low back pain is one of the most common reasons for all physician visits in the
U.S. Most Americans have experienced low back pain. Approximately one
quarter of U.S. adults reported having low back pain lasting at least one day in
the past three months. Pain is categorized as acute (lasting less than four
weeks), subacute (lasting four to 12 weeks, and chronic (lasting more than 12
weeks).

“Physicians should reassure their patients that acute and subacute low back pain
usually improves over time regardless of treatment,” said Nitin S. Damle, MD,
MS, MACP, president, ACP. “Physicians should avoid prescribing unnecessary
tests and costly and potentially harmful drugs, especially narcotics, for these
patients.”

The evidence showed that acetaminophen was not effective at improving pain
outcomes versus placebo. Low-quality evidence showed that systemic steroids
were not effective in treating acute or subacute low back pain.

For patients with chronic low back pain, ACP recommends that physicians and
patients initially select non-drug therapy with exercise, multidisciplinary
rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga,
motor control exercise (MCE), progressive relaxation, electromyography
biofeedback, low level laser therapy, operant therapy, cognitive behavioral
therapy, or spinal manipulation.

“For the treatment of chronic low back pain, physicians should select therapies
that have the fewest harms and costs, since there were no clear comparative
advantages for most treatments compared to one another,” Dr. Damle said.
“Physicians should remind their patients that any of the recommended physical
therapies should be administered by providers with appropriate training.”

For patients with chronic low back pain who have had an inadequate response to
non-drug therapy, ACP recommends that physicians and patients consider
treatment with NSAIDs as first line therapy; or tramadol or duloxetine as second
line therapy. Physicians should only consider opioids as an option in patients
who have failed the aforementioned treatments and only if the potential benefits
outweigh the risks for individual patients and after a discussion of known risks
and realistic benefits with patients.

“Physicians should consider opioids as a last option for treatment and only in
patients who have failed other therapies, as they are associated with substantial
harms, including the risk of addiction or accidental overdose,” said Dr. Damle.

“Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain” is
based on a systematic review of randomized controlled trials and systematic
reviews published on noninvasive pharmacological and non-pharmacological
treatments of nonradicular low back pain. Clinical outcomes evaluated included
reduction or elimination of low back pain, improvement in back-specific and
overall function, improvement in health-related quality of life, reduction in work
disability/return to work, global improvement, number of back pain episodes or
time between episodes, patient satisfaction, and adverse effects.

The evidence was insufficient or lacking to determine treatments for radicular low
back pain. The evidence also was insufficient for most physical modalities and for
which patients are likely to benefit from which specific therapy. The guideline
does not address topical therapies or epidural injection therapies.

ACP’s clinical practice guidelines are developed through a rigorous

process based on an extensive review of the highest quality evidence available,
including randomized control trials and data from observational studies. ACP also
identifies gaps in evidence and direction for future research through its guidelines
development process.

ACP’s previous recommendations for treating low back pain were published in
“Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline
from the American College of Physicians and the American Pain Society” in
2007. Some evidence has changed since the 2007 guideline and supporting
evidence reviews. The 2007 guideline did not assess mindfulness-based stress
reduction, MCE, taping, or tai chi.
About the American College of Physicians

The American College of Physicians is the largest medical specialty organization

in the United States. ACP members include 148,000 internal medicine physicians
(internists), related subspecialists, and medical students. Internal medicine
physicians are specialists who apply scientific knowledge and clinical expertise to
the diagnosis, treatment, and compassionate care of adults across the spectrum
from health to complex illness. Follow ACP on Twitter and Facebook.