Dr. David Ray works with many sciatica patients here in our Grants Pass, Oregon office, and quite a few of these patients were nervous that they might need surgery to relieve their pain. The most recent research shows that many people don't require surgery for this widespread issue, and that chiropractic is more effective at resolving sciatic nerve pain.
A common surgery for sciatica is microdiscectomy, and in a 2010 study, researchers looked at 80 women and men with sciatica who were referred for this procedure.
Forty patients were then randomly placed in one of two groups. The first group received surgical microdiscectomy and the second group received chiropractic care.
Both groups improved; however, no apparent difference in outcome was reported one year post-treatment between the surgery group and the chiropractic group. Additionally, about 60 percent of the participating subjects who could not find relief from any other treatment method "benefited from spinal manipulation to the same degree as if they underwent surgical intervention."
Simply put, chiropractic delivered the same positive benefits as surgery without needing to go through the higher levels of surgery-based pain or suffer through lengthy recovery times often associated with that type of treatment choice. Additionally, you also don't run the risks affiliated with surgical microdiscectomy, which includes nerve root damage, bowel or bladder incontinence, bleeding, or infection.
Surgery ought to be the last option for sciatica pain. If you live in Grants Pass, Oregon and you're being affected by back pain or sciatica, give Dr. David Ray a call today at (541) 955-7246. We'll help pinpoint the origin of your pain and work hard to get you relief.
- McMorland, G et al. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics 2010;33(8):576-584.
- Solberg TK, Nygaard OP, Sjaavik K, Hofoss D, Ingebrigtsen T. The risk of "getting worse" after lumbar microdiscectomy. European Spine Journal 2005;14(1):49-54.
Don't Choose Drugs for Back Pain
In our Grants Pass, Oregon office, Dr. David Ray has helped several people heal from back problems. If you are dealing with back pain, you've probably been tempted to take drugs to decrease the pain. You should know that research indicates that chiropractic care is oftentimes a better choice than drugs when it comes to relieving this particular type of problem.
In a 2013 report published in the journal Spine researchers included 101 individuals who had suffered back pain for at least 48 hours. Each one was then designated to one of three groups. The first group, which was made up of 37 people, received chiropractic care and a placebo of the NSAID diclofenac. The second group of 38 patients received fake chiropractic adjustments and the actual drug. The third group of 25 individuals acted as the control as those individuals engaged in sham chiropractic and also received the placebo, thus having no real care at all.
Both of the groups that received some form of actual treatment, whether through chiropractic care or the drug diclofenac, fared better than the control group who had no actual treatment. However, when the two active groups were compared to each other, the people who received chiropractic had improvements that were "significantly better" than those who took the medications.
Natural Healing with Chiropractic Care
Because chiropractic is non-invasive and involves no use of medication, it helps enhance healing without unwanted side effects. For example, NSAIDs can result in ulcers, hypertension, and other serious health concerns. Plus, the health benefits of chiropractic last longer as it's intended to correct the source of the spinal interference, not just treat the signs and symptoms.
If you're ready to get help for your back pain naturally, then chiropractic is for you. Call and make an appointment in our Grants Pass, Oregon office with Dr. David Ray today at (541) 955-7246. We'll help improve your back problems in a healthy way!
von Heymann WJ, Schloemer P, Timm J, Muehlbauer B. Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blind randomized controlled trial in comparison with diclofenac and placebo. Spine 2013;38(7):540-548.
According to The American Academy of Pain Medicine, more Americans suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. Furthermore, neck pain is the third most reported type of pain, beat out only by back pain and headache.
As a result, many patients come to our Grants Pass, Oregon office seeking neck pain care, and Dr. David Ray has helped many of them find relief. This is a smart decision, as some research indicates that over 90% of neck pain patients benefit from chiropractic care.
Studies Confirm Chiropractic Effective for Neck Pain
A report published in The Journal of Orthopaedic and Sports Physical Therapy included 64 people who were suffering with neck problems. Approximately half were placed in an experimental group and the other half were designated to a comparison group. Both received chiropractic adjustments of the neck as well as a home exercise program, while the experimental group also received adjustments of the thoracic spine.
Data was collected before treatment began and one week post-treatment. Researchers found that 94% of the experimental group claimed "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the patients who received neck adjustments showed the same level of improvement, showing that thinking about the entire spinal column is a critical part of restoring the body's normal function.
One more study posted in Physical Therapy involved 60 participants between the ages of 18 and 60 who reported suffering with neck pain. Each individual was randomly assigned to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with examinations occurring two and four days after the adjustments.
Researchers discovered that the study patients who received the thrust manipulations (the same manipulations that provided such positive results in the first report) "experienced greater reductions in disability" than the group that received the non-thrust adjustments. Their pain was lower as well, which shows that this type of approach offers many benefits.
Help After Failed Medical Procedures
Another study also found the same type of positive results after thoracic adjustments in a woman who had a failed neck surgical treatment. This particular case involved a 46-year-old woman who had recently had neck surgery but still experienced neck pain, headaches, pain in her elbow, and muscle fatigue.
The woman reported decreased pain in her neck and reduced headache intensity, right after the first chiropractic adjustments. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still placed her pain at a zero on a scale of 1 to 10. Her neck disability reduced as well, with a rating score that represented that it was a "great deal better."
It is studies like these that prove the effectiveness of chiropractic adjustments, even if you've already attempted neck surgery that didn't provide relief. So, if you are dealing with neck problems and would like to find a solution that has a high success rate, try chiropractic. It may just be the help you're looking for.
We're located in Grants Pass, Oregon and Dr. David Ray can help you recover from neck pain. Give us a call today at (541) 955-7246.
- AAPM facts and figures on pain. The American Academy of Pain Medicine.
- Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
- Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
- Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.
Unfortunately, many of our Grants Pass, OR patients are familiar with the pain caused by a herniated disc all too well. On a positive note, Dr. David Ray has helped many people with disc pain, and a number of medical studies have verified that chiropractic can help patients recover from this kind of condition.
Research on Chiropractic and Disc Herniations
In one report, researchers from Switzerland selected 148 patients who were coping with pain in their lower back and legs due to a herniated disc (which was confirmed through magnetic resonance imaging, or MRI). Each person then received chiropractic adjustments that focused on the area of his or her disc herniation.
Data was gathered after the first treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to ascertain what kind of short-term and long-term effects, if any, chiropractic care offers when it comes to treating this particular problem. Among the information gathered was the person's self-reported changes in both lumbar and leg pain.
The authors found that, overall, the study participants reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the individuals claimed that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those test subjects who were defined as "chronic" still reported an improvement in pain at a rate of 89% one year beyond when treatment first began. This is the same positive effect that was found in the following case study.
Case Study Shows that Chiropractic Benefits Chronic Disc Herniation Symptoms
In this paper, a 26-year-old man had presented with disc herniation symptoms such as pain in the lower back, left leg, and left groin area, along with left foot drop and muscle weakness. He had endured these issues for more than two years after sustaining an athletic injury, and his herniated disc was confirmed via MRI.
After receiving chiropractic, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." Furthermore, the patient was still experiencing relief one year after the chiropractic intervention.
Studies like these show how beneficial chiropractic can be when it comes to alleviating herniated disc pain and relieving the symptoms they produce. So, if you are suffering from back pain caused by a herniated disc and wish to find some relief, chiropractic may well be an effective solution.
Don't suffer from chronic herniated disc pain. Give our Grants Pass, OR office a call today at (541) 955-7246 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
Chiropractic is centered on the approach of allowing your body to naturally heal through spinal adjustments and lifestyle changes that promote wellness. For Dr. David Ray, this means working to reestablish your body's normal functioning to avoid the need for drugs or surgery. We find that most of our Grants Pass, OR patients are happy to find a natural answer for their health conditions.
One advantage of chiropractic is that it helps people reduce or even eliminate the use of drugs. Prescription medications are oftentimes issued to patients who have back soreness. This is such a significant problem that the American Academy of Neurology (AAN) issued a press release stating that opioid (painkiller) risks outweigh the advantages when administered for back pain.
Some of the most common narcotics, according to the National Institute on Drug Abuse, include hydrocodone (Vicodin), oxycodone (OxyContin and Percocet), morphine, and codeine. Statistics presented by the AAN cite the fact that about half of the patients taking these drugs for a period of three months are still taking them five years later. This can further complicate the difficulty of back pain and healing, particularly if an opiate dependency arises.
Contrast that to chiropractic which incorporates natural healing and the benefits are crystal clear. While a drug might be useful at briefly reducing the discomfort of a health problem, it's not a long-term solution to the problem. Drugs don't fix your injured spine; it will only mask the pain.
Dr. David Ray will first examine you to get to the source of your back problems and then work with you to solve the problem -- without risky drugs.
If you're ready for relief of your pain, naturally, give our Grants Pass, OR office a call at (541) 955-7246 to make an appointment with Dr. David Ray.
- Risk of opioids outweigh benefits for headache, low back pain, other conditions. American Academy of Neurology;September 29, 2014.
- What are opioids? National Institute on Drug Abuse. Retrieved from http://www.drugabuse.gov/publications/research-reports/prescription-drugs/opioids/what-are-opioids
In our Grants Pass, OR practice, we see many people who are dealing with back pain, and a few of these folks have been informed they might need surgery to recover. Fortunately, Dr. David Ray has helped many people get pain relief without the need for any type of surgical procedure. The scientific research confirms the results we see in our practice. One research study published in the journal Spine found that consulting with a chiropractor as your first move in dealing with your back pain may literally keep you off of the operating table.
In this scientific study, medical experts from Dartmouth analyzed statistics from about 1,900 workers from Washington state who first saw either an orthopedic surgeon or a chiropractor for their low back issues. They then looked at three years' worth of follow-up medical records to determine whether the patients ended up having back surgery in an attempt to correct the issue.
What the authors determined was that 42.7% of the men and women who first consulted with a surgeon for their back issues ended up in surgery in that 3-year time span, whereas only 1.5 percent of those who first saw a chiropractor had the same fate. The authors wrote:
"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."
These are remarkable outcomes. Visiting a chiropractor significantly decreases your odds of having back surgery, plus the chiropractic patients in this scientific study "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.
Let's also keep in mind this important point: this study was performed by orthopedic surgeons from Dartmouth College, and published in the world's most distinguished medical journal on spinal injuries.
Why You Should Avoid Surgery
Any surgical procedure has risks, but a major problem linked to spinal surgery is that there's a very high failure rate. In an important review in the European Spine Journal, researchers wrote:
"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."
The authors of this same study concluded:
"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."
As a chiropractor, Dr. David Ray believes that surgery should be the absolute last resort for treating back pain. Chiropractic works to restore your spine to its normal function--without risky surgery or drugs--and many research studies have confirmed the efficacy of chiropractic for back pain.
If you live in Grants Pass, OR and you need relief for your back pain, give our office a call today at (541) 955-7246 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!
- Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
- Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
We see a number of patients with back pain in our Grants Pass, OR office, and Dr. David Ray has been able to provide a lot of them find relief with chiropractic care. However, dealing with back problems doesn't necessarily mean having to decide between chiropractic care and medical therapy, as many individuals use both types of care with great outcomes.
Research Confirms Chiropractic and Medical Care Work Together
In a study published by the journal Spine experts1 looked at a group of active-duty military personnel between the ages of 18 and 35 who reported both acute pain and restricted function due to back pain. Some of the patients engaged in treatment via standard medical therapy, while the rest received chiropractic adjustments together with regular medical care, as the authors wanted to determine which group fared better.
The authors determined that the patients who got standard medical care combined with chiropractic scored "significantly better" than the patients who received medical care alone; 73 percent reported positive benefits compared to just 17 percent of the medical treatment only group who reported the same amount of improvement. This was true regarding both pain and level of function at the two- and four-week marks.
Accordingly, integrating these two forms of treatment can greatly benefit you--the patient--offering advantages when compared to medical care alone. However, while chiropractic care and medical approaches can work together, chiropractic offers some unique advantages over medical therapy.
Where Chiropractic Pulls Ahead
Although it may seem as if each approach plays a 50-50 role, there is one major advantage that chiropractic has over medical care and that is in patient satisfaction. In fact, a study from UCLA2 that was printed in the American Journal of Public Health found that, on average, chiropractic patients are generally more satisfied with their recovery than patients undergoing medical treatment.
According to the experts, the main factors that patients liked over medical treatment were "self-care advice and explanation of treatment." This isn't surprising, as chiropractors typically spend much more time consulting with their patients as to how they can improve their health on their own, as well as discussing more carefully what to expect from chiropractic.
Chiropractic Care Is a Natural Approach to Wellness
Without a doubt, the methods associated with chiropractic are very different than those offered with medical therapy, but a large amount of the distinction is the fact that chiropractic is a holistic approach to health and wellness. In contrast to focusing on only relieving the symptoms, chiropractic care involves tracking down the primary cause of your pain, which often results in greater improvement as you are tackling the problem at its source.
Furthermore, while medication is sometimes helpful for managing certain conditions, many health issues respond well to a natural approach like chiropractic. This means fewer negative side effects from prescriptions and lasting results.
You don't have to struggle with back pain or other health issues. Give our Grants Pass, OR clinic a call today at (541) 955-7246. We'll work to help you get and continue to be free from back pain.
- Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine 2013;38(8):627-634.
- Hertzman-Miller RP1, Morgenstern H, Hurwitz EL, Yu F, Adams AH, Harber P, Kominski GF. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. American Journal of Public Health 2002;92(10):1628-1633.
We tend to a large number of people in our Grants Pass, OR office, and Dr. David Ray has helped many people manage a range of health challenges. However, a common worry that seems to stop many women and men from pursuing care is whether or not chiropractic care is safe. Luckily, according to three different studies (out of quite a few on the subject), the answer to this question is a resounding: "Yes! Chiropractic is safe!"
Chiropractic is Safe, According to Australian Study
The first study(1) was published in Spine and involved 183 women and men. Each person reported suffering from spine-related pain, and half of the people received real chiropractic adjustments whereas the other half received two fake chiropractic treatments. Data was gathered after each real or fake adjustment to identify if any unfavorable reactions were caused by the genuine chiropractic treatments.
The authors found that none of the patients reported any serious unfavorable adverse reactions at all after receiving one or two sessions of chiropractic. Some people did state that they got a headache (9% of patients) or muscle stiffness (about 1 out of 3) after treatment, but the results were not serious.
National Survey Finds that Chiropractic Care is Safe
A second article(2), also released in the important journal, Spine, was conducted in an attempt to determine the safety of chiropractic care. The test group was much larger -- 20,000 patients. Each participant received chiropractic adjustments of the cervical spine, with over 50,000 total adjustments for all patients.
Again, the researchers found no serious adverse side effects. The authors computed the risk of total side effects to be approximately six out of every 10,000 consultations or every 100,000 treatment sessions. And, just as with the first study, some volunteers did report non-serious, milder, unwanted effects such as dizziness (about 1.6%) or a headache (4%), and this caused the authors to conclude that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Adjustments are Safe for Children
This third research paper(3) is different from the previous two pieces of research, as it concentrates on the safety of chiropractic care for children. In this article, the authors investigated data reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic adjustments.
Out of 5,438 chiropractic visits made for the young ones, chiropractors responding to the survey reported only three cases where there were adverse reactions. When parents were surveyed, they indicated only two adverse side effects out of 1,735 visits. Additionally, both chiropractors and parents reported "a high rate of improvement with respect to the children's presenting complaints."
Based on these three studies (and many more!), chiropractic care has been deemed safe and effective for everyone. To discover what chiropractic care can do for you, call our Grants Pass, OR office and make an appointment today at (541) 955-7246.
- Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD. Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events. Spine 2013;38(20):1723-9.
- Thiel HW1, Bolton JE, Docherty S, Portlock JC. Safety of chiropractic manipulation of the cervical spine: a prospective national survey. Spine 2007;32(21):2375-8.
- Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009;5(5): 290-5.