Friday, January 31, 2014
Hip pain is becoming a growing concern among younger and middle-aged patients, especially in teen athletes and weekend warriors.
Pain specialists at The Ohio State University Wexner Medical Center say they are seeing an increasing number of patients, from adolescents to baby boomers, who are suffering from a condition known as femoral acetabular impingement, or FAI.
“FAI has become much more common in the last 10 years, and in younger people these injuries tend to be sports-related,” explained Dr. Thomas Ellis, vice chair of the department of Orthopedics and chief of Hip Preservation at Ohio State’s Wexner Medical Center. “While it can happen in non-athletes and weekend warriors, we commonly see this condition in those who were year-round athletes before and during puberty.”
FAI develops in individuals who have bone abnormalities or spurs that cause the ball of the femur to not fit properly in the hip socket. This abnormality makes the hip joint vulnerable to cartilage destruction caused by repetitive motions involving hip flexion, rotation, and adduction. Over time, patients may develop osteoarthritis, as well as painful symptoms in the hip, back, buttocks, and groin. Sports such as soccer, cycling, ballet, and ice hockey frequently result in FAI.
Despite increased awareness of the condition, little is known about its exact etiology.The condition is often misdiagnosed as bursitis, Piriformis syndrome, back pain, hip flexor strain, groin pull, pinched nerve, and even endometriosis. Without proper diagnosis and treatment, patients may require hip replacement surgery.
According to a 2010 study, “chiropractors can play an important role in identifying patients with possible FAI syndrome, and in facilitating the appropriate management of this disorder.” Although the abnormality cannot be corrected through conservative treatment, chiropractic care and exercise therapies may help to reduce acute pain.
More research is needed to understand the causes and proper treatment of this debilitating condition. However, for patients who have hip osteoarthritis, chiropractic care has also been found to be beneficial for reducing symptoms and improving overall function. If you are a young adult with hip pain, chiropractors can also discuss preventive strategies– like stretching, cross training, and rest— so you can enjoy your favorite sport free of pain.
Emary P. Femoroacetabular impingement syndrome: a narrative review for the chiropractor. Journal of the Canadian Chiropractic Association 2010; 54(3): 164–76.
Gliedt, JA. Clinical brief: femoroacetabular impingement syndrome. Topics in Integrative Health Care 2012, Vol. 3(2) ID: 3.2004 .
Ohio State University Wexner Medical Center. (2013, December 2). Don’t ignore hip pain: Impingement a growing problem among young, active. ScienceDaily. Retrieved January 30, 2014 from www.sciencedaily.com/releases/2013/12/131202152042.htm
More Young People with Hip Pain
Thursday, January 30, 2014
A study of over 1 million teens found that muscle strength has an impact on their risk of death at an early age. The authors found that:
“High muscular strength in adolescence, as assessed by knee extension and handgrip tests, was associated with a 20-35% lower risk of premature mortality (death) due to any cause or cardiovascular disease, independently of body mass index or blood pressure; no association was observed with mortality due to cancer. Stronger adolescents had a 20-30% lower risk of death from suicide and were 15-65% less likely to have any psychiatric diagnosis (such as schizophrenia and mood disorders). Adolescents in the lowest tenth of muscular strength showed by far the highest risk of mortality for different causes.”
These findings support the importance to fitness beginning at an early age.
Greater Muscle Strength Saves Teens
Wednesday, January 29, 2014
More and more research is suggesting that back pain can have significant ramifications for the health of the central nervous system. A new study confirmed that patients with lower back pain show signs of reduced pain tolerance along the entire spinal cord, which may indicate a hypersensitized central nervous system.
Researchers publishing in the journal Spine tested pressure pain thresholds in 20 patients with chronic lower back pain and 20 healthy individuals. In most of the structures analyzed in the spinal cord, patients with back pain had reduced pressure pain thresholds than healthy patients. The authors suggested that this demonstrates what’s known as hyperalgesia, or a hypersensitivity to pain, indicative of central sensitization.
Central sensitization occurs when the entire central nervous system, made up of the spinal cord, brain, and spinal nerves, becomes overly sensitized to pain. After an injury or triggering event, pain receptors alert the brain to the perceived threat, setting off a string of automatic protective responses. However, sometimes these pain receptors can kick into overdrive, and like an alarm system that never turns off, they continue sending pain signals to the brain even in the absence of danger. The result is a highly-sensitized nervous system that is quick to react at the slightest sign of a threat.
This disrupted pain response has been documented in patients with musculoskeletal disorders like back pain, fibromyalgia, and whiplash. Central sensitization helps to explain widespread chronic pain after an auto collision, or seemingly random flare-ups in chronic pain in patients with fibromyalgia.
Chiropractic care can help to calm these chronic pain flare-ups, and correct any spinal dysfunctions that could be contributing or causing your symptoms. A 2011 study suggested that chiropractic patients back pain had a lower risk for recurring symptoms compared to patients under standard medical care. Chiropractors specialize not just in pain relief, but in maintaining the proper health of the central nervous system for improved health.
Imamura M, et al. Changes in pressure pain threshold in patients with chronic nonspecific low back pain. Spine 2013; 38(24):2098-107. doi: 10.1097/01.brs.0000435027.50317.d7. http://www.ncbi.nlm.nih.gov/pubmed/24026153
Lasich, Christina. What is Central Sensitization-Symptoms- Chronic Pain. HealthCentral. July 12, 2010.
Back Pain Affects Entire Nervous System
Tuesday, January 28, 2014
For a list of the "dirty dozen," foods you should always buy organic, click here: http://goo.gl/MYLWgG
Chiropractors put all the pieces together making your body function at an optimal level.
Lower back pain?
Most people with chronic headache depend on medication to get by, but a recent study reminds us of the power of drug-free treatments.
Cervicogenic headache is estimated to affect between 20-25% of the adult population, but because the symptoms often mimic migraine and tension-type headache, the diagnosis can be easily overlooked.
This headache type is caused by musculoskeletal impairments in the cervical spine, or neck, that cause pain at the base of the skull or above the eyes. Patients also often report dizziness and lightheadedness. Both invasive and non-invasive treatments are available for CGH, but more research was needed to confirm the effectiveness of non-invasive approaches.
A recent study included a meta-analysis of six randomized, controlled trials on the effects of manual therapies for CGH. The interventions assessed included therapist-driven cervical manipulation and mobilization (neck adjustments); self-applied cervical mobilization; cervico-scapular strengthening; and therapist-driven cervical and thoracic manipulation.
Patients in all but one study reported a decrease in disability and pain after these treatments, as well as an improvement in function. The researchers found that a combined treatment of therapist-driven cervical manipulation and mobilization, along with strengthening exercises, were the most effective for minimizing pain.
These results add to previous research demonstrating the efficacy of a combined chiropractic and exercise treatment for CGH. Before you reach for medication for your headache, consider seeing a chiropractor who can help to diagnose and treat your headache once and for all.
Jull G, Trott P, Potter H, et al. A randomized controlled trail of exercise and manipulative therapy for cervicogenic headache. Spine 2002; 27(17):1835-1843.
Racicki S, et al. Conservative physical therapy management for the treatment of cervicogenic headache: a systemic review. Journal of Manual and Manipulative Therapy 2013; 21(2): 113-124.
Neck Adjustments Effective for Cervicogenic Headache
A study was conducted comparing research paid for by drug and device companies with studies by independent authors. Not surprisingly the “sponsorship of drug and device studies by the manufacturing company leads to more favorable results and conclusions than sponsorship by other sources.”
Researchers noted that “our analyses suggest the existence of an industry bias that cannot be explained by standard ‘Risk of bias’ assessments.” Something to think about when reading reports on how effective a drug is for your ailment.
Drug Company Research Biased?
Monday, January 27, 2014
My favorite chiropractic website is now a mobile app!
Vegetables that are local and in season have more nutrients than those stored then shipped long distances.