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Shock Wave Therapy for Erectile Dysfunction

Shock Wave Therapy for Erectile Dysfunction
Shock Wave Therapy for Erectile Dysfunction

Erectile dysfunction (ED) is a disorder in which the patient is unable to keep an erection for normal sexual activity. As per estimates, 52% of men in the United States suffer from ED. The disability mostly affects men between the ages of 40 and 70. Erectile dysfunction is a personal issue that can contribute significantly to physical and psychological issues.

Thus, patients seek different forms of treatment for the disorder including oral medications, hormone replacement therapies (HRT), penile implants, etc. However, all these therapies are linked to some kind of adverse effects. Therefore, many patients are now shifting towards safe and effective alternatives like shockwave therapy. So, today we shed some light on what is shockwave therapy and how it helps ED patients!

What Is Shock Wave Therapy?

Also known as extracorporeal shockwave therapy, it is a non-invasive therapy that uses different-intensity electric waves to promote healing. This type of treatment option is gaining rapid popularity in managing painful injuries and chronic inflammatory conditions. Surprisingly, shockwaves can prove to be beneficial for erectile dysfunction patients as well. Patients with vasculogenic ED seem to benefit the most from this type of treatment.

How Shock Wave Therapy Improves Erectile Dysfunction Condition?

Low-intensity shockwaves promote healing by improving the blood flow to the affected site. As erection heavily relies on optimal blood flow to the penile tissue, any modality that increases the pooling of blood can enhance the condition.

According to a meta-analysis, low-intensity extracorporeal shock wave (Li-ESWT) leads to an evident increase in erectile function scores. Recent studies found shock wave therapy to be effective for ED. Moreover, there were minimal side effects associated with it.

A 2019 meta-analysis found 2 ESWT sessions per week for 3 weeks to be the best treatment plan. Patients were given a rest of 3 weeks after which the shockwaves were incorporated for another 3 weeks (twice-weekly routine) to obtain superior results.

How Is It Performed?

A healthcare professional moves the electronic device (which emits electric impulses) along different parts of the penis to induce blood flow improvements. The procedure lasts for about 15 minutes.

Benefits Of Shockwave Therapy

  • It is a painless procedure (for most people).
  • It is a safe procedure with minimal side effects.
  • The therapy has long-term effects (for about one year).
  • You get rid of pills and invasive surgeries.

Shock Wave Therapy At The Legacy Clinic Of Chiropractic

The Legacy Clinic of Chiropractic offers diverse options of treatments for different medical conditions. The experts at the clinic are trained to deliver high-quality shock wave therapy to improve your erectile dysfunction and help you get an exciting sex life!

References

  1. Leslie, S. W., & Sooriyamoorthy, T. (2024). Erectile dysfunction. In StatPearls [internet]. StatPearls Publishing.
  2. Retzler, K. (2019). Erectile dysfunction: a review of comprehensive treatment options for optimal outcome. Journal of Restorative Medicine, 8(1).
  3. Korakakis, V., Whiteley, R., Tzavara, A., & Malliaropoulos, N. (2018). The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction. British journal of sports medicine, 52(6), 387-407.
  4. Clavijo, R. I., Kohn, T. P., Kohn, J. R., & Ramasamy, R. (2017). Effects of low-intensity extracorporeal shockwave therapy on erectile dysfunction: a systematic review and meta-analysis. The journal of sexual medicine, 14(1), 27-35.
  5. Bocchino, A. C., Pezzoli, M., Martínez-Salamanca, J. I., Russo, G. I., Giudice, A. L., & Cocci, A. (2023). Low-intensity extracorporeal shock wave therapy for erectile dysfunction: Myths and realities. Investigative and clinical urology, 64(2), 118.
  6. Sokolakis, I., & Hatzichristodoulou, G. (2019). Clinical studies on low intensity extracorporeal shockwave therapy for erectile dysfunction: a systematic review and meta-analysis of randomised controlled trials. International journal of impotence research, 31(3), 177-194.
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How Cranial Facial Release Can Help Sleep Apnea?

Cranial Facial
Cranial Facial

Sleep apnea is not just a sleep disturbance but rather a chronic condition that has devastating health consequences. Surveys show that the disorder affects a mean of 22% of men and 17% of women worldwide. Obesity, smoking, and alcohol consumption are some identified risk factors. There is no cure for the disease currently; however, there are many therapies that can alleviate symptoms. One such therapy is the cranial facial release technique, which is a non-invasive, holistic treatment modality. It is used to treat numerous head and neck disorders. This article explains how the cranial facial release technique can help sleep apnea patients.

Pathophysiology Of Sleep Apnea

Obstructive sleep apnea patients suffer from episodes of breathlessness (apnea) during sleep, which is the result of a partial or complete collapse of the airway. There is a loss of passage patency in the upper airway which majorly includes the nasopharynx and the oropharynx.

Anatomical factors such as deviated nasal septum (DNS) and adenoid/tonsillar hypertrophy contribute to the disease’s occurrence. Neurological disorders (spinal cord injury, stroke, etc.) and Down’s syndrome patients are at a greater risk of developing sleep apnea.

Holistic Treatment Of Sleep Apnea

Per a review, a multimodal holistic approach for sleep apnea is pretty useful and safe to adopt. The main aim of all the therapies is to increase the patency of the airway passage so there is less obstruction and collapse. The most commonly employed strategies include continuous positive airway pressure (CPAP), oral appliances, and maxillomandibular advancement (MMA). In some cases, multi-level pharyngeal and nasal surgery is required.

Cranial Facial Release For Sleep Apnea

A relatively newer approach that can change the dimensions of sleep apnea treatment is the Cranial Facial Release technique (CFR). What makes cranial facial release superior to other holistic modalities is that it has multiple effects on the condition.

Opens Up The Nasal Passages

The primary role played by this endonasal procedure is the opening of the nasal bones. The introduction of air pressure into the nasal turbinates widens the nasal passages and allows optimum bone movements. This maneuver helps cure chronic sinusitis and has proven to be fruitful in the management of sleep apnea.

Improves Endocrine And Neurological Disturbances

As Cranial Facial Release targets the sphenoid bone and the pituitary gland, patients suffering from sleep apnea (secondary to endocrine and neurological disorders) can notice significant improvements. This is because the Cranial Facial Release technique improves CSF flow to the pituitary gland, which alleviates hormonal and neurological disturbances in the body.

Cranial Facial  Release At The Legacy Clinic

If your sleep apnea is relegating your work productivity or the snoring is keeping your sleep partner awake through the night, visit the Legacy Clinic of Chiropractic for the best Cranial facial release. The competent professionals at the clinic offer custom-tailored treatment plans for patients. With a cranial facial release session at the clinic, you can say goodbye to your snoring and sleep apnea. So, don’t delay and book your appointment now!

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Chiropractic

Why Are Chiropractic Adjustments Important for Preventing Spinal Damage?

Chiropractic Adjustments Important for Preventing Spinal Damage
Chiropractic Adjustments Important for Preventing Spinal Damage

Injury or trauma to the spine warrants the use of non-invasive procedures like chiropractic therapy, which is gaining rapid popularity in the US. The fact that US adults are seeking chiropractic treatment (especially for spinal problems) can be attributed to the multiple benefits of this therapy.

Improved recovery, enhanced blood flow, increased range of motion, and pain alleviation are the benefits of chiropractic treatment (to name a few). In addition to the boost in healing potential, chiropractic treatment prevents future spinal damage. Patients suffering from chronic degenerative spinal disorders or trauma/injury to the spine are prone to undergoing further spinal damage. However, precise chiropractic adjustments can save you from the grave consequences.

Causes of Spine Damage

A major cause of continuous spinal damage is injuries. Direct trauma to the spine can misalign the structures leading to severe symptoms and potential for further complications. Chronic inflammatory conditions also contribute to long-term obliteration of the spinal joints. The most common causes of spinal damage include:

  • Roadside accidents RSA (Auto-mobile accidents)
  • Falls (mainly in senile patients)
  • Sports injuries
  • Chronic disorders such as arthritis, spinal stenosis, and cancer

Injuries such as direct blows or gunshot wounds can also impact the spinal cord. All such patients can get help from a chiropractor.

Chiropractic Treatment Prevents Consequences

There are multiple ways in which a chiropractor can help save you from spinal damage. The most frequently adopted treatment modalities include:

Manual Adjustments

Most chiropractors perform manual, hands-on spinal adjustments on the affected part of the spine. Disc bulges and protrusions put pressure on the nearby nerves and vessels, leading to back pain. A constricted blood supply (due to disc slippage) leads to delayed healing and greater chances of muscle weakness. Thus, to boost recovery, patients seek chiropractic treatment as soon as possible. Depending on your condition, your chiropractor may opt for instrument-aided spinal adjustment. Activator adjusting instruments have shown promising results in spinal injuries.

Transcutaneous Electrical Nerve Stimulation (TENS)

Another method of managing symptoms and limiting spinal damage is transcutaneous electrical nerve stimulation (TENS). In this non-invasive procedure, the health professional applies an electrode to the affected area which releases low-intensity electric waves. The main aim of this step is to reduce spasticity and minimize muscle cramps. Studies show that it is effective in reducing pain and enhancing the natural healing potential of the body.

Diathermy

Many patients use alternating hot and cold therapy to rid their soft tissues of inflammation and tightness. Diathermy generates deep heat within the body via electromagnetic waves which enhances mobility and accelerates tissue repair. Clinical studies show that microwave diathermy is effective in short-term management of musculoskeletal injuries. It strengthens soft tissues and prevents damage.

Ultrasound Therapy

Therapeutic ultrasound is helping many patients regain their lost joint mobility and muscle strength. The heat generated by ultrasound waves increases the “stretchiness of the spinal muscles” and boosts blood flow to the tissues. The stretchy muscle is less likely to get injured and thus, it prevents spinal damage.

Other effective techniques to protect the spine from disintegration include:

Spinal Damage Prevention at The Legacy Clinic

The Legacy Clinic of Chiropractic is dedicated to ridding you of your pains and incapabilities. If you have sustained a spine injury (or suffering from a chronic inflammatory disorder) and fear that it might further damage your spine, visit the Legacy clinic ASAP!

The experienced professionals at the facility not only provide custom-tailored treatment (spinal adjustment, massage, acupuncture, etc.)  but also take necessary steps to strengthen the body from within. This prevents further spine damage and improves generalized health.

Final Word

Injuries to the spine and chronic painful conditions increase your chances of spinal damage. Timely chiropractic treatment helps realign spinal misalignments, strengthens joints, and improves muscular stretchiness. Therapies like manual adjustment, diathermy, TENS, and ultrasound therapy, etc. have shown good results in preventing spinal damage.

References

  1. Adams, J., Peng, W., Cramer, H., Sundberg, T., Moore, C., Amorin-Woods, L., … & Lauche, R. (2017). The prevalence, patterns, and predictors of chiropractic use among US adults: Results from the 2012 National Health Interview Survey. Spine, 42(23), 1810-1816.
  2. Huggins, T., Boras, A. L., Gleberzon, B. J., Popescu, M., & Bahry, L. A. (2012). Clinical effectiveness of the activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature. The Journal of the Canadian Chiropractic Association, 56(1), 49.
  3. Vance, C. G., Dailey, D. L., Chimenti, R. L., Van Gorp, B. J., Crofford, L. J., & Sluka, K. A. (2022). Using TENS for pain control: update on the state of the evidence. Medicina, 58(10), 1332.
  4. Giombini, A., Giovannini, V., Cesare, A. D., Pacetti, P., Ichinoseki-Sekine, N., Shiraishi, M., … & Maffulli, N. (2007). Hyperthermia induced by microwave diathermy in the management of muscle and tendon injuries. British medical bulletin, 83(1), 379-396.
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Shockwave Therapy for Shoulder Issues

Shockwave Therapy for Shoulder Issues
Shockwave Therapy for Shoulder Issues

Also known as Extracorporeal shockwave therapy (ESWT), the treatment modality uses electric waves to jumpstart your body after an injury. It is a popular method of healing muscular and pain-causing diseases. Shockwave therapy (SWT) is a highly efficient, non-surgical therapy that is FDA-approved for musculoskeletal disorders such as golfer’s elbow, tennis elbow, and plantar fasciitis. This form of treatment has shown promising results in treating shoulder disorders. Research shows that shockwave therapy alters the pathophysiological process of different musculoskeletal conditions. Therefore, it can bring positive changes to patient conditions. Today, we will discover how introducing shockwaves benefits shoulder pain.

What Is Shockwave Therapy?

Shockwave therapy is a non-invasive treatment in which the professional introduces high-energy electric shockwaves (via a hand-held device) to cure soft tissue abnormalities. It is known for managing upper and lower limb tendinopathies. Moreover, this form of treatment can effectively relieve pain and come in handy in numerous shoulder pathologies. There are different types of shockwave therapies including focused, radial, and combined.

Shockwave Therapy

Shockwave Therapy for Shoulder Disorders

Patients with the following conditions can benefit from SWT/ESWT:

Tendinitis/Tendinopathies – Inflammation and tearing of soft tissues, especially tendons can cause significant pain and discomfort. Studies show that the use of shockwave therapy yields results similar to steroid injections and has minimal side effects. Therefore, shockwave therapy is a choice for most patients.

Rotator Cuff Tendinopathy – Among shoulder tendinopathies, the most prevalent issue is rotator cuff tendonitis. Incorporating shockwaves can alleviate symptoms. A 2024 study, showed that ESWT can lead to significant functional improvements in rotator cuff disease patients. Study members also reported superior pain relief and strong functional recovery. Another randomized study advocates the use of ESWT as an adjuvant therapy for rotator cuff patients suffering from shoulder stiffness.

Calcific Tendonitis – Another condition that can affect shoulder health is calcific tendonitis. The use of radial shockwave therapy improves shoulder articular function, lowers pain, and enhances overall quality of life. Clinical studies demonstrate that the most beneficial wave therapy for calcific tendonitis is combined focused and radial ESWT.

Frozen Shoulder – Adhesive capsulitis or frozen shoulder is a painful condition of the shoulder that affects 3-5% of the general population. When used as an adjunctive therapy, ESWT alleviates pain and improves function. The treatment is completely safe and readily accepted by most patients.

In addition to chronic shoulder pain, patients with shoulder injuries can also take advantage of extracorporeal shockwave therapy.

Benefits of Shockwave Therapy?

The introduction of electric shockwaves in the body has the following benefits:

  • Improves circulation of the injured/inflamed tissues
  • Breaks down calcific deposits (as in calcific tendonitis)
  • Stimulates the regeneration of new connective tissues
  • Cuts down inflammation of the affected site

Shockwave Therapy at The Legacy Clinic Of Chiropractic

The Legacy Clinic of Chiropractic offers high-quality treatments for shoulder pain. Shockwave therapy is one of our most efficient and liked therapies for shoulder disorders. If shoulder pain keeps you from doing your basic activities, we suggest you get a session of shockwave therapy!

Final Word

Electroconvulsive Shockwave therapy (ESWT) is an effective therapy to treat different shoulder pathologies such as calcific tendonitis, rotator cuff injury, frozen shoulder, etc.  The introduction of high-energy electric shockwaves improves blood flow and promotes natural healing of the body.

References

  1. Al-Abbad, H., Allen, S., Morris, S., Reznik, J., Biros, E., Paulik, B., & Wright, A. (2020). The effects of shockwave therapy on musculoskeletal conditions based on changes in imaging: a systematic review and meta-analysis with meta-regression. BMC Musculoskeletal Disorders, 21, 1-26.
  2. Elgendy, M. H., Khalil, S. E., ElMeligie, M. M., & Elazab, D. R. (2024). Effectiveness of extracorporeal shockwave therapy in treatment of upper and lower limb tendinopathies: A systematic review and meta‐analysis. Physiotherapy Research International, 29(1), e2042.
  3. Lee, H. W., Kim, J. Y., Park, C. W., Haotian, B., Lee, G. W., & Noh, K. C. (2022). Comparison of extracorporeal shock wave therapy and ultrasound-guided shoulder injection therapy in patients with supraspinatus tendinitis. Clinics in Orthopedic Surgery, 14(4), 585.
  4. Xue, X., Song, Q., Yang, X., Kuati, A., Fu, H., & Cui, G. (2024). Effect of extracorporeal shockwave therapy for rotator cuff tendinopathy: a systematic review and meta-analysis. BMC Musculoskeletal Disorders, 25(1), 1-20.
  5. Ammendolia, A., Marotta, N., Demeco, A., Marinaro, C., Moggio, L., Barletta, M., & Costantino, C. (2020). Effectiveness of Radial Shockwave Therapy in Calcific and Non-Calcific Tendinopathy of the Shoulder: a Systematic Review and Meta-Analysis. Muscles, Ligaments & Tendons Journal (MLTJ), 10(1).
  6. Abo Al-Khair, M. A., El Khouly, R. M., Khodair, S. A., Al Sattar Elsergany, M. A., Hussein, M. I., & Eldin Mowafy, M. E. (2021). Focused, radial and combined shock wave therapy in treatment of calcific shoulder tendinopathy. The Physician and Sportsmedicine, 49(4), 480-487.
  7. Jacob, L., Gyasi, R. M., Koyanagi, A., Haro, J. M., Smith, L., & Kostev, K. (2023). Prevalence of and risk factors for adhesive capsulitis of the shoulder in older adults from Germany. Journal of clinical medicine, 12(2), 669.
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Chiropractic

Chiropractic Treatment and Decompression for Spinal Degeneration

Chiropractic Treatment and Decompression for Spinal Degeneration

Degenerative disc disease is the most common type of spinal degeneration. The condition is characterized by a loss of function of vertebral bones (and discs). Multiple underlying conditions lead to degeneration of your spine. The most prevalent causes of spinal degeneration include:

  • Aging: With progressing age, there is wear and tear in all the joints, including vertebral joints. 
  • Arthritis: A major contributor to spinal bone breakdown is osteoarthritis. Another type of arthritis i.e., rheumatoid arthritis can also lead to degeneration. 
  • Disc Herniations: Spinal degeneration resulting from a slipped disc is seen in numerous cases. 
  • Spinal stenosis: Degenerative lumbar spinal stenosis is the most frequent cause of low back pain in old patients. It is commonly associated with spinal stenosis.

Spinal degenerative disorders frequently cause lower back pain and neuropathic symptoms like burning, tingling, and paresthesias, etc. Patients suffer from reduced mobility and range of motion. This reduces the quality of life and further worsens the condition. Mostly older patients encounter these problems, therefore, healing is slow and disease progression leads to loss of function and mobility.

One of the most potent treatment strategies for managing all such disorders is chiropractic treatment. This is because a chiropractic adjustment is non-invasive and shows promising results in alleviating symptoms.

How Chiropractic Adjustment Helps Spinal Degeneration Conditions?

Chiropractors can improve the life quality of a spinal degeneration patient in multiple ways. Most chiropractors opt for joint stretching to realign the spine (bones and the muscles). The equal distribution of forces on your back eliminates many problems. Sometimes, chiropractors may choose instrument-aided spinal correction such as the flexion-distraction technique. Studies show that flexion-distraction decreases pain and improves function in degenerative disc disease patients.

Going to the chiropractor has numerous benefits, some of which are mentioned below:

Relieves Pressure from Vertebrae

As spinal degeneration may be triggered by a herniated disc, repositioning the intervertebal disc takes away the source of damage. Chiropractic adjustment effectively regresses lumbar disc herniation and improves symptoms of degeneration.

Improves Mobility and Flexibility

Spinal manipulation and decompression strategies not only minimize pain and neuropathic symptoms but also improve joint mobility. A clinical trial revealed that spinal manipulation enhanced spinal mobility and hip flexion, and improved self-perceived pain in degenerative disc disease patients.

Halts The Progress of Disease

Chiropractic sessions improve the blood supply of the spine. This promotes natural healing of the body. Patients report significant improvements in the condition and enjoy a boost in generalized well-being. This strengthens the mind and body and thus, halts the further progression of the disease.

Spinal Degeneration Management at The Legacy Clinic of Chiropractic

The Legacy Clinic of Chiropractic offers highly effective treatment modalities to manage and halt the progression of spinal degeneration. So, you can enjoy a pain-free, active life with the right chiropractic treatment.  

Conclusion

Multiple conditions like trauma, aging, arthritis, and disc slippage can cause spinal bones to degenerate. This leads to radiating pain, burning/tingling sensations, and muscle weakness, etc. Chiropractic treatment strategies (like joint stretching, and flexion distraction techniques) and decompression help relieve symptoms. This non-invasive procedure realigns the herniated disc, improves spinal mobility, and halts the progression of the disease. This leads to significant relief and enhanced quality of life.

References

  1. Siemionow, K., An, H., Masuda, K., Andersson, G., & Cs-Szabo, G. (2011). The effects of age, sex, ethnicity, and spinal level on the rate of intervertebral disc degeneration: a review of 1712 intervertebral discs. Spine, 36(17), 1333-1339.
  2. Fine, N., Lively, S., Séguin, C. A., Perruccio, A. V., Kapoor, M., & Rampersaud, R. (2023). Intervertebral disc degeneration and osteoarthritis: a common molecular disease spectrum. Nature Reviews Rheumatology, 19(3), 136-152.
  3. Koban, O., Öğrenci, A., Akar, E. A., Uyanık, A. S., Yılmaz, M., & Dalbayrak, S. (2021). Radiological and clinical comparisons of the patients with rheumatoid arthritis operated with rigid and dynamic instrumentation systems due to lumbar degenerative spinal diseases. Journal of Orthopaedic Science, 26(3), 369-374.
  4. Kirnaz, S., Capadona, C., Wong, T., Goldberg, J. L., Medary, B., Sommer, F., … & Härtl, R. (2022). Fundamentals of intervertebral disc degeneration. World neurosurgery, 157, 264-273.
  5. Hennemann, S., & Abreu, M. R. D. (2021). Degenerative lumbar spinal stenosis. Revista brasileira de ortopedia, 56(1), 9-17.
  6. Buser, Z., Ortega, B., D’Oro, A., Pannell, W., Cohen, J. R., Wang, J., … & Wang, J. C. (2018). Spine degenerative conditions and their treatments: national trends in the United States of America. Global spine journal, 8(1), 57-67.
  7. Pi, T., & Chung, Y. (2021). Immediate effect of flexion-distraction spinal manipulation on intervertebral height, pain, and spine mobility in patients with lumbar degenerative disc disease. Physical Therapy Rehabilitation Science, 10(2), 235-243.
  8. Chu, E. C., Chakkaravarthy, D. M., Lo, F. S., & Bhaumik, A. (2020). Regression of lumbar disc herniation following non-surgical treatment. European Journal of Molecular & Clinical Medicine, 7(1), 27-79.
  9. Vieira-Pellenz, F., Oliva-Pascual-Vaca, Á., Rodriguez-Blanco, C., Heredia-Rizo, A. M., Ricard, F., & Almazán-Campos, G. (2014). Short-term effect of spinal manipulation on pain perception, spinal mobility, and full height recovery in male subjects with degenerative disk disease: a randomized controlled trial. Archives of physical medicine and rehabilitation, 95(9), 1613-1619.

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Chiropractic

How Chiropractic Adjustment and Spinal Decompressions Help Disc Bulges, Herniations and Protrusions?

Chiropractic Adjustment and Spinal Decompressions Help Disc Bulges

The most effective non-surgical method of managing a herniated disc is chiropractic care. Numerous patients across the globe seek chiropractic treatment for aches induced by a slipped disc. According to reports, there is a growing trend of chiropractic care in US adults. The lifetime prevalence of patients seeking chiropractic care (majorly for back and neck pain) was 24%. The numbers continue to rise because of the therapeutic advantages of chiropractic treatment.

Chiropractic Strategies for Disc Protrusions

A protruded or bulging disc exerts unnatural pressure on the nearby nerves. This nerve impingement can lead to the development of symptoms in the area innervated by the nerve. The most common issues encountered with a disc slip include:

  • Radiating pain (especially back pain radiating from the buttocks/lower back to the feet)
  • Burning 
  • Tingling
  • Numbness
  • Muscle weakness

Depending on the area, a slipped disc can present with symptoms like neck pain and lower back pain. The cervical (neck) and lumbar vertebrae are most prone to injury and protrusions.

Chiropractors are trained professionals who can relieve your debilitating symptoms. There are various techniques that a chiropractor adopts to help cut down the pain and agony. The highly effective techniques to realign a bulging disc include:

Spinal Decompression

This involves applying gentle forces on the mispositioned vertebrae. This particular treatment type significantly lowers pain and other symptoms. Therefore, it is considered a suitable option for conservative management of lumbar disc herniation.

Flexion-distraction technique

In addition to the conventional manual adjustment, chiropractors also perform specialized therapies for disc protrusions. Performed on a specialized table, the flexion-distraction technique involves gentle stretching i.e., distraction of the spine. The chiropractor flexes the spine in a rhythmic motion. This technique also improves the disc height. Studies conclude flexion-distraction to be a viable non-surgical treatment option for disc slip patients. Most individuals readily accept the treatment option and report significant improvements in symptoms.

Ultrasound Therapy

The introduction of ultrasound waves into the body produces heat which is capable of healing skeletomuscular disorders. Many chiropractors combine different therapies to achieve superior results. Ultrasound therapy and short-wave diathermy (heat application) help improve symptoms of disc bulging.

Laser Therapy

The field of therapeutic lasers is continually evolving. Therefore, now we have medical lasers for different medical conditions. The use of lasers in spinal disorders has shown promising results. According to a 2020 study, high-intensity laser therapy is highly effective in controlling lumbar disc herniation pain.

Other potent non-surgical disc herniation strategies include:

  • Transcutaneous electrical nerve stimulation (TENS)
  • Dry needling
  • McKenzie exercises

Disc Herniation Treatment at The Legacy Clinic of Chiropractic

The Legacy Clinic of Chiropractic offers multiple treatment options to manage disc protrusions under one roof. If your radicular pain is proving to be debilitating, visit the Legacy clinic and get your health back!

Conclusion

A disc herniation can be a debilitating disorder. Numerous patients avoid surgery and prefer non-surgical approaches. Chiropractic treatment is a safe, efficacious, and highly effective mode of healing for disc herniations. Most chiropractors use a combination of different techniques like spinal decompression, flexion-distraction, ultrasound, laser therapy, etc to obtain better results. Clinical studies advocate the use of these strategies in the symptomatic management of cervical/lumbar disc herniations.

References

  1. Adams, J., Peng, W., Cramer, H., Sundberg, T., Moore, C., Amorin-Woods, L., … & Lauche, R. (2017). The prevalence, patterns, and predictors of chiropractic use among US adults: Results from the 2012 National Health Interview Survey. Spine, 42(23), 1810-1816.
  2. Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P. B. (2022). Effect of Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International journal of clinical practice, 2022(1), 6343837.
  3. Kruse, R. A., White, B. A., & Gudavalli, S. (2019). Management of Lumbar Radiculopathy Associated With an Extruded L4-L5 Spondylolytic Spondylolisthesis Using Flexion-Distraction Manipulation: A Case Study. Journal of Chiropractic Medicine, 18(4), 311-316.
  4. Ozen, S., Guzel, S., Senlikci, H. B., Cosar, S. N. S., & Selcuk, E. S. (2023). Efficacy of ultrasound versus short wave diathermy in the treatment of chronic low back pain in patients with lumbar disk herniation: a prospective randomized control study. BMC Sports Science, Medicine and Rehabilitation, 15(1), 157.
  5. Huang, Y., & Gao, D. (2020). The effectiveness of high intensity laser therapy in the patients with lumbar disc herniation: A protocol of randomized placebo-controlled trial. Medicine, 99(41), e22520.
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Chiropractic

The Role of Chiropractic Treatment and Spinal Decompression in Stenosis

Chiropractic Treatment and Spinal Decompression
Chiropractic Treatment and Spinal Decompression

Spinal stenosis is a chronic condition characterized by the narrowing of your spinal canal. This narrowing leads to compression of the nearby nerves which leads to discomfort and symptoms like radiating pain, burning aches, numbness, or tingling sensation (mostly in the legs and feet). As spinal stenosis compromises the nerve supply of the muscles, long-term disease can also cause muscle weakness. According to reports, every 5/1000 persons in the US above 50 years of age suffer from spinal stenosis. Experts predict that the prevalence of spinal stenosis will increase up to 18 million in the next decade.

Therefore, effective treatment modalities are important in managing the condition. As spinal stenosis mostly affects old adults, it is preferable to opt for non-surgical methods of treatment. Some of the most potent non-surgical treatment strategies for spinal stenosis are mentioned below:

Common Chiropractic Treatment Strategies for Spinal Stenosis

Chiropractic treatment is the go-to spinal treatment for many individuals across the globe. At a chiropractic clinic, you can get relief from your spinal stenosis pain in a number of ways.

Spinal Adjustments/Manipulation

Chiropractors perform manual spinal adjustments to realign the spine. This realignment of the vertebral bones tends to correct spine deformities. Sometimes, a herniated disc causes the spinal canal to narrow. Studies suggest that chiropractic adjustment shows promising results in managing herniation-induced spinal stenosis. Thus, this conservative approach must be considered.

Flexion-Distraction Technique

The flexion-distraction therapy is a chiropractic technique for relieving spine pain. It is performed on a special table and is characterized by gentle distraction and rhythmic spine flexion. This very technique has proven to be an effective intervention in minimizing pain and disability in lumbar spinal stenosis patients. A 2022 study concluded that spinal manipulation (flexion-distraction technique) improved objective and subjective outcomes in lumbar spinal stenosis patients.

Therapeutic Massages

Massage therapy is known to improve blood flow and promote natural healing. The professional touch of a masseuse can alleviate pain and anxiety. Therapeutic massages have shown good results in reducing back pain due to scoliosis, degenerative disc disease, or spinal stenosis.

Ultrasound Therapy

Modern chiropractors frequently use high-frequency ultrasound waves to relegate low back pain, relax muscles, and enhance blood flow. Most of the time, ultrasound therapy is used in conjunction with other chiropractic treatments. Combined use of exercise, ultrasound therapy, and manual manipulation improves symptoms of lumbar spinal stenosis.

Spinal Decompression for Spinal Stenosis

Nonsurgical spine decompression is usually done to relieve back pain. It is a motorized traction method that gently stretches the spine to decompress the impinged structures. By applying gentle forces, the chiropractor creates negative pressure on the discs leading to realignment of the spine. Such non-surgical interventions have shown promising results in improving function among lumbar spinal stenosis patients.

Spinal Stenosis Management at The Legacy Clinic

The Legacy Clinic of Chiropractic offers multiple treatment modalities to minimize your stenosis patients. So, don’t delay and get instant pain relief by booking an appointment.

Final Word

Spinal stenosis is the narrowing of the spinal column that may cause radiating pain and nerve symptoms like burning, tingling, paresthesias, and even muscle weakness. Non-surgical management is a potent treatment option. A chiropractor can effectively alleviate symptoms with spinal adjustments (flexion-distraction technique), therapeutic massages, ultrasound therapy, etc. Moreover, non-surgical spinal decompression involves gentle traction of the spine to realign it.

References

  1. https://www.niams.nih.gov/health-topics/spinal-stenosis
  2. Raja, A., Hoang, S., Patel, P., & Mesfin, F. B. (2017). Spinal stenosis.
  3. Zhang, A. S., Xu, A., Ansari, K., Hardacker, K., Anderson, G., Alsoof, D., & Daniels, A. H. (2023). Lumbar disc herniation: diagnosis and management. The American journal of medicine, 136(7), 645-651.
  4. Chu, E. C. P., & Sabourdy, E. (2023). Non-surgical restoration of L3/L4 disc herniation. Cureus, 15(6).
  5. Choi, J., Lee, S., & Jeon, C. (2015). Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. Journal of physical therapy science, 27(6), 1937-1939.
  6. Smith, D. L., Olding, K., Malaya, C. A., McCarty, M., Haworth, J., & Pohlman, K. A. (2022). The influence of flexion distraction spinal manipulation on patients with lumbar spinal stenosis: A prospective, open-label, single-arm, pilot study. Journal of Bodywork and Movement Therapies, 32, 60-67.
  7. Allen, L. (2016). Case study: the use of massage therapy to relieve chronic low-back pain. International journal of therapeutic massage & bodywork, 9(3), 27.
  8. Whitman, J. M., Flynn, T. W., Childs, J. D., Wainner, R. S., Gill, H. E., Ryder, M. G., … & Fritz, J. M. (2006). A comparison between two physical therapy treatment programs for patients with lumbar spinal stenosis: a randomized clinical trial.
  9. Delitto, A., Piva, S. R., Moore, C. G., Fritz, J. M., Wisniewski, S. R., Josbeno, D. A., … & Welch, W. C. (2015). Surgery versus nonsurgical treatment of lumbar spinal stenosis: a randomized trial. Annals of internal medicine, 162(7), 465-473.
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Articles

Vitamin D3: The Dire Need Of The Hour

Vitamin D3
Vitamin D3

The fat-soluble vitamin i.e., vitamin D has been the focus of attention recently. This micronutrient plays so many roles in the human body that scientists have declared it a precursor hormone i.e., prohormone that converts into active hormone form. You can endogenously produce vitamin D when exposing your skin to ultraviolet (UV) rays from the sunlight.

However, today’s indoor-based lifestyle has cut the sun out of our routines. The result is a large-scale deficiency of the vitamin. According to reports, the prevalence of severe vitamin D deficiency in the global adult population is almost 27%. As per another estimate, around 490 million individuals in India are vitamin D deficient. This deficiency is linked to a myriad of problems ranging from hair fall to depression and skeletomuscular disorders. Therefore, dietary supplementation of vitamin D is a must.

Benefits Of Taking Vitamin D3

The commonly consumed (orally) form of vitamin D is cholecalciferol or vitamin D3. It is essential for optimal growth of teeth and bones. The multiple therapeutic advantages of taking vitamin D3 include:

Promotes Bone Health

It is an open secret that vitamin D3 supplementation ensures the maintenance of bone health. By regulating the absorption of calcium from the GI tract, vitamin D3 promotes bone formation and protects you against disorders such as osteoporosis.

Enhances Mental Health

Low serum levels of vitamin D are directly linked to increased risk and occurrence of anxiety and depression. Vitamin D3 supplements elevate mood and protect you from falling into the pit of depression. It also keeps neurodegenerative disorders like Alzheimer’s disease at bay.

Boosts Immunity And Flushes Out Inflammation

With a plethora of viral infections in the modern world, it is critical to boost our immunities. Multiple studies have shown that vitamin D3 intake strengthens the immune system, making it robust against bacterial/viral invasion. Moreover, it relegates inflammation from the body. Thus, it also alleviates symptoms of pain and disease.

Improves Muscle Strength

Individuals lacking optimal levels of vitamin D often report repeated muscle spasms and weakness. In addition to bone health promotion, vitamin D3 intake improves muscle performance. It also reduces muscle fatigue and the frequency of cramps while speeding up muscle recovery.

Protects Against Heart Problems

As vitamin D helps regulate the calcium levels in the body, it is considered a cardioprotective agent. D3 supplementation regulates blood pressure and aids in keeping the arteries clean. Thus, there are fewer chances of atherosclerosis and heart issues. Moreover, it also keeps triglyceride levels in check.

Conclusion

Vitamin D3 supplementation is a must for generalized health. It offers multiple health benefits. You can expect evident improvements in bone and muscle health. Intake of cholecalciferol is linked to enhanced immunity and reduced inflammation. It significantly improves mental and cardiac health and keeps pathologies at bay.

References

  1. Ellison, D. L., & Moran, H. R. (2021). Vitamin D: vitamin or hormone?. Nursing Clinics, 56(1), 47-57.
  2. Hovsepian, S., Amini, M., Aminorroaya, A., Amini, P., & Iraj, B. (2011). Prevalence of vitamin D deficiency among adult population of Isfahan City, Iran. Journal of health, population, and nutrition, 29(2), 149.
  3. Amrein, K., Scherkl, M., Hoffmann, M., Neuwersch-Sommeregger, S., Köstenberger, M., Tmava Berisha, A., … & Malle, O. (2020). Vitamin D deficiency 2.0: an update on the current status worldwide. European journal of clinical nutrition, 74(11), 1498-1513.
  4. Skalny, A. V., Aschner, M., Tsatsakis, A., Rocha, J. B., Santamaria, A., Spandidos, D. A., … & Tinkov, A. A. (2023). Role of vitamins beyond vitamin D3 in bone health and osteoporosis. International journal of molecular medicine, 53(1), 9.
  5. Hemamy, M., Pahlavani, N., Amanollahi, A., Islam, S. M. S., McVicar, J., Askari, G., & Malekahmadi, M. (2021). The effect of vitamin D and magnesium supplementation on the mental health status of attention-deficit hyperactive children: a randomized controlled trial. BMC pediatrics, 21, 1-8.
  6. Bikle, D. D. (2022). Vitamin D regulation of immune function. Current osteoporosis reports, 20(3), 186-193.
  7. Shalaby, M., Sakoury, M. M. A., Harthi, S. M., Alshalawi, F. M., Alhajji, M. M., Alshaikh, Z. H., & Aljaber, A. H. (2020). Vitamin D3 for health and muscle functions of athletes. Systematic Reviews in Pharmacy, 11(9), 851-854.
  8. Condoleo, V., Pelaia, C., Armentaro, G., Severini, G., Clausi, E., Cassano, V., … & Sciacqua, A. (2021). Role of vitamin D in cardiovascular diseases. Endocrines, 2(4), 417-426.

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Chiropractic

Spinal Decompression Therapy

Spinal decompression therapy is a perfect approach to relieve chronic back pain. Learn how this non-surgical intervention works and benefits the individuals.

WHAT IS SPINAL DECOMPRESSION THERAPY?

Spinal decompression therapy is FDA cleared and has been clinically proven with an 86% success rate for pain associated with herniated, bulging or degenerative discs… even after failed surgery. It is a non-surgical, traction therapy for the relief of back and leg pain or neck and arm pain. During this procedure, by cycling through distraction and relaxation phases and by proper positioning, a spinal disc can be isolated and placed under negative pressure, causing a vacuum effect within it.

WHAT CAN THIS VACCUM EFFECT DO?

The vacuum effect accomplishes two things. From a mechanical standpoint, disc material that has protruded or herniated outside the normal confines of the disc can be pulled back within the disc by the vacuum created within the disc. Also, the vacuum within the disc stimulates blood supply, secondarily stimulating a healing response. This results in pain reduction and proper healing at the injured site.

WHAT MACHINE IS USED FOR THIS PURPOSE?

There are a number of spinal decompression machines presently used in the United States. After significant research, Legacy Clinic has chosen to use the Kennedy KDT Nero flex machine manufactured by Mettler, Inc., the premier manufacturer of physical therapy equipment in the world.

HOW IS SPINAL DECOMPRESSION THERAPY DIFFERENT FROM REGULAR TRACTION

The DTS computer is the key. It controls the variations in the traction allowing for spinal decompression and eliminating muscle guarding and subsequent compression that is typical in conventional traction devices. The preprogrammed patterns for ramping up and down the amount of axial distraction allows for higher levels of spinal decompression and disc rehydration.

WHO CAN BENEFIT FROM SPINAL DECOMPRESSION THERAPY?

Anyone who has back pain or neck pain caused in whole or in part by a damaged disc may be helped by spinal decompression therapy. These conditions include: degenerative, herniated, protruding or bulging discs, spinal stenosis, sciatica or radiculopathy (pinched nerves).

ARE THERE CONDITIONS WHERE SPINAL DECOMPRESSION THERAPY IS NOT INDICATED?

Spinal decompression therapy is usually not recommended for pregnant women, or patients who have severe osteoporosis, severe obesity or severe nerve damage. However, every patient is evaluated on an individual basis.

ARE THERE MEDICAL STUDIES THAT DOCUMENT THE EFFECTIVENESS OF SPINAL DECOMPRESSION THERAPY?

Most certainly! One study documented by MRI up to 90% reduction of disc herniations in 10 of 14 cases! Another study reported that 86% of ruptured disc patients achieved “good” (50-89% improvement) to “excellent (90-100% improvement) results after spinal decompression therapy!

HOW MANY SESSIONS WILL BE NECESSARY, WHAT IS THE COST AND ARE THE TREATMENTS PAINFUL?

The doctor will determine the specific treatment plan after your examination and evaluation. Based on CURRENT RESEARCH, the best results have been achieved utilizing a protocol of 24 sessions over a 8-week period. Most insurance companies will cover the treatment. In almost all cases, the treatments are completely painless. In fact, some patients fall asleep during the spinal decompression session.

DO MOST PATIENTS RECEIVE THERAPY AND REHABILITATIVE EXERCISES IN ADDITION TO SPINAL DECOMPRESSION THERAPY?

To reduce inflammation and assist the healing process, supporting structures are treated with passive therapies (ice/heat/muscle stimulation), chiropractic adjustments (as indicated) and/or active rehabilitation in order to strengthen the spinal musculature.

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Articles

Piriformis Syndrome Management

Piriformis Syndrome Management

Also known as pseudo sciatica, piriformis syndrome is a painful condition when the piriformis muscle puts pressure on the sciatic nerve. The piriformis muscle is a major hip flexor muscle (located in the buttocks). It plays an important role in stabilizing the hip joint and allows you to rotate the thigh (away from the body). Thus, a healthy piriformis is necessary for dancing, playing pickleball, and even walking.

As you age, the hip joint and the muscles undergo degeneration and there is a generalized loss of mobility. Thus, even simple activities lead to overstretching of the piriformis muscle fibers. This manifests as sharp radiating pain, numbness, burning, and tingling.

Diagnosing piriformis can be a little tricky for healthcare providers and treating it is even more problematic. The location and anatomical importance of piriformis make access and healing difficult. Therefore, there is a need for a special approach.

Piriformis Syndrome Treatment At The Legacy Clinic

While most health professionals emphasize cold application to provide relief from piriformis syndrome, Legacy clinic experts have cracked the code for quick and long-lasting relief. As per experienced professionals at the Legacy clinic (who have been dealing with piriformis patients for years), these are the most effective ways of relief:

Rest And Medications

Studies show that piriformis syndrome accounts for 6% of all low back pain cases. There are multiple (surgical and non-surgical) ways of treating the syndrome but the most important step is to take ample rest. Bed rest allows natural healing and pain-killer medications provide momentary relief from pain.

Ultrasound Therapy

The introduction of ultrasound (sound waves) within the body causes micro-vibrations of the tissues leading to heat production. This heat improves blood flow and thereby enhances the healing potential of the affected muscles. Interferential therapy and ultrasound therapy effectively strengthen the piriformis muscle and help relieve symptoms. According to a study, continuous ultrasound therapy alleviates pain in different kinds of pain syndromes like piriformis and myofascial pain syndrome.

Heat Application

According to experts, heat application does a wonderful job of releasing muscle tension. Diathermy, also known as deep heating, is a procedure that induces heat by delivering electromagnetic currents (high frequency) into the body.

Shortwave diathermy is frequently employed to relieve piriformis syndrome patients. The procedure has shown promising results. Therefore, it is an important modality at the Legacy Clinic. At the clinic, most patients become pain-free with a couple of sessions, thanks to the deep penetration of the waves and enhanced internal healing. However, if a patient doesn’t get relief after four sessions, Dr. Perry advises trigger point injections.

Trigger Point Injections

A trigger point in a muscle is a tender, and painful-to-touch point that arises due to muscle knots. If conventional therapies (ultrasound, diathermy, physical therapy) are ineffective, doctors opt for trigger point injections to achieve quick results.

A trigger point injection (TPI) may be void of any substance i.e., dry needling which physically releases the muscle tension. However, sometimes, doctors inject corticosteroids or botulinum toxin for inflammation reduction and muscle relaxation, respectively.

TPI technique is proven to be effective in the management of piriformis syndrome. New studies reveal that dry needling (trigger point injections) can reduce pain within 15 minutes of administration. Case studies show that symptoms of multiple patients resolved after dry needling which significantly improved quality of life.

Piriformis Syndrome Care At Legacy Clinic

If your piriformis syndrome keeps you off the pickleball court and conventional therapies have failed, we suggest you visit the Legacy Clinic of Chiropractic. Here, seasoned clinicians like Dr. Perry will use diathermy and trigger point injections to wane off the discomfort and improve your quality of life.