Blog Archive

Is the risk of Stillbirth higher with home births vs. hospital births ? Sep 19th, 2013

According to the October issue of the American Journal of Obstetrics and Gynecology, the risk of stillbirth is 10 times higher for homebirths.Researchers at New York-Presbyterian Hospital and Weill Cornell Medical Center, who analyzed data on more than 13 million US births. It is the largest study of its kind,...

Prescription Opioid Use for Low Back Pain associated with Erectile Dysfunction. Jul 18th, 2013

Prescription Opioids for Back Pain and Use of Medications for Erectile Dysfunction. Spine: 15 May 2013 - Volume 38 - Issue 11 - p 909–915. Deyo, Richard A. MD, MPH*; Smith, David H. M. PhD, RPh†; Johnson, Eric S. PhD†; Tillotson, Carrie J. MPH‡; Donovan, Marilee PhD, RN†; Yang, Xiuhai MS†;...

Spinal Manipulation vs. Diclofenac for Acute Low Back Pain Jul 18th, 2013

Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain: A Double-Blinded Randomized Controlled Trial in Comparison With Diclofenac and PlaceboSpine, April 2013;38(7):540-48.Von Heymann, Wolfgang J. Dr. Med*; Schloemer, Patrick Dipl. Math†; Timm, Juergen Dr. RER, NAT, PhD†; Muehlbauer, Bernd Dr. Med* A recent article in Spine Journal, one of the...

Going off the grid: cancelling cable TV. Jan 31st, 2013

Cable TV: The "Heroin" of the entertainment world. This is a departure from the usual Blog posts on Health & Medicine but I felt compelled to share my experience of cancelling cable.When we think of Comcast, Xfinity, AT&T, Astound and all the other cable providers out there, it is definitely a...

For Neck Pain, Chiropractic Spinal Manipulation (Adjustments) superior than Medication Jan 26th, 2013

Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain: A Randomized Trial. Gert Bronfort, DC, PhD; Roni Evans, DC, MS; Alfred V. Anderson, DC, MD; Kenneth H. Svendsen, MS; Yiscah Bracha, MS; and Richard H. Grimm, MD, MPH, PhD.For Neck Pain, Chiropractic Spinal Manipulation (Adjustments) yielded superior results...

Back pain improves in first six weeks with treatment but lingering effects at one year. Jan 26th, 2013

A large study published in the Canadian Medical Association Journal (CMAJ) found that for people presenting with Low Back Pain, symptoms will improve within the first 6 weeks but disability may linger for 1 year.Researchers from Australia and Brazil examined data from 33 studies (11,166 participants) to understand the clinical course of pain and disability...

Who is to Blame for Spine Care Costs in the US ? Jan 25th, 2013

Where the United States Spends Its Spine Dollars: Expenditures on Different Ambulatory Services for the Management of Back and Neck Conditions. Spine: 01 September 2012 - Volume 37 - Issue 19 - p 1693–1701. Davis, Matthew A. DC, MPH; Onega, Tracy PhD; Weeks, William B. MD, MBA; Lurie, Jon D. MD,...

Top Hospitals for Emergency Care - Have 40% LOWER Death Rate Apr 18th, 2012

From: MedScape Medical news (login required).More than 123.8 million people in the United States will make an ED visit, and 13% will end up being admitted to the hospital, according to the US Centers for Disease Control and Prevention.Researchers analyzed more than 7 million Medicare patient records from 2008 to 2010 for...

Who will have Health Insurance in the future ? Apr 17th, 2012

From: Annals of Family Medicine. 2012;10(2):156-162.It was previously estimated that the cost of a family health insurance premium would equal the median household income by the year 2025 by DeVoe and colleagues.In an updated model, it is estimated that this threshold (i.e. the cost of a family health insurance premium would equal...

Doctors poll results on Affordable Care Act (ACA) aka "Obamacare" Apr 17th, 2012

From: WebMD, MedScape, business of medicine. Log in required.The ACA is a hotly debated topic. Specifically, the individual mandate requiring individuals to purchase health care coverage. In fact, this will be debated in the Supreme Court this June.Here are some of the highlights of the poll results from US Physicians:Do you...

Manipulation or Microdiskectomy for Sciatica ? Dec 16th, 2011

From: J Manipulative Physiol Ther. 2010 Oct;33(8):576-84.Spinal manipulation (sometimes referred to as a 'spinal adjustment') is the Chiropractors primary therapy. Microdiscectomy is a surgical procedure which removes a portion of the facet joint (part of the spine) as well as a portion of the herniated disc which is "pinching" the nerve root.This...

Do Chiropractic Physician services for the treatment of Low Back and Neck Pain improve the value of Dec 16th, 2011

Traditionally, Doctors and Insurance plans have often disagreed on how to manage a patients health. For a Doctor, we recommend treatments and diagnostic testing (X-ray, MRI, CT, nerve testing) which we feel will give us the most accurate diagnosis and therefore formulate a treatment plan tailored to our patients needs....

Whiplash - Cervical Zygapophysial Joint Pain After Whiplash Nov 29th, 2011

From: On Cervical Zygapophysial Joint Pain After Whiplash. Bogduk, Nikolai MD, PhD. Spine: 1 December 2011 - Volume 36 - Issue - p S194–S199.What is Whiplash ? Whiplash is an injury to the neck and upper back that can occur following an auto accident. Whiplash can also occur in other circumstances where the neck is...

Assessing the outcomes after Spinal Fusion surgery. Nov 29th, 2011

From: Perioperative Morbidity and Mortality After Anterior, Posterior, and Anterior/Posterior Spine Fusion Surgery. Stavros G. Memtsoudis, MD, PhD; Vassilios I. Vougioukas, MD, PhD; Yan Ma, PhD; Licia K. Gaber-Baylis, BA; Federico P. Girardi, MD. Spine. 2011;36(22):1867-1877. © 2011 Lippincott Williams & Wilkins.The utilization of Spinal fusion techniques have increased dramatically despite the relatively few studies showing the...

Is there a genetic predisposition to "Back Disease"? Nov 2nd, 2011

J Bone Joint Surg Am. 2011;93:225-229. AbstractIn an analysis of a database of more than 2 million people, first-degree and third-degree relatives of people with lumbar disc disease had a significantly increased relative risk of developing the back condition themselves compared with expected rates for the general population. "The results of...

Low Back Pain in Adolecents and Teens - Imaging Nov 2nd, 2011

From: American Academy of Pediatrics (AAP) 2011 National Conference and Exhibition; Abstract #14782. Presented October 14, 2011.  No Imaging Needed for Most Low Back Pain in TeensLow back pain is common in adolescents and teens. Most cases of low back pain are diagnosed as "mechanical low back pain", which is a...

Diagnosis - Thoracic Outlet Syndrome Oct 30th, 2011

Thoracic Outlet SyndromeThoracic outlet syndrome is a type of Brachial Plexus lesion involving compression of the neural (nerves) and/or vascular (blood vessels) structures between the rib cage, collarbone and neck:Compression can occur at 3 sites:1.) At an abnormal cervical rib.2.) At the clavicle (collarbone).3.) At the anterior muscles of the...

Recovery of Brachial Plexus Lesions Resulting from Heavy Backpack use. Oct 30th, 2011

From: BMC Musculoskeletal Disorders. 2011;12(1) © 2011 BioMed Central, Ltd.Brachial plexus lesions as a consequence of carrying a heavy backpack have been reported, but the typical clinical course and long-term consequences are not clear. Here we evaluated the clinical course and pattern of recovery of backpack palsy (BPP) in a large series of patients. Eighty...

Prevalence and Tracking of Back Pain From Childhood to Adolescence Oct 29th, 2011

It is generally acknowledged that back pain (BP) is a common condition already in childhood. However, the development until early adulthood is not well understood and, in particular, not the individual tracking pattern.Prevalence of neck pain, mid-back pain and low back pain was tracked in children ages 9, 13 and...

Does eating chocolate lower stroke risk? Oct 29th, 2011

Chocolate lovers may have another reason to indulge. A new study shows that consuming chocolate on a regular basis may decrease stroke risk by 20%.According to a recent study published in the October 18 issue of the Journal of the American College of Cardiology.Chocolate is thought to have cardiovascular benefits resulting...

Alcohol & Sleep? Oct 29th, 2011

Alcohol is often used by patients as a sleeping aid. Many patients say they have a drink to relax and help them sleep; yet those same patients often complain of sleep problems. Alcohol's effect on sleep has been extensively studied for more than 50 years. Certainly, it can help you...

Yoga, Stretching Ease Chronic Low Back Pain Oct 28th, 2011

An online study published on October 24 in Annals of Internal Medicine found that stretching, regardless of whether it is achieved via yoga classes or conventional stretching exercises, has moderate benefits in adults with moderately impairing chronic low back pain.In a comparative effectiveness study, researchers found that yoga classes were...

Epidural Steroid Injections for Chronic Low Back Pain Oct 27th, 2011

An interesting study published in the British Medical Journal on the effects of Epidural Steroid Injections for Chronic Low Back Pain. Here are the highlights:Epidural injections involve injection a steroid mixture into the Epidural space near the irritated nerve root. Participants received two injections with a two week interval. A total of 116 participants were included in...

Consumer Reports rates Chiropractic for high patient satisfaction. Oct 27th, 2011

Buying a new car ? TV ? Digital camera ? Where do we turn to ? The choice is clear, most people will research their next big purchase on the internet. There are many great review sites available such as Yelp, CNET and of course Consumer Reports.Consumer reports conducted an online...

Diagnosis - Arthritis Oct 26th, 2011

Definition: Arthritis is a general term referring to a joint disorder affecting one or more joints. There are over 100 different types of Arthritis including: Degenerative Joint Disease, Rheumatoid Arthritis, Gout, Psoriatic Arthritis, Stills disease, Ankylosing Spondylitis, etc.Classification:Arthritis can be classified as: inflammatory (Rheumatoid), degenerative (Osteoarthritis) or metabolic (Gout).Causes:The most common...