Clinical & Research
The Evolution of Probiotics
Friday, January 30, 2015 10:04 PM

In clinical practice, we see patients with complaints that cross the entire spectrum of health. One of the most common concerns that presents is associated with digestive or gastrointestinal (GI) health. Patients may have constipation, diarrhea, bloating and/or chronic GI infections such as Candida; or associated problems such as small-intestine bacterial overgrowth (SIBO). We have a unique opportunity to provide some simple, effective and evidence-based options to support this large demographic.

Probiotics have ample research suggesting their ability to support a healthy digestive tract. In recent years, our understanding of the digestive tract has increased exponentially with the completion of the Human Microbiome Project and follow-up investigations.

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Weight Still Top Risk Factor for Knee Arthritis
Friday, January 30, 2015 10:01 PM

Familiar risk factors for knee osteoarthritis (OA) in individuals 50 years and older -- high body mass index (BMI), previous knee injury, age, female sex, and the presence of hand OA -- were confirmed as the condition's top drivers in a new systematic review and meta-analysis with an updated evidence base.  One-fourth of cases of onset of knee pain could be attributable to being either overweight or obese.  The finding emphasizes the continued importance of weight loss as a management option for OA.

"Our calculated PAF [population attributable fraction] values demonstrate that 24.6% of cases of onset of knee pain could be attributed to being either overweight or obese,” the authors wrote.

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A New Turn for Tourniquets
Friday, January 30, 2015 09:58 PM

In the last several years, the U.S. military has gathered substantial evidence on the safety benefits of using tourniquets. However, many physicians still may be hesitant to use this potentially lifesaving device. The chief concern: A tourniquet can induce ischemia in an already at-risk extremity, which may lead to an unnecessary amputation. This belief first developed in World War I when evacuation to surgical care took up to 18 hours and was reinforced in World War II.  Prolonged evacuation times and reliance on improvised tourniquets meant surgeons often saw survivors who may have not needed a tourniquet. Those that died in the field from simple extremity hemorrhage just never made it to the surgeon.

So, what's the current evidence? The most recent studies indicate that the tourniquet is safer than previously described. In 2008, Kragh et al. studied 232 patients with 309 limbs that had tourniquets applied and determined that there were no amputations resulting from tourniquet use. The enhanced safety of the tourniquet is in no doubt due not only to technical advances in their design but also because transport times to surgeons have been greatly reduced. This reduction in transport time is not relegated just to the battlefield, but also affects today's civilian trauma systems.

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Ward Off age-related Abdominal Fat with Weight Training
Friday, January 30, 2015 09:55 PM

Weight training for 20 minutes per day helped healthy men stave off age-related abdominal fat gain better than engaging in aerobic activities for the same amount of time, according to research published in Obesity.

Although aerobic exercise alone was associated with less weight gain than weight training overall, a combination of the two optimized waist circumference results researchers found.

Because long-term weight training leads to this concomitant fat loss and muscle gain, this has been shown to prevent and treat many chronic diseases, including obesity, diabetes, heart disease and osteoporosis.

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What a Joint!
Friday, January 30, 2015 09:39 PM

Human joints allow us to move and carry out normal activities of daily living. Joints are designed to withstand the loads placed on them and provide a full range of motion, but joints are often injured, causing pain and discomfort. 

The knees, shoulders, ankles, and spine are the most commonly injured joints. Approximately 30 million doctor visits a year are due to knee and shoulder injuries alone. Some 150 million to 200 million cases of back pain send people to a doctor every year—and many of those are related to joint injuries.
Each joint is made up of at least two bony surfaces that touch each other and allow for movement. While bones make up the joint and allow movement, it is the muscles that pull the bones that produce the movement. Thus it is the muscle and skeletal (musculoskeletal) system that keeps you moving and has such a tremendous affect on (to have an influence on, or effect a change in; to attack or infect, as a disease) your health.
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How Do I Keep Joints in Good Shape?
Friday, January 30, 2015 09:32 PM

The movements that you perform on a daily basis are critical to long-term joint health, as are proper nutrition, a healthy exercise regimen, and a healthy lifestyle.  Moving a joint through its full range of motion is important. Joints are not supplied directly with blood like other organs in the body, so the saying, “Use it or lose it” applies to joint function.

Most joints in the body are lined with cartilage—a firm but pliable tissue that covers the surfaces of the bones that make up the joint. Cartilage within a joint is nourished by synovial fluid, which is “forced” into the joint cartilage through a process called imbibition. The pressure within the joint that provides nourishment to the cartilage occurs only when the joint moves. And this is why movement is critical to joint health. Grinding of bone on bone without a cartilage covering leads to degenerative joint disease, or DJD. This condition tears up the bones and creates cysts, bone spurs, and excess bone production.

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Physical Activity Keeps Seniors Sharp
Friday, January 30, 2015 09:28 PM

Older patients with cerebrovascular pathology had improved executive function and information processing speed if they stayed active, researchers reported.  At a 3-year follow-up dementia-free older patients who lived an active lifestyle had better executive function and information processing speed than those who were not active.  

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Taking it Easy is Not the way to Respond to Back Pain
Friday, January 30, 2015 09:24 PM

Many believe that they should take it easy when back pain strikes, but believe it or not, that is usually not the best prescription.

Experts are increasingly saying that it is important to stay active in spite of back problems. Spine Magazine's August 1, 2012 edition reports that when advice to stay active was given to workers on medical leave due to lower back pain, it increased their chances of returning to work.

The Arthritis Foundation states that the best way to keep joints healthy for a lifetime is to keep them moving. The worst thing a person can do is to go for several months without getting in a good workout. This is equally as true for the joints in the spinal column as it is for the knees or elbows.

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Your Aching Joints
Thursday, January 15, 2015 04:38 PM

Most injuries to joints occur because of abnormal stresses. A joint can be injured acutely from a single traumatic event. An ankle sprain is a classic example. The ankle joint is protected by ligaments on the inside and outside. When the ankle moves excessively inward, the ligaments on the outside of the joint are torn. The ankle swells, leading to bruising and pain. In some cases, small pieces of bone and cartilage may be torn away. The tibia and/or fibula (ankle bones) can also be fractured.

Other joint injuries are called repetitive-stress injuries or cumulative-trauma disorders. These injuries are the result of repetitive, small, abnormal stresses on joints. The stresses placed on joints by poor posture, poor joint position during a task, and/or poor workstation ergonomics make these joints more likely to be injured.

There are three basic principles that are especially important when considering the impact of proper joint movement:

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Sugar More Detrimental to Heart Health Than Salt
Thursday, January 15, 2015 04:33 PM

The American Heart Association calls a healthy diet and lifestyle "your best weapons to fight cardiovascular disease," especially when it comes to high blood pressure, heart disease’s most detrimental risk factor. But a recent paper featured in the British Medical Journal (BMJ) suggests that dietary guidelines for treating hypertension and subsequent cardiovascular disease should focus on reducing the amount of added sugars, primarily fructose, consumed by people at risk for heart disease.

"Sugar may be much more meaningfully related to blood pressure than sodium, as suggested by a greater magnitude of effect with dietary manipulation," the study’s research team said. "Compelling evidence from basic science, population studies, and clinical trials implicates sugars, and particularly the monosaccharide fructose, as playing a major role in the development of hypertension (high blood pressure)."

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Stress Reduction and Healing With Music
Thursday, January 15, 2015 04:28 PM

Current literature reports how music facilitates stress reduction in patients.  The knowledge that chiropractic is a patient-centered (not disease-centered) healing arts profession brings to light the need to offer patients any natural and available means of healing. Using music in combination with the adjustment may be a method for improving the effectiveness of the treatment as well as patient satisfaction. With the innovation of websites like Pandora, and the evidence-based literature that music can facilitate many positive physiological aspects of being, there should be mindful efforts made by not only DCs but all healthcare providers to furnish treatment rooms with music.

Because music is so diverse, it is important to consider specific forms to evaluate the impact on patient perception. For instance, the classical genre can be very relaxing. In 1998, research from the Department of Management Science, Science University of Tokyo looked at the influence of music on the body by comparing the difference of influence on heart rate variability and comfort when subjects listen to music and are exposed to noise. Researchers used rock, classical music and noise and concluded that hearing classical music results in a suppression of the sympathetic nerves. Not so with rock music and noise. From a psychological evaluation, classical music tends to cause comfort, while rock music and noise tend to cause discomfort. 

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Most Kids Don’t Eat Three Meals A Day
Thursday, January 15, 2015 04:25 PM

New research shows that children are snacking instead of eating three meals a day on a regular basis, a habit that could be contributing to overweight and obesity and putting them at risk of heart disease later in life.

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Diabetes, Metabolic Disorders Linked to Urban Stressors
Thursday, January 15, 2015 04:17 PM

Diabetes and metabolic disorders may be more common among people in developing nations who live in cities vs. those who remain in rural areas because of increased stress affecting hormone levels, according to recent study findings.

“Our findings indicate that people who leave a rural lifestyle for an urban environment are exposed to high levels of stress and tend to have higher levels of the hormone cortisol,” Peter Herbert Kann, MD, PhD, MA, of the Philipp University of Marburg, Germany, said in a press release. “This stress is likely contributing to the rising rates of diabetes we see in developing nations.”

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Decreased Risk of Colorectal Cancer Linked with Higher Selenium Levels
Thursday, January 15, 2015 04:15 PM

An essential micronutrient for human health, foods such as brazil nuts, shellfish, red meat and offal are rich in selenium. According to the National Institutes of Health, selenium plays roles in reproduction, thyroid hormone metabolism and DNA syntheses, and has protective benefits against oxidative damage and infection.

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Antioxidants in Blood Tied to Better Cognition
Thursday, January 15, 2015 04:13 PM

Blood concentrations of some antioxidative micronutrients were positively associated with executive function and visuopractical skills, researchers reported. Among healthy patients, plasma concentrations of non-provitamin A were positively and significantly associated with executive function, before and after adjustment for body mass index (BMI), smoking status, diabetes, hypertension, and cardiac disease.  Additionally, concentrations of provitamin A were positively and significantly associated with visuopractical skills before and after adjustment.

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New Apnea Guidelines Released
Thursday, January 15, 2015 04:11 PM

The first line of defense against obstructive sleep apnea should be weight loss, according to new guidelines from the American College of Physicians.  If more treatment is needed, the first choice should be continuous positive airway pressure (CPAP), but so-called mandibular advancement devices can be used as an alternative therapy, the guidelines suggest. 

On the other hand, there is insufficient evidence to say surgery has any benefit and, given its risks, it "should not be used as initial treatment,” and drug therapy has been tried, but evidence was insufficient to conclude that any of them worked. 

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Neuroimaging Offers Insights into Pain Meds
Thursday, January 15, 2015 03:29 PM

Functional MRI (fMRI) proved useful for identifying early signals of treatment efficacy in patients with chronic pain, according to researchers.

In a placebo-controlled, crossover study done in 19 patients with hand osteoarthritis (OA), fMRI was able to detect changes in signals in brain regions associated with in pain in response to naproxen sodium.  Researchers found that reductions in blood-oxygen-level dependent (BOLD) signals "were identified in brain regions commonly associated with the experience of being in pain, several of which we hypothesized a priori to show changes in response to analgesia." 

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"An Avocado A Day May Keep Cholesterol at Bay"
Thursday, January 15, 2015 01:23 PM
Researchers say they think there's something in the avocado — other than just the healthy fat — that may lower bad cholesterol.  New research finds that eating an avocado per day, as part of an overall diet rich in healthy fats, may help cut the bad kind cholesterol, known as LDL.

Researchers at Pennsylvania State University recruited 45 overweight participants who agreed to try three different types of cholesterol-lowering diets.

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Chiropractic Research: Stroke
Written by Craig Benton, DC   
Thursday, January 15, 2015 12:51 PM
This study suggest that the quality of reports on artery dissection from chiropractors is poor.
 
 
Current evidence based guidelines recommend spinal manipulation and exercise for chronic lower back pain.  This study did not find out if one treatment was better than the other.
 
 
You are actually more likely to be injured from seeing an MD than a DC for Medicare musculoskeletal conditions.
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Yoga as Good as Aerobics for Cutting Heart Disease Risk
Written by Editor   
Wednesday, December 31, 2014 03:40 PM

Yoga is just as good as aerobics, cycling and walking for cutting the risk of heart disease. Scientists have found it can be just as effective as more strenuous exercise. Not only does it boost suppleness, Yoga can cut stress and increase fitness levels.

"This finding is significant as individuals who cannot or prefer not to perform traditional aerobic exercise might still achieve similar benefits in cardiovascular risk reduction,” the article notes.   

“These results indicate that yoga is potentially very useful and in my view worth pursuing as a risk improvement practice. Yoga has the potential to be a cost-effective treatment and prevention strategy given its low cost and lack of expensive equipment or technology.”

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Chiropractic Research Report – January 2, 2015
Wednesday, December 31, 2014 03:35 PM

By:  Craig Benton, D.C. 

Ok here is some different research on Chronic pain.  It is interesting that it showed that there are changes in the brain of patients that have chronic pain.
 
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Low Back Pain in Primary and High School Teachers
Written by Editor   
Wednesday, December 31, 2014 02:36 PM

Among occupational groups, school teachers were considered to have a widely varied prevalence rate of LBP, ranging from 17.7% in Japan to 53.3% in Brazil to 59.2% in China and to 61% in the United States. Many studies demonstrated that school teachers were at more risk for developing back pain with different prevalence rates.

A recent study investigated the prevalence of and risk factors for low back pain (LBP) in teachers and to evaluate the association of individual and occupational characteristics with the prevalence of LBP.  In this cross-sectional study, 586 asymptomatic teachers were randomly selected from 22 primary and high schools in Semnan city of Iran.   Point, last month, last 6 months, annual, and lifetime prevalence rates of LBP were 21.8%, 26.3%, 29.6%, 31.1%, and 36.5%, respectively. The highest prevalence was obtained for the high school teachers.

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White Paper: Aging Americans Find New Avenues for Pain Relief with CAM
Wednesday, December 31, 2014 02:28 PM
Scrip Companies, global distributor of equipment and supplies, serving complementary and alternative medicine (CAM) professionals, home health providers and consumers, announces the release of its White Paper, “Aging Americans Find New Avenues for Pain Relief with Complementary and Alternative Medicine.” Uniquely positioned as the largest distributor for CAM professionals – chiropractic, massage therapy and acupuncture – Scrip explores issues related to a growing senior population and the fundamental behavioral shift toward CAM.
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Joint Commission Issues New Pain Standards
Written by Editor   
Wednesday, December 10, 2014 02:09 PM

A Nov. 12, 2014 announcement from the principal accrediting agency for health care organizations could significantly impact access to integrative pain care throughout the United States.  The agency is the Joint Commission. The revised accreditation standard will apply to all the institutions under the agency's guidance and review: hospitals, ambulatory care facilities, home health and senior homes.

The focus of the change is great news for integrative health and medicine. The Joint Commission significantly elevated the potential value of "non-pharmacologic" approaches. Among those options directly called out are, in the terms used by the Joint Commission, acupuncture therapy, massage therapy, chiropractic therapy, osteopathic manipulative treatment, physical therapy, and relaxation therapy.

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Brain Changes in Football Even Without Concussion
Written by Editor   
Wednesday, December 10, 2014 01:12 PM

High school football players showed significant changes in brain structures after one season of practice and games, even though they have not suffered clinical concussions, researchers reported.  "Our imaging study found that increased cumulative impact exposure over the course of a high school football season -- even when there is no evidence of concussion -- is associated with white matter changes in the brain. … it is unclear whether or not these effects will be associated with any negative long-term consequences."

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Mediterranean Diet May Help Slow Aging
Written by Editor   
Wednesday, December 10, 2014 12:18 PM

A new analysis suggests yet another potential health benefit of the Mediterranean diet. In the Nurses' Health Study, greater adherence to the Mediterranean diet was associated with greater telomere length, a biomarker of aging.

"The health benefits of greater adherence to the Mediterranean diet — reduction of overall mortality, increased longevity and reduced incidence of chronic diseases, especially major cardiovascular diseases — have been consistently demonstrated. … Following a diet closer to the Mediterranean diet can prevent accelerated telomere shortening,” the author said.

Telomeres are repetitive DNA sequences at the ends of chromosomes that progressively shorten with age. Shorter telomeres are associated with shorter life expectancy and greater risk for age-related diseases. Obesity, cigarette smoking, and other lifestyle factors have been linked to shorter telomere length. Oxidative stress and inflammation speed up telomere shortening.

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BMI Greater than 30 May Cost Years of Lifespan
Written by Editor   
Wednesday, December 10, 2014 12:14 PM

A recent study reports that being obese may take up to 8 years off a normal human lifespan.  Defined as a body mass index [BMI] of 35 and higher, the very obese lost about 19 years of healthy life, defined as living free of chronic disease such as diabetes and cardiovascular disease. In a computer modeling study, very obese men lost just over 8 years of life compared with normal-weight men, and very obese women lost as many as 6 years.

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Chiropractic Research – December 12, 2015
Written by Craig Benton, DC   
Wednesday, December 10, 2014 12:03 PM

 This study compared side posture manipulation, activator, and usual medical care.  Side posture was superior for short term relief than the other two. 

 

This study states that lower back pain results in a worse quality of life.

 
This study shows the chiropractic manipulative therapy has an effect on the sympathetic nervous system.  This doesn’t prove that we effect things like heart or digestion but it does mean we need to take a closer look at these neurological findings.

 

When helping the elderly deal with balance and falling issues, this study suggests that walking forward and then backwards on a treadmill will help the balance in the elderly.

 

This study shows that vertebral artery strains during head motion and spinal manipulation do not exceed published failure strains. 

 
 
Using a functional MRI scan of the brain researchers found that after manual therapy (SMT, mobilization, and therapeutic touch) functional connectivity increased in areas of the brain associated with pain. 
 
 
This study states that spinal manipulative therapy and exercise have demonstrated effectiveness for neck pain. Adverse events reporting in trials, particularly among elderly participants challenges informed clinical decision making. Musculoskeletal AE were common among elderly participants receiving SMT and exercise interventions for NP. As such, they should be expected and discussed when developing care plans.
 
 
This report demonstrates that it is very rare to have an adverse event in children receiving chiropractic care.
 
 
This study showed the core stability exercises improved pain pressure thresholds in patients with chronic lumbar instability.
 
 
Chronic Muscle Inflammation Tied to CVD
Written by Editor   
Wednesday, December 10, 2014 12:00 PM

Patients with idiopathic inflammatory myopathies (IIMs) seemed to have a greater burden of cardiovascular risk factors and a higher prevalence of severe coronary artery atherosclerosis compared with healthy controls, a multicenter study found.  "Our findings support the notion that IIM is associated with accelerated atherosclerosis like other chronic inflammatory rheumatic diseases," authors concluded.

The study does not determine the mechanism behind the higher burden of cardiovascular risk factors, but long-term glucocorticoid treatment has been linked to such risk factors. Also, physical inactivity and cardiovascular risk factors are closely correlated and, as the authors pointed out, patients had impaired physical fitness, as reflected by their decreased muscle strength.  Accelerated atherosclerosis may also be attributed to persistent low grade inflammation, they added.

Among IIM patients, 33% were obese versus 10% of controls, 71% had hypertension versus 42% of controls, and 13% had diabetes compared with none of the control patients,.  IIMs such as polymyositis (PM) and dermatomyositis (DM) primarily affect proximal striated muscles and are characterized by muscle weakness and inflammatory infiltrates in the muscles. Affected patients have a higher mortality rate compared with the general population, mostly due to cardiovascular events.

Source:  CLICK HERE FOR LINK

 
Diabetes in Midlife Linked to Faster Cognitive Decline
Written by Editor   
Wednesday, December 10, 2014 11:58 AM

Diabetes in midlife is associated with an increased rate of cognitive decline over a 20-year follow-up, a new study shows.

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Marijuana Smoke as Damaging to Arteries as Tobacco Smoke
Written by Editor   
Wednesday, December 10, 2014 11:55 AM

Breathing secondhand marijuana smoke may be just as damaging to the heart and blood vessels as inhaling secondhand cigarette smoke, a small study in rats suggests.

The current study shows that "smoke is smoke."  When clinicians ask patients about smoking or exposure to secondhand smoke, they should also ask about "smoke from cigarettes, cigars, hookah, and marijuana, as well as wood fires and other sources of smoke from burning, dried-plant material."  The important message is that "inhaling smoke is not good for your heart, no matter what is burned to make the smoke, [and] patients with coronary heart disease should avoid exposure to smoke of any type." 

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Knee Surgery Linked to Higher OA Risk
Written by Editor   
Wednesday, December 10, 2014 11:53 AM

Individuals with knee pain who undergo surgery to repair meniscus cartilage tears often develop osteoarthritis in that knee within a year of the operation, researchers reported.  Incident radiographic-diagnosed osteoarthritis was observed in 31 knees that had meniscal surgery and 58.9% of the 165 knees with prevalent meniscal damage;  39.5% of 107 knees with meniscal damage and 80.8% of 21 knees that underwent surgery showed cartilage loss. Risk of cartilage loss was significantly increased for knees exhibiting any prevalent meniscal damage without surgery, and markedly further increased for knees that had surgery.

During the previous year, about 4% of the patients in the study underwent knee surgery. All of the 31 knees that showed evidence of osteoarthritis came from the group of patients that had undergone meniscus surgery -- 31 of 354 patients. Of the 354 patients who did not have surgery for their meniscus tears, none developed osteoarthritis.

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Occupational Low Back Pain in Primary and High School Teachers
Written by Editor   
Wednesday, December 10, 2014 11:49 AM

The purposes of this study were to investigate the prevalence of and risk factors for low back pain (LBP) in teachers and to evaluate the association of individual and occupational characteristics with the prevalence of LBP.

This study found that high school teachers appear to be more prone to  LBP than primary school teachers. Certain factors were associated with the prevalence of LBP and increased the risk of LBP among teachers.  The prevalence of LBP was significantly associated with age, body mass index, job satisfaction, and length of employment. Prolonged sitting and standing, working hours with computer, and correcting examination papers were the most aggravating factors, respectively. Rest and participation in physical activity were found to be the most relieving factors.

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Vitamin D Reduces COPD Exacerbations
Written by Editor   
Wednesday, December 10, 2014 11:42 AM

Vitamin D supplementation prevented moderate to severe exacerbations of chronic obstructive pulmonary disease (COPD) in patients with vitamin D deficiency in a multicenter, double-blind, randomized controlled trial. 

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Constipation May Be Improved by Self-Applied Acupressure
Written by Editor   
Wednesday, November 26, 2014 06:20 PM

Applying external pressure to the perineum in conjunction with standard constipation treatment can improve bowel function and quality of life for people suffering from the common digestive condition, a study has shown.  The self-acupressure technique improved constipation symptoms at 4 weeks in 72% of the patients randomly assigned to the treatment.  

The noninvasive, nonpharmacologic intervention carries a lower risk for adverse effects and complications than common medications, and it may help control the significant healthcare costs associated with the condition, the study authors write, noting that "U.S. hospital costs alone associated with constipation were estimated at over $4.25 billion in 2012."

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Inflammation Triggers Pain of Knee OA
Written by Editor   
Wednesday, November 26, 2014 04:31 PM

Inflammation appears to be a key driver of pain in knee osteoarthritis (OA) and could be an under-recognized early target to prevent pain progression, new research suggests.  "This is, I would say, an essentially undertargeted area for testing treatments in OA," researchers noted.

Rheumatologists have traditionally considered OA to be a non-inflammatory disease, but new evidence shows that synovitis and effusion, markers of inflammation, are directly linked to increased pain sensitization in patients with knee OA.  The findings "may explain why some people have more pain severity than others," said the researcher.  The new findings suggest it may be important to target OA inflammation early to reduce the risk of developing pain sensitization.  

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Texting Your Way to Back Pain
Written by Editor   
Wednesday, November 26, 2014 02:13 PM

Humans were designed to stand upright. And yet in this modern world, too many of us spend our days with our heads slumped over for a simple reason: we're staring at the tiny screen of a smartphone.  People spend an average of 2 to 4 hours each day with their neck bent at this unnatural angle while shooting off emails or texts. That's 700 to 1,400 hours a year.

CLICK HERE FOR ACA'S TIPS FOR TEXT NECK

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World Spine Care, a Spine Centric WHO Initiative
Written by Editor   
Wednesday, November 26, 2014 02:03 PM

In developing countries, however, spinal disorders and injuries cause much suffering and economic harm. Often, people living in remote or disadvantaged areas of the world lose their livelihood after first losing their health to spinal problems.  Scott Haldeman, DC, MD, PhD, chaired the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and its Associated Disorders, which is a World Health Organization (WHO) Initiative, and that work led to the creation of World Spine Care, also a WHO initiative.

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Aspirin Flops in Primary Prevention for Seniors
Written by Editor   
Wednesday, November 26, 2014 01:25 PM

Daily low-dose aspirin didn't reduce the elevated cardiovascular and stroke risk for older adults with diabetes, hypertension, or high cholesterol, according to a large Japanese trial.  The 5-year cumulative rate of death from cardiovascular causes, nonfatal stroke, or nonfatal myocardial infarction (MI) was 2.77% with 100-mg enteric-coated aspirin compared with 2.96% without it among such individuals ages 60 to 85.

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Easy-to-Walk Communities Linked to Sharper Senior Minds
Written by Editor   
Wednesday, November 26, 2014 01:21 PM

Living in easy-to-walk communities may slow mental decline in older adults, according to a small study.  Over two years, the participants were given a series of tests to assess mental skills such as attention and memory.  By the end of the study, those who lived in easy-to-walk communities had better outcomes both in physical health -- such as lower body fat and blood pressure -- and in mental skills.

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Knee OA Risk Lower in Joggers
Written by Editor   
Wednesday, November 26, 2014 01:10 PM

People who run at any time of life have lower rates of knee pain and osteoarthritis (OA) compared with nonrunners, according to cross-sectional analysis of data from the Osteoarthritis Initiative (OAI) the lead investigator from the Baylor College of Medicine in Houston reports.

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Major Causes of Head Trauma in Children Identified
Written by Editor   
Wednesday, November 26, 2014 12:56 PM

With prospective data on more than 43,000 head injuries in children younger than 19 years, researchers pinpoint the main causes of head trauma in different age groups, as well as the frequency of traumatic brain injury (TBI).  The new data, published in the November 13 issue of the New England Journal of Medicine.

Overall, 98% of the head injuries were mild, as defined by a Glasgow Coma Score (GCS) of 14 or 15; 1% were moderate, with a GCS of 9 to 13; and less than 1% (n = 354) were severe, with a GCS of 8 or lower. Seventy-eight children died.

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Distractions Diminish Food Cravings
Written by Editor   
Saturday, November 08, 2014 11:00 AM

Two studies reported here at the Obesity Week meeting show that cognitive strategies for turning attention away from food cravings help patients turn off the desire to indulge -- at least temporarily.

"Food craving has become a much more prominent focal point because we're finding out that the brain's reward pathways are what drive most of the overeating in the U.S. and industrialized nations."

"It's not due to physiological need. ... The reward salience, or craving, usually wins out."  "The trend," he added, "is that we're moving more toward, can we study what's going on in the brain, and figure out how that is ultimately controlling this behavior, and alter that somehow."

Both studies sought to test cognitive strategies to suppress cravings, with one taking a mental tack and the other a more physical approach.

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Certain Painkillers Tied to Raised Risk of Death After Stroke
Written by Editor   
Saturday, November 08, 2014 10:39 AM

Arthritis pain relievers known as COX-2 inhibitors, including Celebrex and Lodine, are associated with an increased risk of dying within a month after a stroke, according to a new study.

"This large study from Denmark adds to the prior concerns about COX-2 inhibitors and stroke risks."  "Patients at high risk for stroke should be cautious about taking such medications and should consult their physicians as to the best medications to treat inflammation and pain."

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Flavonoids May Be ‘Important to Promoting Broad Health and Wellbeing’: Harvard study
Written by Editor   
Thursday, November 06, 2014 10:26 AM

Higher intakes of flavonoid compounds in the diet during middle age may boost healthy aging in women, according to data from 1,517 women.  Women with the highest average intakes of flavones, flavanones, anthocyanins, and flavonols had the greatest odds of healthy aging, defined as “no major chronic diseases or major impairments in cognitive or physical function or mental health”.

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Smoking Linked to Increased Risk of Chronic Back Pain
Written by Editor   
Thursday, November 06, 2014 10:11 AM

People who smoke are much more likely to develop chronic back pain than those who do not smoke. These are the findings of a new study.  Researchers found that people who smoke may be much more likely to develop chronic back pain, as the habit reduces their resilience to it.  This is not the first study to link smoking to chronic pain. But according to the research team, it is the first study to suggest that smoking interferes with a brain circuit associated with pain, making smokers more prone to chronic back pain.

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Study estimates persistent pain incidence at 19% of U.S. adults
Written by Editor   
Monday, November 03, 2014 08:58 PM

About 39 million people in the U.S., or 19%, have persistent pain, and the incidence varies according to age and gender, according to a recent study.  For the study, researchers at the Washington State University College of Nursing in Spokane defined persistent pain as frequent or constant pain lasting longer than three months.

Researchers used data from the 2010 Quality of Life Supplement of the National Health Interview Survey to calculate the prevalence of persistent pain. They also calculated persistent pain based on risk group, chronic condition and disability status.  Findings were published in the October issue of The Journal of Pain, the peer-reviewed publication of the American Pain Society.

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Clinical Presentation of a Patient with Thoracic Myelopathy
Written by Editor   
Thursday, October 16, 2014 02:25 PM

"Unlike cervical myelopathy, where clinical presentations have been previously described in the chiropractic literature, no such chiropractic case reports exist for thoracic myelopathy. Therefore, the purpose of this case report is to describe a clinical presentation, examination findings, and management decisions for a patient with thoracic myelopathy."

"After receiving a diagnosis of a diffuse arthritic condition and kidney stones based on lumbar radiograph interpretation at a local urgent care facility, a 45-year-old woman presented to an outpatient chiropractic clinic with primary complaints of generalized low back pain, bilateral lower extremity paresthesias, and difficulty walking. An abnormal neurological examination result led to an initial working diagnosis of myelopathy of unknown cause. The patient was referred for a neurological consult."

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Acetaminophen Not Effective for Low Back Pain
Written by Brooke Shaw   
Thursday, October 16, 2014 02:21 PM

A study published online in The Lancet (2014 Jul 23) found that acetaminophen was no more effective than placebo in relieving the symptoms of chronic low back pain when administered in either regular or as-needed dosing schedules.

The results actually contradicted the authors’ hypothesis before initiating the project. The new research was designed to follow up on an earlier study, also published in The Lancet (2007;370:1638-1643), that demonstrated that adding other treatments (manipulation and nonsteroidal anti-inflammatory drugs) to the recommended guidelines in Australia of advice, reassurance and regular acetaminophen did not speed recovery or improve low back pain symptoms.  

“Because patients in the study recovered faster than expected overall, we hypothesized that taking [acetaminophen] regularly was helping with the patients’ recovery,” the study’s lead author,“This assumption was also based on previous questioning of patients who said they typically only take [acetaminophen] ‘as needed.’ In the current study, though, we didn’t find any evidence to support the use of [acetaminophen], no matter how patients took it.”

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Resolution of Hearing Loss After Chiropractic Manipulation
Written by Editor   
Wednesday, October 08, 2014 08:34 AM

While chiropractic care is often associated with the treatment of musculoskeletal conditions, there are other, non-musculoskeletal conditions which may benefit from spinal manipulation (SM). This paper reports on the return of hearing in a woman treated with chiropractic adjustments after 8 months of lack of improvement through allopathic care. Pre and post audiograms were used for comparison.

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New Painkiller Guidelines
Written by Editor   
Thursday, October 02, 2014 03:16 PM

"There have been more deaths from prescription opioids in the most vulnerable young to middle-aged groups than from firearms and car accidents."

The risks of powerful narcotic painkillers outweigh their benefits for treating chronic headaches, low back pain and fibromyalgia, a new statement from the American Academy of Neurology says.  The drugs can cause serious side effects, overdose, addiction and death. Research shows that 50 percent of patients who took opioids for at least three months are still on them five years later, according to the academy.

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