American College of Physicians issues guidelines for low-back pain: ‘Avoid drugs.’

In this terminology, “acute” stands for pain lasting fewer than four weeks, “subacute” for pain lasting from four to 12 weeks, and “chronic” meaning pain lasting more than 12 weeks.

The researchers conclude their findings with three recommendations, based on their assessment of evidence-based outcomes for the patient population with respect to standard noninvasive approaches to treatment. Namely, they examined how patients responded to pharmacologic treatment and nonpharmacologic treatment; in other words, standard allopathic medicine and complementary and alternative medicine (CAM).

The ACP recognizes that low-back pain is one of the most common health complaints in the U.S., and cite statistics with which every doctor of chiropractic (DC) is intimately familiar. They estimate the total cost (in 2006), between active care and lost productivity, to have been approximately $100 billion—a number likely to be considerably higher today.

In looking at pharmacologic approaches to low-back pain treatment, acetaminophen was found to be on a par with placebo, offering little benefit but presenting known risks of liver damage. Other drugs, ranging from cox-2 inhibitors to NSAIDs to opioids, offered slightly greater benefits but with concomitantly pronounced risk.

On the other hand, when looking at nonpharmacologic approaches, including exercise, acupuncture, massage, chiropractic, heat therapy, low level laser therapy, and others (tai chi, yoga, ultrasound, etc.), measurable positive outcomes were found with virtually zero risks. The researchers concluded that, given the evidence at hand in the new study and in the older one, that treatment should always begin with nonpharmacologic approaches first, and only those patients who are nonresponsive to them should be considered for drug therapy or invasive medicine.

Specifically, the three recommendations of the study authors are:

  1. Given that most patients with low-back pain of any type tend to improve over time regardless of treatment type, they should first turn to the most conservative forms of care (massage, spinal manipulation, etc.), and NSAIDs and muscle relaxants can be considered if necessary.
  2. For patients with chronic low-back pain, the first option should be nonpharmacologic conservative care. Patients in this group respond more strongly to CAM approaches than those in the acute and subacute groups.
  3. Patients with chronic low-back pain who fail to respond to nonpharmacologic approaches could consider pharmacologic treatment, starting with those products known to present the least risk, and after being educated by their provider about the known risks posed by such products.

These recommendations are in keeping with the Hippocratic Oath: First, do no harm. It is noteworthy to see an MD association admit that CAM approaches to medical care—and here specifically chiropractic is included—offer superior outcomes to standard allopathic medicine. These results were striking enough that they were summarized in the February 14, 2017, edition of the Wall Street Journal 

NOTE: this is basically a rehash of a large government study done several years ago. The number one effective treatment for back pain is what chiropractic physicians do every day in their office, spinal adjustments.

WEEKLY HEALTH UPDATE Week of: Monday Feb. 13, 2017

 

Courtesy of:

John H. Keefe III, D.C.

(918) 663-1111

Dr. Keefe, Keefe Clinic. Tulsa Chiropractor, pain, natural health care.

IN THE NEWS: Hormonal Contraceptive Use Can Be a Major Downer Hormonal contraception was introduced way back in 1960 with the release of the combined oral contraceptive pill (containing two hormones: estrogen and progestin). Now, more than 50 years later, an estimated 20 percent of women use some form of hormonal contraception worldwide, and in the U.S., that figure is significantly higher: more than 60 percent. Depression is also prevalent in women, who are more than twice as likely to experience symptoms than men. And that leads us to the troubling association between the two (contraceptive use and depression), as supported by recent research. Women who use hormonal contraception are a whopping 40 percent more likely to experience symptoms of depression after only six months of use, according to the latest research published in the American Medical Association’s peer-reviewed journal JAMA Psychiatry. The study tracked 1 million-plus women ages 15-34 for more than a decade. The risk increase was even more pronounced when evaluating specific contraception use: Progestin-only pills more than doubled the risk, while levonorgestrel IUD use tripled the risk. Risk also increased for users of hormone-based transdermal patches and vaginal rings. While the researchers are quick to note that their findings don’t necessarily mean hormonal contraceptive use causes depression, the moral to this story is clear: All women should have an informed discussion with their health care provider regarding the relative risks and benefits of any type of contraception before initiating use.

Dr Keefe, Natural Health care, pain, Tulsa chiropractor,

WELLNESS: Should you take antidepressants? Use of antidepressants is at an all-time high – since 2008, the year of the financial crash, prescriptions have risen by 8.5 per cent per year. Yet the drugs remain hugely controversial. In a recent study, Danish researchers reported that they cause suicidal feelings when given inappropriately to healthy people going through everyday problems. Antidepressants are a relatively recent discovery. Each new “generation” of antidepressants since has targeted neurotransmitters, particularly serotonin, ever more precisely. But despite this, many question the wisdom of offering antidepressants so liberally. Do antidepressants work? They almost always alleviate symptoms of major depression, and when targeted carefully they can help with insomnia, OCD and some forms of chronic pain. However, there’s less evidence that antidepressants are the best treatment for generalized anxiety or mild depression. Finally, is it best to mask symptoms using these drugs, or would it be better to address the root causes of the problem? It can be absolutely necessary to alleviate symptoms in the short term, particularly when there’s a suicide risk. However, the use of antidepressants alone rarely protects against relapse. A short of course of drugs, accompanied by mindfulness-based cognitive therapy as soon as the individual feels a bit better, is the most effective treatment package for lasting benefits. NOTE: Multiple studies have shown that safe natural approaches are just as effective if not more so with mild to moderate depression. As the article indicated if a person is having suicidal thoughts then pharmaceutical approach, for a short period of time, could be indicated. Unfortunately drugs do not solve the problem with neurotransmitters they just artificially keep the levels are elevated. Natural approaches help the body produce more neurotransmitters and is more of a correction as opposed to symptom relief. But as the article indicated counseling could help one reach the root cause of some depressions. It’s true some depressions are strictly due to chemical imbalances but probably most are related to life issues that have not been resolved and possibly the person isn’t even aware the root cause of the depression. Skilled talk therapist can help a person better understand the underlying issues.

Dr. Keefe, Keefe Clinic. Tulsa Chiropractor, pain, natural health care.

CONDITION OF THE WEEK: HEADACHES be they the blinding headaches of a migraine to the annoying tension headaches studies have shown chiropractic is the best treatment on the planet. Headaches come from multiple sources i.e. subluxations, kidneys, hormones, muscle tension or toxicity. Chiropractic can gently release the tension on the nervous system responsible for most types of headaches. Diet can help balance chemistry like hormones or blood sugar that can trigger some types of headaches as well as lifestyle changes i.e. reducing junk food, drinking more water and detoxification can eliminate the triggers for headaches. Chiropractic first, drugs second and surgery last is the motto of better health.

Dr Keefe, Keefe Clinic, Natural Health Care, Tulsa Chiropractor, Diet, Pain,

FUNNY BONES:  Laugh and the world laughs with you, snore and you sleep alone.@@ Everything is funny, as long as it’s happening to somebody else. 

 

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WEEKLY HEALTH UPDATE Week of: Monday Feb. 6, 2017

 

Courtesy of:

John H. Keefe III, D.C.

(918) 663-1111

 

IN THE NEWS: Superbugs deploy ‘decoy flares’ like fighter jets to avoid being killed by antibiotics Scientists have discovered an astonishing new strategy deployed by superbugs in their evolutionary struggle with antibiotics – decoy “flares” which distract the drugs that would otherwise kill them. About a third of  MRSA bacteria, which kill thousands of people across the world, are largely immune to the current antibiotic of last resort. The rise of antibiotic resistance is causing increasing alarm with the prospect of a return to the days when a minor cut in the garden could be fatal and major operations were impossible because of the risk of infection. NOTE: I remember when this was front page news on the Journal of American medicine 30 years ago. Some of the suggestions then was to take prescription rights away from the average medical doctor because they were overprescribing antibiotics even for things like viruses which every 1st year medical student knew was ineffective. Now 30 years later very little change has taken place and the epidemic, that was warned about 30 years ago, is beginning. If you have a urinary tract infection try a natural approach 1st, if you have bronchitis don’t use an antibiotic the same goes with sinus infections 70% of those are yeast related. If you don’t protect yourself then you won’t be protected in a high percentage of the cases. Bacteria cannot develop resistance to natural methods like they do to antibiotics.

Dr. Keefe, Keefe Clinic. Tulsa Chiropractor, pain, natural health care.

WELLNESS: Vega testing is the dramatic way of restoring health within the body. Unlike the use of dangerous pharmaceutical drugs that primarily suppress symptoms we focus on restoring health within the body in a way that dismantles the foundation for symptoms to exist in the 1st place. For instance if you have a headache that can come from multiple causes: hormones, toxicity, blood sugar, misalignments in the neck etc. Which of these do aspirin fix? Over the counter pain pills can damage your stomach, liver, kidneys, eyes etc. Health problems, by the time we see them, usually have a complex causative factors beneath the symptoms. With Vega testing we approach each of those causative factors in the order that the body is ready to handle them. In some cases we might work with different supplements related to different underlying causes for a particular health problem or symptom. Just because the 1st products we work with doesn’t completely resolve your condition doesn’t mean that’s not a necessary process to go through. True healing takes time whereas symptom relief, in some cases,  can be fast but then again you really haven’t accomplished much. When the oil light comes on in your car you can reach under the dashboard and clipped the wire to the light and the light will go out immediately. Just because you’ve suppressed a symptom doesn’t mean you have fixed anything yet. When you experience better energy, better sleep, better focus and less symptoms under natural healthcare that’s because your body is healing. Have you had a Vega test today?

Dr. Keefe, Keefe Clinic. Tulsa Chiropractor, pain, natural health care.

CHIROPRACTIC: Chiropractic Studies and Research  1. Sciatica The European Spine Journal published the findings from a clinical trial last year uncovering how chiropractic adjustments resulted in a 72 percent success rate in treating sciatica and related symptoms compared to the 20 percent success from physical therapy and 50 percent from corticosteroid injections.. 2. Colic and Ear Infections A 2012 study published in Journal of Manipulative Physiological Therapeutics found that chiropractic adjustments greatly reduced colic symptoms. Although very few randomized control trials have been conducted describing the clinical effects of chiropractic care on children, literally scores of case studies have been documented that describe how children suffering from otitis media (ear infections), acid reflux and colic have experienced complete to near complete resolution after just a few visits. 3. Neurological Conditions Exciting research is currently being conducted via upright MRI showing how upper cervical adjustments affect various brain-based conditions. What we have seen so far is quite remarkable. Not only are MRI scans revealing that cerebral spinal fluid and blood flow are markedly increased after a chiropractic adjustment, researchers are observing that cerebellar invagination (when the cerebellum drops down below the skull line) is being reversed and brain plaquing (common in multiple sclerosis patients) is disappearing!

Dr Keefe, Keefe Clinic, Natural Health Care, Tulsa Chiropractor, Diet, Pain,

FUNNY BONE: Job interview in a psychiatry:  So you’re interested in working with us. What is your experience with mentally disturbed people? -I’ve been on Facebook for 5 years now.- Very good, the job is yours.@@ Some nice Chinese couple gave me a very good camera down by the Washington Monument. I didn’t really understand what they were saying, but it was very nice of them.

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