We are pleased to announce Robertson Spinal Rehab & Associates (formerly Michels Spinal Rehab) has been awarded the Silver Medal for the Best of the Mid Valley 2019. Thanks for voting for us and showing your support!
Dr. Julia Robertson sees a lot of people troubled with carpal tunnel syndrome in our busy Salem, OR chiropractic practice. While some people think that the source of this wrist-related pain is muscular, it's really a syndrome that arises from the nerves--and not just the nerves in your hands.
Research Proves Chiropractic Helps With Carpal Tunnel Syndrome
Recent research printed in the Journal of Orthopaedic & Sports Physical Therapy assessed 71 women between the ages of 35 and 59 who were diagnosed with carpal tunnel syndrome. Upon investigating the subjects' neck range of motion, the authors found that the patients had less cervical flexibility when compared to a healthy control group.
In addition, it was also observed that the degree of the women's reported carpal tunnel discomfort was related to the lateral flexion of the cervical spine. In other words, the less mobility in the neck area, the higher the level of pain.
This research is very important, as you cannot effectively resolve a problem until you fully understand its source. By realizing that the root of carpal tunnel pain is in the neck, this means that all-natural approaches such as chiropractic can often restore normal function, eliminating the need for risky surgical procedures.
If you have carpal tunnel pain, call our Salem, OR location and ask how Dr. Julia Robertson can help you get relief!
De-la-Llave-Rincon A et al. (2011, May). Women with carpal tunnel syndrome show restricted cervical range of motion. Journal of Orthopaedic & Sports Physical Therapy;41(5):305-10.
Simon H. Carpal Tunnel Syndrome. University of Maryland Medical Center. Updated May 6, 2012. Retrieved from https://umm.edu/health/medical/reports/articles/carpal-tunnel-syndrome on November 2, 2015.
We see many patients with back pain in our Salem, OR office, and Dr. Julia Robertson has been able to help many of them find relief through various chiropractic techniques. At the same time, recovering from back problems doesn't necessarily mean having to decide between chiropractic care and medical therapy, as many people utilize both types of care with great results.
Study Confirms Chiropractic and Medical Treatment Work Well Together
In a study published by the medical journal Spine experts1 looked at a group of active-duty military personnel between the ages of 18 and 35 who claimed both acute discomfort and limited function due to back-related issues. Some of the study participants engaged in treatment via standard medical care, while the rest received chiropractic care along with regular medical care, as researchers wanted to see which patients fared better.
The authors found that the group that received standard medical care along with chiropractic care scored "significantly better" than the patients who got medical care alone; 73 percent reported positive benefits in comparison to just 17% of the medical treatment only group who indicated the same amount of improvement. This was true regarding both pain and level of function at two and four weeks.
Accordingly, incorporating these two forms of treatment can greatly benefit you--the patient--offering benefits when compared to medical care alone. However, while chiropractic and medical approaches can work alongside each other, chiropractic offers some distinct strengths over medical treatment.
Where Chiropractic Care Is Successful
Although it might seem as if each method plays a 50/50 role, there is one significant benefit that chiropractic care has over medical care and that is in patient satisfaction. In fact, a piece of research conducted at UCLA2 that was printed in the American Journal of Public Health reports that, on average, chiropractic patients are generally more satisfied with their recovery than those undergoing medical treatment.
According to the researchers, the main aspects that patients favored over medical care were "self-care advice and explanation of treatment." This isn't unexpected, as chiropractors commonly spend much more time advising their patients as to how they can improve their health on their own, as well as discussing more thoroughly what to expect from chiropractic care.
Chiropractic Care Is a Natural Approach to Wellness
Without a doubt, the methods associated with chiropractic are quite different than those provided with medical treatment, but a great deal of the difference is the fact that chiropractic is a holistic approach to health and wellness. Instead of focusing on simply relieving the symptoms, chiropractic involves tracking down the primary cause of your pain, which often results in greater improvement as you are tackling the problem at its source.
In addition, while medication is sometimes helpful for managing certain conditions, many health issues respond well to natural forms of treatment such as chiropractic care. This means fewer negative responses to medications and lasting results.
You don't have to endure back pain or other health issues. Give our Salem, OR clinic a call today at (503) 399-7607. We'll do everything we can to help you get and continue to be free from back pain.
- Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine 2013;38(8):627-634.
- Hertzman-Miller RP1, Morgenstern H, Hurwitz EL, Yu F, Adams AH, Harber P, Kominski GF. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. American Journal of Public Health 2002;92(10):1628-1633.
If you are dealing with shoulder pain after a car crash, don't worry. Dr. Julia Robertson sees this type of condition often in our Salem, OR office. The key to recovering from shoulder pain caused by a crash is to understand the root cause of the problem and how chiropractic care can help.
There are at least two different ways that you can get shoulder pain after a crash: by direct injury to the shoulder joint or by radiating pain from the neck.
Direct trauma can be caused by striking your shoulder on a hard surface in the car during the crash, or can occur if you have a tight grip on the steering wheel during a rear end crash. With this type of trauma, you'll usually be aware of the pain soon after the wreck.
More frequently, Dr. Julia Robertson finds that shoulder or arm pain does not immediately appear after a collision, but begins a few days or weeks after the trauma. This type of shoulder discomfort actually starts in the neck. Injured soft tissue in your neck can pinch nerves in your neck, causing numbness, tingling, or soreness in your shoulder, elbow, or wrist.
We've worked with many types of shoulder pain in our Salem, OR office. This process involves chiropractic adjustments to restore your spine's natural mobility and exercises that strengthen your neck and shoulder.
If you've been injured in a car crash and you're suffering from shoulder pain, Dr. Julia Robertson is here to help. Dr. Julia Robertson will first determine what's causing your pain and then work to restore your body to its natural functioning. Ready to make an appointment? Give us a call at (503) 399-7607 and we'll get you back on the road to health.
We tend to a large number of people in our Salem, OR office, and Dr. Julia Robertson has helped many people manage a wide array of health challenges. Even so, the primary concern that seems to stop many men and women from pursuing treatment is whether or not chiropractic is safe. Fortunately, according to three separate studies (out of many on the topic), the answer to this concern is a clear: "Yes! Chiropractic is safe!"
Chiropractic is Safe, According to Australian Study
The first study(1) was published in Spine and included 183 men and women. Each person reported affected by spine-related pain, and half of the individuals received real chiropractic care whereas the other half received two sham chiropractic treatment sessions. Data was obtained after each real or fake adjustment to determine if any unpleasant negative effects were caused by the real chiropractic treatments.
Researchers reported that nobody documented any serious unfavorable adverse reactions in any way after receiving one or two sessions of chiropractic care. Some participants did report that they had a headache (just 9% of people) or muscle stiffness (37 percent) after treatment, but the effects were not serious.
Large US Survey Finds that Chiropractic is Safe
A second study(2), also released in the prestigious journal, Spine, was performed in an effort to determine the safety of chiropractic. The test group was much larger -- 20,000 patients. Each participant received chiropractic adjustments of the neck, with over 50,000 total adjustments for all patients.
Again, the experts discovered no serious negative side effects. The authors computed the risk of total adverse reactions to be approximately 6 out of every 10,000 consultations or every 100,000 treatment sessions. Plus, just as with the first study, some people did report non-serious, milder, unwanted effects such as dizziness (about 1.6%) or a headache (4 out of every 100), and this prompted the authors to determine that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Adjustments are Safe for Children
This third research paper(3) is unique from the previous two pieces of research, as it focuses on the safety of chiropractic care for kids. In this article, the researchers analyzed results reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic treatment sessions.
Out of 5,438 chiropractic visits made for the young ones, chiropractors answering the survey reported only three cases where there were adverse reactions. When parents were surveyed, they indicated only two adverse side effects out of 1,735 visits. Furthermore, both chiropractors and parents reported "a high rate of improvement with respect to the children's presenting complaints."
Based on studies like these, chiropractic has been deemed safe and effective for everyone. To discover what chiropractic care can do for you, call our Salem, OR office and schedule an appointment today at (503) 399-7607.
- Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD. Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events. Spine 2013;38(20):1723-9.
- Thiel HW1, Bolton JE, Docherty S, Portlock JC. Safety of chiropractic manipulation of the cervical spine: a prospective national survey. Spine 2007;32(21):2375-8.
- Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009;5(5): 290-5.
Over the years, we have helped many men and women in Salem, OR recover from persistent neck pain. This isn't unusual, as research shows that chiropractic care leads to significant improvements for 94% of neck pain patients. But how does chiropractic compare to other conservative treatments in the management of neck pain?
To answer this question, it's useful to look back at an interesting study from 2003 published in the British Medical Journal. The paper reviewed various conservative therapies and concluded that manual therapy was the most practical option for neck pain.
Researchers from the Netherlands were interested in evaluating not only the costs associated with manual therapy but how efficiently manual therapy provided relief when compared to other treatments. They randomly assigned 183 patients with acute neck pain to receive treatment from manual therapists (MT), physiotherapists (PT), or general practitioners (GP).
Patients receiving manual therapy had the fastest improvement rate. After seven weeks of treatment, 68% of the MT group had recovered, compared to 51% of the PT group and 36% of the GP group. These variances in recovery rates were still statistically significant after 26 weeks but not after 52 weeks.
To calculate costs of treatments, the authors looked at direct costs such as visits to the health-care provider and the costs of prescription medications, in addition to indirect costs like work absenteeism and travel time.
The manual therapy group had significantly reduced costs, with patients spending only a third of the costs spent by patients in the PT and GP groups. On average, manual therapy patients had about $611 in costs as opposed to $1773 in the physiotherapy group and $1885 in the general practitioner group (447 euros ,1297 euros, and 1379 euros, respectively).
Plus manual therapy decreased work absenteeism. Only nine patients in the MT group documented missed work due to neck pain, compared to 12 in the PT group and 15 in the GP group.
The reduced cost likely stemmed from the fact that MT patients were using considerably less prescription drugs and needed fewer treatment interventions due to quicker recovery rates. The authors concluded that manual therapy and chiropractic care, specifically spinal mobilization, is less expensive and more successful at alleviating neck pain than physical therapy or care from a general practitioner.
Dr. Michels has worked with many patients who have suffered from neck pain. If you live in Salem, OR and would like to stop suffering from chronic neck pain, give our office a call at (503) 399-7607 for an assessment.
Korthals-de Bos IB, et al. Cost effectiveness of physiotherapy, manual therapy, and general practitioner. British Medical Journal 2003;326:911.
Chiropractic care may reduce the number of missed worked days for back and neck pain, according to recent research. In a new survey, people who received chiropractic care tended to miss fewer work days compared to people who hadn't seen a chiropractor.
In this 2013 study, 650 laborers in Minnesota who reported back or neck pain were questioned. The researchers discovered that most of those surveyed admitted that their back pain caused them to miss work or resulted in them making errors on the job.
The most interesting discovery, however, was that those employees who saw a chiropractor had 58% fewer disability days than those who didn't see a chiropractor!
Many studies report that chiropractic care is the optimal way to treat and even prevent back pain, and that's what we've found here in our practice in Salem, OR. Dr. Michels has vast experience diagnosing and treating repetitive motion injuries, back pain, sciatica, and a variety of work injuries. His goal is to get you back on the job without pain as quickly as possible. And that's what he's done for his patients year after year since 1984.
To see how we can help you, give our office a call today at (503) 399-7607.
Cifuentes M, Willetts J, Wasiak R. Health maintenance care in work-related low back pain and its association with disability recurrence. Journal of Occupational and Environmental Medicine 2011; 53(4): 396-404.
Most people are aware of the fact that chiropractic can help decrease back pain. But, there are some benefits of seeing your Salem, OR chiropractor consistently that are less well-known. These benefits may just boost your overall health and sense of well-being.
Positive aspects of chiropractic medicine consist of:
- It stimulates natural healing. Although most other therapies involve drugs and potentially surgical procedures or injection therapy, chiropractic medicine encourages your body in healing itself naturally.
- It reduces childhood otitis media. A large number of children endure regular ear infections, and are often given antibiotic medications. Some young people feel a reduction in ear infections after getting consistent chiropractic care.
- It can lessen digestive difficulties. If you have a hard time with your digestive tract, repeated chiropractic appointments can often ease symptoms.
- You sleep better. When you’re not bogged down by neck or back pain, your quality of sleep gets better, assisting you to feel more focused and full of energy.
- It can lower your blood pressure. Anytime the spine is out of place, things like your blood pressure are not maintained properly, elevating your risk of these types of health issues.
- It can improve your balance. The stronger and healthier the spine is, the easier it is to balance, potentially preventing a injury due to instability like a slip and fall.
Enjoy these benefits and more when you see Dr. Michels of in Salem, OR. Call and plan your next appointment now!
Do you want to know the trick to effective back pain relief? It's not lying on your couch, suffering in pain while you wait for it to go away. It's not just doing your daily physical therapy and icing. So what is it?
Physical therapies are wonderful for musculoskeletal injury, but to get the full benefits of the exercises you have to get care that corrects misalignments in the muscles and the spine. That's where your Salem chiropractor Dr. Michels comes in.
If you've hurt your back, it is more than likely that you have a vertebra or two out-of-place. Stretching and conditioning your back muscles alone won't be enough to fix the misaligned vertebrae. One recent study explains why blending physical therapy with chiropractic is so advantageous.
Researchers studied 49 individuals with chronic back pain who were randomly assigned to get either manual therapy or sham treatment. Manual therapies consisted of techniques commonly employed by your Salem chiropractor, such as chiropractic adjustments and chiropractic mobilization. Immediately after treatment, patients did exercises like stretching, muscle and motor control workouts, mobility workouts and strengthening. The participants were given eight treatments, with an evaluation after three and six months.
Right after the treatment session, patients receiving manual therapy experienced greater reductions in pain compared to the control group. This advantage lasted at the three and six-month follow-up visit. The chiropractic participants had lower disability and a trend towards reduced pain scores compared to the sham group. These results suggest that a combined treatment of chiropractic and exercise could be better than exercise therapy alone for back aches.
So if you'd like comprehensive relief of back pain, pick up the phone and give our office in Salem a call. After a few sessions with Dr. Michels, you'll wonder why you didn't call earlier!
Balthazard P, et al. Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. BMC Musculoskeletal Disorders 2012; 13: 162. doi:10.1186/1471-2474-13-162.
Whether slight or extreme, neck pain has the capacity to make your days long and your night short. It can darken your mood, weaken your spirit, and cause you to live a life without luster. That is, unless you make it a point to go to your Salem, OR chiropractor and do something to take care of it.
What Triggers Neck Pain
Several problems can contribute to discomfort in your neck, which is the cervical area of your spine. Being involved in a car crash can cause whiplash, as will any trauma to the cervical spine. Sports injuries can result in neck pain too, leaving you tender and sore.
Poor posture can also contribute to neck pain because the spine isn't positioned in a way to properly support your head. This can lead to strained muscles, headaches, and dizziness, which can further reduce your quality of life.
When you carry stress and tension in your upper body it can strain the muscles in your neck, causing aches and soreness that extend from your shoulders to the top of your head.
Neck Pain Therapy
Fortunately, consistent visits with your Salem, OR chiropractor can help minimize all of these causes of neck pain (as well as several others) and get you back to enjoying your life pain free. By using spinal manipulation therapy, Dr. Michels is able to lower the pain that you are feeling and guide you on the route to recovery.
Dealing with persistent neck pain is no way to live. Schedule a consultation with Dr. Michels at in Salem, OR today so that you can start to be pain-free tomorrow.