We see a considerable number of folks with headaches in our Salem, OR office, and Dr. Julia Robertson has been able to provide relief for many of them. For that matter, the World Health Organization (WHO) states that one half of all adults have difficulties with some type of headache problems, so this actually isn’t unexpected. One of the most prevalent varieties of headaches which our patients suffer from is cervicogenic headache which, luckily for us, chiropractic can commonly help.
Cervicogenic Headaches Explained
A cervicogenic headache is one that comes from a problem in the cervical spine. It might be attributable to an issue with either the spine itself (particularly, the vertebrae, joints, or discs), or it can be due to a problem in the muscles and tendons of your neck. This problem in your spine leads to compression or aggravation of the spinal nerves, which can give you headache pain.
How do you tell if the headache you are suffering from is a cervicogenic headache? Besides obtaining a diagnosis from a healthcare specialist, a common symptom of cervicogenic headaches is tenderness or discomfort in your neck. This is occasionally accompanied by pain in the back of your head or between your shoulder blades.
Chiropractic to the Rescue
Considering cervicogenic headaches will not go away until whatever problem is initiating them is remedied, it is critical to receive treatment rather than just trying to "wait it out." Chiropractic care is an effective solution, and one that provides a great deal of headache pain relief.
In one study published in Chiropractic & Osteopathy, researchers studied 80 people who had recurring cervicogenic headaches. One-half received chiropractic care and the other half underwent light massage therapy. Each participant was evaluated 12 and 24 weeks after the procedures and it was found that chiropractic offered the best results.
In particular, this study revealed that chiropractic adjustments provided patients greater pain relief and lessened the number of headaches that occurred. What's more, it also lessened the disability that resulted from these painful headaches.
To find out what Dr. Julia Robertson can do for you and your headache pain, call us today. We'll do our best to get you the pain relief you need!
- Haas M, Schneider M, Vavrek D. Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache. Chiropractic & Osteopathy 2010 18(9).
- World Health Organization. (2012, October). Headache disorders. Retrieved from http://www.who.int/mediacentre/factsheets/fs277/en/
We see quite a few patients in our Salem, OR office with ankle sprains but Dr. Julia Robertson has had a lot of success helping them recover more quickly. Why are ankle sprains so common and how can chiropractic care help?
According to the American College of Sports Medicine (ACSM), an estimated 25,000 men and women in the US sprain their ankles daily. In fact, these injuries make up almost half of all sports injuries, causing people to spend time away from the activities they enjoy most.
Like any injury, there are many causes of ankle sprains. The most common is inversion, or when the ankle rolls inward. This injury can take place due to one forceful movement, or it can develop over time, and activities that increase the risk for this type of ankle sprain include running and jumping. You're also at risk if you have previous ankle injuries, poor posture or balance, weak muscles, and reduced range of motion.
How Can Chiropractic Treatments and Dr. Julia Robertson Help?
A study printed in the Journal of Manipulative and Physiological Therapeutics set out to identify chiropractic's role when it comes to ankle sprain recovery. Researchers recruited 33 individuals between the ages of 18 and 45 who had a history of ankle inversion sprains, who were reporting tenderness and/or pain, and had not re-injured the ankle in the previous six weeks.
18 of the subjects were assigned to receive rehabilitation and the remaining 15 people received chiropractic adjustments in addition to rehabilitation. Each individual had five full weeks of treatment, with the rehab group receiving therapies seven days a week and the rehab plus chiropractic group receiving care six out of the seven days.
Research Proves Chiropractic Helps With Ankle Sprains
The study found that the individuals who participated in both rehab and chiropractic fared the best at the 4-week mark when it came to pain and joint restriction. Additionally, no adverse effects were reported, showing that this treatment option is safe.
If you're near our location in Salem, OR and you're recovering from an ankle injury, give us a call. We'll do what we can to keep you up and moving... literally!
- American College of Sports Medicine. (n.d.). Ankle sprains and the athlete. Retrieved from https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf
- Lubbe, D et al. (2015, January). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of Manipulative and Physiological Therapeutics, 38(1), 22-34, doi:10.1016/j.jmpt.2014.10.001
If you suffer with fibromyalgia, you are not alone, as Dr. Julia Robertson sees many patients with this particular problem in our Salem, OR chiropractic clinic. As a matter of fact, the Centers for Disease Control and Prevention (CDC) reports that roughly two percent of all adults in the US have fibromyalgia. Thankfully, chiropractic care is one treatment option that can provide positive results.
Research Proves Chiropractic Eases Fibromyalgia
In a study released in mid-2015, 215 adults with fibromyalgia were assessed based on factors ranging from pain to quality of sleep to the levels of depression or anxiety they felt. Then they were divided into two groups with one group receiving a multi-modal therapy program for three months and the second group receiving the same approach plus chiropractic adjustments (specifically, to the upper neck area) for the same length of time.
The subjects who received chiropractic care in conjunction with the multi-modal therapy program reported greater results in all areas (pain, sleep, depression, and anxiety) at three months post-treatment when compared to the study patients who received multi-modal therapy without chiropractic. Additionally, those positive benefits were long-lasting as the patients reported continued improvement one full year later.
Fibromyalgia can substantially decrease your quality of life, both mentally and physically. If you're suffering from fibromyalgia, we might be able to help.
You don't have to suffer! To see what Dr. Julia Robertson can do for your fibromyalgia pain, call our Salem, OR chiropractic office today.
- Fibromyalgia. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/arthritis/basics/fibromyalgia.htm on November 2, 2015.
- Moustafa I & Diab A. (2015, July). The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial. Rheumatology International;35(7):1163-74.
Unfortunately, a large number of our Salem, OR patients know the pain caused by a herniated disc all too well. Fortunately, Dr. Julia Robertson has helped many people with disc pain, and a number of scientific studies have confirmed that chiropractic can help people recover from this kind of problem.
Research on Herniated Discs and Chiropractic
In one report, doctors from Switzerland recruited 148 patients who were coping with pain in their lower back and legs due to a disc herniation (which was confirmed through magnetic resonance imaging, or MRI). Each person then received chiropractic adjustments that focused on the area of his or her disc herniation.
Data was collected after the preliminary treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to establish what type of short-term and long-term effects, if any, chiropractic care offers when it comes to resolving this particular problem. Among the information gathered was the person's self-reported changes in both lumbar and leg pain.
Researchers found that, overall, the patients reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the individuals stated that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those test subjects who were defined as "chronic" still claimed an improvement in pain at a rate of 89% one year beyond when treatment first began. This is the same positive effect that was found in the following case study.
Case Study Shows that Chiropractic Benefits Chronic Disc Herniation Symptoms
In this paper, a 26-year-old man had presented with disc herniation symptoms such as pain in the low back, left leg, and left groin area, along with left foot drop and muscle weakness. He had endured these problems for more than two years after sustaining an athletic injury, and his disc herniation was confirmed via MRI.
After receiving chiropractic, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." In addition, the patient was still experiencing relief one year after the chiropractic intervention.
Studies like these show how useful chiropractic can be when it comes to alleviating herniated disc pain and relieving the symptoms they bring about. So, if you are suffering from back ache caused by a herniated disc and want to find some relief, chiropractic might be an effective solution.
Don't suffer from chronic herniated disc pain. Give our Salem, OR office a call today at (503) 399-7607 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
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.