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Chiropractic Most Cost-Effective Choice for Neck Pain

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.


Injured on the Job? See How Chiropractic Can Help

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.


6 Features of Regular Chiropractic Care

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:

  1. 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.

  2. 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.

  3. It can lessen digestive difficulties. If you have a hard time with your digestive tract, repeated chiropractic appointments can often ease symptoms.

  4. 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.

  5. 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.

  6. 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!



The Secret to Successful Back Pain Recovery in Salem, OR

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.


Neck Pain Triggers and Therapies in Salem, OR

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.


Auto Injury Relief in Salem, OR

No one plans to get an automobile accident, but sometimes life surprises you, leaving you with new injuries and pain. Thankfully, you can plan how you respond to the matter: some appointments with your Salem, OR chiropractor, Dr. Michels, can allow you to resolve the symptoms.

Most Common Auto Injuries
Although quite a few of injuries can happen as a result of a car crash, some of the most frequent include whiplash injury (which can produce a huge amount of neck pain and headaches); herniated disc (triggering back pain, sciatica, or neck pain); and spinal misalignment. All have the ability to severely limit your capacity to perform day-to-day activities without discomfort or pain.

The Chiropractic Remedy
Dr. Michels is experienced in the diagnosis and treatment of auto injuries. After a thorough analysis of your problem and individual history, he'll create a treatment to fit your specific needs. Techniques could consist of chiropractic adjustments, instrument-assisted adjustments, light soft tissue therapy, exercise rehab, and a variety of other natural therapies.
While most doctors are focused primarily on relieving the symptoms, Dr. Michels doesn't stop there. He works on locating – and solving – the cause of your pain. He appreciates the fact that the best relief is permanent, which is what he aims to provide for his patients in the Salem, OR area.

What If You Were Not Hurt In the Car Crash?
Even if you don’t feel as if you were hurt in the auto accident, a visit to your chiropractor is suggested. Some injuries will not be felt straightaway, allowing them to get worse and worse until one day down the road they become more difficult to treat.
Don’t allow that happen to you. Contact our office in Salem, OR. Dr. Michels will make certain that all is aligned so that you feel your best today, and into the future!


Salem, OR Herniated Disc Treatment

Dr. Michels has helped many people in Salem, OR recover from back pain. A 2014 research study confirms what we've seen in our clinic. Researchers performed a study of 148 patients with a herniated disc confirmed by MRI scans. The majority of patients (79) had suffered from chronic lumbar disc herniation lasting longer than three months. Thirty seven patients had disc herniations for less than 4 weeks at the start of the investigation. Herniated discs causes symptoms like lower back pain and sciatica, as well as tingling and numbness in the legs.

Each participant received individualized chiropractic care, similar to what Dr. Michels offers in his Salem office. After fourteen days, 70% of the subjects had significant progress in pain and disability; and at three months, 90% had substantial improvement. Most importantly, the improvement was retained by patients, with over 80% of patients reporting improvement after one year.


If you live in Salem, OR, you need to know that you don't have to suffer from disc herniations or any other type of low back pain. Dr. Michels is here for you. To see if we can help you, give our office a call at (503) 399-7607 today for an appointment or consultation.


Lee, Serafin. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniation receiving high-velocity, low-amplitude spinal manipulation therapy: a prospective observational cohort study with one year follow-up. Journal of Manipulative and Physiologic Therapeutics 2014.37(3):155-163.


Salem Chiropractic Improves Immunity

Many people know that chiropractic is an effective way to treat a number of pain conditions, but a growing body of research suggests it can also improve immunity.
In our office Salem, OR, we help patients with both musculoskeletal problems and overall wellness.

Previous research has shown that spinal adjustments can affect specific immune responses in both healthy participants and back pain patients. However there have been no major literature review articles of the overall effect of chiropractic care on immunity. In a recent presentation at the Ninth Chiropractic, Osteopathy, and Physiotherapy Annual Conference in the UK, Jack Neil of the Anglo-European College of Chiropractic analyzed the current research on spinal manipulative therapy (SMT) and immune responses.

After examining the data up to January 2012, Neil determined that spinal adjustments are associated with a central anti-inflammatory response. Research shows that SMT may lead to a down regulating of pro-inflammatory cytokines and an increase in antibodies linked to the immune response. In addition, SMT may enhance the creation of tiny cells called leukocytes that support the white blood cells in fighting off a threat. SMT may also affect Natural Killer cells, interleukin-2 activity, TNF-a levels, cortisol, and b-endorphin levels.

Although more research is required, current evidence suggests that chiropractic adjustments can result in favorable changes in the immune system. These immunological changes may show us why chiropractic can reduce inflammation and pain while supporting general health.

We have helped many patients in Salem, OR improve their health. If you would like to experience the advantages of chiropractic, call at (503) 399-7607 for an appointment today.


Neil J. Manipulative therapy and immune response: A literature review of the chiropractic and osteopathic evidence. Clinical Chiropractic 2012; 15(3): 186. 


Understanding Chiropractic Care: A Car Analogy

Although you may have heard of chiropractors, you may be unaware of what they do. You may be curious about why seeing your Salem, OR chiropractor is a good idea. How can chiropractic help you?

Your Body is Like a Car

Perhaps the simplest way to explain chiropractic care is with the help of a car analogy. Having an automobile requires routine maintenance to ensure that it continues to run smoothly. In addition to regular check-ups, sometimes you may be forced to take it in for repair, like when a part starts to malfunction or after an auto accident.

This is not all that different than your body.The best way to stay healthy is be proactive about your health, but sometimes you have an accident (like a sports injury or an accident) and you should see a doctor to repair the injury.

One major difference between your vehicle and your body is that a broken car can be replaced. With your body, there's no going out to buy a fresh one or trade it in when the damage is too costly. So, keeping your body in pristine shape ought to be a priority if you expect it to look great and work effectively well into old age.

How Your Salem, OR Chiropractic Doctor Can Keep Your "Car" in Top Shape

Because a doctor of chiropractic addresses the spine, getting normal care will help you to obtain and maintain good health. It will reduce your likelihood of developing back and neck pain that can lower your quality of life. Chiropractic also keeps your body running as efficiently as possible.

The spinal column protects your spinal cord which forms a connection between your brain and the rest of your body through the spinal nerves that extend into all areas of the body. So, if you have a spinal misalignment, other areas of your body are affected. Given that a spinal misalignment upsets the central nervous system, other systems — like your digestive, respiratory, or reproductive systems — may be impacted as well.

So make seeing your Salem, OR doctor of chiropractic a top priority. Call (503) 399-7607 to schedule an appointment with Dr. Michels today. You'll be taken care of – regardless of whether you’re just in need of maintenance or need a tune-up!


When to See a Chiropractor for Neck Pain

So, your neck has been hurting, but you aren’t quite sure if it is time to see your Salem chiropractor or if you should just self-treat. Here are three questions you can ask yourself to help you determine which path is most appropriate for you:

What is the cause of my neck pain?

If you were involved in an auto injury or personal injury accident that has left you with even minor amounts of neck pain, you should seek medical care. It is possible that a disc or vertebrae are out of place, and waiting is only going to make the problem worse.

However, if you just slept wrong last night and now your neck is sore, you may want to give it a day or two. It is possible that you simply strained your muscles by being in an awkward position so the tenderness may go away on its own.

How bad is the pain?

Neck pain that is minor, like a 0-1 on a scale of zero to ten may not require a visit to your Salem chiropractor. However, anything higher than that or pain that interferes with your everyday activities should be looked at to help determine the cause – and correct it.

Would it make me feel better to get checked out?

Whenever you’re concerned about your neck pain, or any pain for that matter, you can always save yourself a lot of worry by simply making an appointment with Dr. Michels of Michels Spinal Rehab & Associates in Salem, OR so you can find out for sure what is going on. It’s always better to be on the safe side and that is where Dr. Michels intends to keep you!