Low back pain. A 2013 Cochrane review found very low to moderate evidence that SMT was no more effective than inert interventions, sham SMT or as an adjunct therapy for acute low back pain.[94] The same review found that SMT appears to be no better than other recommended therapies.[94] A 2016 review found moderate evidence indicating that chiropractic care seems to be effective as physical therapy for low back pain.[95] A 2012 overview of systematic reviews found that collectively, SM failed to show it is an effective intervention for pain.[96] A 2011 Cochrane review found strong evidence that suggests there is no clinically meaningful difference between SMT and other treatments for reducing pain and improving function for chronic low back pain.[97] A 2010 Cochrane review found no current evidence to support or refute a clinically significant difference between the effects of combined chiropractic interventions and other interventions for chronic or mixed duration low back pain.[98] A 2010 systematic review found that most studies suggest SMT achieves equivalent or superior improvement in pain and function when compared with other commonly used interventions for short, intermediate, and long-term follow-up.[99] Specific guidelines concerning the treatment of nonspecific (i.e., unknown cause) low back pain are inconsistent between countries.[100]
As of 2014, the National Board of Chiropractic Examiners states "The specific focus of chiropractic practice is known as the chiropractic subluxation or joint dysfunction. A subluxation is a health concern that manifests in the skeletal joints, and, through complex anatomical and physiological relationships, affects the nervous system and may lead to reduced function, disability or illness."[51][52]
Located at 295 Logan Street, a half mile from Del-Val College and directly across from C.B. West High School in the heart of Doylestown, Dr. Jeff McQuaite and his team at McQuaite Chiropractic Center are dedicated to exceeding your expectations and delivering a caring and affordable experience each time you visit our office. That is why our motto has always been “Old fashioned care and concern in a modern world!” Unlike conventional medicine, which focuses on attempting to treat disease once it occurs, McQuaite Chiropractic Center emphasizes improving your health in an effort to reduce the risk of pain and illness in the ... View Profile
Neck pain may result from abnormalities in the soft tissues—the muscles, ligaments, and nerves—as well as in bones and disks of the spine. The most common causes of neck pain are soft-tissue abnormalities due to injury (a sprain) or prolonged wear and tear. In rare instances, infection or tumors may cause neck pain. In some people, neck problems may be the source of pain in the upper back, shoulders, or arms.
Our family-based wellness practice helps children and adults alike. By getting your young ones checked as early as possible, we can prevent unwanted conditions that many people suffer from as adults. The birthing process may be the first time a child has trauma to their spine, so we recommend that you bring your baby in for a check as soon as possible after they’re born. Dr. Priestley has extensively trained with the International Chiropractic Pediatric Association and can treat expecting moms and children of all ages.
This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient. Always consult your doctor about your medical conditions or back problem. SpineUniverse does not provide medical advice, diagnosis or treatment. Use of the SpineUniverse.com site is conditional upon your acceptance of our User Agreement
A 2006 systematic cost-effectiveness review found that the reported cost-effectiveness of spinal manipulation in the United Kingdom compared favorably with other treatments for back pain, but that reports were based on data from clinical trials without sham controls and that the specific cost-effectiveness of the treatment (as opposed to non-specific effects) remains uncertain.[161] A 2005 American systematic review of economic evaluations of conservative treatments for low back pain found that significant quality problems in available studies meant that definite conclusions could not be drawn about the most cost-effective intervention.[162] The cost-effectiveness of maintenance chiropractic care is unknown.[12]
Cervical stenosis occurs when the spinal canal narrows and compresses the spinal cord and is most frequently caused by aging. The discs in the spine that separate and cushion vertebrae may dry out. As a result, the space between the vertebrae shrinks, and the discs lose their ability to act as shock absorbers. At the same time, the bones and ligaments that make up the spine become less pliable and thicken. These changes result in a narrowing of the spinal canal. In addition, the degenerative changes associated with cervical stenosis can affect the vertebrae by contributing to the growth of bone spurs that compress the nerve roots. Mild stenosis can be treated conservatively for extended periods of time as long as the symptoms are restricted to neck pain. Severe stenosis requires referral to a neurosurgeon.
How long does it take to build muscle with exercise? Performing particular exercises and eating the right foods can help to build muscle over time. In this article, we look in detail at how muscle builds up and long it will take. We also give you some ideas about the types of exercise and diet that can achieve this, as well as some tips on how to exercise safely. Read now
Through manual manipulation of the spine delivered to the highest standards by licensed chiropractors, chiropractic care works to restore and maintain proper communication from your brain to your body by relieving what chiropractors refer to as a subluxation, or a misalignment, of the spine. Restoring proper alignment to the spine can assist with pain relief and prevention of:

The word “Chiropractic” is derived from the Greek words “cheir” (hand) and “praktos” (done) combined to mean “done by hand.” It was chosen by the developer of chiropractic care, Daniel David Palmer. In 1895, D.D. Palmer performed a chiropractic adjustment on a partially deaf janitor, Harvey Lillard, who later reported that his hearing had improved due to the change.
Many patients seek orthopaedic care for neck pain because orthopaedists are specifically trained to diagnose, treat, and help prevent problems involving the muscles, bones, joints, ligaments, and tendons. Although some orthopaedists confine their practices to specific areas of the musculoskeletal system, most treat a wide variety of diseases, injuries, and other conditions, including neck pain.
What's to know about cervical spondylosis? Cervical spondylosis is a type of osteoarthritis. It is very common, and it happens as people get older, and the vertebrae and discs in the neck deteriorate. Minor symptoms include neck pain and stiffness, but numbness and more severe effects are possible. Symptoms often resolve alone, but treatment is available. Read now
^ Jump up to: a b Palmer DD (1910). The Chiropractor's Adjuster: Text-book of the Science, Art and Philosophy of Chiropractic for Students and Practitioners. Portland, OR: Portland Printing House Co. OCLC 17205743. A subluxated vertebra ... is the cause of 95 percent of all diseases ... The other five percent is caused by displaced joints other than those of the vertebral column.
The neck supports the full weight of the head and is very susceptible to muscle strain and the misalignment of, or damage to, the vertebra in the spinal column. Almost everyone experiences neck pain at some time. These pains can be simple, which disappear after a few days, or they can be chronic. Chronic neck pain is defined as pain that persists for 3 months or more.
Twenty‐six to 71% of the adult population can recall experiencing an episode of neck pain or stiffness in their lifetime. Neck pain is more common in females than in males, with rates reported as high as 77.8%. The natural history is unclear. Neck pain has a costly impact on society because of visits to healthcare providers, sick leave, disability and loss of productivity. There are a number of treatments available for neck pain, one of which is mechanical traction.
Paige, N. M., Miake-Lye, I. M., Booth, M. S., Beroes, J. M., Mardian, A. S., Dougherty, P., ... Shekelle, P. G. (2017, April 11). Association of spinal manipulative therapy with clinical benefit and harm for acute low back pain: Systematic review and meta-analysis. Jama, 317(14), 1451–1460. Retrieved from https://jamanetwork.com/journals/jama/fullarticle/2616395

Determining a treatment strategy depends mainly on identifying the location and cause of the irritated nerve root. Although neck pain can be quite debilitating and painful, nonsurgical management can alleviate many symptoms. The doctor may prescribe medications to reduce the pain or inflammation and muscle relaxants to allow time for healing to occur. Reducing physical activities or wearing a cervical collar may help provide support for the spine, reduce mobility and decrease pain and irritation. Trigger point injection, including corticosteroids, can temporarily relieve pain. Occasionally, epidural steroids may be recommended. Conservative treatment options may continue for up to six or eight weeks.

20 Dollar Chiropractic has one of the most highly trained and licensed chiropractors in the area that has a primary focus on patient care. Our team will determine if you’re a chiropractic candidate or a medical condition. If your problem is better treated by a medical doctor we’ll gladly refer you to one in the area. Some of our patients are co-managed with chiropractic and medicine. With 20 Dollar Chiropractic’s main focus being patient’s well-being, our primary focus has made our clinic one of the most popular offices in our area.

Neck pain is just that – pain in the neck. Pain can be localized to the cervical spine or may travel down an arm (radiculopathy). All age groups are at risk of developing neck pain. People who sit in one location staring at computer screens for long periods of time may be at an increased risk. About 30% of the population has an episode of neck pain each year. Neck pain may occur slightly more frequently in women than men.

Welcome to Harrisburg Chiropractic located in Harrisburg. At Harrisburg Chiropractic we strive to give you an experience that focuses on a person’s individual needs and wants. Whether your goal is the ability to pick up your children, sit at your desk, go for a walk or play a round of golf without pain, our clinic is the place for you. You may be interested in achieving optimal health and Harrisburg chiropractor Andrew Segarra wants you to utilize us as a resource in getting there.
If you are lucky enough to have family and friends who regularly visit a chiropractor, ask them for help finding a “chiropractor near me.” A license to practice shows that the doctor is qualified, but a person who has worked with them can tell you about their bedside manner and demeanor. It helps to keep in mind what kind of doctor you generally prefer. Whether you like a warm, caring doctor or a capable but business-like doctor, a recommendation from a family member or friend may be able to help.
What is cervicalgia and how is it treated? Learn all about cervicalgia, a pain in the neck. It involves a sharp pain in the neck area when certain movements are made. Poor posture, traumatic injury, and stress are some of the common causes. Symptoms include stiffness and difficulty moving the neck. Find out more about neck pain and how to treat and prevent it. Read now
Your care begins with a thorough examination so that we can understand what may be holding you back from the greatest possible well-being. Advanced scanning technology and digital X-rays assist us in creating a picture of your current health. Just like you can see your teeth being straightened with braces, we do regular re-examinations to evaluate your progress. Not only will you feel better,

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Jump up ^ Lewis RA, Williams NH, Sutton AJ, Burton K, Din NU, Matar HE, Hendry M, Phillips CJ, Nafees S, Fitzsimmons D, Rickard I, Wilkinson C (2013). "Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses". Spine Journal. 15 (6): 1461–77. doi:10.1016/j.spinee.2013.08.049. PMID 24412033.
A 2012 systematic review suggested that the use of spine manipulation in clinical practice is a cost-effective treatment when used alone or in combination with other treatment approaches.[160] A 2011 systematic review found evidence supporting the cost-effectiveness of using spinal manipulation for the treatment of sub-acute or chronic low back pain; the results for acute low back pain were insufficient.[11]
Some chiropractors believe that chiropractic care is the only treatment needed for any health problem. Others are committed to working with your pain management specialist as part of a comprehensive treatment plan. When looking for a chiropractor close by, it is important to decide which type of chiropractor is right for you and your pain condition. As we’ll discuss below, chiropractors will share on their website what they’re most focused on treating or what they have the most research experience with. They may also discuss their philosophies about care so you can find one that matches how you approach treating your pain.
As of 2014, the National Board of Chiropractic Examiners states "The specific focus of chiropractic practice is known as the chiropractic subluxation or joint dysfunction. A subluxation is a health concern that manifests in the skeletal joints, and, through complex anatomical and physiological relationships, affects the nervous system and may lead to reduced function, disability or illness."[51][52]
Vertebrobasilar artery stroke (VAS) is statistically associated with chiropractic services in persons under 45 years of age,[147] but it is similarly associated with general practitioner services, suggesting that these associations are likely explained by preexisting conditions.[146][148] Weak to moderately strong evidence supports causation (as opposed to statistical association) between cervical manipulative therapy (CMT) and VAS.[149] There is insufficient evidence to support a strong association or no association between cervical manipulation and stroke.[15] While the biomechanical evidence is not sufficient to support the statement that CMT causes cervical artery dissection (CD), clinical reports suggest that mechanical forces have a part in a substantial number of CDs and the majority of population controlled studies found an association between CMT and VAS in young people.[150] It is strongly recommended that practitioners consider the plausibility of CD as a symptom, and people can be informed of the association between CD and CMT before administrating manipulation of the cervical spine.[150] There is controversy regarding the degree of risk of stroke from cervical manipulation.[15] Many chiropractors state that, the association between chiropractic therapy and vertebral arterial dissection is not proven.[17] However, it has been suggested that the causality between chiropractic cervical manipulation beyond the normal range of motion and vascular accidents is probable[17] or definite.[16] There is very low evidence supporting a small association between internal carotid artery dissection and chiropractic neck manipulation.[151] The incidence of internal carotid artery dissection following cervical spine manipulation is unknown.[152] The literature infrequently reports helpful data to better understand the association between cervical manipulative therapy, cervical artery dissection and stroke.[153] The limited evidence is inconclusive that chiropractic spinal manipulation therapy is not a cause of intracranial hypotension.[154] Cervical intradural disc herniation is very rare following spinal manipulation therapy.[155]
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
The patients were put into two groups. One group received traditional medical care for back pain along with chiropractic care; the other group only received traditional care. While traditional care can include medication, the chiropractic care included spinal manipulation adjustments along with manual therapies such as ice, heat, cryotherapy, and rehabilitative exercises.
This article gives a well-rounded picture about things that can cause neck and arm pain. However, a patient should consult with their own physician rather than doing a self-diagnosis.  Some conditions, such as coronary artery disease (angina) or even lung tumors may mimic these conditions.  It is best to have a skilled physician perform a thorough physical examination when the symptoms described are present.

Holism assumes that health is affected by everything in an individual's environment; some sources also include a spiritual or existential dimension.[34] In contrast, reductionism in chiropractic reduces causes and cures of health problems to a single factor, vertebral subluxation.[32] Homeostasis emphasizes the body's inherent self-healing abilities. Chiropractic's early notion of innate intelligence can be thought of as a metaphor for homeostasis.[30]
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