A small number of neck pain patients, particularly those with arm pain or signs of spinal cord compression, require cervical spine surgery. A new option for neck surgery is an artificial disc. This device made of metal and plastic, is the correct choice for a very small number of individuals with neck pain only and no other abnormality in the cervical spine than a worn out disc.
Occupational employment projections are developed for all states by Labor Market Information (LMI) or individual state Employment Projections offices. All state projections data are available at www.projectionscentral.com. Information on this site allows projected employment growth for an occupation to be compared among states or to be compared within one state. In addition, states may produce projections for areas; there are links to each state’s websites where these data may be retrieved.
Dr. Bruce attended Harvey Mudd College prior to enrolling in Life Chiropractic College.  Following graduation in 1986, he worked as an associate for Dr. James Reed in Tucker, GA and later purchased the practice.  After 20 years as a solo practitioner, he relocated to Columbus, GA to work for Brodwyn and Associates.  After 6 years in Columbus, he joined Arrowhead Clinic in Hinesville in order to be closer to the beach.  Dr. Bruce has postgraduate training in Personal Injury, posture analysis and extremity care.  While in Tucker and Columbus, he was very involved in the community and served as the team chiropractor for numerous sports teams in the area.
For problems ranging from digestive ailments to slipped disks, joint aches to TMJ, we offer natural, non-narcotic, non-surgical remedies for everyone of every age and have done so for over 25 years, serving Philadelphia, Bucks and Montgomery County. Contact us today to schedule an appointment and take the first step to recovery. Pennsylvania Chiropractic Association Licensed Chiropractor Associations and Awards: Pennsylvania Chiropractic Association Rotary Club America's Top Chiropractors in 2007-2008 by Consumer Research Council of America Cambridge Who's Who of Top Industry Experts ... View Profile

As with so many things, when it comes to neck pain, an ounce of prevention may be worth a pound of cure. It's true that some causes of neck pain, such as age-related wear and tear, are not under your control. On the other hand, there are many things you can do to minimize your risk. One place to start is to look at how you sleep and what effect this may have on neck pain.
Reviews of research studies within the chiropractic community have been used to generate practice guidelines outlining standards that specify which chiropractic treatments are "legitimate" (i.e. supported by evidence) and conceivably reimbursable under managed care health payment systems.[70] Evidence-based guidelines are supported by one end of an ideological continuum among chiropractors; the other end employs antiscientific reasoning and makes unsubstantiated claims.[2][52][43][85][86] Chiropractic remains at a crossroads, and that in order to progress it would need to embrace science; the promotion by some for it to be a cure-all was both "misguided and irrational".[87] A 2007 survey of Alberta chiropractors found that they do not consistently apply research in practice, which may have resulted from a lack of research education and skills.[88]
A large number of chiropractors fear that if they do not separate themselves from the traditional vitalistic concept of innate intelligence, chiropractic will continue to be seen as a fringe profession.[22] A variant of chiropractic called naprapathy originated in Chicago in the early twentieth century.[35][36] It holds that manual manipulation of soft tissue can reduce "interference" in the body and thus improve health.[36]
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.
Finding a good, or even great, chiropractor doesn’t happen just by chance. It’s like anything else today–there are online options for finding user-generated reviews and recommendations to help you find the best chiropractor close to you. Add that to your network of family and friends, and peer-reviewed sites like PainDoctor.com, and you have the tools you need to make the best decision for you.
Whether you’re a resident or just visiting Los Angeles, give us a call! Stop by and pay a visit to our state-of-the-art facility and get the treatment you need from our back pain chiropractor. Don’t keep your body in an abnormal state. There are alternatives that can get you back on track. Providing a detailed explanation on what is happening to your body and what is needed to begin your healing is Doctor KenGee’s specialty. After one visit, you’ll understand why he’s called The Good Doctor. Give us a call at (310) 479-1166 and schedule a consultation or appointment today!
In the U.S., chiropractic schools are accredited through the Council on Chiropractic Education (CCE) while the General Chiropractic Council (GCC) is the statutory governmental body responsible for the regulation of chiropractic in the UK.[176][177] The U.S. CCE requires a mixing curriculum, which means a straight-educated chiropractor may not be eligible for licensing in states requiring CCE accreditation.[65] CCEs in the U.S., Canada, Australia and Europe have joined to form CCE-International (CCE-I) as a model of accreditation standards with the goal of having credentials portable internationally.[178] Today, there are 18 accredited Doctor of Chiropractic programs in the U.S.,[179] 2 in Canada,[180] 6 in Australasia,[181] and 5 in Europe.[182] All but one of the chiropractic colleges in the U.S. are privately funded, but in several other countries they are in government-sponsored universities and colleges.[25] Of the two chiropractic colleges in Canada, one is publicly funded (UQTR) and one is privately funded (CMCC). In 2005, CMCC was granted the privilege of offering a professional health care degree under the Post-secondary Education Choice and Excellence Act, which sets the program within the hierarchy of education in Canada as comparable to that of other primary contact health care professions such as medicine, dentistry and optometry.[169][170]
If the pain is due to muscle spasm or a pinched nerve, your provider may prescribe a muscle relaxant or a more powerful pain reliever. Over-the-counter medicines often work as well as prescription drugs. At times, your provider may give you steroids to reduce swelling. If there is nerve damage, your provider may refer you to a neurologist, neurosurgeon, or orthopedic surgeon for consultation.
Finally, it’s important to know that it’s okay to change chiropractors if the doctor you find just isn’t a good fit. They may be perfectly qualified and capable, but if you aren’t comfortable with them, treatment may be less effective. Some patients love doctors who are straight and to the point, while others prefer someone who provides lots of explanation both before and during a procedure. Likewise, they may not be the best doctor to treat your specific pain condition. As with other doctors, chiropractors understand this and are happy to transfer your records to a different doctor.
Admission to D.C. programs requires at least 90 semester hours of undergraduate education, and some D.C. programs require a bachelor’s degree for entry. Most students typically earn a bachelor’s degree before applying to a chiropractic program. Schools have specific requirements for their chiropractic programs, but they generally require coursework in the liberal arts and in sciences such as physics, chemistry, and biology. Candidates should check with individual schools regarding their specific requirements.
Hi Jacqueline — We are so sorry to hear about this. You can find a doctor here: https://paindoctor.com/get-relief-now/, or if there’s not one in your area in that directory, figure out how to find the best one in your area by using the suggestions in this list. Further, one of the worst parts about chronic pain is not having anyone around who truly understands what you face on a day-to-day basis. We highly recommend finding a local or online support group so you can talk to other patients who understand what a life with chronic pain is like. You can find online ones here: https://paindoctor.com/chronic-pain-support-groups.
With extensive experience, our kind and caring team consistently get rave reviews from happy patients. We seek to exceed your expectations in a modern environment equipped with the latest technologies. We believe technology should enhance our ability to help you, not replace our critical thinking. No matter what challenge or concern you may have, the first step is booking a time with our doctors to evaluate your specific issues.
The treatment of soft tissue neck and shoulder pain often includes the use of anti-inflammatory medication such as ibuprofen (Advil or Motrin) or naproxen (Aleve or Naprosyn). Pain relievers such as acetaminophen (Tylenol) may also be recommended. Depending on the source of pain, drugs like muscle relaxers and even antidepressants might be helpful. Pain also may be treated with a local application of moist heat or ice. Local corticosteroid injections are often helpful for arthritis of the shoulder. For both neck and shoulder pain movement, exercises may help. For cases in which nerve roots or the spinal cord are involved, surgical procedures may be necessary. Your doctor can tell you which is the best course of treatment for you.
"Physiologists divide nerve-fibers, which form the nerves, into two classes, afferent and efferent. Impressions are made on the peripheral afferent fiber-endings; these create sensations that are transmitted to the center of the nervous system. Efferent nerve-fibers carry impulses out from the center to their endings. Most of these go to muscles and are therefore called motor impulses; some are secretory and enter glands; a portion are inhibitory, their function being to restrain secretion. Thus, nerves carry impulses outward and sensations inward. The activity of these nerves, or rather their fibers, may become excited or allayed by impingement, the result being a modification of functionality – too much or not enough action – which is disease."[42]
Sharp, shooting pains are mostly neurological false alarms about relatively trivial musculoskeletal troubles: your brain reacting over-protectively to real-but-trivial irritations in and around the spine. The brain takes these much more seriously than it really needs to, but evolution has honed us to be oversensitive in this way. That’s not to say that the brain is always over-reacting, but it usually is. Most of the time, a sharp pain is a warning you can ignore.

Before I left, the office gave me a cold pack to use in case of any soreness. I didn’t have a need to use it, but everyone is different. “A cold pack can be a great tool to add to your wellness toolkit, since it can help control soreness, bruising and inflammation,” says Dr. Greg Doer, DC. Plus, it doesn’t just come in handy after a chiropractic adjustment. You can reuse it again and again.
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