Nonsteroidal antiinflammatory drugs (NSAIDs) are prescribed medications for the treatment of inflammatory conditions. Examples of NSAIDs include aspirin, ibuprofen, naproxen, and more. One common side effect of NSAIDs is peptic ulcer (ulcers of the esophagus, stomach, or duodenum). Side effects, drug interactions, warnings and precautions, and patient safety information should be reviewed prior to taking NSAIDs.

Jump up ^ Brantingham, James W.; Bonnefin, Debra; Perle, Stephen M.; Cassa, Tammy Kay; Globe, Gary; Pribicevic, Mario; Hicks, Marian; Korporaal, Charmaine (2012). "Manipulative Therapy for Lower Extremity Conditions: Update of a Literature Review". Journal of Manipulative and Physiological Therapeutics. 35 (2): 127–66. doi:10.1016/j.jmpt.2012.01.001. ISSN 0161-4754. PMID 22325966.


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
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

Analysis of a clinical and cost utilization data from the years 2003 to 2005 by an integrative medicine independent physician association (IPA) which looked the chiropractic services utilization found that the clinical and cost utilization of chiropractic services based on 70,274 member-months over a 7-year period decreased patient costs associate with the following use of services by 60% for in-hospital admissions, 59% for hospital days, 62% for outpatient surgeries and procedures, and 85% for pharmaceutical costs when compared with conventional medicine (visit to a medical doctor primary care provider) IPA performance for the same health maintenance organization product in the same geography and time frame.[163]

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
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

AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website.


Other. A 2012 systematic review found insufficient low bias evidence to support the use of spinal manipulation as a therapy for the treatment of hypertension.[120] A 2011 systematic review found moderate evidence to support the use of manual therapy for cervicogenic dizziness.[121] There is very weak evidence for chiropractic care for adult scoliosis (curved or rotated spine)[122] and no scientific data for idiopathic adolescent scoliosis.[123] A 2007 systematic review found that few studies of chiropractic care for nonmusculoskeletal conditions are available, and they are typically not of high quality; it also found that the entire clinical encounter of chiropractic care (as opposed to just SM) provides benefit to patients with cervicogenic dizziness, and that the evidence from reviews is negative, or too weak to draw conclusions, for a wide variety of other nonmusculoskeletal conditions, including ADHD/learning disabilities, dizziness, high blood pressure, and vision conditions.[124] Other reviews have found no evidence of significant benefit for asthma,[125][126] baby colic,[127][128] bedwetting,[129] carpal tunnel syndrome,[130] fibromyalgia,[131] gastrointestinal disorders,[132] kinetic imbalance due to suboccipital strain (KISS) in infants,[127][133] menstrual cramps,[134] insomnia,[135] postmenopausal symptoms,[135] or pelvic and back pain during pregnancy.[136] As there is no evidence of effectiveness or safety for cervical manipulation for baby colic, it is not endorsed.[137]
Research suggests that not just sleep position, but sleep itself, can play a role in musculoskeletal pain, including neck and shoulder pain. In one study, researchers compared musculoskeletal pain in 4,140 healthy men and women with and without sleeping problems. Sleeping problems included difficulty falling asleep, trouble staying asleep, waking early in the mornings, and non-restorative sleep. They found that people who reported moderate to severe problems in at least three of these four categories were significantly more likely to develop chronic musculoskeletal pain after one year than those who reported little or no problem with sleep. One possible explanation is that sleep disturbances disrupt the muscle relaxation and healing that normally occur during sleep. Additionally, it is well established that pain can disrupt sleep, contributing to a vicious cycle of pain disrupting sleep, and sleep problems contributing to pain.
At Whole Family Chiropractors, we strive to serve everyone in our diverse community, helping people attain their individual health, wellness and fitness goals. Mueller chiropractors Dr. Michelle Paris, Dr. Merrick Fisher and Dr. Brian Gore offer a welcoming space in which you can discuss any topics that affect your physical and mental well-being without judgment, and get answers to your questions. Our array of services include:
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.
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.
Eagle’s syndrome [Medscape] is a rare abnormal elongation of a bizarre little bit of bone at the back of the throat called the styloid process. Even a normal styloid process looks jarring when you first see one: it is so skinny and sharp that it makes one wonder how it can possibly not be stabbing something. Well, it turns out that in some cases it does “stab” you in the neck. This will cause a feeling of a lump in the throat and/or moderate intensity pains throughout the region, possibly including the side of the neck, although pain is more likely to dominate the jaw and throat.15
Most patients don't realize how much education chiropractors in Kansas City have. Chiropractors are held to some of the most intense educational standards of any health field. In fact their education standards are very comparable to that of a medical doctor. After completing a strong emphasis of basic sciences in college, chiropractors attend a four year chiropractic college. This means that chiropractors are primary care physicians. In other words you don't have to have a referral to see a chiropractor.
I am 73 yr. young, and I in so much pain and discomfort . I have a double curve of the spine and due to a loss of 3 in. since becoming elderly the pain has gotten worse. I had went to a wonderful chiropractor for years but he is no longer. My husband still works and we have United HealthCare and they don’t cover chiropractors. IS there any good chiropractors that don’t charge a high price or don’t insist on xrays which are very expensive. I also have IBS and have had 3 major bowel surgeries which causes me extreme pain
The neck has a significant amount of motion and supports the weight of the head. However, because it is less protected than the rest of the spine, the neck can be vulnerable to injury and disorders that produce pain and restrict motion. For many people, neck pain is a temporary condition that disappears with time. Others need medical diagnosis and treatment to relieve their symptoms.

Whats to know about radiculopathy? Radiculopathy describes a nerve being pinched by the spine. This can cause discomfort, weakness, and numbness, and can be treated with medication and physical therapy. This article explains the causes of this painful condition, how it is diagnosed, and how a person might go about preventing the onset of radiculopathy. Read now
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.
Jump up ^ Brantingham, James W.; Bonnefin, Debra; Perle, Stephen M.; Cassa, Tammy Kay; Globe, Gary; Pribicevic, Mario; Hicks, Marian; Korporaal, Charmaine (2012). "Manipulative Therapy for Lower Extremity Conditions: Update of a Literature Review". Journal of Manipulative and Physiological Therapeutics. 35 (2): 127–66. doi:10.1016/j.jmpt.2012.01.001. ISSN 0161-4754. PMID 22325966.
^ 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.
Traditional chiropractors focus on your muscles and bones, making physical adjustments to your spine for temporary relief. At Vero Chiropractic we take a different approach to chiropractic care. We focus on your nervous system, locating issues in your body at the source and providing our patients more effective and longer lasting health outcomes. In other words, we don’t just treat your symptoms, we correct the cause of why they are occuring!
They are mostly good for corroborating what is already obviously a serious problem — for instance, if you already have other red flags and ominous symptoms and there are MRI findings of degeneration that might explain those symptoms. But of course in such case you will already know that you have a big problem! The scan is just clarifying why. Maybe. BACK TO TEXT

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.
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care.[73] Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint.[74] Its defining factor is a dynamic thrust, which is a sudden force that causes an audible release and attempts to increase a joint's range of motion.[74] High-velocity, low-amplitude spinal manipulation (HVLA-SM) thrusts have physiological effects that signal neural discharge from paraspinal muscle tissues, depending on duration and amplitude of the thrust are factors of the degree in paraspinal muscle spindles activation.[75] Clinical skill in employing HVLA-SM thrusts depends on the ability of the practitioner to handle the duration and magnitude of the load.[75] More generally, spinal manipulative therapy (SMT) describes techniques where the hands are used to manipulate, massage, mobilize, adjust, stimulate, apply traction to, or otherwise influence the spine and related tissues.[74]
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.
Chiropractic overlaps with several other forms of manual therapy, including massage therapy, osteopathy, physical therapy, and sports medicine.[19][59] Chiropractic is autonomous from and competitive with mainstream medicine,[60] and osteopathy outside the US remains primarily a manual medical system;[61] physical therapists work alongside and cooperate with mainstream medicine, and osteopathic medicine in the U.S. has merged with the medical profession.[60] Practitioners may distinguish these competing approaches through claims that, compared to other therapists, chiropractors heavily emphasize spinal manipulation, tend to use firmer manipulative techniques, and promote maintenance care; that osteopaths use a wider variety of treatment procedures; and that physical therapists emphasize machinery and exercise.[19]
Involved in a car accident? You’re not alone. Many people become injured in accidents and don’t seek the treatment needed to properly restore mobility and function. At The Good Doctor, you’ll receive comprehensive chiropractic care that will alleviate pain and symptoms resulting from your injuries. Our Los Angeles chiropractor offers a variety of treatments and methods that will get you back to a normal, healthy state. If you’re suffering from headaches, back, neck or shoulder pain, we’re ready to help.

We have created an environment where eastern medicine meets western medicine in Deville NJ. Our patients enjoy an energetic and pleasent state of the art healing environment with a nearly 100% success rate for more than 25 years ! Dr.David Barrett, Founder Education D.C.     Doctor of Chiropractic, New York Chiropractic College – Graduate, 1989 B.A.      Bachelor of Science (Pre-Med, Biology), William Paterson College – Graduate, 1985 A.A.     Associate Arts (Biology), County College of Morris – Graduate, 1983 Experience •   Denville Medical & Spo ... View Profile


Chiropractic overlaps with several other forms of manual therapy, including massage therapy, osteopathy, physical therapy, and sports medicine.[19][59] Chiropractic is autonomous from and competitive with mainstream medicine,[60] and osteopathy outside the US remains primarily a manual medical system;[61] physical therapists work alongside and cooperate with mainstream medicine, and osteopathic medicine in the U.S. has merged with the medical profession.[60] Practitioners may distinguish these competing approaches through claims that, compared to other therapists, chiropractors heavily emphasize spinal manipulation, tend to use firmer manipulative techniques, and promote maintenance care; that osteopaths use a wider variety of treatment procedures; and that physical therapists emphasize machinery and exercise.[19]

There is no good evidence that chiropractic is effective for the treatment of any medical condition, except perhaps for certain kinds of back pain.[4][10] Generally, the research carried out into the effectiveness of chiropractic has been of poor quality.[89][90] Numerous controlled clinical studies of treatments used by chiropractors have been conducted, with conflicting results.[4] Research published by chiropractors is distinctly biased.[4] For reviews of SM for back pain chiropractic authors tend to have positive conclusions, while others did not show any effectiveness.[4]


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
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]

All treatment is based on an accurate diagnosis of your back pain. The chiropractor should be well informed regarding your medical history, including ongoing medical conditions, current medications, traumatic/surgical history, and lifestyle factors. Although rare, there have been cases in which treatment worsened a herniated or slipped disc, or neck manipulation resulted spinal cord injury. To be safe, always check with your medical doctor to make sure your condition will benefit from chiropractic or other pain relief alternatives. 
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