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]
Chiropractic is a form of alternative medicine mostly concerned with the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine.[1][2] Proponents claim that such disorders affect general health via the nervous system,[2] through vertebral subluxation, claims which are demonstrably false. The main chiropractic treatment technique involves manual therapy, especially spinal manipulation therapy (SMT), manipulations of other joints and soft tissues.[3] Its foundation is at odds with mainstream medicine, and chiropractic is sustained by pseudoscientific ideas such as subluxation and "innate intelligence" that reject science.[4][5][6][7][8] Chiropractors are not medical doctors.[9]

Neck pain is commonly associated with dull aching. Sometimes pain in the neck is worsened with movement of the neck or turning the head. Other symptoms associated with some forms of neck pain include numbness, tingling, tenderness, sharp shooting pain, fullness, difficulty swallowing, pulsations, swishing sounds in the head, dizziness or lightheadedness, and lymph node (gland) swelling.


Chiropractic adjustment rarely causes discomfort. However, patients may sometimes experience mild soreness or aching following treatment (as with some forms of exercise) that usually resolves within 12 to 48 hours. Compared to other common treatments for pain, such as over-the-counter and prescription pain medications, chiropractic's conservative approach offers a safe and effective option.
The AANS does not endorse any treatments, procedures, products or physicians referenced in these patient fact sheets. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific neurosurgical advice or assistance should consult his or her neurosurgeon, or locate one in your area through the AANS’ Find a Board-certified Neurosurgeon online tool.
In diagnosing the cause of neck pain, it is important to review the history of the symptoms. In reviewing the history, the doctor will note the location, intensity, duration, and radiation of the pain. Is the pain worsened or improved with turning or repositioning of the head? Any past injury to the neck and past treatments are noted. Aggravating and/or relieving positions or motions are also recorded. The neck is examined at rest and in motion. Tenderness is detected during palpation of the neck. An examination of the nervous system is performed to determine whether or not nerve involvement is present.
Dr. Jeffrey Fife is also a Helena native. He graduated from Montana State University in 1989 with a degree in Chemical Engineerin8912__4x_color.jpgg and practiced for 15 years. He returned to school and received his Doctor of Chiropractic degree from Logan College of Chiropractic in Saint Louis Missouri in December 2007. He practiced independently in Helena from 2008 to 2011 before joining Town Center Chiropractic. He and his wife have 2 daughters and reside in Helena. In addition to traditional chiropractic, Dr. Fife specializes in the Active Release Technique and is a certified Impairment Evaluator in Montana.
Health professionals may know better in theory, but often underestimate how easily patients are alarmed by hard evidence of spinal degeneration. To the average person, if something like that shows up on a scan, it’s like proof: it has got to hurt. But the evidence clearly contradicts that! Pain has many possible minor causes; degeneration is often painless and rarely serious even when it is causing trouble. BACK TO TEXT
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
Neck pain can have a number of causes, for example: simple muscle strain; injuries as a result of accidents or sports; repetitive or unusual movements; and degenerative conditions such as osteoporosis and arthritis. If you experience neck pain that persists for more than a few days, it would be advisable to consult you medical doctor or health professional.
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,
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.
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,
Dr. Alexandra (Alex) Robins holds both BS and DC degrees, graduating from National College of Chiropractic in 1991. She practiced in Chicago for a couple of years before buying a practice in Indianapolis in1993, which focused on neuromusculoskeletal conditions as well as acupuncture. After 21 years of practice in Indianapolis, Dr. Robins closed her office and became involved with The Joint in 2016. As Dr. Robins states, “Being with The Joint has provided me with a wonderful opportunity to once again treat patients.”

For over a decade, Advanced Chiropractic has been helping families achieve better health and wellness through the finest chiropractic care. Based in Maplewood, Minnesota, our team utilizes hands-on adjustments and a holistic (whole-istic) approach to wellness to enrich the lives and educate clients about the power of their own bodies. We have a special focus on prenatal and pediatric chiropractic, truly serving entire families.

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.
Most people believe that chiropractors treat back pain. That is true, but there is so much more that chiropractic care can achieve. Because chiropractors help to remove pressure from the nervous system, they can also influence many other conditions. It is common to hear chiropractic patients say that they came in for back pain and their headaches got better.
Five to 10-minute ice massages applied to a painful area within the first 48 hours of the start of pain can help relieve pain as can heat, which relaxes the muscles. Heat should be applied for pain of duration greater than 48 hours. Over-the-counter pain relievers such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin, frequently are enough to control episodes of neck pain, and muscle relaxants may help those with limited motion secondary to muscle tightness.
Dr. Jeffrey Fife is also a Helena native. He graduated from Montana State University in 1989 with a degree in Chemical Engineerin8912__4x_color.jpgg and practiced for 15 years. He returned to school and received his Doctor of Chiropractic degree from Logan College of Chiropractic in Saint Louis Missouri in December 2007. He practiced independently in Helena from 2008 to 2011 before joining Town Center Chiropractic. He and his wife have 2 daughters and reside in Helena. In addition to traditional chiropractic, Dr. Fife specializes in the Active Release Technique and is a certified Impairment Evaluator in Montana.

Our office is not only about adjusting your spine. I am certified in treating a wide range of conditions and focus on muscles and soft tissue that may need to be lengthened or strengthened. I am certified in soft tissue techniques called Trigenics and Instrument Assisted Soft Tissue Mobilization (Scraping). We are getting better and faster results since implementing both techniques. I have extensive training with the Advanced Functional Neurology Institute. All of these trainings have allowed me to treat conditions such as Peripheral Neuropathy, bone on bone degenerative knees and rotator cuff conditions/Frozen Shoulder, among others.
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.
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.
Age, injury, poor posture or diseases such as arthritis can lead to degeneration of the bones or joints of the cervical spine, causing disc herniation or bone spurs to form. Sudden severe injury to the neck may also contribute to disc herniation, whiplash, blood vessel destruction, vertebral injury and, in extreme cases, permanent paralysis. Herniated discs or bone spurs may cause a narrowing of the spinal canal or the small openings through which spinal nerve roots exit. Pressure on a nerve root by a herniated disc or a bone spur may result in:
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