Tuesday, September 18, 2012

Chiropractic Care Benefits Veterans with Low Back Pain


Chiropractic Care Benefits Veterans with Low Back Pain

Among veterans, musculoskeletal pain is one of the most common complaints, particularly low back pain (LBP). The number of veterans reporting to the Veteran’s Health Administration (VHA) with low back pain rose an average of 4.8 percent per year between 2000 and 2007, exceeding the rise in rates of diabetes, high blood pressure and depression.

A survey of 15,000 veterans from the Persian Gulf War found that 45 percent reported experiencing back pain. Chiropractic services have been added to the care options for veterans, and most chiropractors providing services to veterans within the VHA reported that LBP was the primary complaint.

A study to determine the effectiveness of chiropractic care in treating veterans with LBP was performed on 171 patients who met the inclusion criteria. The average veteran was male, obese and suffering from chronic LBP (for over 6 months, on average).  Most participants also presented with other physical and psychological issues.

Post-Traumatic Stress Disorder (PTSD) is common in the veteran population and has been shown to contribute to chronic pain.

Veterans in the study received treatment from a chiropractor in the western New York area after being referred by their primary care physician. The number of treatments given to each case during the course of the study ranged from 2 to 26, with 8.7 being the mean number of treatments per person. Treatments were performed twice a week on average, and the patient was assessed after every four treatments.

Chiropractors used a range of treatment modalities on the subjects, including standard adjustments, spinal mobilization and flexion distraction. Patients were also instructed on how to perform therapeutic exercises and do stretches that were tailored to their specific condition.

Pain severity was measured by the Numeric Rating Scale (NRS), which is a verbal rating by the patient on the severity of pain using a scale ranging from 0 to 10 at the time treatment is undertaken.

The Back Bournemouth Questionnaire (BBQ) is a biopsychosocial measurement of low back pain symptoms consisting of 7 questions that measure pain, disability, and the affective and cognitive-behavioral aspects of musculoskeletal problems. Scores on the BBQ range from 0 to 70, with higher numbers indicating a higher severity of symptoms.

After only two chiropractic treatments, 60 percent of veterans showed a significant improvement of 37.4 points on the NRS and 34.6 points on the BBQ measurements.

he researchers concluded that, “Despite high levels of service-connected disability and comorbidity, veterans' chiropractic clinical outcomes in terms of mean percentage improvement from baseline to discharge for both NRS and BBQ were statistically significant and clinically meaningful.

This study adds to the understanding of chiropractic clinical outcomes for veterans with LBP and contributes to a foundation for further research.”

Dr. Lauterbach

Tuesday, September 11, 2012

Vitamin D news



Vitamin D status predicts new brain lesion activity in MS
06 September 2012

Researchers at University of California, San Francisco set out to determine if there is a link between vitamin D status and developing new lesions in patients with relapsing multiple sclerosis (MS).

The researchers used data from a 5 year longitudinal study of MS patients. The participants have clinical evaluations, a brain MRI, as well as blood work annually.

The measured 25(OH)D levels were assessed for an association with T2 lesions on brain MRI, clinical relapses, and disability. T2 images from an MRI show both old and new inflammation on the brain since onset of MS.

The authors collected a total of 2,362 brain MRI scans from 469 patients. The researchers found that with each 10 ng/ml increase in 25(OH)D level, the risk of new T2 lesions in the brain decreased by 15%. Also, the 10 ng/ml increase was associated with a 32% lower risk of gadolinium-enhancing lesions, representing “active” lesions. They also found that higher vitamin D levels were associated with lower relapse risk, although this finding was not statistically significant (p=.037).

The authors encourage future randomized trials looking into the relationship between vitamin D and brain lesions in MS.

Source:

Mowry EM, et al. Vitamin D status predicts new brain magnetic resonance imaging activity in multiple sclerosis. Ann Neurol. 2012.

Page last edited: 07 September 2012




RCT: Vitamin D supplementation in patients with MS

Posted on September 8, 2012 by John Cannell, MD
Dr. Soilu-Hänninen and colleagues from the University of Turku in Finland recently conducted a double blind, placebo-controlled trial of vitamin D in 66 MS patients, to see if it helped as an add-on therapy with interferon.

Soilu-Hänninen M, Aivo J, Lindström BM, Elovaara I, Sumelahti ML, Färkkilä M, Tienari P, Atula S, Sarasoja T, Herrala L, Keskinarkaus I, Kruger J, Kallio T, Rocca MA, Filippi M. A randomised, double blind, placebo controlled trial with vitamin D3 as an add on treatment to interferon β-1b in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry. 2012 83(5):565-71.

They found that 20,000 IU of vitamin D3 once a week resulted in significantly fewer lesions on brain MRI and strong trends toward lower lesion burden, reduced disability scales, and improved ability to walk, compared to controls. 25(OH)D levels only went from 22 ng/ml to 44 ng/ml in one year.

The authors note that other studies have found that in children with possible MS, each 4 ng/ml decrease in 25(OH)D has been correlated with a conversion to definite MS. Lower serum 25(OH)D values have been associated with a higher rate of MS relapses. Researchers have correlated each 4 ng/ml increase in 25(OH)D with up to 12% reduction in relapse rate in adults with MS, and each 10 ng/ml increase in 25(OH)D with a 34% decrease in relapse rate in childhood MS.

Remember, observational studies (unlike the RCT above) are likely studying the effect of sunshine, not supplements, and the 25(OH)D levels are more likely to be a reflection of how much sun exposure a subject gets than whether they are taking a supplement or not.

In spite of the above findings in a randomized controlled trial, I would never recommend only oral vitamin D for people with MS. They may well benefit from sunshine or low-pressure sun tanning beds as well.

Until it is clear oral vitamin D can fully replace sunshine, make sure all MS patients take at least 5,000 IU of vitamin D per day and sun bathe daily at midday. In the winter, use low-pressure sunbeds, the ones that replicate high intensity sunlight, on a regular basis.

Dr Lauterbach.

Monday, September 10, 2012

Latest Research on BPA (bisphenol A) Exposure

Latest Research on BPA (bisphenol A) Exposure Bisphenol A (BPA) is an organic chemical used in the manufacture of polycarbonate plastics and epoxy resins. It is found in many hard plastic drink bottles and metal food and drink cans. Although it has been in commercial use since the 1960s, it is only recently that concerns have been raised over its use in food containers. These concerns are based on the fact that BPA has been observed to have a detectable hormonal action on the body, binding to estrogen and other endocrine receptors, a finding that has prompted several governments to reassess the safety information on this substance. A study in 1983 by the United States National Academy of Sciences concluded that exposure to BPA presented a minimal hazard to human health. However, in 2000, the US National Toxicity Program carried out a review of the BPA safety evidence, particularly in relation to its action as a hormonal disruptor at low doses, and suggested that “There is credible evidence that low doses of BPA can cause effects on specific endpoints.” The review panel did go on to say, however, that the weight of evidence was not conclusive and there was uncertainty as to the “biological relevance” of the findings. Nevertheless, two areas of recent research have disputed the apparent safety of BPA. Most of the previous studies on BPA used rats and other lab animals, but recent studies have been done that look directly at the effect of the chemical on humans; in particular, a ten year study carried out by scientists from a number of institutions, including the University of Exeter and European Center for the Environment and Human Health, clearly demonstrated a link between BPA exposure and the risk of developing heart disease1. Further, and perhaps even more alarming, a study by a team of American pediatricians found that higher BPA levels in infants both gestationally and after birth were associated with a lack of behavioral control2. This effect was greater in female infants, as might be expected, since BPA can disrupt healthy estrogen function. Alone, this research would be enough to give cause for thought and definitely for concern, but it comes on the heels of other studies which have pointed to the potentially hazardous nature of BPA to the human body 3,4,5,6,7. The Canadian government announced in 2010 that it considered BPA to be a toxic substance unsuitable for human consumption, and the European Union, United States and Canada have since banned the use of BPA in baby bottles. Given the ubiquity of BPA in the food industry, it is unlikely that researchers are going to be content to stop here, and further findings in the near future are to be expected. Indeed, a follow-up study on the link between exposure to BPA and the development of heart disease has already been published8. Although the industrial production of bisphenol A is worth billions to the world economy, governments have already demonstrated that they are willing to tighten regulations on the usage of BPA, and, if there is more evidence of the toxicity of BPA to human health, further measures are entirely possible. 1. Melzer D, Osborne NJ, Henley WE, Cipelli R, Young A, et al. (2012) Urinary bisphenol A concentration and risk of future coronary artery disease in apparently healthy men and women. Circulation 125: 1482–1490 2. Braun JM, Kalkbrenner AE, Calafat AM, Yolton K, Ye X, Dietrich KM and Lanphear BP (2011) Impact of Early-Life Bisphenol A Exposure on Behavior and Executive Function in Children. Pediatrics 128: 873-882 3. Braun JM, Yolton K, Dietrich KN, et al. (2009) Prenatal bisphenol A exposure and early childhood behavior. Environ Health Perspect. 117: 1945–1952 4. Cantonwine D, Meeker JD, Hu H, et al. (2010) Bisphenol A exposure in Mexico City and risk of prematurity: a pilot nested case control study. Environmental Health 9:62. 5. Melzer D, Harries L, Cipelli R, Henley W, Money C, et al. (2011) Bisphenol A exposure is associated with in vivo estrogenic gene expression in adults. Environ Health Perspect 119: 1788–1793 6. Ning G, Bi Y, Wang T, Xu M, Xu Y, et al. (2011) Relationship of urinary bisphenol A concentration to risk for prevalent type 2 diabetes in Chinese adults: a cross-sectional analysis. Ann Intern Med 155: 368–374 7. Melzer D, Rice NE, Lewis C, Henley WE, Galloway TS (2010) Association of Urinary Bisphenol A Concentration with Heart Disease: Evidence from NHANES 2003/06. PLoS ONE 5 8. Melzer D, Gates P, Osborn NJ, et al. (2012) Urinary bisphenol A concentration and angiography-defined coronary artery stenosis. PLoS ONE

Friday, September 16, 2011

Chiropractic Care and Healthy Living


A Walk in the Forest


Chiropractic Care and Healthy Living

To be healthy it's important to cover all the bases. We want to exercise and we want to eat right, not just one or the other. We want to get enough rest and we want to have a positive mental attitude, not just one or the other.

Regular chiropractic care is also part of this equation. To reap the full benefits of all the other good things we're doing, it's important to make sure that our nerve systems are doing their part, too. The nerve system is the body's master system, coordinating the activities of all the other systems. The nerve system tells our digestive system what to do with the good food we're eating. The nerve system tells the muscles, tendons, bones, and ligaments how to benefit from the exercises we're doing.

With regular chiropractic care, the nerve system is able to make sure that all our other body systems are doing their jobs, at the right time, in the right amount, and in the right place. Regular chiropractic care helps keep us vibrant, healthy, and well.
The world is changing. Global populations continue to migrate to urban areas. These ongoing relocations have a profound impact on deeply interconnected environmental systems and also lead to substantial distortions in human biosystems. In a word and to no one's surprise, living in big cities comes with a big cost in terms of our health and well-being.

The takeaway is not to turn around and go back to the countryside. Most persons living in large cities would not desire to pack up and move. Worldwide, people head to the cities seeking employment, a greater variety of opportunities, and hopefully an improved standard of living. The fact that frequently these aspirations are not fulfilled does not deter their friends, family, and fellow villagers from following the same course. Most large cities continue to get larger.

The takeaway relates to the methods and means we can employ to counter the effects of living in the big city. These often deleterious effects are well-known and yet worth repeating. Urban air quality is notoriously poor. We all can easily conjure up a mind's-eye view of the oily ochre tint of many metropolitan skies. Food in many urban areas has lost much of its nutritional value owing to the great distances meat, dairy products, and fruits and vegetables have to travel to get to the city supermarkets and marketplaces. Water quality is often degraded by nearby industry and sewage treatment plants. Green space is at a premium in most urban environments - there are few places in which to play outdoors.

How can we combat these tradeoffs in air quality, water quality, food quality, and lack of nurturing green space? First, it's important to recognize that these tradeoffs exist. The human organism was not designed to live in crowded cities. Our bodies were designed to thrive in a richly diverse outdoors environment, sowing and reaping in various ways and participating in complex ecosystems.

Now most of that is gone and we pay the price in terms of lifestyle diseases - diabetes, obesity, and cardiovascular disorders.1,2,3 The good news is that there are many action steps we can take to restore precious health to ourselves and our loved ones.

Two specific actions focus on food quality and outdoor activity. First, whenever possible, buy food produced locally. In general and all things being equal, the less distance food has to travel to get to the dining table the more nutritious it is. Food produced nearby is always best. Increasingly, farmers markets are making locally produced food available to urban populations in even the biggest cities. All that's required is to find out where the local farmers are setting-up their stands.

The other specific action involves engaging in outdoor activities several times per week. Getting outdoors is important in big cities, even though air quality leaves much to be desired. Being in the presence of sunlight, trees, flowers, birds and small wildlife, and shrubs, plants, and ground cover provides nourishment that is not measured in calories. Humans need to interact with other living species in order to thrive, in order to become more fully alive.

Lauterbach Chiropractic
Palmyra Va 22963
http://www.Drlauterbach.com

By taking simple, doable, healthful actions on our own behalf, we can become healthier and happier members of our great urban communities.

1Zhao Z, Kaestner R: Effects of urban sprawl on obesity. J Health Econ 29(6):779-787, 2010
2Coombes E, et al: The relationship of physical activity and overweight to objectively measured green space accessibility and use. Soc Sci Med 70(6):816-822, 2010
3Sallis JF, Glanz K: Physical activity and food environments: solutions to the obesity. Milbank Q 87(1):123-154, 2009

Friday, April 2, 2010

Allergy Season Tips...

Allergy Season Survival
Revision H
Courtesy of Standard Process

Preparation is the Key:

The allergy season is here, and it’s time to begin preparation for the onslaught of airborne allergens of many types. Many people are affected by these microscopic allergens, from mild to severe in their reactions. In some folks, these allergies lead to sinus or upper respiratory infections. Minimizing the effects of these allergens on your health will help minimize your chances of secondary infections. Here are some things you can do to minimize your exposure to these allergens.

- Keep you car’s ventilation system on re-circulate. This will prevent some of the pollen from entering the vehicle. Some cars have a pollen filter. Make sure you change it before and after each pollen season.
- Change your in-home furnace filters to the HEPA type. Also clean and/or change them often during the pollen season.
- Purchase a HEPA filter, and let it run continuously during the pollen season.

While the steps mentioned above can really help, it’s difficult to remove yourself from all allergen sources. This is where targeted whole-food nutritional supplements and herbal formulas can help reduce your body’s response to the allergens.

Targeted Products: (See suggested dosing chart for herbal preparations.)
Listed below are the key products to stock in your natural medicine cabinet for allergies. You should acquire these before the season starts to get a jump on them the moment you feel allergies kick in. These products may be used alone or in combination.

Mild- Moderate Allergies :
Allerplex: Sometimes the only product that is necessary for mild allergy reactions. Take 2 capsules 2 to 4 times a day; ½ doses for children. Works well for young children and adolescents.
Antronex: This beef liver extract helps in removing excess histamine from the blood stream.
Take 1 tablet 4 to 6 times a day; ¼ to ½ doses for children.

Moderate-Severe Allergies :
Albizia Complex: This herbal formula helps lower mast cell histamine release. It reduces allergy symptoms quite well. Take 1 to 2 tablets 2 to 3 times a day; ¼ to ½ doses for children.
Thymex: This thymus gland Cytosol formula helps balance the immune response. It helps to improve immuno-suppression which is depressed in moderately to severely allergic individuals.
Take 1 - 2 tablets 3 times a day with meals.
Antronex: This beef liver extract helps in removing excess histamine from the blood stream.
Take 1 tablet 4 to 6 times a day; ¼ to ½ doses for children.
Additional Support : (Helps reduce inflammation and congestion…)
Boswellia Complex: This herbal anti-inflammatory formula works synergistically with Albizia Complex for moderate to severe allergies. It helps reduce inflammation. Take 2 tablets 3 times a day for 7 to 10 days; then reduce the dosage as symptoms diminish.
Chewable Congaplex: This formula will help break up congestion caused by excess mucous excretions. Great for use with children!
Euphrasia Complex: This herbal formula helps reduce mucous formation and the runny nose and watery eyes of allergies. Take 1 tablet 2 to 4 times a day; ¼ to ½ doses for children.

Complications from allergies:
Sometimes seasonal allergies may result in other respiratory complications. Sinusitis and bronchitis may result from opportunistic bacteria present in the sinus and bronchial areas. There are a number of natural substances that can help eliminate sinusitis and bronchitis, if they’re caught in time. Also, many times, allergies will trigger an asthma attack.

Asthma:
PulmaCo: This synergistic formula will help alleviate allergy related asthma. It has herbs that act as decongestants, antibacterial action, and will provide relief from bronchial spasms that cause wheezing and shortness of breath. Note: Do not use in place of broncho-dilators!
Take 1 tablet 3 times a day; ¼ to ½ doses for children.

Acute Bronchitis:
Andrographis Complex: This synergistic formula will help strengthen the immune system and has potent antibacterial action.
Take 1 to 2 tablets 3 to 4 times a day; ¼ to ½ doses for children.
Broncafect Tablets: This formula helps with acute bronchitis or flu with cough.
Take 2 tablets 3 to 4 times a day for adults. Take for 7 to 14 days. (Caution: Do not use if high blood pressure, water retention, low potassium, allergy to the daisy family, or pregnancy is present.)
Fen-Gre: This formula helps break up thick mucous and congestion and gets it moving.
Take 2 capsules 3 to 4 times a day; ½ doses for children.
Golden Seal 500mg: This is one of the best herbs for restoration of the mucous membranes in the sinus, respiratory, and GI tract. It also has potent antimicrobial action. Take 1 tablet 2 to 3 times a day; ¼ to ½ doses for children.

Sinusitis:
Fen-Gre: This formula helps break up mucous and congestion and gets it moving. Take 2 capsules 3 to 4 times a day; ½ doses for children.
Andrographis Complex: This synergistic formula will help strengthen the immune system and has potent antibacterial action. Take 1 to 2 tablets 3 to 4 times a day; ¼ to ½ doses for children.
Golden Seal 500mg: This is one of the best herbs for restoration of the mucous membranes in the sinus, upper respiratory and GI tract. It also has potent antimicrobial action. Take 1 tablet 2 to 3 times a day; ¼ to ½ doses for children.

Nasal Irrigation: This is an excellent way to help restore the sinus passages and mucous membranes. It works very well in both acute and chronic sinusitis. (Caution: Do not use if allergic to any of the listed herbs. This is also great during the allergy season!!!
½ cup of warm water;
½ tsp. sea salt;
1 ml. Albizia 1:2;
1 ml. Eyebright 1:2;
1 ml. Golden Seal 1:3.
Place this solution into a Neti Pot or clean sterile container. Irrigate the sinuses 2 to 3 times a day with the solution using the Neti Pot or a large dropper. Make the solution fresh each day.

Other Important Considerations:
Sometimes, food sensitivities and allergies will compound airborne allergy reactions, making them worse. This entire group of allergens keeps the body in a systemic, elevated immune state, which can exaggerate airborne allergy symptoms. If you seem to have allergies all year-round, you may want to consider eliminating common allergenic foods such as wheat/gluten, dairy, eggs, and soy from your diet for a few weeks to see if your over-all allergy symptoms diminish. If they seem to, you may be experiencing additional allergy symptoms from food sensitivities. See your healthcare practitioner for more information.

Detoxification and Cleansing:
Now, take your health to the next level. Do the Standard Process Purification and Cleansing Program. This program will help improve the body’s ability to detoxify and may lower your response to seasonal allergens. For more information on the Purification Program, contact your healthcare practitioner.

*The dietary supplement products mentioned in this document are not intended to "diagnose, treat, cure or prevent any disease," because only a drug can legally make such a claim.


Tuesday, March 30, 2010

Help Wanted

Part time; Front Desk Position/Palmyra Chiropractor
We are seeking an OUTGOING sincere pleasant personality to be the first contact with our practice members. We can train you on some aspects but we you can not fake sincerity and the desire to truly interact with people while also performing the daily tasks required to operate all aspects of a medical office. Computer experience a must, self starter and finisher ATTENTION TO DETAIL, multi-tasker, Organizational skills a must. You will be trained in medical billing and day to day operations. Responsibilities include. Greeting patients, preparing room for Dr. Making Appointments, collecting money, laundry, cleaning office and many more. This is a long term opportunity.

The Hrs are currently: M-W-Th- 12:45 pm to 6:15pm Saturday 8:45am -11:30 am . Starting Salary is -$10.00 hr.

Please do not apply if: You are seeking summer employment, really desiring full time employment, desire health or medical benefits or smoke.

Sorry We do not hire friends or patients…..

Previous applicants please do not respond. Please send letter of interest or resume to fax at 866-836-8883 or email to b2health@yahoo.com. Please no phone calls.