Posts by Dr. Ryan Nelson
Headache and neck pain are common problems that affect millions of men and women around the world. If you suffer from this type of issue, you're not alone. The good news is that chiropractic is the best way to not only treat these common issues, but also help avoid future episodes.
Research Supports Chiropractic Helps With Neck Pain and Headaches
For many years, people with neck and headache pain in Vernal, UT have been helped by the chiropractic adjustments of Dr. Nelson. Our experience is supported by a recent review done in Canada that found that non-invasive, non-drug treatments are the best choice for neck and headache pain.
The report looked at 15 studies from 1990 to 2015 and found that conservative treatment comprised of chiropractic adjustments, exercises, and stretches was recommended before resorting to drugs or more invasive treatments.
Previous studies have shown that chiropractic is effective and safe for neck pain and many other health conditions.
We Can Help People Find Comfort From Neck Pain and Headaches
If you're suffering from neck pain or headaches, Dr. Nelson and our staff are here to help you feel better. Give our Vernal, UT office a call today at (435) 789-4483 for an appointment today.
Varatharajan S, Ferguson B, Chrobak K, et al. Are non-invasive interventions effective for the management of headaches associated with neck pain? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. European Spine Journal 2016; February 6:1-29.
According to The American Academy of Pain Medicine, more people in the US suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. What's more, neck pain is the third most reported type of pain, beat out only by back problems and headaches.
Of course, a lot of people come to our Vernal, UT office seeking neck pain care, and Dr. Nelson has helped many of them find relief. This is a smart choice, as some research shows that over 90% of neck pain patients benefit from chiropractic.
Studies Confirm Chiropractic's Positive Effects
A report published in The Journal of Orthopaedic and Sports Physical Therapy included 64 men and women who were suffering with neck pain. Roughly half were placed in an experimental group and the other half were designated to a comparison group. Both were given chiropractic adjustments of the neck as well as a home exercise program, while the experimental group also received thoracic spine adjustments.
Data was collected before treatment began and one week after the adjustments. Researchers found that 94% of the experimental group claimed "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the individuals who received neck adjustments showed the same level of improvement, showing that thinking about the entire spine is a critical part of restoring the body's normal function.
Another study posted in Physical Therapy involved 60 adults who reported suffering with neck pain. Each individual was randomly assigned to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with follow-up exams occurring two and four days after the treatments.
The investigators discovered that the study patients who received the thrust manipulations (the same manipulations that offered such positive results in the first study) "experienced greater reductions in disability" than the patients who received the non-thrust manipulations. Their pain was lower as well, which shows that this type of technique offers many benefits.
Chiropractic Even Offers Benefits After Failed Neck Surgery
Another study also found the same sort of positive results after thoracic adjustments in a patient who had a failed neck surgical procedure. This specific case involved a 46-year-old patient who had recently had neck surgery but still suffered with neck pain, headaches, pain in her elbow, and muscle fatigue.
The woman documented decreased pain in her neck and reduced headache intensity, immediately after the first chiropractic treatment session. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still rated her pain at a zero on a scale of 1 to 10. Her neck disability reduced as well, with a rating score that represented that it was a "great deal better."
It is studies like these that demonstrate the effectiveness of chiropractic techniques, even if you've already attempted medical procedures that didn't provide relief. So, if you are suffering with neck problems and would like to find a solution that has a high success rate, try chiropractic. It may just be the relief you're looking for.
We're located in Vernal, UT and Dr. Nelson can help you recover from neck pain. Give us a call today at (435) 789-4483.
- AAPM facts and figures on pain. The American Academy of Pain Medicine.
- Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
- Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
- Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.
With the Migraine Research Foundation reporting that migraine headaches affect 38 million adults and children in the United States (more than asthma and diabetes put together), it's no surprise that Dr. Nelson treats a lot of headache sufferers in our Vernal, UT office. While some folks choose to relieve migraine pain with drugs, chiropractic is a great, all-natural approach that usually produces positive results.
For instance, one report published in the Journal of Manipulative and Physiological Therapeutics involved 127 participants ranging in age from 10 to 70-years-old who suffered with frequent (at least monthly) migraines. Each subject engaged in up to 16 chiropractic sessions. The subjects noted that their headache frequency, duration, and disability two months before the treatments began, during the duration of the sessions (which was two months), and two months post-treatment.
What the investigators discovered is that chiropractic adjustments reduced the frequency, duration, and disability of the migraine pain when compared with the control group who didn't receive chiropractic. Even better, this enabled them to take less medication for the pain, providing them an all-natural solution for a chronic problem.
Another article found that a combination of chiropractic and neck massage reduced migraine headaches almost 68%.
If you have migraine headache pain and are looking for relief, call Dr. Nelson today and request an appointment in our Vernal, UT chiropractic office. We'll do what we can to help you become pain-free!
Migraine Fact Sheet. Migraine Research Foundation. Retrieved from http://www.migraineresearchfoundation.org/fact-sheet.html on November 2, 2015
Noudeh Y et al. (2012). Reduction of current migraine headache pain following neck massage and spinal manipulation. International Journal of Therapeutic Massage & Bodywork;5(1):5-13
Tuchin P et al. (2000, February). A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics;23(2):91-5
Knee pain is a frequent issue for people in our Vernal, UT chiropractic office, and Dr. Nelson has happily provided many of these men and women relief. This is largely because chiropractic care has been found to help with many forms of knee pain.
For instance, some individuals encounter pain in and around the knee area due to degenerative arthritis. Research has shown that this ailment responds very well to chiropractic--and rather quickly, too. In fact, one study published in The Journal of the Canadian Chiropractic Association found that individuals with osteoarthritis in their knees felt significant pain relief and enhanced function after just two weeks of chiropractic care.
If your knee pain is due to a medial meniscus tear, chiropractic could likely help with that as well. One article reported that combining chiropractic with soft tissue therapy, rest, ice, and compression on the affected knee helped lower the intensity of the pain.
Clearly, sometimes a knee replacement surgery is required in order to rectify the problem, and if that's the case, chiropractic can also help improve the outcome. How?
Medical research has found that patients with low back pain frequently have less positive results after knee surgery. Thus, dealing with your back pain through chiropractic prior to having a total knee arthroplasty can help with your post-surgery recovery.
No matter what your knee issue, Dr. Nelson can likely help. Call our Vernal, UT practice today and find out what we can do for you!
- Pollard H et al. (2008, December). The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. The Journal of the Canadian Chiropractic Association;52(4):229-42
Boyle J et al. (2014, March). Influence of low back pain on total knee arthroplasty outcome. Knee;21(2):410-4
- Jarosz B & Ames R. (2010, December). Chiropractic management of a medial meniscus tear in a patient with tibiofemoral degeneration: a case report. Journal of Chiropractic Medicine;9(4):200-8
We see a large number of people with headaches in our Vernal, UT office, and Dr. Nelson has been able to assist many of them. Of course, the World Health Organization (WHO) estimates that 50% of all adults struggle with some sort of headache problem, so this really isn’t a surprise. One of the most typical varieties of headaches which our patients struggle with is cervicogenic headache which, luckily, chiropractic can generally help.
Cervicogenic Headaches Defined
A cervicogenic headache is one that comes from a problem in the cervical spine. It can be caused by an issue with either the spine itself (specifically, the vertebrae, joints, or discs), or it could be because of a problem in the muscles and tendons of your neck. This problem in your spine contributes to compression or aggravation of the spinal nerves, which can bring on headache pain.
How do you tell if the headache you are enduring is a cervicogenic headache? Other than getting a diagnosis from a healthcare expert, a frequent symptom of cervicogenic headaches is tenderness or discomfort in your neck. This is occasionally associated with pain in the back of your head or between your shoulder blades.
Headache Relief with Chiropractic
Considering cervicogenic headaches will not go away until whatever issue is generating them is remedied, it is crucial to get treatment as opposed to just trying to "wait it out." Chiropractic care is an effective approach, and one that offers a great deal of relief.
In one study published in Chiropractic & Osteopathy, specialists followed 80 people who had recurrent cervicogenic headaches. Half of them got chiropractic care and the other 50% engaged in light massage therapy. Each participant was assessed 12 and 24 weeks after the treatment and it was found that chiropractic provided the most beneficial outcomes.
In particular, this study found that chiropractic adjustments gave patients better pain relief and lessened the number of headaches that occurred. On top of that, it also minimized the disability that resulted from these painful headaches.
To find out what Dr. Nelson can do for you and your headaches, call us today. We'll do our best to get you the pain relief you deserve!
- Haas M, Schneider M, Vavrek D. Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache. Chiropractic & Osteopathy 2010 18(9).
- World Health Organization. (2012, October). Headache disorders. Retrieved from http://www.who.int/mediacentre/factsheets/fs277/en/
We see many patients in our Vernal, UT office with ankle sprains but Dr. Nelson has had a lot of success helping them recover more quickly. Why are ankle sprains so common and how can chiropractic care help?
According to the American College of Sports Medicine (ACSM), an estimated 25,000 people in the US sprain their ankles daily. As a matter of fact, these injuries make up almost half of all sports injuries, causing people to spend time away from the activities they enjoy most.
Like most any injury, there are many causes of ankle sprains. The most common is inversion, or when the ankle rolls inward. This injury can occur due to one forceful movement, or it can develop over a period of time, and exercises that increase the risk for this type of ankle sprain include running and jumping. You're also at risk if you have pre-existing ankle injuries, poor posture or balance, weak muscles, and reduced range of motion. How can Dr. Nelson help?
A report printed in the Journal of Manipulative and Physiological Therapeutics set out to discover chiropractic's role when it comes to ankle sprain recovery. The authors recruited 33 individuals between the ages of 18 and 45 who had a history of ankle inversion sprains, who were reporting tenderness and/or pain, and had not re-injured the ankle in the previous six weeks.
Eighteen of the participants were assigned to receive rehabilitation and the other 15 individuals received chiropractic in addition to rehabilitation. Each individual had five full weeks of therapy, with the rehabilitation group receiving therapy seven days a week and the rehabilitation plus chiropractic group receiving care six out of the seven days.
The study found that the people who had both rehabilitation and chiropractic fared the best at the 4-week mark when it came to pain and joint restriction. Furthermore, no negative effects were reported, showing that this treatment option is safe.
If you're near our location in Vernal, UT and you're suffering from an ankle injury, give us a call. We'll do what we can to keep you up and moving...literally!
- American College of Sports Medicine. (n.d.). Ankle sprains and the athlete. Retrieved from https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf
- Lubbe, D et al. (2015, January). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of Manipulative and Physiological Therapeutics, 38(1), 22-34, doi:10.1016/j.jmpt.2014.10.001
Dr. Nelson sees many people weekly in our busy Vernal, UT chiropractic office who are looking for relief from the pain and suffering they feel due to herniated discs. Our experience isn't unique; the medical literature confirms that chiropractic care is an effective way to treat herniated disc problems.
One particular study involved 27 people, 8 male and 19 female, who had magnetic resonance imaging (MRI) confirming a disc herniation in either their neck or lower back. The subjects reported that they were experiencing pain, limited range of motion, and sensory problems bad enough to keep them off work.
During the course of the research study, the subjects were treated using one of two common chiropractic practices: traction for herniated discs in the cervical area or flexion distraction for the men and women who had herniation issues in the lumbar area.
Each man or woman was treated four or five times per week for the first two weeks, then three times each week, and then as needed for the rest of the study. Based on the extent of the disc herniation, therapy ranged anywhere from six weeks to six months, with MRIs being performed at a variety of stages to determine what effect, if any, the chiropractic care was having in regard to the disc herniation.
The authors reported that 80 percent of the participants experienced a "good clinical outcome," meaning reduced pain and a reduction in other issues, such as numbness. Additionally, 77 percent of these subjects also showed MRI evidence that their disc herniation was either reduced or resolved completely. This resulted in 78 percent of the study participants being able to return to their place of work and led the researchers to conclude that chiropractic adjustments is both "safe and helpful" for disc herniations.
If you have a herniated disc and you're near Dr. Nelson in Vernal, UT, contact our office today to see what chiropractic can do for you!
BenEliyahu, DJ. Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations. Journal of Manipulative and Physiological Therapeutics 1996;19(9):597-606.
In our Vernal, UT practice, we see a lot of people who are troubled with back pain, and some of these people have been told they might need surgery to recover. Thankfully, Dr. Nelson has helped many people get relief without the need for any type of surgery. The scientific research confirms the results we see in our office. One study published in the journal Spine found that seeing a chiropractor as your first move in dealing with your back issues may literally keep you off of the operating table.
In this report, medical professionals from Dartmouth analyzed statistics from 1,885 workers from Washington state who first saw either a surgeon or a chiropractor for their back-related issues. They then examined three years' worth of follow-up medical information to determine whether the subjects wound up having back surgery in an attempt to treat the problem.
What the authors discovered was that about 43% of the men and women who first saw a surgeon for their back pain ended up in surgery in that 3-year time frame, whereas only 1.5% of those who first consulted with a chiropractor had the same fate. The authors wrote:
"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."
These are remarkable results. Consulting with a chiropractor dramatically decreases your odds of having back surgery, plus the chiropractic patients in this report "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.
Let's also consider this important detail: this study was conducted by orthopedic surgeons from Dartmouth College, and printed in the world's most influential medical publication on spinal injuries.
Surgery: The Last Resort
Any surgery has risks, but a major downside related to spine surgery is that there is a very high failure rate. In an important analysis in the European Spine Journal, researchers wrote:
"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."
The experts in this same study concluded:
"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."
As a chiropractor, Dr. Nelson believes that surgery should be the absolute last resort for treating back pain. Chiropractic care works to restore your spine to its normal function--without the need of high-risk surgery or drugs--and many research studies have confirmed the efficacy of chiropractic for back pain.
If you live in Vernal, UT and you need care for your back pain, give our practice a call today at (435) 789-4483 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!
- Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
- Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
We treat many auto injury cases in in our Vernal, UT office, and a common symptom we see in our patients is back pain. Chiropractic care is an effective way to treat back pain. Let's look at how back pain is caused by a crash and how Dr. Nelson can help you.
During a rear-end auto collision, your car and car seat are quickly accelerated forward against your body. Since car seats don't perfectly align with the curvature of your spine, the seat can put inconsistent force on your lower back. This can cause some of your spinal vertebrae to move in one direction while an adjacent vertebrae might move in another direction. This differential movement can sprain or strain the ligaments that hold your spine together. These types of injuries can cause chronic back pain if not treated promptly. Thankfully, chiropractic is one of the most effective ways to treat back pain.
Let us help you recover from back pain. Dr. Nelson has helped many patients with the same problem, and we can probably help you, too. Dr. Nelson will first determine what's causing your pain and then work to restore your body to its natural functioning. Give our office a call today at (435) 789-4483 to make an appointment.
Many people experience headache pain, and tension headaches are a common problem in our busy lives. Postural problems and stress are common sources of tension headache pain, and ones that Dr. Nelson and the team here in our Vernal, UT chiropractic office have a lot of experience in treating.
The scientific literature verifies our findings: A 2016 study from Spain managed a group of 76 men and women with chronic tension headaches. The participants were divided into four treatment groups: 19 patients were treated with suboccipital inhibition (the therapist presses on the tight tissues at the top of the spine); 19 with chiropractic adjustments; 19 with both adjustments and suboccipital inhibition; and 19 received no treatment.
The researchers reported that the spinal adjustments were beneficial at relieving pain, and that the best results were found when adjustments were coupled with the suboccipital inhibition.
When we get stressed, the nerves and tissues in the neck can be disrupted, resulting in pain. Chiropractic works by eliminating these strains and restoring the normal nerve function to the area.
If you live in Vernal, UT and are suffering from any kind of headache, we're here to help you get relief. Call Dr. Nelson today at (435) 789-4483 for an appointment or more information.
Espi-Lopez GV, Rodriguez-Blanco C, Oliva-Pascual-Vaca A, et al. Do manual therapy techniques have a positive effect on quality of life in people with tension-type headache? A randomized controlled trial. European Journal of Physical Rehabilitation Medicine 2016; February 29.