Friday, March 14, 2014

Is chiropractic care the missing link: How our musculoskeletal system affects the way we think, move and feel part 3

O.k now it is time to just fire off some studies since I don't want to waste space with stupid introductions.



Study: Chiropractic management of a patient with ulnar nerve compression symptoms: a case report

Abstract 

Objective

The purpose of this case report is to describe chiropractic management of a patient with arm and hand numbness and who was suspected to have ulnar nerve compression.

Clinical Features

A 41-year-old woman presented with hand weakness and numbness along the medial aspect of her right forearm and the 3 most medial fingers. The onset of symptoms presented suddenly, 3 weeks prior, when she woke up in the morning and assumed she had “slept wrong.” The patient’s posture showed protracted shoulders and moderate forward head carriage. Orthopedic assessment revealed symptomatic right elevated arm stress test, grip strength asymmetry, and a Tinel sign at the right cubital tunnel.

Intervention and Outcome

The patient was treated using chiropractic care, which consisted of manipulative therapy, myofascial therapy, and elastic therapeutic taping. Active home care included performing postural exercises and education about workstation ergonomics. She demonstrated immediate subjective improvement of her numbness and weakness after the first treatment. Over a series of 11 treatments, her symptoms resolved completely; and she was able to perform work tasks without dysfunction.

Conclusion

Chiropractic treatment consisting of manipulation, soft tissue mobilizations, exercise, and education of workstation ergonomics appeared to reduce the symptoms of ulnar nerve compression symptoms for this patient.
Basically, I can relate to this case numbness and weakness on my right side of my body.

 In this study it is talked about how massage therapy can help people deal with Multiple Sclerosis

 Then in study in regards to cortisol and chiropractic manipulation there appears there could be a connection to salivary cortisol levels read the full study here.

Not saying that you will cure autoimmunity with chiropractic manipulation or massage but if it has an affect on cortisol it may help with the issue. Autoimmunity seems to be so complicated and stressful. Is it possible that taking some of the commons stresses of sore muscles and spinal misalignment out of the equation could improve symptoms?

Maybe, its worth thinking about.

There is no evidence that chiropractic care affects insomnia but their is a perceived thought that it does from people studied. Placebo affect? Sometimes placebo is just as strong as medicine... however, I'd argue if you can't sleep due to pain then doing something to prevent it can only help

information via pub med

Abstract

OBJECTIVE:

To evaluate the effect of chiropractic care on insomnia.

DESIGN:

Tripartite pilot study.

METHODS:

The expectations of the chiropractic community were canvassed, a retrospective study to recall changes in sleep patterns was undertaken, and a prospective pilot study to monitor sleep patterns after chiropractic care was carried out. Convenience sampling was used.

RESULTS:

The 221 patients and 15 chiropractors who completed the expectation study tended to believe that patients with sleeping difficulties benefited from chiropractic care. The chiropractors were more guarded in their expectations than participating patients. One third of the 154 patients who completed the semistructured interview reported their sleep pattern was changed immediately after their chiropractic adjustment. All but 1 of these 52 patients reported improvement. Twenty patients with insomnia participated in the prospective study. Although compared with the report in their screening questionnaire, improvement was noted in certain sleep parameters in the 6 days after their adjustment, no temporal trends emerged in the days and/or weeks after the chiropractic consultation. Most patients reported experiencing less or no discomfort during the duration of the study.

CONCLUSION:

Although a number of patients do perceive chiropractic care offers temporary respite from their insomnia problem, when changes were more objectively monitored, improvements were erratic and no consistent temporal trends were detectable. Convincing evidence has yet to be produced before routine chiropractic care can be considered adequate intervention for patients with sleeping difficulties. More definitive answers may result from future research being undertaken in sleep laboratory
In the next installment two more studies, hopefully something about the different types of treatment and then a conclusion who knows though.



Works Cited

http://www.journalchiromed.com/article/S1556-3707(13)00059-X/abstract
http://www.ncbi.nlm.nih.gov/pubmed/24411144http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2050804/pdf/aco072-086d.pdf (cortisol)
http://www.ncbi.nlm.nih.gov/pubmed/15855906 (sleep)

No comments:

Post a Comment