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JAMA: Spinal Manipulation Treatment for Low Back Pain Associated with Modest Improvement in Pain, Function

The Journal of American Medical Association performed a systemic review of 26 RCT or randomized clinical trials and found the spinal manipulative treatment was statistically significant in improving acute low back pain for up to 6 weeks.  This is also compared to sham treatments or other "alternative" treatments.  Alternative in this case means "analgesics, muscle relaxants, exercises, physical therapy." The results were comparable to "analgesics, muscle relaxants, exercises, physical therapy" in efficacy and "modest." These studies did include "blind" studies which means that the experiment tried to eliminated experimenter or patient subject bias in removing labels while the experiment is performed.


Key Points
Question  Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function?
Findings  In …
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American College of Physicians: Low Back Pain Guidelines Advocating Non-Drug Treatments First

On April 4, 2017, the journal, Annals of Internal Medicine, a group of medical doctors, Amir Qaseem, MD, PhD, MHA; Timothy J. Wilt, MD, MPH; Robert M. McLean, MD; Mary Ann Forciea, MD, made a recommendation for the Clinical Guidelines Committee of the American College of Physicians regarding the treatment of low back pain which affects one quarter of the US.  The committee gave three recommendations as guidelines for typical low back pain. Two of the strongest recommendations involved therapies including chiropractic. This is based on systematic review of the evidence in an established peer-review journal based on a community of medical doctors who specialize in internal medicine for the American College of Physicians.
Target Audience and Patient Population:The target audience for this guideline includes all clinicians, and the target patient population includes adults with acute, subacute, or chronic low back pain.Recommendation 1:Given that most patients with acute or subacute low b…

Chiropractor's perspective: "Queen of Snapchat," Katie May, dies from a stroke after chiropractic adjustment

Source: youcaring.com 
L.A. County Coroner recently ruled that model, Katie May, died as a result of a “neck manipulation by chiropractor" due to a brain infarction or stroke. It was deem an accident as result of a carotid artery blockage. Chiropractic adjustments to the upper cervical can move the vertebral artery so I am not sure how the carotid artery was affected. I am guessing the news articles are reporting the wrong artery being dissected. Ms. May fell during a photoshoot hurting her neck resulting in her seeking help from a LA chiropractor. She had more than one chiropractic adjustment before going to the hospital with symptoms of a stroke before dying. Is the fall to blame for the stroke or only the neck adjustment? Did they both contribute to the stoke? 



The American Chiropractic Association (ACA) Provides the Following Statement in Response to Media Inquiries Regarding Katie May Our sympathy goes out to the family of Katie May. With respect to the safety of neck manipu…

Standing Desks Update & Reclining Workstation


In a previous blog post, there was news about the White House ordering standing desks and the benefits of standing. This year some researchers try to link sitting with increased mortality. In a recent journal, The International Journal of Epidemiology has a study which does not find a correlation with sitting and increased mortality. Key Messages
Five different indicators of sitting time were not associated with mortality risk over 16 years of follow-up. This may be due in part to a protective effect of higher than average daily activity in this cohort. Previously reported relationships between sitting time and health outcomes may be due in part to low total daily energy expenditure. Policy makers should be cautious about recommending reductions in sitting time as a stand-alone public health intervention. Future studies should examine the links between sitting and mortality risk using objective methods that quantify postural allocation. Pulsford, et al.
I…

National Chiropractic Health Month #PainFreeNation

an estimated 100 million Americans are affected by chronic pain, with an estimated annual cost to American society of at least $560-$635 billionAccording to the Centers for Diease Control and Prevention (CDC), there were 16,235 deaths involving prescription opioids 

















Official ACA HCHM flyer PDF link



ChiroWorks Care Center
Anthony Tsai, D.C.
Chiropractor in San Jose, CA
Graston Technique Certified
FAKTR Certified

Disclaimer:The content in this blog is for informational purposes only and an opinion for specific individualized circumstances. It is not a prescription for therapy or diagnosis for you. All opinions expressed and any referenced articles are solely those of the particular author and do not necessarily represent the opinions of Anthony Tsai, Graston Technique®, its employees, providers or affiliates. Any opinions of the author on the site are or have been rendered based on scientific facts and/or anecdotal evidence, under certain conditions, and subject to certain assumptions, and …

Standing Desks for Healthier Lifestyle and Less Pain

 In September, the White House ordered $700k worth of standing desks. Recently, sitting for excessive periods of time have been associated with decreased life span and various other health problems. This is a summary of some important points from another article which is already very brief and concise so I felt I would not change anything.

A reduced risk of obesity. People who are "fidgety," researchers say, tend to be thinner than those who stay still all day.A lower risk of metabolic problems and cardiovascular disease.Research suggests that sitting for too long can mess up your body's metabolism of sugar and fat, which can contribute to diabetes and heart disease.A reduced risk of cancer for women. Though it's unclear how exactly sitting increases the risk of cancer, it's possible that sitting for too long decreases metabolism, and may have an effect on body fat and estrogen levels, all of which may be linked to the development of some cancers.A lower long-t…

Sleep Health: Sleeping Postures + chiropractor tips by Flikli

Sleep Health: Sleeping Postures from Flikli on Vimeo.
We all know good posture during the day is healthy for us...but what about when you're sleeping?
Check out the rest of our series on sleep & sleep health here: https://vimeo.com/album/3442692
*Interested in licensing these videos for institutional or corporate use? Get in touch at hello@flikli.com or visit us at http://flikli.com!

Loose transcript of the video.
Posture is important for improved health & increased productivity.
Research shows that good posture during sleep improves mood and lowers health risks.
Sleeping on your back relieves your spine of pressure. More likely to snore.
Side sleepers lower chance of heartburn but also severe numbness & tingling to arms and legs.
Stomach sleepers least likely to snore can also cause long-term damage to low back and neck.
Reduce by placing pillows under shoulder or hips.
Posture is important 24 hrs a day.

Other quick tips and some views from a chiropractor:
Have the up…