Soreness after chiropractic care

Chiropractic care -safe and effective
Chiropractic care -safe and effective

Mild adverse reactions to chiropractic care are quite common. Sometimes this is normal, in much the same way that soreness after unaccustomed exercise can occur. A new study sheds further light on what might be considered normal in conditions like back and neck pain that tends to come and go anyway.

Researchers at Murdoch University in Australia took a new approach to investigating reactions after chiropractic care. They divided chiropractic patients who were in their 20s all the way up to their 80s into two groups. Both groups had spinal pain but one group received normal chiropractic care and the other group received sham treatment. Neither group knew whether they received the real treatment or not.

12 chiropractic clinics and 180 people took part in the trial. Each patient received two treatment sessions and then filled in a questionnaire some while after each one. In this sort of study you might expect at the group that had received the real treatment would have the usual incidence of soreness and the group that didn’t receive treatment would feel fine. But was this the case?

In fact what happened was the group that had the sham treatment had nearly the same incidence of soreness (33%) afterwards as the group that had received the real treatment (42%). In other words, the temporary soreness that many people put down to chiropractic treatment may in fact be the normal ups and downs that their symptoms go through from week to week anyway.

What do we do to limit soreness after treatment?

Here at Sundial, we always aim to treat you as gently as we possibly can. When you first start treatment we will be using the most gentle techniques we can such as table assisted spinal decompression which gently stretches the discs. Here, light pressure is applied to your spinal vertebra as you lie on your tummy and the lower part of the treatment table rocks up and down.

Another gentle treatment we use here at Sundial Queens Road involves using precision electronic instrument adjusting such as the Impulse iQ. The iQ gently mobilises individual spinal bones and senses when movement has been restored. We are the only clinic in Brighton and Hove to use this leading technology. A similar technique involves using a spring-loaded adjusting instrument called the Activator. Most people who have experienced the Impulse iQ or Activator absolutely love it.

Selecting the right technique for you comes down to several factors. How severe your problem is combined with how long you’ve had it as well as your level of general fitness and overall body size and shape are all important. Sometimes, however, it just boils down to your personal preference. Some people don’t like the clicking type of spinal adjustments and fortunately we have several other options. We will discuss this with you before treatment begins.

Reference

Outcomes of Usual Chiropractic; Harm (OUCH). A randomised controlled trial. Spine 2013 Jun 17.
Walker BF, et al

Headaches – a pain in the neck

Headaches sketchHeadaches can sometimes be caused by neck problems in disguise. This type of headache is called a cervicogenic headache. Evidence for the best way to treat this type of headache has been lacking – until now.

Cervicogenic headaches may respond well to manipulation, mobilisation and specific exercises a new study shows. This is good news because this type of headache accounts for one in five of all chronic or long-term headache symptoms.

The new headaches study is a review of lots of other studies. Pooling all the results in a so called meta-analysis is a great way to improve the power of individual studies and get some meaningful results. Although the results were not all clear cut in favour of manual therapy the trend seems to indicate that the sort of treatment used by chiropractors is likely to be effective of cervicogenic headaches.

Cervicogenic headaches are caused by muscle spasms or spinal joint problems in the neck. They affect women four times more than men for some reason. They are made worse by poor posture as well as activities that cause your chin to poke forward such using a laptop or a computer screen that is set too low.

Chiropractic treatment for cervicogenic headaches uses gentle adjustments to unlock the stiff spinal joints as well as deep muscle release techniques to improve the underlying causes of the pain. Our physio’s here at Sundial can also prescribe specific exercises after identifying the weak muscles in your neck and shoulders. Laser therapy or acupuncture needles may be used.

If you would like to know if we may be able to help you, give us a call and make an appointment to see us. If you a not sure whether this approach is for you then make an appointment for a check up at no charge. We will tell you whether your headaches are likely to be caused by neck problems and may respond to chiropractic and physio care.

Reference: Conservative physical therapy management for the treatment of cervicogenic headache: A systematic review. Racicki S, Gerwin S, DiClaudio S et al.
Journal of Manual & Manipulative Therapy 2013; 21(2): 113-24.