Thoracic spine thrust manipulation has been shown to improve patient-rated outcomes for individuals with neck pain. However, there is limited evidence of its effectiveness in patients with cervical radiculopathy.
To compare the immediate and short-term effects of thoracic manipulation to those of a sham thoracic manipulation in patients with cervical radiculopathy.
In this multicenter randomized controlled trial, participants with cervical radiculopathy were randomized to receive either manipulation (n = 22) or sham manipulation (n = 21) of the thoracic spine. Outcomes were measured at baseline, immediately after treatment, and at a follow-up 48 to 72 hours after manipulation. A repeated-measures analysis of variance was used to analyze neck and upper extremity pain (numeric pain-rating scale), disability (Neck Disability Index), cervical range of motion (ROM), and endurance (deep neck flexor endurance test). The chi-square test was used to analyze changes in neck and upper extremity pain, centralization of symptoms, and beliefs about receiving the active manipulation treatment using a global rating of change scale.
Neck and upper extremity pain, cervical ROM, disability, and deep neck flexor endurance all showed significant interactions between group and time (P<.01). Immediately after treatment and at the 48-to-72-hour follow-up, the manipulation group had lower neck pain (P<.01), better cervical ROM (P<.01), lower disability (P<.01), and better deep neck flexor endurance (P = .02) compared to the sham manipulation group. The manipulation group had moderate to large effect-size changes over time. No between-group differences for upper extremity pain were found immediately following the intervention (P = .34) and at 48 to 72 hours after the intervention (P = .18). At 48 to 72 hours after treatment, a greater proportion of participants in the manipulation group reported improvement (global rating of change scale score of 4 or greater) in neck and upper extremity symptoms (P<.01), centralization of symptoms (P<.01), and beliefs about receiving an active manipulation (P = .01) compared to the sham manipulation group.
One session of thoracic manipulation resulted in improvements in pain, disability, cervical ROM, and deep neck flexor endurance in patients with cervical radiculopathy. Patients treated with manipulation were more likely to report at least moderate change in their neck and upper extremity symptoms up to 48 to 72 hours following treatment.
Somewhere along the way you’ve seen an athlete on TV or at the gym with black or multi-colored tape attached to various parts of their bodies. You’ve wondered what it is and what it is for but never stopped to ask. In this blog post, your chiropractic team here at Austin’s TexStar Chiropractic will provide a brief explanation of what kinesiology tape is and what it does for the body. In addition, we will host a free kinesiology taping workshop here at our clinic to teach the various techniques used to treat you body with kinesiology tape.
What is Kinesiology Tape?
Kinesiology tape is designed to facilitate the body’s natural healing process while providing support and stability to muscles and joints without restricting the body’s range of motion as well as providing extended soft tissue manipulation to prolong the benefits of manual therapy administered within the clinical setting. Latex-free and wearable for days at a time, kinesiology tape is safe for populations ranging from pediatric to geriatric, and successfully treats a variety of orthopedic, neuromuscular, neurological and other medical conditions. By targeting different receptors within the somatosensory system, kinesiology tape alleviates pain and facilitates lymphatic drainage by microscopically lifting the skin. This lifting affect forms convolutions in the skin thus increasing interstitial space and allowing for a decrease in inflammation of the affected areas.
Want to Learn How Best to Apply Kinesiology Tape?
Join us April 24th for a free taping class. Space is limited and reservations are respectfully requested. See details below and see you there!
Kinesiology Taping Class
Wednesday, April 24th at 6:30 PM at TexStar!
The class will be a hands on class where participants can practice taping on each other so bring a friend. Only 20 spaces available. RSVP is required.
Another good news/bad news informational blog post from your team of chiropractic professionals here at Austin’s TexStar Chiropractic. The bad news: Austin’s every increasing (and maddening) traffic conditions is driving record number of auto accident-related injuries. The good news: The most common accident injury responds well to non-invasive chiropractic treatment such as spinal decompression and cold laser therapy. Austinite auto accident victims increasingly turn to their doctor of chiropractic care for affordable and instant pain mitigation.
Chiropractic Treatment for Auto Accident Injuries
Car accident victims run the gamut of physical and mental injuries. The severity of injuries ranges from the most minor to the most unthinkable of catastrophic injuries. With that said, the most frequent type of bodily injury resulting from car accidents is whiplash.
What is whiplash?
Whiplash occurs most often with rear-end collisions when there is a rapid and abrupt movement of the head and neck backward and forward. The sudden extension of the neck can create a variety of injuries and symptoms. Whiplash injuries often differ from one person to another, depending on the severity of the auto accident and the overall health of the individual injured in the crash.
Whiplash causes soft tissue injuries that can result in significant ligament and neck muscle damage. It can also cause considerable damage to joints located between vertebrae and discs of the spine as well as nerve roots and cervical muscles.
What are the symptoms of whiplash?
The symptoms of whiplash can present immediately after an auto accident. However, there is frequently a delay in the appearance of symptoms, anywhere from 24 hours to several days after an accident. Typical whiplash symptoms include:
Neck pain including swelling and stiffness
Numbness in the hand or arm
Burning or prickling sensations
Additionally, some people may experience:
Difficulty with concentration
Trouble with memory
Diagnosing whiplash injury and defining treatment options.
Because whiplash symptoms can take 24 hours or longer to occur, it’s important to see a doctor at the earliest sign of whiplash symptoms. Even if you feel you only have minor neck pain, it’s recommended to be examined by a doctor of chiropractic care. You may have injuries in joints between vertebrae and discs of your spine. Your doctor of chiropractic care will perform some a physical and neurological exam to identify the areas of injury. The physical exam includes x-rays when necessary, observing your posture, testing your range of motion, and determining all movements that cause you pain. The neurological exam includes tests of your reflexes and the strength of your muscles to identify if you have any nerve damage.
Once the exams, tests and imaging (if necessary) are complete, your doctor of chiropractic will develop a custom treatment plan to help you control and manage your pain during your recovery.
Chiropractic treatment of whiplash.
The course of treatment will vary depending on the severity of your whiplash injury. The chiropractic treatment plan is unique to each whiplash injury and treat to control pain, restore your range of motion and return to normal activities while treating the injuries detected during the exams.
This blog post brings great news to those of you suffering knee pain, specifically “knee osteoarthritis” or “KO”.
Most of you are aware that for years now we’ve treated patients suffering countless forms of knee pain. One of the most prevalent sources of our patient’s knee pain is knee osteoarthritis. Among the various chiropractic techniques that we employ to treat knee pain is the use of MLS Cold Laser Therapy. Now, we thought we’d share with you the extremely promising results of recent clinical research involving laser treatment of KO.
The research we share with you today was conducted by The Agency for Recovery and Rehabilitation, AOU Careggi, Florence Italy. To us, it is always reassuring to read the results of new studies that continue to clinically validate the promise that chiropractic laser therapy can bring to those of you suffering from chronic knee pain.
Your friends here at Austin’s TexStar Chiropractic offer this blog post to you golfers looking to up your game. Across Austin, golfers are breaking out their clubs from the winter slumber and beginning to hit the course, driving range, and practicing swings out in the yard. Just take a moment to assess your swing (or watch a pro) and appreciate the strain that a golf swing places on the spine and the surrounding muscles. It is very common for amateur and pro golfers alike to seek regular chiropractic treatments primarily for the purpose to return their spine to alignment. Most golfers will experience a degree of back pain at one point or another because it does not take long for a golfer to move his/her spine into misalignment. Chiropractic treatment such as cold laser therapy and spinal decompressionwill help improve your golf game and quality of life without the negative side effects of pain medication or surgery.
Chiropractic care allows the whole body to perform optimally. Swinging a golf club takes a lot of coordination between several body parts. It is amazing how many muscles are used in a round of golf. Therefore, if one area of your body or one muscle is not able to perform at its optimal level, it can cause other parts of your body to overcompensate, which leads to pain. One major issue that happens with any athlete, not just golfers, is that they go into the game with subluxations, or misalignments, to the spine. When your spine is not in its proper alignment, the rest of your body will suffer. Playing any sport with a poor spine leads to poor performance, poor posture, and more injuries. According to Dr. Tom LaFountain, Director of Chiropractic Services for the PGA Tour, 80 percent of injuries suffered through golfing are back related. This is most likely due to the repetitive nature of golf. When a golfer swings repetitively, they are making themselves more likely to experience muscle strains.
Whether you are a new golfer, club regular, or seasoned pro, stop by Austin’s TexStar Chiropractic for regular wellness adjustments that will help you on the golf course. Regular wellness spinal adjustments will both prevent and relieve existing pain. Going into the clubhouse a winner because of your more fluid golf swing will make you feel pretty darn good as well! Give us a call!
"Hi, I'm Sandy. I started coming here about a week and a half ago. When I started here I could barely walk without pain. I had swelling in my back. I went to my primary doctors and all they gave me was, “Hey go on a rest and here's some medication to relax your muscle”. Then I came here and with the treatment they gave me four different appointments, I was able to see a huge difference from not able to walk, to being able to go on a hike. I went from not being able to bend over, to, “Hey, I can lift up this pen on the floor now." I was able to lift some weights, which is amazing in my opinion.
Hello, all. This blog post covers the story of Orthopedic Surgeon Dr. Scott Sigman, MD, and his stunning success in using MLS cold laser therapy, a non-surgical solution he uses to treat his patient's long list of injuries, aches, and pains. For years now, we've treated the great citizens of Austin with this same MLS cold laser technology and techniques that Dr. Sigman describes below. Like us, Dr. Sigman is on a focused professional quest to systematically reduce invasive surgical procedures in exchange for non-invasive and opioid-sparing surgeries. The success of chiropractic treatments (that include non-invasive MLS cold laser and its opioid avoidance trait) are systematically driving Americans away from surgery centers and into chiropractic treatment centers like ours here at South Austin's TexStar Chiropractic.
As you read Dr. Sigman's testimony, keep in mind that non-surgical pain relief is available immediately to all of you right here in Austin. It's just a phone call away!
Enjoy Dr. Sigman's story.
CHELMSFORD -- Dr. Scott Sigman hopped up on the examination table in one of Ortho Lazer's treatment rooms on a recent November afternoon, and technician Keri Rouleau positioned the M6 Class IV cold therapy laser over his left heel.
Everyone in the room put on their green protective eyewear. Rouleau fired up the machine, and it emitted a bright red light that was trained on a problematic spot on the back of Sigman's foot. The doctor became a patient of his own practice.
His Achilles tendinitis is a condition that is often vexing even for orthopedic surgeons like himself to treat.
Other ailments such as plantar fasciitis and tennis elbow, Sigman said, also don't have very good options for treatment -- but Class IV cold laser therapy is showing great promise to treat these and many other acute and chronic conditions, including osteoarthritis, nerve, muscle and ligament injuries.
The treatment is popular around the world in both human medical and veterinary use, but has been slow to gain acceptance in the U.S., he said. It doesn't change the course of a disease, but it can successfully treat symptoms and provide relief, Sigman said.
"It can be to help prevent the need for surgical intervention," he said. "It can be used after surgery as well to reduce pain and inflammation, reducing the need for post-operative medication.
It also works exceptionally well for acute injuries."
The therapy works by stimulating cellular mitochondria in the affected area, Sigman said. Often called the powerhouse of the cell, mitochondria creates energy through production of adenosine triphosphate, or ATP, he said. Activating the mitochondria helps increase the rate of cell growth and repair, and down-regulates the nerve "so that it doesn't continue to send those signals to your brain that this thing hurts," Sigman said.
Dr. Scott Sigman at his new facility in Chelmsford, Ortho Lazer, which uses cold therapy lasers to treat orthopaedic pain. SUN/Julia Malakie
Sigman is well-known across the country for the successful opioid-sparing approach to surgery he and Dr. David Prybyla began at Lowell General Hospital five years ago, using a combination of non-addictive medications and long-acting anesthetics.
Since then, he said opioid-sparing surgery has become his passion and he's continued to look for alternatives to reduce the need for surgery and exposure to narcotics. He became aware of Class IV cold laser therapy through his travels, and after months of research, decided it was something worth pursuing.
Sigman first began offering the Food and Drug Administration-cleared therapy to patients in July at North Chelmsford-based Orthopaedic Surgical Associates of Lowell, where he is a partner. Because of the successful outcomes and demand, he decided to open Ortho Lazer as an independent company at 227 Chelmsford St. on Sept. 24.
He said he's in the process of also setting up an Ortho Lazer Foundation, which will take a percentage of the practice's revenues and contribute the funds to local organizations working to combat the opioid crisis and help those in recovery, such as Megan's House in Lowell, which recently honored Sigman for his work.
After only a couple months in operation, growing interest, spreading mainly through word-of-mouth, has already brought Ortho Lazer to 80 percent capacity, treating about 70 patients per day, Sigman said. There are five laser technicians, with three operating at all times. Sessions are about eight to 10 minutes each, and patients can't feel the laser, Sigman said.
Ortho Lazer is only open 8 a.m. to 3 p.m. Monday through Friday, but he said he hopes to expand to offer evening and Saturday hours within the next couple months.
It's not a walk-in clinic -- prospective patients must be referred by medical professionals for specific diagnosed conditions, or request their medical records be sent to Ortho Lazer for review by a clinician, Sigman said.
He said there is a large demand for non-surgical treatment options. Laborers such as electricians, plumbers ad drywallers, for instance, suffer a lot of shoulder problems and injuries, and will forego surgery because it means being out of work for an extended period of time, Sigman said.
A full rotator cuff tear will require surgery, he said. But cold laser therapy can help to relieve the pain of many partial tears and shoulder bursitis, pushing off the need for surgery for a period of time, Sigman said.
Unlike repeat cortisone shots, for example, that can affect other areas of the body and diminish in effectiveness, laser therapy can be done as much as needed without restriction, he said.
While the treatment has shown to have as much as an 80 percent to 85 percent success rate in providing significant pain relief for as long as 10 months to a year in certain cases, it currently isn't covered by commercial health insurance or Medicare, Sigman said. He said he does not anticipate that will occur until more extensive randomized controlled trials are performed in the U.S.
In order to make the treatment more accessible to local patients, Sigman said he set the price at $60 per treatment, the lowest in the country. He also offers discounts for what he called bilaterals -- full price for one knee, half price on the other if done at the same time, for instance -- and $45 per session for those who come back for maintenance treatments after the initial course.
Flexible-spending and health-savings accounts can also be used to pay for the treatment, Sigman said.
Jim Ahearn, 71, of Haverhill, was at Ortho Lazer recently for the last of six prescribed treatments following right knee arthroscopic surgery performed by Sigman earlier this month. Sigman also performed the surgery on Ahearn's left knee, which suffered from similar arthritis and meniscus tear, in 2012.
Ahearn said he had first tried cortisone shots and an initial round of cold laser therapy on his right knee, but it soon became apparent that surgery was necessary. A man who doesn't like to take painkillers, he said the relief from the post-operative cold laser treatment was immediate.
He's not quite ready to get back to doing the level of yard work that he's accustomed to, but said he's well on his way.
"I'm probably 99 percent pain-free, from the combination of (Sigman's) surgery work and laser treatment," Ahearn said.