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Austin Chiropractor Blog

Chiropractic Treatment Ended Raquel’s Migraine Headaches

Joseph Coupal - Tuesday, December 10, 2019

How many of you reading this are aware of the association between migraine headaches and the body’s neck muscle and core muscle groups? Very few we’re sure. Listen to Raquel tell her story about how Dr. Tran here at Austin’s TexStar Chiropractic authored a comprehensive chiropractic migraine treatment plan that included neck and core muscle strengthening for Raquel.

Hi, I’m Raquel. I started seeing Dr. Tran a couple of months ago. He’s helping me resolve issues that I’ve been having related to migraines. He developed a plan to help me strengthen my core muscles and my neck muscles. I can say I haven’t had a migraine since I started my treatment here at Austin’s TexStar Chiropractic which is GREAT! I feel much better!


Study confirms vitamin D protects against colds and flu

Joseph Coupal - Tuesday, November 26, 2019
TexStar Chiropractic - Austin, Buda, TX

Daily or weekly dose had greatest benefit for those with significant deficiency

A new global collaborative study has confirmed that vitamin D supplementation can help protect against acute respiratory infections. The study, a participant data meta-analysis of 25 randomized controlled trials including more than 11,000 participants, has been published online in The BMJ.

“Most people understand that vitamin D is critical for bone and muscle health,” said Carlos Camargo of the Department of Emergency Medicine at Massachusetts General Hospital (MGH), the study’s senior author. “Our analysis has also found that it helps the body fight acute respiratory infection, which is responsible for millions of deaths globally each year.”

Several observational studies, which track participants over time without assigning a specific treatment, have associated low vitamin D levels with greater susceptibility to acute respiratory infections. A number of clinical trials have been conducted to investigate the protective ability of vitamin D supplementation, but while some found a protective effect, others did not. Meta-analyses of these trials, which aggregate data from several studies that may have different designs or participant qualifications, also had conflicting results.

To resolve these discrepancies, the research team — led by Adrian Martineau from Queen Mary University of London — conducted an individual participant data meta-analysis of trials in more than a dozen countries, including the U.S., Canada, and the U.K. While traditional meta-analyses compare average data from all participants in each study, individual participant data meta-analysis separates out the data from each individual participant, producing what could be considered a higher-resolution analysis of the data from all studies.

The investigators found that daily or weekly supplementation had the greatest benefit for individuals with the most significant vitamin D deficiency (blood levels below 10 mg/dl) — cutting their risk of respiratory infection in half — and that all participants experienced some beneficial effects from regular vitamin D supplementation. Administering occasional high doses of vitamin D did not produce significant benefits.

“Acute respiratory infections are responsible for millions of emergency department visits in the United States,” said Camargo, who is a professor of emergency medicine at Harvard Medical School. “These results could have a major impact on our health system and also support efforts to fortify foods with vitamin D, especially in populations with high levels of vitamin D deficiency.”

The study was funded by a grant from the National Institute of Health Research (U.K.).

Source: news.harvard.edu


New Evidence of Knee and Hip Steroid Injection Risks

Joseph Coupal - Wednesday, November 20, 2019
TexStar Chiropractic, Austin, TX

In October of this year the Boston University School of Medicine released a study that is turning traditional hip and knee pain treatment on its head.

The healthcare world has known for a long time that continued corticosteroid use is not good for us. In fact, it is one of the few drugs we regularly use that, without a doubt, causes at least some damage to the body.

The accepted standard of care has generally been that getting an injection of corticosteroids into the joint space of the knee or hip every 3-4 months didn’t do enough damage to outweigh the benefits.

This made sense … sort of. After all, an injection is far less invasive than surgery and especially in cases dealing with arthritic pain, there aren’t a lot of good surgical solutions available other than total joint replacement.

The way these powerful drugs work is by mimicking the effects of cortisol, your body’s long-lasting fight -or-flight hormone. This is the stuff that is released after you have escaped from the lion, but when you know he is still out there hunting for you. It’s often referred to as our stress hormone.

Cortisol and therefore corticosteroids affect everything from brain chemistry to immune system function. In the case of joint tissue, it suppresses the body’s inflammatory response and immune functions. This anti-inflammatory effect is what makes it so effective at treating arthritic joint pain.

The problem arises with the fact that it also suppresses the normal repair mechanisms which allow our bodies to heal damaged cells in our bones, cartilage and ligaments.

What this new study shows is that the side effects and complications with these drugs appears to be far worse and much more common than we originally thought.

In the study they took a large group of people who had received a corticosteroid injection in their knee or hip some time in the previous year and re-evaluated them for changes. 4% of the knee patients and 10% of the hip patients already had radiologically visible complications less than a year later. That means on average, 8% of these patients had serious complications. This is a much higher rate than previously expected.

The most common complications seen were rapidly increased arthritic changes like degeneration of the bone and cartilage. Osteonecrosis which is a dying off of the cells in the bone was also seen along with fracture due to loss of bone density.

So, what does this all mean as a patient? The big take away from this is that you need to be pro active in discussing the pros and cons of any medical procedure with your doctor. That doesn’t just go for steroid injections. As we have seen in the news over the last few years there are quite a few other medical treatments that turned out to be more dangerous than previously thought, such as the use of opioid pain medication.

This does not mean that steroid injections are not still an option for some people. It does mean that this treatment has fallen much further down the list of things to try to treat your knee or hip pain. Luckily there are more noninvasive therapy approaches available than ever before and in response to the opioid epidemic, there is a push at the national level to remove barriers to people accessing this type of care. In many states insurance companies are enacting policies that will allow patients to see their chiropractor or physical therapist with no out-of-pocket expense in an effort to promote the use of safe alternatives to drugs and surgery.

References:

Boston University School of Medicine. "New evidence that hip and knee steroid injections more dangerous than thought: May accelerate arthritis, joint destruction." ScienceDaily. ScienceDaily, 15 October 2019.

mayoclinic.org


Subluxation Defined

Joseph Coupal - Wednesday, October 30, 2019
TexStar Chiropractic, Austin, TX

Here at our Austin Chiropractic care clinic, we take great pride in educating both our patients and the general public about neck and spine health. We’re proud of all of you for conducting your own research. We are thrilled to educate and answer your questions both within our Austin chiropractic blog itself. A recurring question that we answer is: “Just what is “subluxation” and how is it treated”?

When a vertebrae or other joint becomes misaligned or stops moving properly, it has historically been referred to in the chiropractic profession as a subluxation. These changes in normal joint biomechanics or “subluxations” can be caused by a wide range of issues ranging from a minor slip or bump to a car accident or any sudden trauma. When a vertebrae is subluxated, these altered movement patterns begin to put pressure and cause irritation to the nerves, blood vessels and everything around it. This pressure comes with a price. The subluxation and associated tissue irritation interferes with the normal nervous system pathways that allow for communication between the body and the brain. This is why you may feel like your there is pain in your leg or tingling in your hands even though there is nothing wrong with your leg or hands. The message is getting scrambled due to interference on the line.

As time goes by and a subluxation remains untreated, the spine and surrounding features such as discs begin to degenerate. This degeneration becomes more difficult to reverse as time goes by as the surrounding muscles, nerves and bones begin to adjust to the new shape. The body is an amazing machine. It will start to accommodate these changes by compensating in other areas. The longer this goes on, the more difficult it is and the longer it takes to restore normal function and health to the affected area.

How is subluxation treated? As you might expect it depends. It depends on your specific subluxation condition, the severity of your condition, and your overall physical condition. We very well may determine that a digital x-ray (accomplished right here in our Austin chiropractic clinic) is required to identify the type and severity of your subluxation issues. Together, we will author and execute a chiropractic physical rehabilitation plan designed to steadily decrease your spine, neck, or joint pain while systematically improving your quality of life.

Start the path to an improved quality of life. Contact Austin’s TexStar Chiropractic today!


Physical Rehabilitation and Therapy

Joseph Coupal - Tuesday, October 15, 2019
TexStar Chiropractic - Physical Rehabilitation and Therapy in Austin, Texas

In today’s blog post, we’d like to introduce you to the various types of chiropractic treatment services being offered here in our Austin chiropractic clinic. Essentially every service that we provide can be considered a sub-category of the physical rehabilitation of the back, neck, and spine. Below is a brief explanation and link to some of the more common chiropractic techniques that we employ on a daily basis. They can be employed singularly or in combination to rehabilitate physical impairments and disabilities that diminish quality of life:

Chiropractic Rehabilitation

The most common and well-known chiropractic treatments involve physical manipulation of the spine and joints. It is the most conservative (non-invasive) approach to address disorders of the neurological, skeletal, and muscular systems. Learn more about chiropractic physical manipulation here at our Austin clinic.

Cold Laser Therapy

Cold Laser Therapy involves the use of concentrated light energy to target damaged cells, reduce pain, and speed recovery of damaged cells. It is a painless and proven highly effective therapy applied to both acute and chronic conditions. Learn more about chiropractic cold laser therapy here at our Austin clinic.

Spinal Decompression

Spinal decompression therapy is designed to create negative pressures inside herniated or bulging discs which reduces abnormal pressure on spinal nerves. This is a highly effective way to reduce the pain associated with pinched nerves. The treatment sensation is that of a gentle stretch that is most often described as both pleasurable and relaxing. Learn more about spinal decompression therapy here at our Austin clinic.

Whole Body Vibration Therapy

Whole body vibration therapy is designed to reduce stress on ligaments, joints, and supportive tissues. The vibration stimulates muscle fibers, muscle cells, nerves, and increases blood oxygenation. Patients describe the treatment as both painless and exhilarating. Learn more about whole body vibration therapy here at our Austin clinic.

Balance and Posture Training

Poor posture is directly linked to compromised spinal health. Posture can be corrected by a strategic blend of targeted exercises and adjustments to the way one sits, stands, and lies. Patients report that their pain is systematically reduced via focused balance and posture improvement. Learn more about whole body vibration therapy here at our Austin clinic.

Knee Trac Mechanical Decompression

Knee pain is one of the most common complains that we address. We employ a patented system to separate the two main bones of the knee joint in order to reduce pain, increase function, and promote tissue healing. This treatment is used to treat arthritis, meniscus tears, joint degeneration, and a host of other degenerative conditions. Learn more about knee trak mechanical decompression therapy here at our Austin clinic.

Digital X-Ray Services

We are equipped and trained to employ the use of digital x-rays as required to maximize the effectiveness of your treatment plan. The use of X-Ray is supportive for the diagnoses of some conditions but not all. We employ the use of X-Ray technology only when it definitively contributes to condition diagnoses and assessment of treatment plan effectiveness. Learn more about digital X-Ray services here at our Austin clinic.

If you ever have any questions about your spinal health and/or the chronic or systemic pain that robs you of the quality of life that you deserve, then give us a call anytime. We are changing the quality of life for the better with comprehensive chiropractic care for our friends in Austin!


September is Drug-Free Pain Management Awareness Month

Joseph Coupal - Tuesday, September 17, 2019
TexStar Chiropractic - September is Drug-Free Pain Management Awareness Month

Greeting once again from your friends here at south Austin’s TexStar Chiropractic. You might wonder why, with 130 Americans dying every day from opioid overdoses, that we even need to raise awareness about available drug-free pain management. Less than 20 percent of the public consider chronic pain a major health problem. We want all our patients and followers of our blog to be fully informed about the opioid health crisis.

Chronic pain affects more people than diabetes, cancer and heart disease combined. While it might be easy to dismiss the overdoses as an urban problem confined to junkies in dark alleys, the truth paints a far different picture. For starters, 80 percent of heroin addicts began with prescription painkillers, reported the National Institute on Drug Abuse.

Even more telling, 68 percent of the 70,200 overdose deaths in 2017 involved prescription or illicit opioids. Prince and Tom Petty put a public face to the epidemic, but it reaches much deeper, from those struggling with chronic pain to teens raiding their family’s medicine chest and unborn babies who have no choice in sharing their pregnant mothers’ addictions.

But, as the 2017 Gallup-Palmer College of Chiropractic annual report discovered, 78 percent of Americans prefer to try other ways of dealing with their chronic pain before filling a prescription. And a growing number of groups, including the American College of Physicians, have called for drug- and surgery-free chiropractic care as a first line defense in fighting back pain.

Statistics, most recently a study involving active-duty military personnel, back up their support. The findings, reported by JAMA in 2018, found that chiropractic care, when added to standard care, brought moderate short-term improvements.

It’s a finding mirrored in other statistics. Ninety-five percent of Americans who sought chiropractic care in the past year said it was effective, according to the 2017 Gallup-Palmer College report, and 97 percent of them said they would see a doctor of chiropractic again if the pain returned.

Then there are public accounts, such as Ret. Army Staff Sgt. Shilo Harris, who was seriously injured in Iraq when his Humvee hit an Improvised Explosive Device (IED). Once addicted to his prescription painkillers, he now says his doctor of chiropractic “saved my life.”

How does it relieve the pain? According to Harvard Health, spinal manipulation relieves the pain and improves the body’s functions, helping it to heal itself. Our Doctors of Chiropractic here in Austin include physical activity, nutrition and other lifestyle changes in our treatment plans. We can help. Call us!

Source: The Foundation for Chiropractic Progress


Neck and Shoulder Pain Treatment in Austin, TX

Michael Henry - Friday, September 06, 2019

Hi, my name is Debbie and 12 weeks ago, I woke up one morning with excruciating pain going through my shoulder through the outside of my right arm and my index finger was totally dead. So I saw my primary care doctor who referred me over here to TexStar, and I immediately showed up. They got me in the next day, and they immediately when I described my pain knew what disc we were talking about in my neck, confirmed it with x-rays, and the next day they had already come up with a plan for three phases of treatment for me.

The first phase was to give me some relief because it was horrible--the most horrible experience I've ever had. I had never been to a chiropractor before so the goal was to avoid having surgery on my neck. So, during phase one it was a little difficult and sometimes we had to even pack my arm in ice so I could get through the pain, but I got through it.

That was 4 weeks and so by the time we got into Phase 2, it was more fun because I was feeling better. So, I had little pet names for all the different machines that they had. I'm supposed to keep this PG, so I don't know if I should say what this machine actually did but it was really good at shaking your butt. But anyway head smashing was still my favorite. We got through that…I had a lot of fun with Ryan. He was a blast. He would play the right music for me so that I could get into it. And, I got through that. That was 6 weeks’ worth of that.

Now, I'm into Phase 3 and it's basically very simple. I just get adjusted I get to roll on the wonderful massage table they have here. But one thing that really has impressed me is the staff here has been very, very nice to me. They actually…you really believe that they care about you and they’re really intent on relieving my pain. It was really strange because you could even text them. I even sent them a picture from my vacation. You know, they would send me text messages and one day when I really felt good, I sent Ryan a text message: “Ryan I feel really good today!” You know and he was so excited to hear that. So, I mean, I really felt like these people cared about me and now that we're in Phase 3, I'm back to feeling fabulous.



Arthritic Young Adults Increasingly Treated by Doctors of Chiropractics

Joseph Coupal - Wednesday, July 10, 2019
TexStar Chiropractic Buda and Kyle

Arthritis is a condition that does not discriminate by age. Young adults aged 18-25 are increasingly diagnosed with arthritic conditions and are increasingly prescribed addictive pain medications as a result. We’d like to share an article from our friends at The Foundation for Chiropractic Progress, a not-for-profit organization that informs and educates the general public about the value of chiropractic care and its role in drug-free pain management. Residents here in Austin are encouraged to contact TexStar Chiropractic after reading this to discuss in more detail why chiropractic treatment for young adult with arthritis is changing lives.

Arthritis, which causes chronic joint pain and stiffness, is significantly more common in American adults ages 18 to 64 than previously estimated, according to a recent statistical study. The condition joins a growing list of diseases affecting younger adults that require immediate treatment, but are often ignored, creating greater risks to their health and well-being.

The study, published in Arthritis and Rheumatology, estimated that more than 91 million Americans have arthritis, including 61 million adults ages 18 to 64. The estimates for younger adults nearly double previously published national estimates of arthritis incidents.

“The results of this study are eye-opening, particularly because arthritis is a condition commonly associated with older populations,” said Sherry McAllister, DC, executive vice president of the Foundation for Chiropractic Progress (F4CP), a not-for-profit organization dedicated to raising awareness about the value of chiropractic care. “Worse yet, younger people are less likely to seek professional treatment for this condition, which can lead to greater stiffness and discomfort down the road. It’s crucial that any sort of lingering physical discomfort is addressed promptly by a qualified doctor.”

Arthritis is not the only chronic condition affecting more younger adults. Hypertension, melanoma, back pain, and neck pain are also becoming more common. For the latter, treating chronic pain with an opioid raises further risks to young adults’ health and well-being as it may lead to misuse, addiction, overdose and in some cases, fatality. In fact, the age group with the highest rate of nonmedical opioid use is young adults ages 18 to 25.

Instead, experts at the F4CP offer the following tips to help alleviate pain related to arthritis:

  • Exercise: Aim for a minimum of 30 minutes of exercise three to five days a week. Learn proper stretching techniques and do them often.
  • Eat Right and Drink Water: A healthy diet—rich in fruits, vegetables and healthy fats—can help reduce inflammation and joint pain. Also limit red meat, refined sugar, white flour and processed foods.
  • Consult your Austin Doctor of Chiropractic (DC): Schedule a consultation with Dr. Henry or Dr. Tran to discuss an appropriate care plan that can help reduce pain and optimize overall health and well-being.

“Because the available medications for arthritis pain carry risks of side effects, it’s smart to try other ways to ease pain,” said Marcy O’Koon senior director of consumer health, Arthritis Foundation. “There are many options. Some people find chiropractic to be helpful. Patients will want to check with their primary care doctor or rheumatologist to confirm if chiropractic care is appropriate for their condition.”

Dr. McAllister emphasizes that the current goals for treating arthritis are to relieve pain and improve range of motion of the joints involved. DCs receive a minimum of seven years of higher-level education and are specifically trained to manage disorders of the neuro-musculoskeletal system, including arthritis, as well as counsel on nutrition, exercise and lifestyle practices.

“Doctors of chiropractic successfully treat a wide range of conditions in patients of all ages, which is part of the reason patients report such high satisfaction compared with other types of care,” said Dr. McAllister. “Combined with the right lifestyle choices and preventive care, chiropractic care can help younger adults avoid chronic pain and pursue healthy, active lives.” Contact us to learn more!


TexStar Chiropractic’s Buda Clinic is on Schedule to Open in July 2019

Joseph Coupal - Friday, June 07, 2019

It’s an exciting time at TexStar Chiropractic as we make steady progress toward expanding our chiropractic services to the fine people of Buda and Kyle! We just wanted to give everyone an update on our progress. Please check out this quick video update below. For details about your future chiropractic care services in Buda and Kyle, contact us today!


Immediate and Short-term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial.

Joseph Coupal - Tuesday, May 28, 2019
TexStar Chiropractic Clinic

Abstract

BACKGROUND:

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.

OBJECTIVES:

To compare the immediate and short-term effects of thoracic manipulation to those of a sham thoracic manipulation in patients with cervical radiculopathy.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

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.

LEVEL OF EVIDENCE:

Therapy, level 2. J Orthop Sports Phys Ther 2019;49(5):299-309. doi:10.2519/jospt.2019.8150.

Contact TexStar Chiropractic to learn more about chiropractic spinal manipulation.

Source: https://www.ncbi.nlm.nih.gov/pubmed/31021691/



TexStar Chiropractic $$

TexStar Chiropractic

4601 Southwest Pkwy #101,
Austin, TX 78735

Call Now! (512) 899-2228
Fax: (512) 899-2226
Email: info@texstarchiro.com