HomeBlogChiropractic Care – Contradictions in Treatment Efficacy Actually Validate the Field’s Methods
Chiropractic Care – Contradictions in Treatment Efficacy Actually Validate the Field’s Methods
August 11, 2023
For millions of Americans, every day can be a struggle against chronic and nearly debilitating back pain. Many conventional medical treatments, such as pain relievers or trigger point injections, carry a whole host of adverse risks and side effect. Some people may resort to heal the spine from its injuries.
Chiropractic Care and Spinal Manipulation
Spinal manipulation is the technique most often used in chiropractic care to contradict the good reputation of chiropractic care for low-back pain and injury treatment, it really exhibits how nuanced each individual case of pain and injury truly can be.
Spinal Adjustment – Effective or Not?
As with any medical treatment, chiropractic care reacts different in each individual. Just as one person can derive benefits from the very same drug that another person may have an extremely adverse reaction too can chiropractic care render vastly different results. Some interesting and important points were discovered in a recent clinical study that compared 3 different groups that consisted of:
A group with low-back pain who underwent 2 weeks of manipulation therapy
A group of people with low-back pain who did not receive such treatment
A group of people with no reported back pain who received spinal adjustment treatment
Results were measured clinically by MRI and other respected diagnostic tomy, such as:
Increased muscle tone
Decreased spinal stiffness
Improved vertebral spacing
However, the people who reported no pain relief also did not exhibit any noted physical changes. Essentially, they experienced no effect over the course of the study.
Chiropractic Care – Helping to Identify the Correct Course of Injury Treatment
The takeaway from this pioneering study is that chiropractic is indeed an effective and important treatment for those hoping tors that can include:
Type and severity of injury
Source of pain
Individual differences in constitution
It is clear that the field of chiropractic treatment is an important and safe diagnostic toward a different and effective course of therapy for lasting pain relief.
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About the Author
Dr. Lev Kalika is a world-recognized expert in musculoskeletal ultrasonography, with 20+ years of clinical experience in advanced rehabilitative medicine. In addition to operating his clinical practice in Manhattan, he regularly publishes peer-reviewed research on ultrasound-guided therapies and procedures.
Dr. Kalika is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and the only clinician in New York certified by the ISMST to perform extracorporeal shockwave therapy. He is also an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to dynamic functional and fascial ultrasonography.
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating the full thickness tear and already occurring muscle atrophy due to misdiagnosis and not referring the patient to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed to be a complete tear with muscle contraction under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris with large hematoma (blood)
Separation of muscle ends due to tear elicited on dynamic sonography examination
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