Recent Posts

Disc Herniation and Chiropractic

Tumwater non-surgical disc herniation treatmentDr. Harrell sees many patients weekly in our busy Tumwater chiropractic office who are searching for relief from the pain and agony they feel due to herniated discs. Our experience isn't unique; the scientific literature confirms that chiropractic is a successful way to treat herniated disc problems.

Don't Suffer! Dr. Harrell and Chiropractic Care Helps With Disc Herniation

One particular research study involved 27 people, 8 male and 19 female, who had magnetic resonance imaging (MRI) confirming a disc herniation in either their neck or lower back. The people documented that they were experiencing pain, limited range of motion, and sensory problems bad enough to keep them off work.

During the course of the research period, the individuals were treated using one of two common chiropractic practices: traction for herniated discs in the cervical area or flexion distraction for the patients who had herniation issues in the low back.

Each man or woman was seen four or five times per week for the first two weeks, then three times each week, and then as needed for the remainder of the study. Based on the extent of the disc herniation, treatment varied anywhere from six weeks to six months, with MRIs being carried out at a variety of stages to identify what impact, if any, the chiropractic care was having in regard to the disc herniation.

Research Proves Chiropractic Helps With Back Pain and Herniated Disc

The investigators found that 80 percent of the participants enjoyed a "good clinical outcome," meaning reduced pain and a reduction in other symptoms, such as numbness. Additionally, 77 percent of these people also showed MRI evidence that their disc herniation was either reduced or resolved completely. This resulted in 78 percent of the study participants being able to return to their place of employment and led the authors to conclude that chiropractic is both "safe and helpful" for disc herniations.

If you have a herniated disc and suffer from chronic back pain and are near Dr. Harrell in Tumwater, contact our office today to see what chiropractic can do for you!

Reference
BenEliyahu, DJ. Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations. Journal of Manipulative and Physiological Therapeutics 1996;19(9):597-606.

 

Avoid Back Surgery With Chiropractic

Tumwater chiropractic back pain treatmentIn our Tumwater practice, we see many patients who are dealing with back pain, and a few of these people have been advised they might need surgery to recover. Fortunately, Dr. Harrell has helped many people get pain relief without the need for any type of surgical treatment. The scientific research confirms the success we see in our office. One study published in the medical journal Spine found that consulting with a chiropractor as your first step in dealing with your back pain may literally keep you out of the operating room.

In this research study, medical experts from Dartmouth reviewed statistics from about 1,900 workers from the state of Washington who first saw either an orthopedic surgeon or a chiropractic doctor for their low back issues. They then used three years' worth of follow-up medical records to find out whether the individuals wound up having back surgery in an effort to treat the problem.

What the researchers observed was that 42.7% of the patients who first saw a surgeon for their back issues ended up with surgery in that 3-year time frame, whereas only 1.5% of those who first consulted with a chiropractor had the same fate. The authors wrote:

"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."

These are remarkable results. Consulting with a chiropractor considerably reduces your odds of having back surgery, plus the chiropractic patients in this report "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.

Let's also consider this important detail: this study was conducted by orthopedic surgeons from Dartmouth College, and published in the world's most distinguished medical journal on spinal injury.

The Risks of Surgery

Any surgery has risks, but a major downside associated with spinal surgery is that there's a very high failure rate. In an important review in the European Spine Journal, researchers wrote:

"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."

The authors of this same study concluded:

"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."

As a chiropractor, Dr. Harrell is convinced that surgery should be the absolute last choice for treating back pain. Chiropractic care works to restore your spine to its normal function--without high-risk surgery or drugs--and many research studies have confirmed the usefulness of chiropractic for back pain.

If you live in Tumwater and you need relief for your back pain, give our practice a call today at (360) 489-0635 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!

Studies

  • Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
  • Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
 

Back Pain and Auto Injury

We treat many auto injury cases in in our Tumwater office, and a common symptom we see in our patients is back pain. Your chiropractor can be very helpful for back pain symptoms after a crash. Let's see what causes back pain and why chiropractic works.

During a rear-end motor vehicle accident, your car and car seat are quickly accelerated forward against your torso. Since car seats don't perfectly align with the curvature of your spine, the seat can put uneven pressure on your lower back. This can cause some of your spinal vertebrae to move in one direction while an adjacent vertebrae might move in another direction. This differential motion can sprain or strain the tissues that hold your spine together. This kind of injury can cause chronic back pain if not treated right away. Thankfully, chiropractic is one of the most effective ways to treat back pain.

You don't have to suffer from back pain. Dr. Harrell is conveniently located in Tumwater to help you heal, whether you've been in a car crash or not. The first step is to get an accurate diagnosis to determine what's causing your pain and then we will determine an appropriate treatment approach. Call us today at (360) 489-0635 if you have questions or would like to make an appointment.

 

Faster Work Injury Recovery with Chiropractic

Tumwater Worker Injury Treatment and RecoveryWhen you're trying to support your family, take care of your household, and pay all of your bills on time, every day at work counts. Work injuries can be a huge problem for many folks, and we see many of these types of injuries in our Tumwater office. Dr. Harrell appreciates your situation and is here to help.

The advantages of chiropractic care for work injuries are well-established. A 2013 survey involving 651 adults who were suffering with either back or neck pain found that the individuals who didn't see a chiropractor missed work at twice the rate of those who were seeing a chiropractor.

So, why don't more people use Chiropractic Care?

According to the participants in this study, two of the primary factors were that they thought they needed a medical referral for chiropractic care (which is typically no longer true) and they overestimated the costs associated with chiropractic treatment sessions by almost 70 percent.

The reality is, chiropractic patients actually spend less on care than medical patients, plus they are less likely to use drugs for their symptoms.

Dr. Harrell Can Help People Find Comfort From Chronic Pain

If you live in Tumwater and you've been injured at work, we can help. Give our office a call today at (360) 489-0635 for an appointment.

Resources

"Thousands of Minnesotans with Back and Neck Pain Don't Seek Treatment." (2013, June 12). ChiroCare.

 

Chiropractic Effective for TMJ Pain

Tumwater TMJ pain recoveryAs injury to the temporomandibular joint (TMJ) is frequently quite painful, we do our best to help our Tumwater patients find relief as quickly and effectively as possible. In fact, Dr. Harrell will tell you that the medical research shows just how much chiropractic care can help ease pain in the jaw.

Research Supports Chiropractic Helps With TMJ Pain and Discomfort

For example, a study published in Physiotherapy Theory and Practice included 15 patients with temporomandibular disorders who were managed with neck adjustments, middle-back manipulation, and trigger point therapy via dry needling. Individuals were assessed prior to these treatments and at two weeks and two months post-treatment. The researchers reported positive results such as reduced discomfort, greater jaw mobility, and lower disability at both follow-ups.

Another research study carried out a review of almost 800 papers involving manual and manipulative therapy for disorders such as TMJ and revealed similar findings. They concluded that there is a "fair...level of evidence" that chiropractic care can help ease discomfort associated with jaw pain and other upper extremity disorders.

This is great news since the triggers of TMJ are largely unknown. While injury to the jaw area can cause pain symptoms, there are other sources to consider as well, such as grinding teeth, arthritis, and clenching of the jaw due to tension.

Dr. Harrell Can Help Clients Find Comfort From TMJ Pain

No matter what is making your jaw hurt, call Dr. Harrell today and schedule an appointment to come into our Tumwater practice. We'll do our best to help you smile pain-free!

Studies

  • Gonzalez-Iglesias J et al. (2013, November). Mobilization with movement, thoracic spine manipulation, and dry needling for the management of temporomandibular disorder: a prospective case series. Physiotherapy Theory and Practice;29(8):586-95
  • Brantingham J et al. (2013, March-April). Manipulative and multimodal therapy for upper extremity and temporomandibular disorders: a systematic review. Journal of Manipulative and Physiological Therapeutics;36(3):143-201
  • Oral Care. WebMD. Retrieved from http://www.webmd.com/oral-health/guide/temporomandibular-disorders-tmd on November 2, 2015
 

Studies Show Chiropractic Effective at Preventing Sports Injuries

Tumwater sports injury treatment and chiropracticWe encounter a lot of sports injuries in our Tumwater office, and Dr. Harrell is often able to assist these athletes. Stanford Children’s Hospital reports that over 3.5 million children of the ages 14 and below are injured each year when playing sports. Add that to the close to 2 million adults hurt every year while participating in sports-related activities, as reported by statistics collected by the U.S. Department of Health & Human Services, and you can start to see the importance of minimizing these types of common injuries. One approach to possible realize that goal, according to a study published in BMC Musculoskeletal Disorders, is to receive routine chiropractic treatments.

In Australian Rules football, hamstring and other leg injuries are common, often sidelining the players and impacting their team's likelihood of securing a win. One particular study was administered using 59 semi-elite Australian Rules footballers to see how well chiropractic could diminish these injuries and help keep them playing.

Research Proves Chiropractic Helps in Treating Sports Injuries

For this study specifically, every one of the volunteers got medical treatment. Additionally, half of them also engaged in chiropractic sessions at the rate of 1 treatment per week for the first six weeks, biweekly treatments for the next three months, and one session each month for the final three months of the study. The other group were given no chiropractic intervention at all and were used as the control group to assess the benefits of chiropractic.

After twenty-four matches, scientists noted a reduced number of lower limb muscle strains in the group that had been given chiropractic care. Additionally, that same group also missed fewer matches related to non-contact knee injuries. This lead the researchers to come to the conclusion that chiropractic ought to be made an addition to sports training programs to dramatically lessen the quantity of leg injuries.

Dr. Harrell Can Help Clients Find Comfort From Sports Injuries & Help You Recover Quicker

If you or your child plays sports and you would like to make sure greater time is dedicated on the field versus on the sidelines, call our Tumwater office at (360) 489-0635 and make an appointment today. We will do our best to keep you in the game!

References

  • Hoskins, W, & Pollard, H. (2010, April 8). The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial. BMC Musculoskeletal Disorders, 11(64), doi:10.1186/1471-2474-11-64
  • Misra, A. (2014, March 17). Common sports injuries: Incidence and average charges. Department of Health & Human Services.
  • Stanford Children’s Hospital. (n.d.). Sports injury statistics.
 

Effective Shoulder Pain Treatment

Tumwater shoulder pain treatment and recoveryAccording to research, approximately 2-5 percent of the population will suffer from painful ailments like frozen shoulder syndrome at some time in their lives. That makes shoulder-related pain a common problem and one that Dr. Harrell sees in our Tumwater office on a regular basis.

Research Supports Chiropractic Helps With Shoulder Pain

Generally, this ailment is more prevalent for people in their 40s, 50s, and 60s, and it tends to affect women more often than men. While ice, heat, and gentle stretching can sometimes help relieve the pain, so too can chiropractic adjustments.

As an example, a study released in the Journal of Chiropractic Medicine looked at 50 people with frozen shoulder who were given chiropractic care. The duration of care ranged from 11 days to 51 days, with 28 days being the average.

The authors found that nearly all of the patients fared very well with chiropractic care. The study found:

8 of the subjects reported 50-75 percent improvement
25 indicated improvement ranging from 75- 90 percent
1 participant had complete resolution of their frozen shoulder pain

Only one participant reported an improvement of 50 percent or less, so reports like this demonstrate just how effective chiropractic can be when it comes to decreasing shoulder pain and increasing quality of life.

We Can Help People Find Relief From Shoulder Pain

Let Dr. Harrell help you ease your suffering by contacting our Tumwater office and scheduling your appointment today.

Resources

Murphy F et al. (2012, December). Chiropractic management of frozen shoulder syndrome using a novel technique: a retrospective case series of 50 patients. Journal of Chiropractic Medicine;11(4):267-272

 

Chiropractic Superior for Sciatica Than Surgery

Dr. Harrell works with countless sciatica patients here in our Tumwater office, and quite a few of these individuals were concerned that they might require surgery to eliminate their pain. The most recent research shows that a large number of people don't require surgery for this prevalent issue, and that chiropractic is more beneficial at resolving sciatic nerve pain.

A typical surgery for sciatica is microdiscectomy, and in a 2010 study, researchers looked at 80 women and men with sciatica who were referred for this procedure.

Forty patients were then randomly placed in one of two groups. The first group was to receive surgical microdiscectomy and the second group received chiropractic care.

Both groups got better; however, no apparent difference in outcome was reported one year post-treatment between the surgery group and the chiropractic group. Additionally, roughly 60 percent of the participating subjects who could not find relief from any other treatment method "benefited from spinal manipulation to the same degree as if they underwent surgical intervention."

Simply put, chiropractic delivered the same positive benefits as surgery without needing to endure the increased amounts of surgery-based pain or suffer through lengthy recovery times often affiliated with that particular treatment option. Additionally, you also don't run the risks affiliated with surgical microdiscectomy, which includes nerve root damage, bowel or bladder incontinence, bleeding, or infection.

Surgery ought to be the last resort for sciatica pain. If you live in Tumwater and you're suffering from back pain or sciatica, give Dr. Harrell a call today at (360) 489-0635. We'll help identify the source of your pain and work hard to get you relief.

References

  • McMorland, G et al. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics 2010;33(8):576-584.
  • Solberg TK, Nygaard OP, Sjaavik K, Hofoss D, Ingebrigtsen T. The risk of "getting worse" after lumbar microdiscectomy. European Spine Journal 2005;14(1):49-54.
 

Tumwater Back Pain and Pregnancy Care

Tumwater chiropractor

While many women automatically assume that back pain and pregnancy go hand in hand, they are often surprised when they learn that this is not necessarily the case. In fact, chiropractic adjustments can often help relieve persistant back pain for pregnant women by as much as 85%.

Research Proves Chiropractic Helps With Back Pain and Pregnancy

Dr. Harrell has helped many pregnant women with back pain in our Tumwater office.

A research study published in Chiropractic & Manual Therapies involved 115 women who were pregnant (most of which were in their third trimester) and reported pain in their low back, pelvic area, or both. Data was gathered prior to the study, as well as one week, one month, three months, and one year after treatment commenced. At each subsequent point in time, the participants were asked to rate their level of pain based on a 7-point scale to determine whether it was better, worse, or stayed the same. The results?

More than half reported that their pain was better after one week of chiropractic treatment. After one month, that amount jumped up to 70 percent, climbing even more to 85 percent showing improvement at the three month mark. Improvement was still reported at six months post-treatment, which was generally after childbirth, and continued to the final data collection one year after treatment commenced.

There are also many additional advantages of chiropractic care during pregnancy. Not only does it efficiently ease back pain, but it does it in a completely natural and non-invasive way. This means that you don't have to worry about taking any drugs or undergoing any type of treatment that could potentially harm your unborn child.

Dr. Harrell Can Help People Find Relief From Back Pain During Pregnancy

Additionally, it makes your time spent carrying your child more pleasant. When you're not distracted with aches and pains, you can enjoy the experience even more as you prepare your home and your life for all of the fun and exciting changes that lie ahead.

You don't have to suffer from back pain during pregnancy. We're here in Tumwater to help with natural chiropractic care. Give us a call today at (360) 489-0635 to make an appointment.

Peterson CK, Muhlemann D, & Humphreys BK. Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up. Chiropractic & Manual Therapies 2014;22(15):doi:10.1186/2045-709X-22-15.

 

Chiropractic and Neck Pain

Tumwater chiropractic neck pain treatmentAccording to The American Academy of Pain Medicine, more Americans suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. What's more, neck pain is the third most documented type of pain, beat out only by lower back pain and headache.

Not surprisingly, many people come to our Tumwater office seeking neck pain care, and Dr. Harrell has helped many of them find relief. This is a smart decision, as some research indicates that over 90 percent of neck pain patients improve with chiropractic.

Studies Confirm Chiropractic Effective for Neck Pain

A report published in The Journal of Orthopaedic and Sports Physical Therapy involved 64 people who were suffering with neck pain. Approximately half were placed in an experimental group and the other half were assigned to a comparison group. Both were given chiropractic adjustments of the neck as well as a home exercise program, while the experimental group also received thoracic spine adjustments.

Data was gathered before treatment began and one week post-treatment. Researchers found that 94% of the experimental group claimed "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the individuals who received neck adjustments showed the same level of improvement, showing that looking at the entire spinal column is a critical part of restoring the body's normal function.

Yet another study posted in Physical Therapy involved 60 individuals between the ages of 18 and 60 who reported suffering with neck pain. Each man or woman was randomly allocated to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with examinations occurring two and four days after the adjustments.

Researchers found that the study patients who received the thrust manipulations (the same manipulations that provided such positive results in the first report) "experienced greater reductions in disability" than the patients who received the non-thrust adjustments. Their pain was lower as well, which shows that this type of approach offers many benefits.

Help After Failed Medical Procedures

Another study even found the same sort of positive outcomes after thoracic adjustments in a woman who had a failed neck surgical treatment. This particular case involved a 46-year-old patient who had recently had neck surgery but still experienced neck pain, headaches, pain in her elbow, and muscle fatigue.

The woman documented decreased pain in her neck and lower headache intensity, immediately after the first chiropractic adjustments. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still rated her pain at a zero on a scale of 1 to 10. Her neck disability reduced as well, with a rating score that represented that it was a "great deal better."

It is studies like these that prove the advantages of chiropractic techniques, even if you've already attempted neck surgery that didn't provide relief. So, if you are dealing with neck problems and would like to find a remedy that has a high success rate, try chiropractic. It may just be the relief you're looking for.

We're located in Tumwater and Dr. Harrell can help you recover from neck pain. Give us a call today at (360) 489-0635.

References

  • AAPM facts and figures on pain. The American Academy of Pain Medicine.
  • Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
  • Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
  • Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.