I Want Chiropractic Care, But Don't Want My Neck Manipulated, Adjusted, or Cracked
If you come in to my clinic and do not want your neck adjusted - I WILL NOT ADJUST YOUR NECK! If you used to get your neck adjusted and decide you no longer want to, I will not adjust your neck. Beyond that, I will never trick you. It is a simple understanding between me and someone who does not want their neck "cracked", and I will not betray that trust.
What Does Science Say On The Safety Of Chiropractic Adjustments?
Like every treatment option from every different type of health practitioner there are risks and benefits of different treatments. Hollywood and the media have created fear around spinal manipulation of the neck. This does not match up with what science and research has yielded. Serious adverse events following manipulation is estimated to be 1 in 2 million manipulations, which is considered rare. Furthermore, research into stroke following adjustments has yielded correlation as opposed to causation. This correlation is similar (higher actually) for individuals who have had a stroke following a visit to their medical doctor. It is believed that individuals may have neck and head symptoms before the stroke and seek care from a chiropractor or medical doctor. Science has not stopped and there are more and more studies highlighting the rarity of serious adverse effects related to chiropractic care. Authors from a 2016 study stated:
"We found no evidence for a causal link between chiropractic care and CAD (cervical arterial dissection). This is a significant finding because belief in a causal link is not uncommon, and such a belief may have significant adverse effects such as numerous episodes of litigation."
I Have Neck Pain, What Should I Expect?
When you come in for your first visit of neck or head pain (or have a new complaint of neck or head pain), we will do an in depth examination that explores the possible causes of your pain. Included in this is a neurological exam and ruling out red flags that indicate medical management as preferable. If your pain and discomfort is linked to your nerves, muscles, and/or joints we will move forward with options for treatment.
Neck and head pain that is from a neuromusculoskeletal condition can benefit greatly from chiropractic care, medical acupuncture, and rehabilitation exercises. Chiropractic care can include spinal manipulation (or adjustments). While research is positive for safety, you may still not want to have your neck adjusted. It is also possible due to underlying conditions or other factors that we postpone the inclusion of spinal manipulation or forego it altogether.
I Want Chiropractic Care Without Neck Manipulation, What Are My Options?
What is really exciting is that there are other alternatives within chiropractic for treatment. Over the years, studies have been done that assess the effect of adjusting the upper back on neck pain. A recent study in 2019 found improvements in neck pain, disability, and mobility for individuals with cervical radiculopathy who received adjustments of their upper back. Another study looked at individuals with acute neck pain who experienced improvement in neck pain, disability, and mobility that persisted beyond the one-month follow up after receiving spinal manipulation of the upper back.
In addition to the positive effects on neck pain when adjusting the upper back, there are other chiropractic treatment options without neck manipulation. Mobilizations are similar to adjustments as they are used to restore joint mobility and decrease pain. They do not include the high speed thrust component that is integral to an adjustment. Soft tissue therapy of the muscles at and connected to the neck can impact pain and dysfunction.
Rehabilitation exercises and stretches are integral to pain and dysfunction stemming from muscles, joints, and nerves. Finally, medical acupuncture and electroacupuncture are great options for relieving pain.
Dr. Judith McCann at Haptic Health and Chiropractic in Sharon East Gwillimbury offers multiple avenues of chiropractic care for neck pain. If you don't want your neck manipulated, there is no pressure to do so and there are many other options to help relieve pain and improve mobility and dysfunction. In addition to neck pain, we treat headaches, migraines, low back pain, upper back pain, shoulder pain, foot pain, and jaw dysfunction. Call us today to book your first appointment or use our online booking system.
Swait G, Finch R. What are the risks of manual treatment of the spine? A scoping review for clinicians. Chiropr Man Therap. 2017;25:37. doi: 10.1186/s12998-017-0168-5. eCollection 2017. Review. PubMed PMID: 29234493; PubMed Central PMCID: PMC5719861.
Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S176-83. doi: 10.1097/BRS.0b013e3181644600. PubMed PMID: 18204390.
Church EW, Sieg EP, Zalatimo O, Hussain NS, Glantz M, Harbaugh RE. Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. Cureus. 2016 Feb 16;8(2):e498. doi: 10.7759/cureus.498. PubMed PMID: 27014532; PubMed Central PMCID: PMC4794386.
Young IA, Pozzi F, Dunning J, Linkonis R, Michener LA. Immediate and Short-term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2019 May;49(5):299-309. doi: 10.2519/jospt.2019.8150. Epub 2019 Apr 25. PubMed PMID: 31021691.
Photo Of Woman In Forest by Jacob Morrison on Unsplash
We've all heard it before:
I tried massage, it didn't work but then I tried chiropractic and it worked!
I tried chiropractic, it didn't work but then I tried physiotherapy and it worked!
I tried physiotherapy, it didn't work but then I tried acupuncture and it worked!
I tried..... okay you get the point.
As a health care practitioner I want nothing more than for you to get better! It is, however, a team effort. It should not be an either or option for helping you get better, nor should the responsibility fall on one health care practitioner. Your team should be made up of a combination of health care practitioners and YOU!
Your body is different and responds differently than someone else's body. Every health practitioner is different and does things differently (even those who have a lot of cross over with therapies). Each patient has different expectations and hopes for how they will respond to treatment. Your body is made up of nerves, muscles, tendons, blood vessels, joints, chemicals that each have their own history and that affect each other. This means that each injury and condition (even when it is the same injury or condition) is different because of the constellation of factors that is you!
One of the great things about living in Canada is the health care team that you can build to help assist you and your body get better and get where it needs to be. From the internal perspective family doctors and nurse practitioners are key. From a nutrition stand point dietitians and naturopathic doctors can provide great insight and direction. Mental and emotional health is important to factor in and guidance from counselors or psychotherapists is essential. The final additions to your health care team include a combination of chiropractic, massage, physiotherapy, and acupuncture.
What can you expect from Dr. Judith McCann and Haptic Health and Chiropractic?
Chiropractic care: manual therapy treating joints, muscles, and nerves helps to ease pain, and improve mobility. Check out our recent blog article that summarizes a 2018 research study that showed a decrease in inflammatory and pain producing proteins after a course of chiropractic care (adjusting the joints of the low back for individuals with chronic and acute low back pain).
Contemporary medical acupuncture and electroacupuncture works to stimulate the body's healing response, relieving pain and inflammation, while stimulating the release of endorphins.
Rehabilitation and education are important aspects of care. We are often caught up with work and life that is sedentary in nature. We know that physical activity is good for our current health and longevity. Despite this, we need tailored education and often times assistance to overcome our sedentary lifestyle and include physical activities that are long lasting and helpful.
Offering chiropractic care, medical acupuncture, rehabilitation therapy, and custom orthotics to Sharon, East Gwillimbury and the surrounding communities, we treat a variety of conditions including low back pain, neck pain, headaches and migraines, jaw pain, and heel pain.
Call us now 905-235-6777 or use our online booking app:
Some tips and ideas for packing lunches and snacks for your kids at school. My sister in law who is a dietician and my niece give some great tips in this video.
Health and wellness goes beyond breaking the negative cycle of a sedentary lifestyle. In addition to including movement into your daily routine, seeking professional health care for treating and preventing pain and discomfort, a healthy diet is important to balance care. Even more important is being a role model for your kids and teaching them the importance of a healthy lifestyle.
I came across this post on Facebook (credit @WeirdPeopleRock) and thought about the changes in conditions I see as age increases in patients. It is true that a lot of injuries for teenagers and even young adults are due to physical activities. These injuries tend to resolve more quickly because of numerous factors including the injuries themselves being acute as opposed to chronic or overuse, the condition of the individual, the daily requirements of the individual, and the drive for more physical activity. Adults tend to have jobs and responsibilities (daily requirements) that are sedentary which results in physical detraining, which makes one more likely to become injured. Because of the sedentary activity and physical detraining, the the body is less capable of dealing with the injury. The injury causes many to avoid physical activity and stick with sedentary activity... creating a negative cycle.
It is always advisable to seek professional care for injuries. One of the reasons for this is because you want to break that negative cycle but do it safely. One of the comments under the facebook post was how come no one told me I could get hurt from sitting? Let me be clear, you can get hurt from sitting! This is called a musculoskeletal disorder which includes repetitive strain injuries, cumulative trauma disorder, occupational overuse syndrome, sprains, strains, and musculoskeletal injuries. Remember, exerting a force (even at very low levels) for a sustained period without a break can lead to pain, discomfort, and injured tissues. This is where the adult injuries in the facebook image stem from. The hashtags that I use #GetMoving and #ExerciseIsMedicine are true but the focus needs to be on the correct exercises, movements, and activities to help you muscles, joints, discs, and ligaments heal. The secondary focus is to shift away from sedentary activity and the physical detraining that results so that your body can better handle the forces it has to sustain during those daily requirements.
If you are experiencing low back pain, neck pain, nerve impingement, shoulder pain, foot pain, or any other muscle, ligament, or joint pain, I recommend you seek the services of a health professional near you to help recover from and prevent further injuries. At Haptic Health and Chiropractic we offer manual therapy, exercise therapy, acupuncture, and custom orthotics for overuse conditions such as these. If you have any questions of how we can help, give Dr. Judith McCann a call at 905-235-6777.
Ready to book your first appointment? You can call, email, or view our availability online:
A clinical trial was performed at my alma mater Canadian Memorial Chiropractic College (CMCC) that investigated the presence of pro-inflammatory and nociceptive (pain) proteins called chemokines in adults with low back pain and the changes of these levels in the blood following a trial of spinal manipulative therapy (SMT).
Ice therapy (cryotherapy) is mainly known for it’s helpful effects immediately after sustaining a muscle, joint, or tendon injury. We all learn it as one of the basic first aid principles in the RICE protocol (rest, ice, compress, elevate).
So how exactly does icing reduce pain and swelling? And how should you ice to achieve these effects?
Did you that the heart is a muscle? It is not the same type of muscle that makes your joints move (known as skeletal muscle), nor the type of muscle that is found in organs like your bladder or your stomach (known as smooth muscle). The heart is made up of three layers, the middle layer consisting of cardiac muscles or myocardium. This is responsible for the pump action of the heart that sends blood to the different parts of your body.
What's really cool about the heart is that similar to skeletal muscle, we can improve the efficiency of our heart's actions through exercise. Numerous studies have looked at high level athletes to see the extent to which we can make improvements to the hearts functional ability. The left ventricle (LV), that receives oxygenated blood from your lungs and pumps it out to rest of your body, is particularly affected by exercise.
LOVE IT: "Canadian street gang opens fire on the cops, and they have no choice but to fire back in self defense."
Don't be the weekend warrior going all out occasionally and injuring yourself. Especially if you have an injury, find activities that are going to help you heal and help your body adapt to better handle stressors. What are some outdoor activities that you can do?
We all know that physical activity is good for you. The latest Physical Activity Guidelines for Americans came out with new evidence for health benefits (above and beyond those listed in the 2008 guidelines). So what are these "new" health benefits?
This article covers all aspects of bringing physical activity into your life, from what the different types of physical activities there are, intensity, progression and overload, specific recommendations for different age groups (or conditions), and injury risk.
There are more types of physical activity than cardio and strength exercises? Yes! There is bone-strengthening, balance activities, and multicomponent activities. Yoga and dance are great examples of multicomponent activities: yoga works on balance and strength. Depending on what type of dance you do, you can work on cardio, strength, bone strengthening, AND balance!
We had an exciting year in 2017 with the biggest news being the move to our Sharon location. Haven't had a chance to see the new clinic? Stay tuned for a virtual tour :)
We wish you all the best + health and happiness for 2018!
Photo credit: Happy New Year! - by Retna Karunia - CC BY
Dr. Judith McCann has been living in York Region for over 15 years. After going to Queen's University in Kingston for Kinesiology, and Canadian Memorial Chiropractic College in Toronto to become a chiropractor, she decided to move back and open Haptic Health and Chiropractic in Newmarket. In February 2017, Haptic Health and Chiropractic moved 10 minutes up the road to Sharon in East Gwillimbury.