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Including PT in Integrated Care

massage

Counting Physical Therapy In

Like chiropractic care, a primary goal of physical therapy is to heal and treat without relying on drugs and therapy. One of the chief differences is that physical therapy is more closely associated with mainstream medicine and is even prescribed by medical practices before and after surgery.

PT (and chiropractic care, for that matter) goes back to ancient times when massage and the relief that comes from water that we now call hydrotherapy are believed to be used by Greek physician Hippocrates, known as the father of medicine. In a sense, you could say he is also the father of physical therapy. However, it took centuries before PT was regarded as accepted health care, although one element, fitness training, pre-dates it by centuries. PT went mainstream with the polio epidemic in the 1940’s and 1950’s when manual therapy techniques were used to help restore muscle function.

The modern physical therapist is also trained in massage, but specialties now include post-operative care, orthopedic, cardiovascular and neurologic and pulmonary rehabilitation. Those specialties are usually just that, and few physical therapy practices provide treatment in all of these areas.

TorticollisIntegrating Multiple Therapies

Physical therapists and chiropractors can work together under the same roof, so to speak, to provide integrated care.

Dr. Brad Butler, Chief of Staff at Oakland Spine & Physical Therapy believes that “physical therapy is probably the best thing out there for treating the muscular components of the spine.” It is also critical for functional improvements, postural improvements, flexibility and strength.

“However, the big difference between hospital-based physical therapy, a stand alone physical therapy center, and an integrated center like ours, is the applied philosophy of what works best,” Dr. Butler reports. “We believe that integrated physical therapy with other therapies lead to a faster and more comprehensive patient response.”

The American Physical Therapy Association (APTA) explains that PTs examine each care recipient (“patient” is generally not used because it applies to medical care) and “develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability.” In addition, PTs develop fitness programs for individuals as a means to maintain or improve mobility, as well as ensuring more active and healthier lifestyles with programs they can follow on their own. In post-operative therapy, for instance, care continues after leaving PT via programs the individual can use on his or her own.

There are obviously many similarities between PT and chiropractic care, and the integration of the two healing disciplines is a natural transition under the all-encompassing umbrella of health care.

 

Why Website Words Seem Familiar

Computer

The Common Denominator of Chiropractic Searching

If you do much online research on chiropractic care, you are bound to see an amazing amount of repetition on practitioners’ websites. We’re talking word-for-word by the hundreds, and though this might be technically defined as plagiarism, nobody seems to complain too much.

That is because much of the purloined parlance is within the industry, so to speak. Quoting information that educates the public on the advantages of chiropractic care and mainstream studies that cite its many advantages, seems to be shared material for chiropractic practices all over the country. Plus it is proven and factual.

Aside from informational pages on these websites, you’ll also see this wholesale misappropriation of wordage in blogs on sites promoting everything from nutrition to acupuncture. Bloggers should know better, since they are usually professional writers and copywriters, but, then again, why not repeat someone else’s writing if you can’t state it any better?

Look at it this way. If it was your writing showing up on websites all over the country, you might actually feel complimented because so many people in the field preferred your words over their own.

WhiplashChiropractors are not alone. This seems to be particularly pervasive in the healing arts, including medical doctors, dentists and even healthcare financial advisors. Their websites are replete with hundreds of words lifted from elsewhere, and it is almost impossible to trace their origin.  

We’ve found numerous websites that are sharing writing without attribution, but we doubt anyone is going to mind all that much, because what’s good for one is apparently good for all— as long as the author doesn’t complain.

Take, for example, the following 65 words (part of several hundred but we don’t need to devote that many words to make the point):

In the United States, chiropractic is often considered a complementary health approach. According to the 2007 National Health Interview Survey (NHIS), which included a comprehensive survey of the use of complementary health approaches by Americans, about 8 percent of adults (more than 18 million) and nearly 3 percent of children (more than 2 million) had received chiropractic or osteopathic manipulation in the past 12 months…

Even though this survey is pretty much outdated more than a decade later, we found the above passage unchanged on 54 different sites all over the country and once in the UK. Most were chiropractic sites, but it was also on sites promoting pain therapy, yoga, cancer treatment, Chinese martial arts, holistic nursing, massage therapy, a suburban newspaper and even Wikipedia (the subject was therapeutic touch).

 

Diversity Among Chiropractors

Running

Not All Chiropractors Are the Same

There have been some simple stereotypes associated with chiropractors over a history of almost 125 years, but there are now as many as 150 techniques recognized by the American Chiropractic Association (ACA).

“Much like the medical profession, there are many different styles of practice,” says Dr. Brad Butler, Chief of Staff at the Oakland Spine & Rehabilitation Centers in Oakland and Wayne, NJ. “A traditional chiropractor typically uses just spinal manipulation or some basic modalities. Then there are chiropractors who follow more of a model of spinal ‘correction,’ which is to use additional techniques to bring the patient’s spine back to a normal structural state.”

Finally, there are chiropractic rehabilitation offices like Oakland Spine with multiple techniques and disciplines. These may include advanced technologies and modalities such as physical therapy, massage therapy and acupuncture.

“This is the model we utilize because I feel it’s giving the patient the overall best opportunity to heal and recover from more chronic and advanced spinal conditions,” Dr. Butler adds.

TorticollisWithin the realm of chiropractic medicine itself, there are five basic or common techniques. They might be generally defined thusly:

  1. The simplest hands-on technique is typically confined to adjusting the low back or pelvis. It is a fundamental phase of chiropractic education and students learn it early in schooling and training. Targeted are stiffness and pain, as well as increasing mobility.
  2. Another technique involves using a hand-held instrument that transmits a gentle impulse into sections of the spine. There is very little discomfort in this process, known as the activator technique, and it is used to alleviate lower back pain and even for headaches and migraines.
  3. Decompression manipulation is a technique commonly used in chiropractic clinics and preferred for treating herniated discs, sprains to the facet joints between discs, and scoliosis. The treatment is described as a gentle stretching motion on an adjustable table.
  4. Speaking of adjustable tables, the drop-table technique relies on a padded table with platforms that drop slightly in sequence with thrusts of the chiropractor making adjustments to both the spine and extremities.
  5. Finally there is the diversified technique that, like the drop-table technique, is used on both the spine and extremities. These are very precise manual applications,  that are effective at restoring normal alignment and movement of the spine.

There is great diversity in training and schooling. For example, there are 10 post-graduate programs or specialties endorsed by the ACA and offering diplomate certification for chiropractors:

  • Chiropractic Pediatrics
  • Chiropractic Physical and Therapeutic Rehabilitation
  • Chiropractic Acupuncture
  • Diagnostic Imaging
  • Diagnosis and Internal Disorders
  • Nutrition
  • Neurology
  • Orthopedics
  • Occupational Health
  • Sports Physician

 

Sitting and Slouching Our Way to Back Pain

Sacroiliac Joint

The Back Pain Epidemic

Eighty percent of Americans will suffer from back pain in their lifetime, but what we are observing here at Oakland Spine & Physical Therapy is that people are experiencing this all-too common aggravation at younger ages. It’s an ordeal that may lead to lack of mobility and disability at an age when you should be enjoying life at its fullest.

“Cases that we are used to seeing in people in their thirties and forties, we are seeing in teenagers,” reports Dr. Brad Butler, Chief of Staff at the Oakland Spine & Rehabilitation Centers in Oakland and Wayne, NJ. “Cases that we are used to seeing in sixty year olds, we are seeing in thirty and forty year olds.”

Why are we experiencing what might be described as an epidemic of back pain at a time when our challenges are supposedly being eased by technology. Our ancestors, after all, labored long hours every day in agrarian pursuits or working at industrial jobs. Their more physically demanding lives started at an earlier age, as adolescents and even young children, and chronic back injury would seem virtually inevitable.

There even seems to be a marked increase in back pain since the 1970’s and 1980’s when early technology were easing the load on farms and in factories and an increasing number were earning their pay as white-collar employees.

LaptopThe reason back pain is worse than ever, affecting people younger than ever, is that the world in which we live and work today is so different from the decades before computers, cell phones, and various technologies constantly available to us.

We spend an inordinate amount of our time squinting at laptop screens and scrolling through our cell phones. We’re sitting more and moving less, consuming hours every day huddling over digital devices with stress and strain moving down the body and into the neck and back.

Poor posture can exert extraordinary stress on your spine and even change its shape over time, impacting blood vessels and nerves. From there the stress can move to joints, muscles and the discs. Unchecked it will inevitable lead to back pain.

So if the effects of poor posture will inevitably lead to back pain and decreased mobility, is it possible that correcting your posture before it’s too late reverse the deterioration and save you from years of back pain?

The good news is yes. If there is no relief in sight, mobility will continue to worsen. That relief is up to you, and we’re here to help at Oakland Spine & Physical Therapy.

—Call us today at (201) 651-9100 for an appointment at Oakland Spine & Physical Therapy…

 

Chiropractic Care for Patients with Headaches

headache

Though there are many different type of headache, many involve both the upper cervical region (the neck) and the head. Between the muscles that attach to the head and neck, the ligaments that hold the vertebrae together, the blood vessels that allow blood to flow to and from the head, and the nerves that allow us to smell, taste, see, smile, wink, stick out our tongue, and so much more, it’s no wonder that the neck is intimately related to the head and therefore headaches.

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Chiropractic Care and Headaches

Chiropractic treatment better than meds for migraines

The cervical spine is often implicated in the onset and/or presence of headaches. This is due in part to the first three cervical nerve roots exiting out of the spine and enter the back of the head through a particularly thick group of muscles attached to the base of the skull along the nuchal ridge.

Anything that tightens up the upper cervical musculature can give rise to headache, and certainly stress has the unique characteristic of increasing neck muscle tension. Cervicogenic headache and tension-type headache are the two most commonly used terms associated with neck dysfunction. Migraine headaches are a vascular type of headache, and these too can be greatly helped by spinal manipulation of the upper cervical region, though the mechanism of how this helps is less understood.

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Dr. Brad’s Weekly Health Update: Many People Choose Manual Therapies for Headaches

NJ Migraine & Headache Treatment - Bergen/Passaic County

Many People Choose Manual Therapies for Headaches

Utilizing data from 35 published studies, a new report finds that about a third (32.3%) of headache patients utilize manual therapies to help manage their condition. The report notes the most common reasons headache patients seek out manual therapies include pain relief, perceived safety, and dissatisfaction with drug-based treatment options. Chiropractors have long used manual therapies such as spinal manipulation to effectively treat headache sufferers. BMC Neurology, March 2017

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Dr. Brad’s Weekly Health Update: How to keep your health on track this holiday season

How to keep your health on track this holiday season

Strive to be healthier during holidays.

The holiday season is filled with opportunities to spend time with family, friends, and food. Unfortunately, many of our favorite holiday dishes are not the healthiest. To help make smarter choices, the US Department of Agriculture suggests: opt for unsweetened applesauce or bananas instead of butter when baking; include all food groups in your holiday meals; choose whole grains, lean proteins, and low-fat dairy; skip gravies and sauces that can be loaded with salt and fat; sip on seltzer or water with fresh fruit slices; reduce sugar in recipes, or opt for yogurt and fruit instead of a pie or cake; emphasize conversation and fun, and focus less on food; include exercise in your festivities; and find healthy ways to use holiday leftovers in soups and omelets. United States Department of Agriculture, November 2016

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