Neck Pain Commentaries: Part 1

As a response to the actions of Kaiser, we will be publishing a series of editorials to review the alternatives, if chiropractic is eliminated from coverage. Informed Consent includes the process of reviewing the safety and efficacy of alternative forms of treatment. So let’s compare medicine’s success with resolving neck pain with chiropractic’s. I hope you will find these reviews of interest.

Editorial Commentary:

A recent balanced article in the Feb 13, 2008 issue of JAMA (Journal of the American Medical Association) revealed that between 1997 and 2005, the costs for “standard medical management” of spinal pain syndromes (both neck and back) increased by an inflation-adjusted 63%, while measurable outcomes for physical functioning, work or school limitations, and social limitations among adults actually declined. During this same period, there was also an overall increase in the number of individuals who experienced neck or back pain (from 20.7% to 24.7%).

During this same time period, the inclusion of a chiropractic benefit within a large managed care program (observed over a 4-year period) resulted in significant savings, as well as a reduction in the rates of surgery, and unnecessary use of advanced imaging, inpatient care, and plain-film radiographs.

These 2 studies, along with many similar findings, make it apparent that chiropractic should be the FIRST choice of management for people experiencing musculoskeletal complaints. If you doubt that, then please review this editorial, titled: End the Medical Mis-Management of Musculoskeletal Complaints

You may want to refer to the Cost-Effectiveness Page or the Patient Satisfaction Page for many more articles on this topic.

Physical Illness and Autism: What’s the Connection?

I've been the About.com Guide to Autism since 2006.  Since I began writing about autism, the same questions have plagued our community - is there a "real" rise in autism?  do environmental toxins cause autism, and if so which ones?  - and debate has raged.  In fact, of course, as parents we don't have real answers to these population-based questions; we only have the studies that seem to contradict one another at every turn.

There is, however, one question which we can answer from our personal, individual experience.  That is - are children with autism sicker than other children?  If so, what does that mean to our definition of autism itself and how it should be thought of and treated?  As with all things autism-related, of course, the answer to that question varies from person to person.  Some people with autism are very sick indeed; others are perfectly healthy - but do have the social/communications delays which presently define autism spectrum disorders.

As a non-scientist, I have no claim to "truth" relative to this issue.  I can say my own son - like many other kids I know with autism - seems not only healthy, but sometimes healthier than many other youngsters in our community. In addition, I can say that I honestly never saw a regression in my son; rather, I saw a slowing of development in certain areas.  Tom's development continues to be slower than it should be, and he has serious problems with social communication.  But he isn't sick; never has been; and he has developed new skills slowly and steadily throughout his childhood.

Yet I personally have met many parents who have spent unending hours in the emergency room with their children on the autism spectrum, and I've certainly read many books and anecdotes about extreme physical illness in young children on the autism spectrum.  The vast majority of those kids seem to have the same issues, too: explosive, uncontrollable diarrhea or vomiting, seizures, severe sleep issues, and serious skin problems. 

Many of the families I've met with autistic kids who have significant health problems describe their children as having developed typically until a sudden regression not only undermined their speech and social skills but also destroyed their health.  One day, parents say, their child was a healthy, happy, chatting two year old; the next he was in the emergency room with a high fever, seizures, or other major problems.  From that time forward, parents say, their child was never fully functional or truly well again.

There's been much debate about the question of "regressive autism," which is not an actual diagnosis within the autism spectrum.  Video and anecdote suggest that the disorder is real, but there are also those who say they can see subtle signs of autism in very early videos of children who then "regressed."  Part of the debate, of course, swirls around the question of whether regression, assuming it is real, occurred as a result of particular vaccinations.

Based on my own knowledge and research, it seems reasonable to me to suggest that we are actually looking at multiple disorders that happen to share certain symptoms.  Yes, all of our kids have social communication delays and challenges - but they seem to have very different sets of physical symptoms.  I can't help but wonder whether those children who suddenly wound up in an emergency room at age two, and continue to have serious physical and developmental symptoms, are suffering from something very different than the "autism spectrum disorder" that affects my son and youngsters like him.

Does your child with autism have physical symptoms?


Physical Illness and Autism: What's the Connection? originally appeared on About.com Autism on Tuesday, August 31st, 2010 at 07:57:28.

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Kaiser, Chiropractic, and Chronic Neck Pain

Editorial Commentary:

I’m not enrolled in any of the Kaiser provider panels, so I have no vested interest in challenging their actions, but any time one Insurance Company explores a novel new way to reduce their costs, there’s always the chance that others will follow. Because Kaiser opened the conversation, asking whether chiropractic care actually provides benefits for those with neck pain, I draw your attention to the research we have gathered.

The Chiropractic and Chronic Neck Pain page contains numerous articles about the etiology of neck pain, as well as gathering many clinical trials, which have demonstrated the power of chiropractic management for neck pain.

The first study I’d like to draw your attention to is a paper published in the Archives of Physical Medicine & Rehabilitation (2005). Although this study is not specific to neck pain per-se, the results, published by several M.D.s and a Ph.D. from the Department of Rehabilitation Medicine at the University of Washington School of Medicine is still most interesting.

Questionnaires were given to several hundred recruited patients who experienced severe neuromusculoskeletal (NMS) pain. The researchers used a broad selection of assessment tools, including Pain presence or absence, pain severity, pain quality (Neuropathic Pain Scale), pain interference (Brief Pain Inventory), pain site, quality of life (Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]), and the form of pain treatment used by the patient.

The following table tabulates the type of treatment each patient used, followed by the average pain relief they experienced from that treatment. It’s rated on a classical 1-10 scale, with 1 meaning little or no relief, and 10 suggesting complete pain relief. The results are quite staggering:

Pain Treatment
Average Pain Relief
Chiropractic manipulation
7.33
Nerve blocks
6.75
Opioid analgesics
6.37
Muscle relaxants
5.78
Massage
5.48
Acupuncture
5.29
Ibuprofen
5.22
Hypnosis
5.00
Physical therapy
4.54
Acetaminophen
4.11
Magnets
3.13

It may be hard for organized medicine to swallow, but this study revealed that chiropractic care was more effective for pain relief than nerve blocks, opioid analgesics , muscle relaxants, physical therapy, or acetaminophen (in that order). That’s pretty powerful stuff, isn’t it?

I have great respect for these authors because, even though the results were not very complementary to standard medical treatment (pain pills, muscle relaxants and physical therapy), they published the article anyway. Who’s to say how many other similar studies may never have made it to publication because they contained comparable findings?

I hope you will spend some time reviewing the materials on the Chiropractic and Chronic Neck Pain page. If you know of other studies that we failed to include on this page, please e-mail me at Frankp@chiro.org so I can correct the oversight.

Seeking an Iphone and/or Ipad Owner to Review Autism Friendly Apps

ISO a parent or therapist who has the technology and writing experience to review iphone/ipad apps for people with autism.  Interested?  Contact me at autism.guide@about.com!

Seeking an Iphone and/or Ipad Owner to Review Autism Friendly Apps originally appeared on About.com Autism on Monday, August 30th, 2010 at 14:03:39.

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2010 Virtual ADHD Conference

Virtual AD/HD Conference

I am very excited to let you know about the upcoming Virtual ADHD Conference on October 4-6, 2010. This event is for everyone affected by ADHD, including adults, parents, spouses, and professionals. The Virtual ADHD Conference is a unique event that brings the top experts in ADHD directly to you. You can choose to attend sessions live via telephone or webcast, or just listen to the recordings later on. There will also be plenty of opportunities to interact with others like you in dedicated discussion forums.

KEYNOTE SPEAKERS:
Edward "Ned" Hallowell, M.D. and Patricia Quinn, M.D.

SPOTLIGHT SESSION:
Interview with Peter Shankman

PRESENTERS:

Day 1

Ari Tuckman, PsyD, MBA
Six Simple Rules: Fundamental Strategies to Overcome Inattention, Hyperactivity, and Impulsivity

Rory Stern, PsyD
Raising A Happy, Responsible Child With AD/HD

Ronda Stone, MA, LMHC
Anxious Kids, Anxious Parents

Linda Anderson, MA, MCC
Prioritizing the Stuff of Life

Stephanie Moulton Sarkis, PhD, NCC, LMHC
AD/HD and Money: Financial Pitfalls and Solutions

Wilma Fellman, M.Ed
AD/HD in the Workplace: Issues, Strategies, and Building a Plan for Success

Edward "Ned" Hallowell, MD & Sue George Hallowell, LICSW
5 Steps to Creating the Best Possible Marriage with AD/HD

Day 2

Charles Parker, DO
Precise Solutions for AD/HD Treatment Options: Medication and Beyond

Keath Low, MA
Parenting the Siblings of AD/HD Children

Sarah D. Wright, MS, ACT
Teens Need Help, Too

Sheryl K. Pruitt, M.Ed, ET/P
So You Expect Them to Leave Home? Transitioning from High School

David Giwerc, MCC
The Power of the Pause: The Difference Between Reacting Impulsively and Responding Rationally

Kenny Handelman, MD
Medications for AD/HD and Co-Existing Conditions

Patricia Quinn, MD
Change Your Perspective for Success with AD/HD

Day 3

Mark Bertin, MD
Mindfulness-Based Interventions in AD/HD Care

Susan Leavitt Miller
AD/HD and Bullying

Jodi Sleeper-Triplett, MCC, SCAC
Empowering College Students with AD/HD

Tara McGillicuddy, SCAC
Effective Self-Advocacy Strategies for Adults and Teens with AD/HD

Becca Colao, MA, SCAC
Deepening Social Connections

Bonnie Mincu, MA, MBA, SCAC
Overwhelmed! Techniques to Break Through Mental Paralysis

Peter Shankman, CEO, Entrepreneur, Adventurist
Spotlight Interview

To learn more about the conference, review the full conference agenda, and listen to podcast previews of some of the sessions click on 2010 VIRTUAL ADHD CONFERENCE

2010 Virtual ADHD Conference originally appeared on About.com ADD / ADHD on Monday, August 30th, 2010 at 13:22:12.

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Am I at Risk for Adult ADHD?

Adult ADHD is a very common, yet too often unrecognized condition. Many adults have been living with impairing symptoms of ADHD without accurately identifying the cause. Instead, difficulties may be attributed to stress or other concerns. As a result, many adults continue to live life undiagnosed, untreated -- and unhappy.

If you think you may be living with adult ADHD but are unsure, there is a self-screening questionnaire that you can use to determine your risk.

Click on Adult Self-Report Scale Screener to learn more.

Louis Fox/Photodisc

Am I at Risk for Adult ADHD? originally appeared on About.com ADD / ADHD on Monday, August 30th, 2010 at 13:14:05.

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Helping Kids With ADHD

Children with ADHD have a greater than average need for stimulation. They do best with an engaging active school and home environment. Boredom can lead to problems as a child attempts to meet this need for stimulation in disruptive ways.

Read more about:
Helping Children With ADHD

Photo © Stockbyte

Helping Kids With ADHD originally appeared on About.com ADD / ADHD on Monday, August 30th, 2010 at 13:11:35.

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What Do You Know About Autism?

Share your knowledge, questions and insights on the Autism at About.com Facebook page.  A few of the issues now under discussion:

  • Do you provide your own child's autism therapy at home? What do you provide - and how do you get the information, training and support you need?
  • I'm investigating technologies that might help my son to build his academic competence and independence. Here's where I've gotten so far...
  • Have you used concerta for your child with autism? have you experienced a change in sensory issues?
  • How well do your relatives connect with you or your child with autism? Are you pleased or anxious when it's time to get together?

Come take a look, and if you find something that interests you - join the page and join the conversation!

What Do You Know About Autism? originally appeared on About.com Autism on Monday, August 30th, 2010 at 07:16:44.

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School Resources for Parents of Kids with Autism

If you think my website is loaded with information and resources, it's nothing compared to Teri Mauro's About.com Guide to Special Children.  Of course, Teri's site focuses on a whole range of special needs, but her hints, tips, resources and ideas for parents of kids with autism are outstanding.

Here are just a few of her offerings for parents of kids with autism who are trying their level best to work productively with the local school district:

Have your own hints, tips or insights to share?  Share them by clicking on the links below and adding your thoughts to the Autism at About.com website.

Join the conversation on the Autism at About.com Facebook Page!

School Resources for Parents of Kids with Autism originally appeared on About.com Autism on Saturday, August 28th, 2010 at 09:27:07.

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American Chiropractic Association responds to new Kaiser policy excluding cervical manipulation

Source chiroeco.com

Kaiser Permanente Mid Atlantic States and Mid-Atlantic Permanente Medical Group recently revised their Chiropractic Manipulation Medical Coverage Policy to exclude cervical Chiropractic Manipulative Treatment (CMT).

The revised policy states, “Given the paucity of data related to beneficial effects of chiropractic manipulation of the cervical spine and the real potential for catastrophic adverse events, it was decided to exclude chiropractic manipulation of the cervical spine from coverage.”

Last week, ACA sent a letter to Kaiser outlining the extensive data that supports cervical spinal manipulation as both beneficial and safe. The association also released the following statement:

“The American Chiropractic Association is aware that Kaiser Permanente Mid Atlantic States and Mid-Atlantic Permanente Medical Group have revised their Chiropractic Manipulation Medical Coverage Policy to exclude cervical Chiropractic Manipulative Treatment (CMT) from coverage.

This restriction, if allowed to stand, will be harmful to chiropractic patients and doctors. We have contacted Kaiser to express our grave concern over this change, and we await its reply. ACA will expend every effort to encourage Kaiser to reverse this new restriction, and we will keep our members and the profession informed along the way.” – ACA President, Dr. Rick McMichael

Retired general crusades for chiropractic care

Source The Daytona Beach News-Journal

PORT ORANGE — Tucked in retired Brig. Gen. Becky Halstead’s briefcase are several dog tags listing the names of men and women who “didn’t make it home.”

Halstead, 51, the first woman to command in combat at the strategic level, said Wednesday she carries the tags she had engraved of the people who died and served under her command in the U.S. Army as a reminder of “the sacrifices they made.”

“I don’t ever want to forget,” Halstead told more than 100 college students at Palmer College of Chiropractic in Port Orange.

She told the story while talking to students about leadership and principles she thinks are important to live by such as serving others, having a positive attitude, being dedicated and disciplined.

Halstead, who spent 27 years in the military and served in Iraq in 2005 and 2006 after previously serving in Afghanistan, also is the first female graduate of West Point to be promoted to general. She now heads her own consulting company.

The former brigadier general, who retired from the U.S. Army in 2008, is a spokeswoman for the Foundation of Chiropractic Progress, which raises awareness of the benefits of chiropractic care.

She was diagnosed in 2004 with fibromyalgia, a chronic condition that causes tenderness, stiffness and pain in the muscles as well as fatigue and other symptoms. After being prescribed 17 different pain and sleep medications over a five-year period, she turned to a chiropractor. She is off medication and still receives chiropractic care, which she said “gave me my quality of life back,” though she added she still has a long way to go.

Chiropractic care, Halstead said, isn’t covered in the military and she now advocates for such care to be provided and says it must be an integral part of health care.

Halstead told the students at the chiropractic college not to get discouraged and to get involved to “preserve this profession.”

She points to her own struggles of many times being the only woman in the room in military meetings and never having a female boss in the Army.

“I know what it’s like to earn your way to the table and to be on the same playing field,” Halstead said. “I know what it’s like not to be accepted.”

Student Mary Nochimson, 26, of Coral Springs said she was excited to hear Halstead speak. She said her parents are doctors in family practice and believes “all forms of health care are important.

“No way is right or wrong; it’s just a different approach,” she said.

Student Scott Self, , 34, of Ormond Beach, who is a Student Council representative and was in the U.S. Marines from 1995 to 2002, said he was inspired by Halstead’s encouragement that “every voice makes a difference.” He’d like to see jobs for chiropractors in the military one day.

Become Our Facebook Friend

Chiro.Org has been around since March 1995, providing access to chiropractic information without the hot air, hustle, or self-promotion I see on many other DC-oriented websites. Our motto was, and always will be “…for DCs, by DCs, with no thought of personal gain.”

Please become our FaceBook friend and consider joining us in providing non-solicitous, non-confrontational, non-political, and unbiased information of value to the profession. That’s all we’re about.

Dealing With Misperceptions About ADHD

Do you ever struggle with people "not believing" in your (or your loved one's) ADHD? About.com readers share how they have dealt with the misperceptions and inaccuracies that so frequently abound around ADHD.

CLICK HERE TO SHARE OR READ RESPONSES

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Learn more or join the conversation!

NEWSLETTER | FORUM | BIO | FACEBOOK | TWITTER

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Dealing With Misperceptions About ADHD originally appeared on About.com ADD / ADHD on Wednesday, August 25th, 2010 at 11:43:57.

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Study Finds Protein May Be Clue to Autistic Brain


Science Daily reports that a new study has zeroed in on a specific problem in the brains of people with autism and mental retardation (also called intellectual challenge) which may be at least partially responsibility for problems with learning and memory.  According to the article:

According to neuroscientists at Tufts University School of Medicine, with students from the Sackler School of Graduate Biomedical Sciences at Tufts, a protein called APC (adenomatous polyposis coli) plays a key role in synapse maturation, and APC dysfunction prevents the synapse function required for typical learning and memory.

This issue, apparently, is of genetic origin - and researchers have found that individuals with autism and MR are more likely to have mutations in the genes responsible for the production of the critical proteins.

As of right now, while the findings are intriguing, it is unclear what impact this difference actually has in the real world.  To find out, the researchers have developed a mouse model for study:

The research team's next step is to examine the behavioral and cognitive changes that occur when APC is deleted in neurons of the mammalian brain. They have developed a new mouse model that will allow them to investigate how the loss of APC function leads to synaptic changes and impaired learning and memory.

More Articles on Autism and the Brain:

Study Finds Protein May Be Clue to Autistic Brain originally appeared on About.com Autism on Wednesday, August 25th, 2010 at 09:15:05.

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Unfairly Labeled as Lazy?

Unfortunately, adults and children with ADHD are often labeled as unmotivated, lazy, or even apathetic. These negative labels are unfair and hurtful. Instead of simple laziness or a lack of motivation, this "immobility" or "sluggishness" often reflects the impairments in executive function that can be associated with ADHD.

Read More About ADHD and Motivation

Photo © Richard Drury

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Learn more or join the conversation!

NEWSLETTER | FORUM | BIO | FACEBOOK | TWITTER

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Unfairly Labeled as Lazy? originally appeared on About.com ADD / ADHD on Tuesday, August 24th, 2010 at 14:23:58.

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