What Causes Neck Pain and How to Avoid It
August 20, 2010
It’s no wonder that millions of Americans are plagued by neck pain every day. Our busy lives and hectic work schedules can all contribute to the occasional bout of neck pain. However, for many people, neck pain isn’t just a rare occurrence – it’s a cumbersome daily experience. If this sounds all-too-familiar, then it’s time to take action. From injury to stress and everything in between, identifying the causes of neck pain is the first proactive step in treating it…
…Not to mention stopping it for good.
Take a look at the list below to identify the cause of your neck pain – and how to avoid it.
- Are you experiencing mild discomfort in your neck? If so, it’s highly likely that your sleeping position is the neck pain culprit. Poor sleeping positions – such as lying on the stomach or side – can force the neck into awkward angles, which puts tremendous amounts of pressure on its sensitive nerves. Additionally, these sleeping positions can force the lumbar spinal cord (the lower back region) into an unnatural alignment, which also contributes to neck discomfort.
- There’s no doubt that chronic neck pain can be a hassle – but worrying about it can make the pain even worse. Worry and stress are two of the biggest neck pain culprits; unfortunately, they’re all too common with our busy lifestyles. Easing this type of neck pain involves reducing the amount of stress in your life, or seeing a chiropractor who can show you gentle exercises to loosen and relax your strained neck muscles.
- Poor work posture can also contribute to chronic neck pain. Because a majority of Americans are sedentary for more than eight hours a day, it’s no surprise that posture can have a significant impact on the neck muscles. To avoid this kind of pain, invest in an office chair that supports the natural curve of your spine, or place a rolled-up towel between your chair and your lumbar spine to support your lower back’s curve.
- Trauma, injury and arthritis are also significant contributors to neck pain. In this case, seeing a doctor and chiropractor to treat the neck pain is highly recommended. One important note: in some instances, neck pain can be a symptom of meningitis, a rare but serious disease which is most common about young adults living in shared communities, like dormitories. If your neck pain is accompanied by a rash, fever, severe headache and vomiting, call 911 immediately and seek treatment.
To avoid this type of neck pain, try switching your sleeping position so that you’re laying on your back. Investing in a memory-foam mattress can also help alleviate nighttime neck pain.
When considering treatment for neck pain, our physical therapy clinics in Bayonne and Scotch Plains NJ come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Why You Should Immediately See a Chiropractor after a Car Accident
July 30, 2010
A car accident can happen so suddenly.
In just the space of thirty seconds, that left turn you were about to make quickly becomes a major fender bender. Or maybe you were sitting patiently at a stop light, when all of a sudden you felt a major jolt in the back of your car.
Regardless of how your car accident happened, your next step is a vital one: even the most “minor” car accidents can cause the kind of neck, back and shoulder injuries that can cause persistent pain for the rest of your life. And in some severe causes, minor fender-benders have even led to permanent disability, thanks to whiplash, sprains and other spinal injuries.
Many people often think that treatment should only be sought when injuries are visible; in fact, a recent online survey found that one in three drivers reported feeling too embarrassed to seek medical treatment if no injuries were visible. However, some of the most debilitating injuries experienced during a car accident are the ones we can’t immediately see or feel.
Immediate treatment from a chiropractor after an auto accident should be everyone’s first line of response. Because chiropractors are trained to spot the “invisible” injuries, like whiplash, neck strain, bruises and other soft tissue injuries, your chiropractor can prevent potential injuries from turning into serious medical issues.
Additionally, by utilizing the skills and expertise of a chiropractor after an auto accident, you could save thousands of dollars on out-of-pocket hospital bills and other medical expenses. Since chiropractors treat a wide variety of common injuries caused by car accidents – including whiplash, shoulder pains, muscle fatigue, and other symptoms – you won’t have to resort to expensive hospital treatments to alleviate these minor injuries. And because many chiropractors specialize in injuries caused by auto accidents, they can show you exactly what exercises you can perform to help your nerves, muscles and spinal cord to gently and effectively heal.
Don’t let a car accident turn your life upside down – seek immediate treatment from an experienced chiropractor and stop those injuries before they start!
When considering treatment for injuries resulting from a car accident, our physical therapy clinics in Bayonne and Scotch Plains NJ come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Physical Therapy and Laser Therapy for Tennis and Golfer’s Elbow
June 17, 2010
You don’t have to be a frequent golfer or tennis player to experience the aches and pains associated with tennis and golfer’s elbow. In fact, any strenuous activity that involves the tendons on the elbow can lead to these painful syndromes.
So what exactly is tennis and golfer’s elbow? While these injuries may occur at the elbow, the tendons involved are different: tennis elbow is caused by the degeneration of the tendon that attaches the bone on the outside of the elbow, while golfer’s elbow affects the tendons on the inside of the elbow. Sufferers of tennis and golfer’s elbow often experience significant pain directly on the elbow during heavy exercise and lifting; in fact, even typing or opening a door can cause a great deal of discomfort. Both injuries are equally painful, and require physical therapy in order to treat it.
In addition to physical therapy, laser therapy has become an increasingly popular method of reducing and eliminating tennis and golfer’s elbow. Studies have shown that laser therapy can lessen elbow pain and discomfort, allowing sufferers to resume physical activity again. Laser therapy can also reduce inflammation and increase movement within the affected tendon, which gives sufferers some much-needed relief from elbow aches and pains.
For long-term benefits and solutions, experts still regard physical therapy as the best option for tennis and golfer’s elbow. Physical therapy for the affected elbow tendon will involve a range of wrist stretching and gentle motion exercises, which will keep the tendons from atrophying. In fact, muscular atrophy can actually heighten the pain and discomfort of tennis and golfer’s elbow, which is why experts recommend physical therapy over simply ceasing to use the affected area.
When undergoing laser and/or physical therapy, health experts also recommend the following tips to get the most out of your sessions:
- Ice the affected area after your physical therapy session. This reduces painful swelling and will help your tendons to heal faster.
- If you’re in pain from a session, it’s fine to take over-the-counter anti-inflammatory medication and aspirin. Just be sure to check with your doctor before taking any pain medication.
- Keeping the affected area in a brace will help to support and protect the tendon; however, make sure that the brace isn’t wrapped too tightly, as this can cut off blood flow to the elbow.
When considering treatment for tennis and/or golfer’s elbow, our physical therapy clinics in Bayonne and Scotch Plains NJ come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Best Positions to Sleep In To Support Posture and Spinal Alignment
June 10, 2010
You know that maintaining good posture and regularly exercising your back muscles can work wonders for those who experience a significant amount of back pain. But if you’re still waking up every morning with lingering back and shoulder pain, it may not be enough. In fact, according to experts, even the best mattress in the world won’t help your morning aches and pains unless you sleep in a position primed for pain prevention.
So when it comes to how you sleep at night, which position comes out on top as the ultimate way to prevent and even alleviate back, neck and shoulder pains?
Side sleepers have the right idea: according to numerous studies, the best way to sleep is in the fetal position, with your knees bent.
So why is this position the best for your back? Experts claim that how we lie when we sleep – on our backs, stomachs or sides – has a significant effect on the amount of strain our muscles, joints and nerves experience. For those who sleep on their backs, the spine is forced into an unnatural straight position; since our spines curve in three different locations – our lower back, mid-back and near our neck – it’s not surprising that back sleepers often report feeling more pain at these three focal areas.
If you have difficulty sleeping on your side, here are a few tips that can help you prevent those troublesome morning pains:
- Sleeping on your side is good – but tucking a small pillow in between your knees can give your spine even more support while you sleep, as it takes a great deal of stress off of your back.
- Can’t fall asleep unless you’re on your back? Then take a small pillow and prop it under your knees. This reduces the pressure on your lower back, where your sciatic nerve is located. Lower back pain tends to be severe when this nerve is stressed, so propping your knees can help you wake up feeling relaxed and in less pain.
- Another useful tip for back sleepers: place another small pillow under your neck (think travel-sized) to relieve additional pressure from the spine. However, make sure that your chin isn’t pressed too far forward.
- For those who prefer to sleep on their stomachs, it’s time to learn a new position: sleeping facedown exaggerates the arch of your back, causing a significant amount of strain on both the nerves and muscles. Re-teach yourself how to sleep by taping a soft stress ball to the front of your pajamas – your body will quickly learn that sleeping facedown is a very uncomfortable experience!
When considering treatment for back pain, our physical therapy clinics in Bayonne and Scotch Plains NJ come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
Hudson County Physical Therapy for Headaches
June 3, 2010
According to CNN Medical Correspondent Judy Fortin, Doctors estimate 80 percent of the population will suffer from a tension headache at some point. They can last from 30 minutes to a week.
Because headaches come from a variety of sources including stress, tension, trauma or even sleep problems, treatments that include relaxation for the muscles and body are going to help.
Physical therapists use a variety of techniques to help headache sufferers including exercise, posture education, massage, stretching, heat, ultrasound, ice, and other measures to reduce the muscular tightness sometimes associated with headaches. A massage therapist can also help to reduce muscle tightness and pain as well as helping to bring about a generally relaxed state.
For migraine sufferers, there is often tension in the neck associated with the migraine. Relaxing neck tension can help reduce the pain and discomfort brought on by the migraine. Physical therapists and trained massage therapists can use a variety of techniques including adjustments, massage, posture correction and movement correction to improve proper function in your joints and muscles.
Because of the connection between nerve endings in the jaw and neck, pain in those areas can actually be experienced in the head as a migraine. In such cases, physical therapy can help to reduce tension in the neck and jaw and to restore proper alignment and function. In addition, massage can help relieve neck tension and jaw tension that often leads to migraines.
When considering treatment for headaches, whether it’s a tension-type or migraine, our physical therapy clinics in Bayonne and Scotch Plains NJ come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In- Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 Value).
This information is solely advisory, and should not be substituted for medical or chiropractic advice. Any and all health care concerns, decisions, and actions must be done through the advice and counsel of a health care professional who is familiar with your updated medical history.
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski, DC services all of Union County and Hudson County in New Jersey.
Headaches in Children
September 23, 2009
Scotch Plains and Bayonne Chiropractor Comments: Ouch! Did you know that 96% of children experienced some acute pain in the previous month? Headache, at 78%, is the most common type of pain reported. You may not have known that your child was experiencing pain. Sometimes children will show behavioral changes rather than complain of head pain. One study tested parents’ knowledge of headache vs. the children’s recollection. The children reported headache about 57.6% of the time for the previous month. Mothers, and especially fathers, tended to underestimate whether their child had suffered a headache.
It is alarming that so many children each month have headaches and 6% of schoolchildren have chronic pain. Over the past 30 years childhood migraine and “frequent headache” have substantially increased. No one really knows for sure what lifestyle changes are producing these painful trends.
Children with frequent and severe headaches are more likely to have difficulties with home life, friendships, classroom learning, and leisure activities. The child’s quality of life and life of those around them is substantially affected by headaches.
You’re probably not sure if taking pain pills at such an early age is the right thing to do. You have to be concerned because it is consumption of pills over many years that leads to problems. They’re not to be taken casually like vitamins, and serious internal bleeding or kidney problems can result from long-term use.
One study looked at headaches in childhood over a 20-year time span. They found that medication use steadily increased, and 70% were still consuming medications daily, 20 years after being originally diagnosed. Most patients had tension-type and migraine, and rated the headaches as moderate to severe. 45% of those surveyed also said that non-drug approaches were the most effective for them. There are non-drug and non-surgical approaches that have been proven effective. It is important to consider these options especially they generally don’t carry with them as many side effects.
Spinal problems in children can begin with neck trauma during delivery. Also many infants fall from a high place during the first year of their life. This can occur as the diaper is changed. These and other tumbles and traumas may cause the spinal joints to sprain, irritating the nerve. The chiropractor’s approach is to look at the child’s spinal structure to determine if there is a spinal cause for the headache. Adjustments are delivered to specifically address the areas in the spine that have sprained or subluxated to allow them to function more normally.
To learn more about Headaches, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski, DC services all of Union County and Hudson County in New Jersey
New Research on the “Double Crush” link to Carpal Tunnel Syndrome
September 16, 2009
Bayonne and Scotch Plains Chiropractor Comments: Carpal tunnel syndrome patients often complain of neck pain. The same nerves that go through the wrist tunnel, emerge from the neck and can be compressed or irritated at the neck joints. If the nerve is pinched in these two areas, it has been referred to as a “double crush.” Because of this irritation at the neck, focusing only on the wrist for treatment may not be a comprehensive solution to this often debilitating problem.
Recent research (Russel BS. Chiro & Osteo 2008,162doi:10.1186/1746-1340-16-2) has reviewed the evidence for and against this linkage of two problems. Dr. Russel concludes if the wrist symptoms only involve sensation, rather than weakness, then the double crush link may be more tenuous. However, if you have a “motor” problem with a nerve, and experience weakness or loss of grip strength, then the implication of a problem also at the neck appears to be more relevant.
However, since many patients with carpal tunnel will also have neck pain, a trial of chiropractic care at both the wrist and neck is a conservative strategy that seems prudent and should be considered.
If your carpal tunnel symptoms developed after a neck injury or you also have pain into the upper arm or shoulder, these may be clues that your nerve is irritated in more than one location.
Getting to the cause of a problem, rather than just treating the symptoms, is a hallmark of specific chiropractic care. We can assist you with doing corrective wrist strengthening exercises and stretches, which may relieve pressure at the wrist tunnel. Some patients can benefit from nutritional counseling and even weight-loss strategies, since excessive weight is a risk factor for developing carpal tunnel syndrome. Other patients may need simple ergonomic instruction such as modifying your posture at a workstation, to take pressure off of both the neck and wrist.
The important thing is get properly diagnosed, with x-rays if needed, to get a full and comprehensive picture of the actual problem. Simply limiting wrist motion with a splint may not be enough to make the wrist and hand both pain-free and functional. Many people only consider surgery or daily medications as their only alternatives and fail to consider natural and drug-free chiropractic care
To learn more about carpal tunnel syndrome, sign up for a free report, or click here to register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services both Hudson County and Union County in New Jersey
Neck and Arm Pain – The Herniated Disk?
September 14, 2009
Scotch Plains and Bayonne Chiropractor Comments: Patients that present with neck pain along with arm numbness, pain, and/or weakness, often ask, “…what’s causing this pain down my arm?” The condition is often caused from a bulging or herniated disk pinching a nerve in the neck. The cause of this complaint can include both trauma as well as non-traumatic events. In fact, sometimes, the patient has no idea what started their condition, as they cannot tie any specific event to the onset.
The classic presentation includes neck pain that radiates into the arm in a specific area as each nerve affects different parts of the arm and hand. Describing the exact location of the arm complaint such as, “I have numbness in the arm and hand that makes my 4th and pinky fingers feel half asleep,” tells us that you have a pinched C8 nerve. This nerve can also be pinched at the elbow and make the same two fingers numb. The difference between the two different conditions is when the nerve is pinched in the neck, the pain is located from the neck down the entire arm and into digits 4 & 5 of the hand. When the nerve is pinched at the elbow, the pain/numbness is located from the elbow down to the 4th & 5th digits, but no neck or upper arm pain exists.
Examination findings usually include limitations in certain cervical (neck) ranges of motion (ROMs) – usually in the direction that increases the pinch on the nerve. Another common finding is the arm is often held over the head because there is more stretching on the nerve when the arm is hanging down and pain in the neck and arm increases. Hence, raising the arm over the head reduces the neck/arm pain. To determine where the nerve is pinched, there are a number of different compression tests that can recreate or increase the symptoms. Some compression tests include placing downward pressure on the head with the head pointing straight ahead, bent or rotated to each side. Other compression tests are performed by pressing in areas where the nerve travels such as in the lower front aspect of the neck, in the front of the shoulder where the arm connects to the chest/trunk, at the elbow and at the wrist. If there is a pinched nerve, numbness, tingling and/or pain will be reproduced when pressure is applied to these regions. Other tests include testing reflexes and muscle strength in the arm. When a nerve is pinched, the reflexes will be sluggish or absent and certain movements in the arm are weak when compared to the opposite side. Another very practical test is called the cervical (neck) distraction test where a traction force is applied to the neck. When neck and/or arm pain is reduced, this means there is a pinched nerve. This test is particularly useful because when pain is reduced, the test supports the need for a treatment approach called cervical traction. It has been reported that the use of cervical traction when applied 3x/day for 15 minutes each, at 8-12 pounds, 78% of 81 patients reported a significant improvement in symptoms, which is very effective. Other forms of care that can be highly effective include spinal manipulation, spinal mobilization, certain exercises, physical therapy modalities, and certain medications.
To learn more about Neck and Back Pain Relief, sign up for a free report, or click here to register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services both Hudson County and Union County in New Jersey
Oh, My Aching…Leg?
September 11, 2009
Certain low back conditions give rise to more than just low back pain. For example, leg pain can be more intense than low back pain, even though the cause of the leg pain is coming from the low back. When this happens, many patients complain that they have “sciatica,” which refers to radiating pain that starts in the low back and extends down into the leg. When the intensity of leg pain is worse than the low back, it can make patients wonder, “…where is my problem really coming from?”
To understand this better, a short “anatomy lesson” is appropriate. The spine can be divided into two halves, front and back. The structures in the front half include the larger, heavier bones called vertebral bodies and the shock absorbing cushions that lie between the vertebral bodies called the intervertebral disks. The disk is like a jelly donut where the center is liquid-like and the outer portion is a tough, criss-cross pattern cartilage arranged like the rings on a tree stump. There are also ligaments that hold the vertebrae and disks tightly together. The back half of the spine includes the spinal cord, nerve roots, as well as the small joints of the back called facet joints. Every movable joint has a joint capsule that helps lubricate the joint and limits the amount of movement, along with surrounding ligaments. The larger, heavier vertebral bodies and shock absorbing disks carry the majority of the weight (approximately 80%) while the smaller facet joints carry much less weight (only 20%) but are more responsible for guiding the movements of our back.
When leg pain is present, it can be caused by either a pinched nerve, or, an inflamed facet joint.
When a nerve is pinched, the cause is usually from the intervertebral disk where the jelly-like center leaks out and presses on the nerve that goes down the leg, commonly referred to as a “herniated disk with sciatica.” This type of pain is quite specific, easy to describe and often extends below the knee to the ankle or foot. It can include muscle weakness, numbness in certain areas of the leg, and bending forward increases low back and leg pain while bending backwards reduces the leg pain (and sometimes the LBP).
When a facet joint capsule tears (technically, called a “sprain”), the pain is “referred” down the leg in a generalized, non-specific manner, usually described as a “deep ache,” often hard to describe and usually does not go below the level of the knee. Here, it feels better to bend forward and worse to bend backwards, of which neither movement changes or affects the leg in a specific way. Disk related leg pain carries a potential for surgery if all non-surgical approaches fail, while facet joint referred leg pain rarely requires invasive treatments or surgery.
To learn more about Leg and Lower Back Pain Relief, sign up for a free report, or click here to register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Eric Chludzinski services both Hudson County as well as Union County, both in New Jersey.
What Is Fibromyalgia and Can Doctors Agree On the Diagnosis?
September 8, 2009
Bayonne and Scotch Plains Chiropractor Comments: Fibromyalgia (FM) has long been considered a condition involving the soft tissues of the body, that is, the muscles, ligaments, tendons and fascia. It is defined as “a chronic, generalized pain condition associated with symptoms of fatigue, stiffness, and sleep disturbance and is characterized by the physical findings of local tenderness in many specific but widely dispersed sites. Fibromyalgia is the most common cause of widespread pain. The prevalence of this disorder in the general population is between 3% and 5%… Most patients with fibromyalgia remain symptomatic for several years, and no cure has been identified.” Disturbances in the central nervous system (CNS) has also been linked to this condition.
In one study, 168 FM patients had the CNS evaluated by hearing tests, eye movement tests, and a test that evaluates balance/dizziness. Abnormal findings were common in the FM patient group compared to non-FM subjects. Another study utilized an electrical current treatment approach through the skull to stimulate part of the brain to see if that would help a group of patients with FM. Two different parts of the brain were stimulated as well as a sham or fake treatment approach. One of two parts of the brain that was stimulated resulted in reductions of pain that lasted for three weeks and mild improvements in quality of life were reported.
Comparing 287 general practitioners (GPs), 160 orthopedists, 160 physiatrists, and 160 rheumatologists, evaluating a patient injured in a motor vehicle crash, those most likely to diagnose FM were rheumatologists (83%) with physiatrists and GPs in the middle at 60% and 71%, respectively. Orthopedists were least likely at 29%. There were five factors found to be important in the respondent’s agreement or disagreement with the FM diagnosis:
1. The number of FM cases diagnosed weekly by the respondent (strong predictor).
2. The patient’s gender (females > males was a strong predictor).
3. The force of the initial impact (least important).
4. The patient’s psychiatric history before the trauma (more important).
5. The initial injury severity (least important).
This information is important as the shift from considering FM to be strictly a condition of the muscles and other soft tissues to being a condition of the central nervous system will affect our future treatment strategies. Obtaining multiple opinions from various types of practitioners will most likely result in a variety of opinions. Previous reports of treatment benefit utilizing chiropractic approaches, exercise, and strategies to facilitate sleep restoration remain strong in the management process of FM.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Eric Chludzinski services both Hudson County as well as Union County, both in New Jersey.
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