Dr. Mulholland works with countless sciatica patients here in our Anchorage office, and many of these men and women were concerned that they might need surgery to relieve their pain. The most recent research indicates that a large number of people don't require surgery for this widespread issue, and that chiropractic is more beneficial at clearing up sciatic nerve pain.
A common surgery for sciatica is microdiscectomy, and in a 2010 study, researchers examined 80 individuals 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 was given chiropractic care.
Both groups improved; however, no obvious difference in outcome was reported one year post-treatment between the surgery group and the chiropractic group. Additionally, about 60 percent of the participating subjects who could not find relief from any other treatment approach "benefited from spinal manipulation to the same degree as if they underwent surgical intervention."
Simply put, chiropractic delivered the same positive advantages as surgery without needing to endure the greater levels of surgery-based pain or suffer through drawn-out recovery times often affiliated with that specific treatment choice. Plus, you also don't run the risks affiliated with surgical microdiscectomy, including nerve root damage, bowel or bladder incontinence, bleeding, or infection.
Surgery should be the last option for sciatica pain. If you live in Anchorage and you're suffering from back pain or sciatica, give Dr. Mulholland a call today at (907) 770-5700. We'll help determine the origin of your pain and work hard to get you relief.
- 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.
While many women automatically assume that pregnancy and back pain go hand in hand, they are often surprised when they discover that this is not necessarily the case. In fact, chiropractic can often help relieve persistant back pain for pregnant women by as much as 85%.
Research Shows Chiropractic Helps With Back Pain and Pregnancy
We've worked with many pregnant women suffering from back pain in our Anchorage office.
One piece of research published in Chiropractic & Manual Therapies involved 115 women who were pregnant (most of which were in their third trimester) and reported pain in their lower back region, 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 follow-up, 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?
52% 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 delivery, 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. Mulholland Can Help Patients Find Comfort From Back Pain During Pregnancy
Additionally, it makes your time spent carrying your baby 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.
We're here in Anchorage to help you have a healthy, pain-free pregnancy. Give us a call today at (907) 770-5700 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.
According to The American Academy of Pain Medicine, more Americans suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. Furthermore, neck pain is the third most documented type of pain, beat out only by back pain and headache.
Of course, many patients come to our Anchorage office seeking neck pain treatment, and Dr. Mulholland has helped many of them find relief. This is a smart choice, as some research shows that over 90 percent of neck pain patients benefit from chiropractic care.
Studies Confirm Chiropractic Works
A report published in The Journal of Orthopaedic and Sports Physical Therapy involved 64 individuals 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 received chiropractic adjustments of the neck as well as a home exercise program, whereas the experimental group also received adjustments of the thoracic spine.
Information was gathered before treatment began and one week post-treatment. Researchers found that 94 percent 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 evaluating the entire spine is an important part of restoring the body's normal function.
Another study posted in Physical Therapy involved 60 adults who reported dealing with neck pain. Each person was randomly assigned to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with follow-up exams occurring two and four days after the adjustments.
The investigators discovered that the study patients who received the thrust manipulations (the same adjustments that offered such positive results in the first study) "experienced greater reductions in disability" than the patients who received the non-thrust manipulations. Their pain was lower as well, which shows that this type of technique offers many benefits.
Help After Failed Medical Procedures
Another study even found the same sort of positive results after thoracic adjustments in a patient who had a failed neck surgical treatment. This specific case involved a 46-year-old patient who had recently had neck surgery but still endured neck pain, headaches, pain in her elbow, and muscle fatigue.
The patient documented reduced pain in her neck and lower headache intensity, immediately after the first chiropractic treatment session. 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 scientific studies like these that prove the effectiveness of chiropractic adjustments, even if you've already attempted medical procedures that didn't provide relief. So, if you are suffering with neck pain and would like to find a remedy that has a high success rate, try chiropractic. It may just be the help you're looking for.
Our office is in Anchorage and Dr. Mulholland can help you recover from neck pain. Give us a call today at (907) 770-5700.
- 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.
With the Migraine Research Foundation reporting that migraine headaches affect 38 million adults and children in the U.S. (more than asthma and diabetes put together), it's not surprising that Dr. Mulholland treats a lot of headache patients in our Anchorage office. While some folks try to relieve migraine pain with medications, chiropractic care is a fantastic, all-natural choice that often provides positive results.
Research Supports Chiropractic Care Helps With Migraines
For example, one study published in the Journal of Manipulative and Physiological Therapeutics involved 127 people ranging in age from 10 to 70-years-old who struggled with regular (at least monthly) migraines. Each subject received up to 16 chiropractic sessions. The subjects noted that their headache frequency, duration, and disability two months before the study began, during the duration of the sessions (which was two months), and two months post-treatment.
What the investigators discovered is that chiropractic adjustments reduced the frequency, duration, and disability of the migraine headaches when compared with the control patients who didn't receive chiropractic. Even better, this allowed them to take less medication for the pain, providing them an all-natural answer for a chronic condition.
Another paper found that a combination of chiropractic and neck massage reduced migraine headaches almost 68%.
If you have migraine headaches and are looking for help, call Dr. Mulholland today and request an appointment in our Anchorage chiropractic office. We'll do what we can to help you become pain-free!
Migraine Fact Sheet. Migraine Research Foundation. Retrieved from http://www.migraineresearchfoundation.org/fact-sheet.html on November 2, 2015
Noudeh Y et al. (2012). Reduction of current migraine headache pain following neck massage and spinal manipulation. International Journal of Therapeutic Massage & Bodywork;5(1):5-13
Tuchin P et al. (2000, February). A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics;23(2):91-5
Knee pain is a frequent issue for people in our Anchorage chiropractic office, and Dr. Mulholland has happily provided many of these folks relief. This is largely because chiropractic care has been found to help with many types of knee pain.
For instance, some patients encounter pain in and around the knee tissues due to degenerative arthritis. Research has proven that this condition responds very well to chiropractic--and rather quickly, too. In fact, one paper published in The Journal of the Canadian Chiropractic Association found that men and women with osteoarthritis in their knees felt significant pain relief and enhanced function after just two weeks of chiropractic care.
If your knee pain is as a result of a medial meniscus sprain, chiropractic could likely help with that as well. One article reported that integrating chiropractic with soft tissue therapy, rest, ice, and compression on the affected knee helped lower the intensity of the pain.
Clearly, sometimes a knee replacement surgery is necessary in order to rectify the problem, and if that's the case, chiropractic care can also help improve the outcome. How?
Research Supports Chiropractic Helps With Knee Injuries
Medical research has found that patients with low back pain often have less positive results after knee surgery. So, dealing with your back pain through chiropractic prior to having a total knee arthroplasty can help with your post-surgery recovery.
No matter what your knee issue, Dr. Mulholland can likely help. Call our Anchorage office today and find out what we can do for you!
- Pollard H et al. (2008, December). The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. The Journal of the Canadian Chiropractic Association;52(4):229-42
Boyle J et al. (2014, March). Influence of low back pain on total knee arthroplasty outcome. Knee;21(2):410-4
- Jarosz B & Ames R. (2010, December). Chiropractic management of a medial meniscus tear in a patient with tibiofemoral degeneration: a case report. Journal of Chiropractic Medicine;9(4):200-8
We see a considerable number of individuals with headaches in our Anchorage office, and Dr. Mulholland has been able to support many of them. Indeed, the World Health Organization (WHO) reports that half of all adults struggle with some manner of headache condition, so this certainly isn’t shocking. One of the most typical kinds of headaches which our patients are afflicted by is cervicogenic headache which, luckily, chiropractic can generally help.
What is a Cervicogenic Headache?
A cervicogenic headache is one that comes from a problem in the cervical spine. It can be a result of a condition with either the spine itself (primarily, the vertebrae, joints, or discs), or it might be brought on by a problem in the muscles and tendons of your neck. This dysfunction in your spine results in constriction or aggravation of the spinal nerves, which can result in headache pain.
How do you recognize if the headache you are being affected by is a cervicogenic headache? Other than getting a diagnosis from a healthcare professional, a typical symptom of cervicogenic headaches is tenderness or pain in your neck. This is occasionally combined with pain in the back of your head or between your shoulder blades.
How Chiropractic Helps
Because cervicogenic headaches will not go away until whatever problem is inducing them is corrected, it is vital to receive treatment rather than just trying to "wait it out." Chiropractic care is an excellent solution, and one that offers a considerable amount of headache pain relief.
In one study printed in Chiropractic & Osteopathy, experts evaluated 80 people who had regular cervicogenic headaches. Half received chiropractic care and the other half underwent light massage therapy. Each participant was evaluated 12 and 24 weeks after the treatment and it was found that chiropractic provided the best outcomes.
Specifically, this study found that chiropractic adjustments gave patients enhanced pain relief and reduced the frequency of headaches that occurred. Additionally, it also minimized the disability that resulted from these painful headaches.
To find out what Dr. Mulholland can do for you and your headaches, call us today. We'll do our best to get you the pain relief you need!
- Haas M, Schneider M, Vavrek D. Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache. Chiropractic & Osteopathy 2010 18(9).
- World Health Organization. (2012, October). Headache disorders. Retrieved from http://www.who.int/mediacentre/factsheets/fs277/en/
We see many patients in our Anchorage office with ankle sprains but Dr. Mulholland has had a lot of success helping them recover more quickly. Why are ankle sprains so common and how can chiropractic help?
According to the American College of Sports Medicine (ACSM), an estimated 25,000 people in the US sprain their ankles every day. As a matter of fact, these injuries make up nearly half of all sports injuries, causing people to spend time away from the activities they enjoy most.
Like any injury, there are many causes of ankle sprains. The most frequent is inversion, or when the ankle rolls inward. This injury can occur due to one forceful movement, or it can develop over a period of time, and activities that increase the risk for this type of ankle sprain include running and jumping. You're also at risk if you have pre-existing ankle injuries, poor posture or balance, weak muscles, and reduced range of motion.
How Can Chiropractic Treatments and Dr. Mulholland Help?
A report printed in the Journal of Manipulative and Physiological Therapeutics set out to discover chiropractic's role when it comes to ankle sprain recovery. The authors enrolled 33 men and women between the ages of 18 and 45 who had a history of ankle inversion sprains, who were experiencing tenderness and/or pain, and had not re-injured the ankle in the previous six weeks.
18 of the participants were assigned to participate in rehabilitation and the other 15 people received chiropractic adjustments in addition to rehabilitation. Each person had five full weeks of treatments, with the rehab group receiving treatment seven days a week and the rehabilitation plus chiropractic group receiving treatment six out of the seven days.
Research Proves Chiropractic Helps With Ankle Sprains
The study found that the individuals who had both rehab and chiropractic fared the best at the 4-week mark when it came to pain and joint restriction. In addition, no bad effects were reported, showing that chiropractic is safe.
If you're near our office in Anchorage and you're struggling with an ankle injury, give us a call. We'll do what we can to keep you up and moving... literally!
- American College of Sports Medicine. (n.d.). Ankle sprains and the athlete. Retrieved from https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf
- Lubbe, D et al. (2015, January). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of Manipulative and Physiological Therapeutics, 38(1), 22-34, doi:10.1016/j.jmpt.2014.10.001
If you are afflicted by fibromyalgia, you are not alone, as Dr. Mulholland sees many patients with this particular condition in our Anchorage chiropractic office. Actually, the Centers for Disease Control and Prevention (CDC) estimates that roughly two percent of all adults in the United States have fibromyalgia. Fortunately, chiropractic is one treatment option that can provide positive results.
In a study released in mid-2015, 215 women and men with fibromyalgia were evaluated based on factors ranging from pain to quality of sleep to the levels of depression symptoms and anxiety they felt. Then they were split into two groups with one group receiving a multi-modal treatment program for three months and the second group receiving the same approach plus chiropractic adjustments (specifically, to the upper neck area) for the same length of time.
The subjects who received chiropractic adjustments combined with the multi-modal treatment approach reported greater results in all areas (pain, sleep, depression, and anxiety) at 12 weeks post-treatment when compared to the study participants who received multi-modal therapy without chiropractic care. Furthermore, those positive results were long-lasting as the individuals reported continued improvement one full year later.
Fibromyalgia can significantly decrease your quality of life, both mentally and physically. If you're suffering from fibromyalgia, we might be able to help.
You don't have to suffer! To see what Dr. Mulholland can do for your fibromyalgia, call our Anchorage chiropractic office today.
- Fibromyalgia. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/arthritis/basics/fibromyalgia.htm on November 2, 2015.
- Moustafa I & Diab A. (2015, July). The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial. Rheumatology International;35(7):1163-74.
Regrettably, quite a few of our Anchorage patients know the pain caused by a herniated disc all too well. On a positive note, Dr. Mulholland has helped many people with disc pain, and a number of medical studies have verified that chiropractic can help people recover from this kind of problem.
Research on Chiropractic for Disc Herniations
In one report, researchers from Switzerland recruited 148 patients who were dealing with pain in their low back and legs due to a herniated disc (which was confirmed through magnetic resonance imaging, or MRI). Each person then received chiropractic adjustments that focused on the area of his or her disc problem.
Data was obtained after the preliminary treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to find out what type of short-term and long-term effects, if any, chiropractic offers when it comes to resolving this particular problem. Among the information collected was the individual's self-reported changes in both low back and leg pain.
Researchers found that, as a whole, the patients reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the individuals stated that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those test subjects who were defined as "chronic" still reported an improvement in pain at a rate of 89 percent one year beyond when treatment first began. This is the same positive effect that was found in the following case study.
Case Study Shows that Chiropractic Benefits Chronic Disc Herniation Symptoms
In this study, a 26-year-old man had presented with disc herniation symptoms such as pain in the low back, left leg, and left groin area, along with left foot drop and muscle weakness. He had suffered with these issues for more than two years after sustaining an athletic injury, and his herniated disc was confirmed via MRI.
After receiving chiropractic care, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." Furthermore, the patient was still enjoying relief one year after the chiropractic intervention.
Studies like these show how beneficial chiropractic can be when it comes to alleviating herniated disc pain and treating the symptoms they produce. So, if you are suffering from back pain caused by a herniated disc and want to find some relief, chiropractic might be an effective solution.
Don't suffer from chronic herniated disc pain. Give our Anchorage office a call today at (907) 770-5700 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
Dr. Mulholland sees a lot of people troubled with carpal tunnel syndrome in our busy Anchorage chiropractic office. While some people think that the origin of this wrist-related pain is muscular, it's actually a condition that arises from the nerves--and not just the nerves in your hands.
Recent research printed in the Journal of Orthopaedic & Sports Physical Therapy assessed 71 women between the ages of 35 and 59 who were diagnosed with carpal tunnel syndrome. Upon studying the subjects' neck range of motion, the authors discovered that the patients had reduced cervical flexibility when compared to a healthy control group.
In addition, it was also observed that the degree of the women's reported carpal tunnel discomfort was linked to the lateral flexion of the cervical spine. In short, the less flexibility in the neck, the higher the level of pain.
This study is very important, as you cannot effectively address a condition until you fully understand its source. By realizing that the root of carpal tunnel issues is in the neck, this means that all-natural approaches like chiropractic can often restore normal function, reducing the need for risky surgery.
If you are suffering from carpal tunnel pain, call our Anchorage location and ask how Dr. Mulholland can help you get relief!
De-la-Llave-Rincon A et al. (2011, May). Women with carpal tunnel syndrome show restricted cervical range of motion. Journal of Orthopaedic & Sports Physical Therapy;41(5):305-10.
Simon H. Carpal Tunnel Syndrome. University of Maryland Medical Center. Updated May 6, 2012. Retrieved from https://umm.edu/health/medical/reports/articles/carpal-tunnel-syndrome on November 2, 2015.