Neck Pain – Can Chiropractic Really Help?

Posted on: December 19th, 2012 by lucky No Comments

NECK PAIN -TREATED by  Campbelltown Chiropractor Dr Col Ferguson DC

Neck pain is a very common problem that we see at campbelltown chiropractor it affects up to 70% of the adult population at some point in their life.  Though there are specific causes of neck pain such as arising from a sports injury, a car accident or “sleeping crooked,” the vast majority of the time, no direct cause can be identified and thus the term nonspecific is applied. There are many symptoms associated with patients complaining of neck pain and many of these symptoms can be confused with other conditions.  Wouldn’t it be nice to know what neck related symptoms are most likely to respond to chiropractic manipulation before the treatment has started?  This issue has been investigated with very favorable results!

Campbelltown Chiropractor  “Clinical Prediction Rules.

The ability to predict a favorable response to treatment has been termed, “clinical prediction rules” which in general, are usually made up of combinations of things the patient says and findings from exams. In a large study, data from about 20,000 patients receiving about 29,000 treatments, was collected and analyzed to find out what complaints responded well to chiropractic treatment.  The results showed that the presence of any 4 of these 7 presenting complaints predicted an immediate improvement in 70-95% of the patients:

1. Neck pain;

2. Shoulder, arm pain;

3. Reduced neck, shoulder, arm movement;

4. Stiffness; 5. Headache;

6. Upper, mid backpain, and

7. None or one presenting symptom.

Items not associated with a favorable immediate response included “numbness, tingling upper limbs,” and “fainting, dizziness and light-headedness in 4-12% of the patients.  The “take-home” message here is that it was far more common to see a favorable response (70-95%) of the patients compared to an unfavorable response (4-12%), supporting the observation that most patients with neck complaints will respond favorably to chiropractic treatment.

What we do at Campbelltown Chiropractor

So, what do we do as a campbelltown chiropractor when a patient presents with neck pain?

First, after gathering preliminary information such as name, address then a history of the presenting complaint is taken. This consists of information including what started the neck complaint (if you know), when it started, what makes it worse, what makes it better, the quality of pain (aches, stiff, numb, etc.), the location and if there is radiating complaints, the severity (0-10 pain scale), timing (such as worse in the morning, evening, etc.), and if there have been prior episodes.  Various questionnaires are included that are scored so improvement down the road can be tracked and a past history that includes a medication list, past injuries or illnesses, family history and a systems review are standard.  The exam includes palpation, range of motion, orthopedic and neurological examination.

X-ray and/or other “special tests” may also be included, when needed. A review of all the findings are discussed and after permission to treat is granted, a chiropractic adjustment may then be rendered.

A list treatment options may include:

1. Adjustments;

2. Soft tissue therapy (trigger point stimulation, myofascial release);

3. Physical therapy modalities;

4. Posture correction exercises and other exercises/home self-administered therapies;

5. Education about job modifications;

6. Co-management with other health care providers if/when needed.

AT campbelltown chiropractor Col Ferguson’s our objective is to get you pain free as fast as possible so we will include some or all of the above.

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