Concussion and the Need for Chiropractic Evaluation

With the popular movie Concussion and a Public Broadcasting System documentary of the same topic there is substantial national attention on sports related traumatic brain injury and its consequences.

In the United States the prevalence of mild traumatic brain injury, also known as concussion, is estimated at 3.8 million per year. 85% of people sustaining a concussion will have symptoms resolve within 7 to 10 days. The remaining 15%, however will exhibit

Headache From Concussion

persisting symptoms lasting weeks, months or even years after their injury. In those suffering, lingering symptoms persisting longer than 4 to 12 weeks the condition is considered to be chronic and is known as post-concussion syndrome.

Many healthcare professionals consider post-concussion syndrome to be purely an injury isolated to the brain. However, recent research shows that another etiology, other than the brain, may be responsible for ongoing, chronic symptomatology.

Those experiencing mild traumatic brain injury tend to have symptoms of headache, dizziness, neck pain, visual problems, concentration problems, hearing disturbances and emotional irregularities. Not coincidentally, these are also findings that occur with neck injuries, like whiplash, as well.

Injuries to the neck can occur from many types of trauma. The classic whiplash of an automobile accident is one with which many can identify. Of course, sports injuries occurring in football can also cause problems with the neck. But many other sports such as falls occurring in cheerleading, heading a ball in soccer, collisions of players in lacrosse, divers landing awkwardly in a swimming pool and anyone striking their head on a gym floor or playing field can lead to trauma to the neck.

Trauma research has revealed the range of linear impact accelerations causing concussion is between 60-160 G’s of force with the peak occurring at 96 G’s. Whiplash associated traumas can occur at accelerations of only 4.5 G’s. From this it is seen that individuals who experience force is strong enough to sustain a concussion will also experience cervical spine injury. In fact, it seems virtually certain that someone having traumatic force causing a concussion will also suffer injury to the soft tissues of the cervical spine.

In a research study evaluating hockey players suffering trauma published in Brain Injury in 2006 it was noted “there is a strong association between whiplash induced neck injuries and the symptoms of concussion in hockey injuries.” The researchers went on to say that athletes/patients should be evaluated for both traumatic brain injury and cervical/whiplash type trauma.

Current thinking is that those suffering from post-concussion syndrome have most certainly also had injury to the neck or cervical spine. Some are terming it Post-concussion Syndrome and associated Cervicogenic trauma. “Cervicogenic” means “from the neck”.

In another study published in the journal Cephalgia in 1990 researchers evaluated patients who had sustained head trauma and who were still suffering from headaches one year later. These patients entered a clinical course of specific manual therapy of the neck, such as chiropractors utilize, to help headache problems. The results were the group treated with manual therapy showed over 50% improvement of their headache pain index compared with the pretreatment level. The researchers stated: “Manual therapy used in this study seems to have a specific effect in reducing post-traumatic headache.”

Chiropractors have extensive training and experience in evaluating injuries of the neck or cervical spine. If there is an abnormality of misalignment or improper movement of the vertebrae of the spine, strain of the muscles and ligamentous sprain, chiropractors have safe, proven methods to treat these injuries.

A 2015 study in the journal The Physician and Sports Medicine quotes “Management of persistent post- concussion symptoms through ongoing brain rest is outdated and demonstrates limited evidence of effectiveness in these patients.” They add further “instead there is evidence that skilled manual therapy related assessment and rehabilitation of the cervical spine dysfunction should be considered for chronic symptoms following concussion injuries.”

When considering this type of information it would be wise for all patients suffering from post-concussion syndrome to be referred to a chiropractor for cervical spine evaluation and treatment.

Dr. James Schofield has many years of successfully helping people suffering from headaches. To learn more visit his website.

Dr. Schofield Attends Pain Management Methods Seminar

Chronic Pain

On August 19, 2017 Dr. Schofield attended a conference, in Pittsburgh Pennsylvania, to learn current pain management methods. Topics covered which natural treatments work. In 33 years of practice Dr. Schofield has always searched and used innovative ways to alleviate and control the pain his patients are experiencing.

Chronic pain conditions like lower back pain, neck pain, headaches, sciatica, hip pain and shoulder pain are traditionally not helped by medications. Especially concerning is the increasing use of opioid medications for these types of problems. Fortunately, Dr. Schofield learns and continues to use natural treatment techniques for chronic pain in his Pittsburgh North Hills chiropractic office.

To learn more about Dr. Schofield click here. Visits these sites: sciatica, headaches, hip pain to learn more about natural methods of treatment for these conditions.

New Research About Lower Back Pain

Lower Back Pain

Over the years there have been many approaches for treating lower back pain. Traditional medical approaches have included the use of medications, injections and surgery. However, a recent research study by the American College of Physicians (ACP) published in the 2017 Annals of Internal Medicine has just released new guidelines advising a non-surgical and pharmaceutical free strategy.

A main concern in the United States is the ever-growing use of opioid medications causing addictions, overdoses and suicides. Opioids include Percocet, OxyContin and hydrocodone have been inappropriately prescribed in some cases for lower back pain. The new ACP guidelines advise against what are called “low value treatments” such as doctors prescribing opioid medications.

Instead nonpharmacological approaches are recommended by the ACP. These include nondrug treatments such as spinal manipulation which is typically performed by chiropractors, acupuncture, massage, tai chi and mindfulness-based stress reduction.

According to Roger Chou MD, professor of medicine, Oregon Health and Science University School of Medicine, and lead author of the new reviews on back pain treatment: “the biggest shift is prioritizing non-formal logic therapies using those first versus medication.”  “This is the first guideline to really take this stance.”

The guidelines of the ACP also reject initially having patients get MRIs for lower back pain. The study notes that MRIs typically will not reveal findings relevant to the cause of the lower back pain.

Lower back pain that lasts for less than four weeks is considered acute. Low back pain lasting up to 12 weeks is considered subacute. Lower back pain lingering for more than 12 weeks is considered chronic. In all cases it is not wise to give into total bed rest. Gentle activity such as walking periodically daily and gentle appropriate stretching is more effective.

Physical measures such as chiropractic spinal manipulation, also called chiropractic spinal adjustments are recommended by the ACP.

Chiropractors are licensed as doctors. Their education involves typical undergraduate courses followed by five years at a chiropractic college. Following this they must pass national boards and become licensed in individual states in the US. Chiropractors then take continuing education classes for ongoing training.

Many responsible recognized insurances cover the initial evaluation by a doctor of chiropractic and treatment such as chiropractic spinal adjustments, physiological therapeutics and corrective exercises. These types of therapies been shown in numerous research studies to be beneficial for those suffering from acute, subacute and chronic lower back pain.

In advising nondrug, nonsurgical measures for the treatment of lower back pain the American College of Physicians guidelines published in the Annals of Internal Medicine have made a substantial shift in traditional prioritization of the treatment of lower back pain.

For more information regarding chiropractic treatment click lower back pain. To learn more about North Hills Pittsburgh chiropractic care visit this site

Glucosamine Sulfate: A Natural Remedy For Osteoarthritis

Knee Arthritis
Knee Arthritis

Many people experience what is called “wear and tear” arthritis. It is also called degenerative joint disease, osteoarthritis, degenerative arthritis and old age arthritis. It commonly occurs in all the joints of the body. It can develop from repetitive stress to the joints, trauma of the joints and can be from poor dietary habits.

The site of osteoarthritis is the area where two bones meet. This area is called a joint. The surface of the bones of a joint is lined with special cartilage that must be able to “resurface” itself because of ongoing wear. Normally, our body produces chemicals needed to handle the resurfacing. However, sometimes we don’t produce enough resurfacing chemicals to allow for normal thickness of the cartilage surface. When the cartilage degenerates, we can say that osteoarthritis has occurred.

This type of arthritis most commonly causes symptoms of early morning stiffness, stiffness following periods of rest, pain that worsens on joint use and loss of joint motion. If one were to look at an x-ray of the joint the two most common findings would reveal a narrowing of the joint space called bone on bone and bone spurs. These are x-ray signs that the degeneration has progressed and is now called degenerative joint disease.

Fortunately, there is a nonpharmaceutical supplement called glucosamine sulfate that has been called “nature’s arthritis cure.” Glucosamine sulfate is a vital chemical component needed by the cartilage of our joints. Our bodies normally produce glucosamine sulfate in sufficient quantities to fully resurface joint cartilage. When we traumatize a joint from one single episode or from repetitive stress we may not be able to produce enough of our own glucosamine sulfate to repair joint cartilage.

This happened to me over 20 years ago. As a chiropractor, I use my hands repetitively. As a result, I started to get symptoms of stiffness and soreness of my hands. I recognized that I was in the early stages of osteoarthritis.

I began to take a good quality brand of glucosamine sulfate consisting of 500 mg three times a day for a total of 1500 mg daily. Within weeks the pain in my hands resolved. I continued with the same amount of glucosamine for a full three months which allowed the cartilage to fully repair. Following this I reduced the dosage of glucosamine sulfate to 1000 mg per day and continued to do well. After a couple months, I tried reducing to 500mg per day but started to have discomfort return. So, I went back to 1000 mg per day and have continued to the present. My hands remain symptom-free and show no visible signs of degeneration of the joints.

In the past couple decades, I have seen hundreds of my patients get relief of osteoarthritis pain by taking glucosamine sulfate in the manner I just described. My experience has been that smaller joints like the hands, elbows, shoulders and knees seem to respond well to glucosamine sulfate supplementation. I cannot say that I have seen great results for joints of the feet, hips and spine.

We carry an excellent brand of glucosamine sulfate at our office that is made by a company called Metagenics. One bottle contains ninety 500 mg capsules. This will last one month if a person takes three capsules per day. My experience is that a person will know within that first bottle if it’s going to work. They will feel improvement of soreness. If it doesn’t work in the first month I would not suggest continuing. However, if there is improvement, I would recommend taking 1500 mg per day for three months. Then one can experiment with taking a lesser dosage and seeing how they do.

I will also mention that the quality of the product does seem to matter. I have seen that many people do not respond well to the supplement they may buy at a big box store, grocery stores and drugstores. If you do not have good results with the type you’ve purchased try the brand we carry in our office. One bottle of ninety 500 mg capsules costs $30 dollars.

Metagenics glucosamine sulfate supplements are made from shellfish. As a result, anyone who has an allergic response to shellfish should not take this product.

Supplementation of glucosamine sulfate is certainly worth trying. A short, initial trial for a small expense will let one know if there will be a benefit. If improvement occurs it is wise to continue using the supplement as a natural, low-cost method to minimize a potentially long-term degenerative disease.

Click the link for more information about Dr. James Schofield. To learn more about Dr. Schofield’s office visit