Bending Your Knees to Lift is Just the Beginning…

Proper Lifting Techniques

Proper Lifting Techniques

You have heard it before. “Bend your knees when you pick that up or you’ll hurt your back.” Well, that’s true, to a degree. The fact is though, simply bending your knees is not enough to prevent low back injury.

The reason chiropractors, physical therapists, and personal trainers alike advise bending your knees is because they do not want you to put stress on your low back. The thought is that bending your knees will shift the stress from the back to the knee, but this is not always true. Don’t get me wrong, you should always bend your knees when lifting, but there are other things that must be done as well.

To understand what you need to do to protect your back, you will first need to understand some basic bio mechanics. I promise to keep it very simple. You have 24 vertebrae sitting directly on top of one another that make up your spine. Your spine rests on top of a bone called the sacrum. The sacrum is positioned directly in between two bones called the pelvic bones. In between each of the 24 vertebrae and where the spine meets the sacrum is a disc which you have probably heard of before. While the vertebrae and the sacrum are bones, the discs are made of cartilage and fluid that is structurally not much different than a jelly doughnut; they are hard on the outside and soft in the middle.

Simply put, those vertebrae work together like a spring when you bend over. Imagine bending a spring back and forth over and over again. While that spring might be very strong at first, over time, it would weaken and eventually break. Most commonly with bending, the injury is to your disc. Imagine squeezing a jelly doughnut on one side, all the jelly would squirt out the other direction. This is a simplified example of a bulging or herniated disc. So how do we prevent this from happening? Read the rest of this entry »

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250,000 Hits!

From the start...

From the start...

Chiropracticstudent.org has hit a milestone today, just 3 days before the new year, the website banked a quarter million visitors for the year! Keep visiting and suggesting content!!

Here’s a little statistic sampling since our inception.

2009: 250,000 visits, 61000 unique

2008: 184,000 visits, 58000 unique

2007: 89,000 visits, 15000 unique

2006: 23,000 visits, 12800 unique

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Why You Should Look Beyond Weight Loss for 2010

Think beyond the weight...

Think beyond the weight...

Well it’s that time of the year again. Time to take a look back at 2009 and review your successes and failures. What goals did you set out to achieve? How long did it take for those goals to be forgotten? What new year’s resolutions are you going to set out to achieve in 2010?

The holidays are a fantastic time of the year to review your successes and failures because it’s a time when we are reminded of the important things in life. Perhaps now is the best time to outline what goals are important to you and begin establishing a detailed plan to attain them.

I don’t like “New Year’s Resolutions”. Even the wording rubs me the wrong way. Why not call them “New Year’s Commitments”? Better yet, last year Chris Guillebeau from “The Art of Noncomformity” talked about the process of conducting your own annual review. According to Chris “The idea is to create a road map for the year ahead – not a rigid daily schedule, but an overall outline of what matters to me and what I hope to achieve in the next year.”

Unique to Chris’s annual review is the concept of having a yearly theme. You see when we choose goals like “Weight Loss” and “Get Rid of Debt” it limits us to only achieving weight loss and becoming debt-free. There are 3 things to consider when making your 2010 New Year’s Commitments. Read the rest of this entry »

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Chiropractic Neck manipulation and Stroke Risk

Is the risk real?

Is the risk real?

Chiropractic is the largest alternative medicine profession in the United States, and probably the most debated. Undeniably, the hottest debated topic concerning chiropractic is stroke risk. But are you really flirting with death when you visit a Chiropractor? This article, written with common argument headers, attempts to discern if cervical manipulation is a risky treatment, especially when compared with other popular treatment options.

Neck manipulation dissects the vertebral basilar artery leading to stroke…

The most basic argument that needs to be proven for anti-manipulation activists to have a ground to stand on is whether a neck manipulation has the physical means to cause a stroke. Detractors claim that forceful manipulation of the neck dissects the vertebral basilar artery, which passes through the atlas (top neck bone/vertebrae) before it enters the skull. This dissection is caused by either the physical stretching of the artery or by its contact with the bone. This very idea is actually what many chiropractic colleges teach, but its reality becomes doubtful when viewing the research.

Read the rest of this entry »

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New Stroke Recognition Tests

One of the major concerns for chiropractors are stroke patients. Current research associates the risk of stroke after a cervical manipulation as about 1 in a million. However, these stats may be artificially high, since often people who seek chiropractic care for neck & head pain often have these symptoms because they are currently in a stroke status. Read the rest of this entry »

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Tips for Getting Hired

As December looms the largest graduating class of the year is getting ready to do just that… graduate. Unfortunately, many of us are facing the reality that getting job post school was a little more difficult than thought. This short article covers a view tips and advice that I have acquired either from others, or via my own experiences. Read the rest of this entry »

More Reasons NOT to use Discography

Is it really worth it?

Discography, a painful imaging technique for the spine that involves the injection of a contrast medium, has long been debated for its efficacy and utility(1,2,3). Even though it has been around since 1948, research to this day still fails to establish Discography as a effective test. It has been suggested that it is an accurate test for only a minute group of conditions, while it is unreliable for disk degeneration, disk bulges and protrusions, as it lacks specificity and leads to unnecessary back surgery (4). Regardless, this procedure is still sees widespread usage as doctors argue it is better than MRI or CT.

New research published in Spine, decided to take a different role, and examine the risks to benefits ratio of a discography. In their experimental animal model, it was shown that the rats that received small needle punctures exhibited a significantly higher rate of herniation, endplate changes, disc grade progression and annular fissures; both in frequency and severity. They also demonstrated a statistically significant decrease in disk height and signal after the injection (5).

Dr. Carragee et al.’s study brings up serious concerns with the usage of discography. Why countinue to utilize a technique that has been so poorly proven to provide usable & correct clinical data, and that also causes what you are attempting to locate and fix. It appears that this is a classic case of Risks far outweighing the benefits. Read the rest of this entry »

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Strange Swine Flu Stat

Swine Flu... its not the pigs fault!

Swine Flu... its not the pig's fault!

This article is considered a “musing for entertainment” as it is solely based on statistical information (and possibly poor information). The author takes no stance pro or con vaccination.

Whether or not the swine flu vaccine is safe or effective continues to be a debate and is the basis for many families deciding against receiving the vaccine. So here’s an interesting consideration for you all. (But please don’t forget that correlation do not equal causation)

Mongolia has a population of roughly 3,000,000 people. According to the World Health Organization, as of November 4th there has been 6 deaths associated with swine flu. That means that 1 out of every 500,000 Mongolians have died of the swine flu.

The United States has a population of 305,000,000 people. According to the CDC on November 1st, there have been 4000 swine flu related deaths. That means that 1 out of every 76,250 Americans have died of the swine flu.

The kicker… Mongolia does not have the vaccine, the USA does. Is it that Mongolian Hospitals are superior to the US? Hardly… Mongolia’s health-care system is considered the 147th of 190. The USA ranks at 37. Is it because Mongolia is less densely populated? Unlikely. 1/3 of the population lives in a single city alone. Read the rest of this entry »

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Multiplying our Pain

Is it really the Egg?

Is it really the Egg?

There is no arguing that allergies are a fact of the human existence. You are truly beating the odds if you make it to adulthood without an allergy of some sort, be it pollen, dander, food, or chemical.

What most people do not realize is that allergens have the potential to act synergistically, that is, they multiply each others effects. A study by Johansen et. al. established that when individuals were exposed to two known allergens, instead of adding their effects, the allergic reaction tripled or quadrupled in intensity! Therefore a person who is mildly allergic to yellow 5, may experience an asthmatic reaction when its paired with another common mild allergen, caffeine. Mountain Dew anyone?

Taken a step further, there are some foods or allergens that do not effect us unless you are also exposed to their concomitant allergen. Let me explain. Many people are tested as egg allergic, however they exhibit an allergic reaction to eggs only at certain times of the year. This is Read the rest of this entry »

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The Opportunity Cost of Our Time

Time is money... or is it more than that?

Time is money... or is it more than that?

I always talk about bang for your buck with patients or people I am training. People can grasp that they want to get the most value for the paid dollars or for their time as they can. To be most effective in any one aspect, it only makes sense to focus the most on those aspects that will achieve the most sufficient results. Stephen Covey lists it has one of his 7 habits of Highly Effective People: “Do first things first.” What happens when we don’t do first things first?

What I did not realize was that there was an economic term for “bang for your buck,” which is “opportunity cost.” Opportunity cost is essentially what you have to give up in order to make anyone decision. In my personal life, having a job costs me the opportunities of having free time to read and spend time with friends. In chiropractic, the time I spend playing games costs me opportunities to learn new techniques or adjusting people. No choice is either right or wrong from person to person, but individually, each choice does bring us closer or farther away from our goals in life. Read the rest of this entry »

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Chiropractic’s Branding Problem (…and What to DO About it)

Is this the best we can do?

Is this the best we can do?

A Critical Point in Chiropractic History:

It is no secret that Chiropractors only see 6-10% of the population while some 85% or more of people will experience back pain at some point in their life. Underutilization of chiropractic is not a result of chiropractic not working or failing to provide value to the health system. In fact, of all the therapies for low back pain, spinal manipulation is one of the few therapies (pretty much the only one alongside exercise) to show clinical utility. Chiropractic has also been shown to be cost-effective as chiropractors manage back pain cases more efficiently – keeping patients from becoming chronic back pain patients.

Chiropractors, if you haven’t learned by now, we’ve been fighting too long for a decreasing chunk of the healthcare pie in a system disproportionately focused on acute, reactionary care. While delivering the message of chiropractic for back and neck pain, we are still seeing the same 6-10% of the population with the same message. If we were a publicly traded company, Chiropractic would be bankrupt or at least receiving a bailout. Now, I don’t see a bailout coming our way anytime soon either. Ever since I started Chiropractic college, I’ve struggled to figure out why chiropractic is so underutilized by the general population. What has Chiropractic done wrong? More importantly, what can we do to reverse the trends? Read the rest of this entry »

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Is the Mercury in Thiomersal Dangerous

Is the Mercury in Thiomersal Dangerous?

Is the Mercury in Thiomersal Dangerous?

Thiomersal is a preservative that is added to  vaccines to prevent contamination. It contains roughly 49% mercury; therefore a vaccine containing the standard Thiomersal dosage of 50mcg contains 25mcg of mercury. For adults, there are thiomersal free and preservative free vaccines. Thiomersal-free has no thiomersal, while preservative free contains trace amounts, or about .3mcg per dose. Although childhood vaccines can no longer contain thiomersal (as of 1999), the government considers the trace amounts in preservative free versions acceptable, plus, any vaccine that was produced prior may be still be used (assuming its shelf date has not expired).

The FDA set the daily safe limit of mercury at 1.0mcg per kg of bodyweight per day to avoid neurological damage. However, paying attention to the weekly average tends to be a more accurate indicator.

The ultimate question of course is,  “Is it Safe”? Read the rest of this entry »

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