Tuesday, July 26, 2011

Cell Phones and Cancer

"On May 31, 2011 the World Health Organization (WHO) announced their classification of radiofrequency electromagnetic fields emitted from cell phones as "possibly carcinogenic," and more recently published the evidence and rationale supporting their conclusion.[1] Medscape recently spoke with National Institute on Drug Abuse Director (and BlackBerry® user) Nora D. Volkow, MD, about the implications of both the WHO statement and her own research showing that cell phone usage directly affects brain glucose metabolism.[2]" (1)
To read more go to http://www.medscape.com/viewarticle/746281?src=mp&spon=17
or go to Susan Mackey, D.C. on Twitter

1.http://www.medscape.com/viewarticle/746281?src=mp&spon=17

Monday, June 6, 2011

Long Island Chiropractor: How to Apply Sunscreen

Long Island Chiropractor: How to Apply Sunscreen: "1.Fifteen to 30 minutes prior to going outdoors, apply sunscreen to areas of the body that will be exposed to the sun. You need to give the ..."

How to Apply Sunscreen

1.Fifteen to 30 minutes prior to going outdoors, apply sunscreen to areas of the body that will be exposed to the sun. You need to give the product time to be absorbed into the skin.
2.Enlist the help of a friend to apply sunscreen to the areas of the body that you may not be able to reach like the back.
3.Don't forget to apply sunscreen to areas that are commonly neglected, like the ears, face, hands, neck, and feet.
4.Every two hours, reapply sunscreen. Reapply after going into the water, even if sunscreen is "waterproof" or "water resistant." Waterproof and water-resistant sunscreens only offer 40 to 80 minutes of protection. It is essential to read the sunscreen label for exact times because every manufacturer is different.
5.Use sunscreen daily in all types of weather. The skin is still susceptible to the damaging rays of the sun during cloudy days as well. It needs to be applied during winter months, too.

Manipulation Under Anesthesia

Manipulation Under Anesthesia-MUA
Careful selection of those most likely to respond positively to MUA has produced enthusiastic patients grateful for the procedure.

We offer Manipulation Under Anesthesia, or MUA, to help patients who do not respond to more conservative forms of chiropractic care, or whom we believe, could benefit from greater joint mobility than we can achieve during a conventional visit. While there are always some potential risk associated with any form of anesthesia, the temporary form of sedation we use produces a type of “twilight sleep” that is noted for its safety and patient comfort. Relaxed Muscles Allow Greater Motion. MUA is often recommended for chronic pain patients or acute neck pain, back pain, joint pain, muscle spasm, adhesions and long-term pain syndromes. Many candidates of the MUA procedure are those who consciously or unconsciously are unable to relax and “guard” fixated or hypomoble spinal joints. Once the patient is relaxed, involved joints are gently stretched and restricted motion is released.

How It Works

MUA is commonly performed in a hospital or community surgical center. The attending team includes an anesthesiologist, the primary physician or chiropractor who performs the manipulation and an assistant experienced in MUA procedures. Using a series of specific short lever manipulations, MUA relies on a combination of passive stretches and specific joint maneuvers to reduce fibrous adhesions and scar tissue surrounding the specific spinal joint and surrounding soft tissues.

Patient Satisfaction

As an alternative to more invasive surgery or pain medication, MUA has produced excellent results for those who are carefully screened as good candidates for the procedure. Certification courses are offered through accredited chiropractic college post-graduate departments and are a covered service by malpractice insurance carriers.

For More Information on Manipulation Under Anesthesia please contact Susan Mackey, D.C.

Friday, May 6, 2011

Sports Injuries

Sports Injuries
Participation in sports or exercise is an important step in maintaining your health. Exercise strengthens your heart, bones, and joints and reduces stress, among many other benefits. Unfortunately, injuries during participation in sports are all too common. Often, these injuries occur in someone who is just taking up sports as a form of activity, doesn’t use proper safety equipment, or becomes overzealous about the exercise regimen.

The more commonly injured areas of the body are the ankles, knees, shoulders, elbows, and spine. Remember that you should discuss any exercise program with your doctor of chiropractic before undertaking such activities.

Strains and Sprains
Although bones can sometimes be fractured with acute sports injuries, the most commonly injured structures are the muscles, tendons, and ligaments. Tendons attach muscles to bones, and ligaments attach one bone to another.

An acute twisting or overextension of a joint can lead to tears of muscles and tendons, called “strains,” and tears of ligaments result in "sprains" These tears range from mild to severe. In mild injuries, just a few fibers are torn or stretched. Severe injuries, where there is a tear through the full thickness of the structure, are most often considered unstable injuries and frequently require surgical intervention. The intervertebral disc, a ligament between the vertebrae of the spine that works as a shock absorber, can also be torn, resulting in a disc bulge and/or herniation.

Ankle sprains most often involve tears of one or more of the ligaments along the outside of the ankle. Knee ligaments, including the larger external supportive ligaments and the smaller internal stabilizing ligaments, can also be torn. The cartilage on the back of the patella (knee-cap) can also become eroded from overuse, leading to a condition termed chondromalacia patella.

Tendinosis
In those who are training too much, overuse of a particular joint or joints in the body can result in pain and dysfunction. These injuries are called “overuse syndromes.” A common overuse injury is tendinosis, also called tendinitis. In this condition, the tendon becomes inflamed from repetitive use. In the shoulder, the rotator cuff (a complex of muscles that stabilizes and moves the shoulder) becomes inflamed, resulting in rotator cuff tendinitis. Tennis elbow is another form of tendinitis that occurs along the outside of the elbow, most commonly in tennis players. In golfer’s elbow, the tendons on the inside of the elbow are affected.

Stress Fractures
Some athletes may experience a stress fracture, also called a fatigue fracture. This type of fracture occurs when an abnormal amount of stress is placed on a normal bone. This might occur in a runner who rapidly increases the amount of mileage while training for a race. Stress fractures also occur in people who begin running as a form of exercise but overdo it from the start, rather than gradually progress to longer distances.

One final common injury is worth mentioning, and that is shin splints. This overuse injury is caused by microfractures on the front surface of the tibia (shin bone). This is most often seen in runners, although other athletes can also be affected.

Diagnosis and Treatment
Sports injuries are most often diagnosed from the history of the activity that brought on the pain, along with a physical examination. In some cases, x-rays are necessary to rule out a fracture. Magnetic resonance imaging (MRI) and diagnostic ultrasound are also used in finding soft-tissue injuries, like tendinitis and sprains.

Fractures require the application of some stabilizing device, such as a cast, after the bone is put back into position. Rarely, surgical intervention is required. There is a relatively standard treatment protocol for most of the other overuse types of injuries. This protocol involves the following:

Rest
Generally no more than 48 hours of rest and/or immobilization is needed, depending on the severity of the injury. In most cases, the sooner the person becomes active after an injury, the more rapid is the recovery. In fact, long-term immobilization can sometimes be harmful to recovery. Your doctor of chiropractic will guide this process, as too early a return to activity, choosing the wrong type of activity, or excessive activity can be detrimental.

Ice or heat
Ice or heat can be helpful with pain reduction and tissue healing.

Compression
Compression of the area may reduce the amount of swelling from the injury. Your doctor of chiropractic will determine if this will be beneficial in your case.

Elevation
Elevation of the injured arm or leg above the level of the heart is thought to be helpful in reducing swelling.

Pain relievers
Recent research has demonstrated that some nonsteroidal anti-inflammatory drugs may actually slow the healing process by restricting the body’s natural healing mechanisms, so they should be used sparingly.

Joint manipulation
Recent research has shown us that, in some cases, joint manipulation can be helpful with pain reduction and more rapid recovery. Your doctor of chiropractic will determine if this procedure will be helpful in your case.

A Word about Prevention
In many cases, sports injuries can be prevented. Proper conditioning and warm-up and cool-down procedures, as well as appropriate safety equipment, can substantially reduce injuries. Understanding proper techniques can also go a long way toward preventing injuries. Sufficient water intake is also an important preventive measure. (1)

1. http://www.acatoday.org/content_css.cfm?CID=3135

ACA - Sports Injuries

ACA - Sports Injuries

Friday, April 8, 2011

Instrument Assisted Soft Tissue Mobilization (IASTM) and how it can help you

IASTM instruments make it easier to detect and treat soft tissue dysfunction. (Yes that is STD but not the kind you may be thinking…) They magnify the abnormalities (Scars, restrictions and adhesions) in the soft tissue and make it easier to locate the area to treat. The instruments actually vibrate and may even make an audible sound (Sound Assisted Soft Tissue Mobilization) when sliding over scars, adhesions and restrictions. Using a tool focuses the force through an area smaller then your finger so you use less force. By not using your fingers and using less force it is easier on you to treat patients. The treatment time is also reduced further saving wear and tear on your body. The goal is to actually cause a minor injury and trigger an inflammatory healing response. This will stimulate the production of new collagen and hopefully proper (more functional, less painful) healing.
For More Information call 631-689-0049

Friday, March 25, 2011

Essential fatty acids for premenstrual syndrome

SOURCE: NHI OnDemand

A randomized, double-blind, placebo-controlled study published in the journal Reproductive Health evaluated the effectiveness and safety of a supplement containing essential fatty acids and vitamins for the treatment of PMS and to assess effectiveness on prolactin and total cholesterol levels.

The researchers recruited 120 women with PMS and were divided into 3 groups that received either 1 or 2 grams of the supplement or placebo for six months using the Prospective Record of the Impact and Severity of Menstruation (PRISM) calendar. The actual dosage per one-gram serving included 210 mg of gamma linolenic acid, 175 mg of oleic acid, 345 mg of linoleic acid, 250 mg of other polyunsaturated acids, and 20 mg of vitamin E.

The results were the group treated with 2 grams of supplement experienced the most significant reduction in the PRISM score the next significant reduction was in the group taking 1 gram of supplement. The placebo group experienced the least reduction in PRISM score. There were no statistically significant differences in prolactin or total cholesterol levels after six months of treatment.

In conclusion the authors stated “The difference between the groups using the supplements and the placebo group with respect to the improvement in symptomatology appears to indicate the effectiveness of the supplement mixture. Improvement in symptoms was higher when the 2-gram dose was used. This medication was not associated with any changes in prolactin or total cholesterol levels in these women.” (2)

REFERENCES:

1. Essential fatty acids for premenstrual syndrome and their effect on prolactin and total cholesterol levels: a randomized, double blind, placebo-controlled study.
Reproductive Health 2011 (Jan 17); 8 (1): 2 ~ FULL TEXT
2. Chiro.org

Thursday, March 24, 2011

A Hospital-Based Standardized Spine Care Pathway: Report of a Multidisciplinary, Evidence-Based Process

A Hospital-Based Standardized Spine Care Pathway: Report of a Multidisciplinary, Evidence-Based Process

Ian Paskowski, DCaCorresponding Author Informationemail address, Michael Schneider, DC, PhDb, Joel Stevans, DCc, John M. Ventura, DCd, Brian D. Justice, DCe

Received 6 April 2010; received in revised form 15 September 2010
Abstract
Objective

A health care facility (Jordan Hospital) implemented a multidimensional spine care pathway (SCP) using the National Center for Quality Assurance (NCQA) Back Pain Recognition Program (BPRP) as its foundation. The purpose of this report is to describe the implementation and results of a multidisciplinary, evidence-based, standardized process to improve clinical outcomes and reduce costs associated with treatment and diagnostic testing.
Methods

A standardized SCP was developed to improve the quality of back pain care. The NCQA BPRP provided the framework for the SCP to determine the standard of quality care delivered. Patients were triaged, and suitable patients were categorized into 1 of 5 classifications based upon history and examination, directional exercise flexion or “extension biases,” spinal manipulation, traction, or spinal stabilization exercises.
Results

The findings for 518 consecutive patients were included. One hundred sixteen patients were seen once and triaged to specialty care; 7% of patients received magnetic resonance imagings. Four hundred thirty-two patients (83%) were classified and treated by doctors of chiropractic and/or physical therapists. Results for the patients treated by doctors of chiropractic were mean of 5.2 visits, mean cost per case of $302, mean intake pain rating score of 6.2 of 10, and mean discharge score of 1.9 of 10; 95% of patients rated their care as “excellent.”
Conclusions

By adopting the NCQA BPRP as an SCP, training physicians in this SCP, and using a back pain classification, Jordan Hospital Spine Care demonstrated the quality and value of care rendered to a population of patients. This was accomplished with a relatively low cost and with high patient satisfaction.
Key Indexing Terms: Low Back Pain, Health Care Quality Assurance, Chiropractic, Physical Therapy

Wednesday, March 23, 2011

American Chiropractic Association and Laz-z-boy have teamed up

The American Chiropractic Association and La-z Boy furniture have become business partners. According to an article on multiple sources La-Z boy will be introducing a marketing campaign that the ACA will endorse. La-Z Boy offers recliners with customizable options to help give needed comfort to back pain sufferers. Doug Collier, chief marketing officer for La-Z-Boy stated “We are proud to have the endorsement of the American Chiropractic Association, which represents the highest standard of quality in chiropractic care.”

http://www.la-z-boy.com/

http://www.acatoday.org/

Tuesday, March 22, 2011

Management of Neck Pain in Royal Australian Air Force Fast Jet Aircrew

Published in the January 2011 Military Medicine Journal.

In this study, therapists at the School of Exercise and Nutrition Sciences in Victoria, Australia designed an 18-question survey to determine type and effectiveness of various strategies used by Royal Australian Air Force (RAAF) fast jet (FJ) aircrew in self-referral and management of flight-related neck pain.

They provided this questionnaire to 86 eligible RAAF aircrew to determine aircrew demographics, their incidence of flight-related neck pain, and their self-referral strategies to manage these neck injuries. The results are quite dramatic:
1. Ninety-five percent of the respondents experienced flight-related neck pain.
2. The most commonly sought treatment modalities were on-base medical and physiotherapy services.
3. Many respondents reported using on-base treatment and ancillary services such as chiropractic care.


This same group reported that chiropractic care was the most effective in alleviating their symptoms.


1. Congress Moves to Expand Chiropractic Services to Veterans and Military Beneficiaries
Chiro.Org Blog ~ February 4th, 2011
http://www.chiro.org/wordpress/?p=4491

2. Management of Neck Pain in Royal Australian Air Force Fast Jet Aircrew
Military Medicine 2011 (Jan); 176 (1): 106–109
http://www.chiro.org/research/ABSTRACTS/Management_of_Neck_Pain_in_Royal.shtml

Welcome

It’s not whether you win or lose, it’s how you bounce back after the game. Dr. Susan Mackey does more than focus on where you hurt. Her specialty is finding out why you hurt and applying hands-on effective care that will get to the root of the problem.
Let Dr. Susan Mackey help you get back into the game this year.

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