Welcome to the News & Updates section of our web-site. In this section of the site we hope to bring you some of the current events and discussions in the "Chiropractic world" as well as events which may be specific to our practice only.
Rochester Chiropractic Centre is pleased to announce the installation of a modern digital X-ray machine. All films are now digitally produced and recorded. These produce superior quality results compared to the old film variety. We can now also offer our patients a copy of the images at a nominal cost.
The above image is from a recent case we saw in a patient at our clinic complaining of right shoulder pain and restriction which wasn't improving with rest and medication. We carried out a diagnostic musculoskeletal ultrasound examination and discovered a full thickness tear of one of her rotator cuff tendons.
Preliminary evidence from this review shows some economic advantage of manual therapy relative to other interventions used for the management of musculoskeletal conditions, indicating that some manual therapy techniques may be more cost-effective than usual GP care, spinal stabilization, GP advice, advice to remain active, or brief pain management for improving low back and shoulder pain/disability.
The BCA welcomes the publication today of Clinical guideline 150 "Headaches – Diagnosis and management of headaches in young people and adults" and was pleased, as a Stakeholder, in conjunction with the Anglo European College of Chiropractic to have input to the Guideline Development Group.
Whilst there is no specific recommendation for manual therapy for the management of primary headaches, in several studies, the clinical trials suggest that manual therapy is at least as good as conventional care for headaches. More recent trials, not yet considered by NICE, show more favourable outcomes (1) (2).
Medication overuse has been associated with harm. The BCA suggests that manual therapy is a low risk intervention that may offer relief to those who do not wish to take medication
The BCA supports the need for further research into this often debilitating condition. This should include the class of cervicogenic headaches responsible for one in six cases of headache caused by neck problems which has not been included in this NICE guideline.
(1). Effectiveness of manual therapy for chronic tension-type headache: a pragmatic, randomised, clinical trial. Castien RF, van der Windt DA, Grooten A, Dekker J. Cephalalgia. 2011 Jan;31(2):133-43.
(2) Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. Haas M, Spegman A, Peterson D, Aickin M &Vavrek D. The Spine Journal 2010; 10:117-128.
Consider manual therapy (spinal manipulation, mobilisation or soft tissue techniques such as massage) for managing low back pain with or without sciatica, but only as part of a treatment package including exercise, with or without psychological therapy.
Spinal manipulation is part of the package of care that chiropractors offer and, by including this within the guidelines, it will hopefully increase accessibility to these beneficial treatments.