Posts by Dr. Richard Maynard
There are many different kinds of headache, but one of the most common types is known as "cervicogenic headache," or those that start in your neck.
Dr. Maynard sees a lot of people in our Lancaster, OH office who are struggling with recurring headaches. Fortunately, chiropractic adjustments can often help, potentially reducing these types of headaches by 50 percent, and research confirms it.
A study was conducted involving 80 participants who reported experiencing at least five cervicogenic headaches during the prior three months. The objective was to see how effective chiropractic care was for this type of head pain, as well as to determine the number of treatment sessions required to achieve a positive effect.
The individuals were split into four separate groups, so that each group was similar in age, gender, number of cervicogenic headaches, and their intensity. Of the four groups, two engaged in chiropractic treatments and two received light massage. Furthermore, one group assigned to each treatment received eight sessions and the other patients received twice that amount.
Each person was assessed based on head pain, neck pain, and disability prior to the study and 12 and 24 weeks after treatment was complete. The researchers found that those who received chiropractic as opposed to massage reported fewer headaches at the conclusion of the study. Furthermore, improvements were maintained when checked six months after treatment ended.
Furthermore, individuals who were taking medications for their headaches were able to lower their intake after completing the study. Those who received chiropractic care had lower medication usage 24 weeks post-study.
Dr. Maynard has helped many patients who were suffering from headaches in our Lancaster, OH office. Call us today at (740) 687-0100 for more information or for an appointment.
Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. The Spine Journal 2010; 10: 117-128.
Dr. Maynard sees many patients weekly in our busy Lancaster, OH chiropractic office who are looking for relief from the pain and distress they feel due to herniated discs. Our experience isn't unique; the medical research confirms that chiropractic is a great way to treat herniated disc problems.
Don't Suffer! Dr. Maynard and Chiropractic Care Helps With Disc Herniation
One particular study involved 27 people, 8 male and 19 female, who had magnetic resonance imaging (MRI) confirming a disc herniation in either their neck or lower back. The subjects documented that they were experiencing pain, reduced range of motion, and sensory issues bad enough to keep them off work.
During the course of the research period, the participants were treated using one of two common chiropractic techniques: traction for herniated discs in the cervical area or flexion distraction for the people who had herniation issues in the lumbar area.
Each man or woman was treated four or five times per week for the first two weeks, then three times weekly, and then as needed for the remainder of the study. Depending on the seriousness of the disc herniation, treatment ranged anywhere from six weeks to six months, with MRIs being performed at various stages to determine what effect, if any, the chiropractic care was having in regard to the disc herniation.
Research Proves Chiropractic Helps With Back Pain and Herniated Disc
The authors found that 80 percent of the subjects experienced a "good clinical outcome," meaning reduced pain and a reduction in other issues, such as numbness. Furthermore, 77 percent of these individuals also showed MRI evidence that their disc herniation was either reduced or resolved completely. This resulted in 78 percent of the study participants being able to return to their place of work and led the researchers to conclude that chiropractic is both "safe and helpful" for disc herniations.
If you have a herniated disc and suffer from chronic back pain and are near Dr. Maynard in Lancaster, OH, contact our office today to see what chiropractic can do for you!
BenEliyahu, DJ. Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations. Journal of Manipulative and Physiological Therapeutics 1996;19(9):597-606.
In our Lancaster, OH practice, we see a lot of people who are struggling with back pain, and a few of these people have been informed they might need surgery to recover. Thankfully, Dr. Maynard has helped many people get relief without the need for any type of surgery. The scientific research agrees with the results we see in our practice. One study published in the academic journal Spine found that seeing a chiropractor as your first move in overcoming with your back pain may literally keep you off of the operating table.
In this research study, medical experts from Dartmouth analyzed statistics from 1,885 workers from Washington state who first saw either a surgeon or a chiropractor for their low back issues. They then looked at three years' worth of follow-up medical records to ascertain whether the patients wound up having back surgery in an attempt to treat the issue.
What the authors found was that 42.7% of the men and women who first consulted with a surgeon for their back issues ended up with surgery in that 3-year time frame, whereas only 1.5% of those who first consulted with a chiropractor had the same fate. The authors wrote:
"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."
These are impressive findings. Consulting with a chiropractor drastically decreases your odds of getting back surgery, plus the chiropractic patients in this scientific study "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.
Let's also take into consideration this important detail: this study was conducted by orthopedic surgeons from Dartmouth College, and printed in the world's most influential medical journal on spinal injury.
The Risks of Surgery
Any surgical procedure has risks, but a serious downside linked to spinal surgery is that there's a very high rate of failure. In an important review in the European Spine Journal, researchers wrote:
"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."
The authors of this same study concluded:
"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."
As a chiropractor, Dr. Maynard is convinced that surgery should be the absolute last resort for treating back pain. Chiropractic care works to restore your spine to its normal function--without the need of risky surgery or drugs--and many research studies have demonstrated the effectiveness of chiropractic for back pain.
If you live in Lancaster, OH and you need care for your back pain, give our practice a call today at (740) 687-0100 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!
- Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
- Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
We tend to a large number of people in our Lancaster, OH office, and Dr. Maynard has helped countless people manage a wide array of health challenges. Even so, one concern that seems to stop many people from seeking care is whether or not chiropractic adjustments are safe. Luckily, according to three separate studies (out of countless on the subject), the answer to this question is a resounding: "Yes! Chiropractic is safe!"
Chiropractic is Safe, According to Australian Study
The first study(1) was published in Spine and involved 183 women and men. Each test subject was affected by spinal pain, and half of the people received real chiropractic care whereas the remaining patients were given two sham chiropractic treatment sessions. Information was collected after each real or fake adjustment to determine if any unpleasant negative effects occurred as a result of the real chiropractic adjustments.
The doctors found that none of the patients documented any serious undesirable adverse reactions whatsoever after receiving one or two sessions of chiropractic. Some participants did state that they had a headache (just 9% of people) or muscle stiffness (about 1 out of 3) post-treatment, but the effects were not serious.
National Survey Reports that Chiropractic Care is Safe
A second research study(2), also published in the prestigious medical journal, Spine, was done in an attempt to establish the safety of chiropractic. The test group was much larger -- 20,000 individuals. Each participant received chiropractic adjustments of the cervical spine, with over 50,000 total adjustments for all study participants.
Again, the investigators discovered no serious adverse side effects. The experts calculated the risk of total side effects to be about six out of every 10,000 consultations or every 100,000 treatment sessions. And, just as with the previous study, some individuals did report non-serious, milder, side effects such as dizziness (16 out of every 1,000 treatment consultations and 15 out of every 1,000 treatment sessions) or a headache (4%), and this caused the authors to determine that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Adjustments are Safe for Children
This third study(3) is unique from the first two pieces of research, as it concentrates on the safety of chiropractic care for kids. In this case, the researchers investigated data reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic treatment sessions.
Out of 5,438 chiropractic appointments made for the kids, chiropractors answering the survey documented only three cases where there were adverse reactions. When parents were questioned, they indicated only two adverse side effects out of 1,735 visits. Furthermore, both chiropractors and parents reported "a high rate of improvement with respect to the children's presenting complaints."
Based on studies like these, chiropractic care has been deemed safe and effective for everyone. To find out what chiropractic can do for you, call our Lancaster, OH office and make an appointment today at (740) 687-0100.
- Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD. Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events. Spine 2013;38(20):1723-9.
- Thiel HW1, Bolton JE, Docherty S, Portlock JC. Safety of chiropractic manipulation of the cervical spine: a prospective national survey. Spine 2007;32(21):2375-8.
- Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009;5(5): 290-5.
We see a good deal of sports injuries in our Lancaster, OH clinic, and Dr. Maynard is often able to assist these athletes. Stanford Children’s Hospital states that over 3.5 million children of the ages 14 and younger are injured each year when playing sports. Add that to the close to 2 million adults hurt annually while participating in sports-related activities, as reported by statistics compiled by the U.S. Department of Health & Human Services, and you can begin to see the importance of minimizing these sorts of widespread injuries. One approach to potentially achieve that goal, as reported by a study published in BMC Musculoskeletal Disorders, is to engage in routine chiropractic care.
In Australian Rules football, hamstring and other leg injuries are common, often sidelining the players and impacting their team's likelihood of securing a win. One particular study was administered using 59 semi-elite Australian Rules footballers to see if chiropractic could cut down on these injuries and help keep them in the game.
For this study specifically, all of the players received medical treatment. In addition, half of them also engaged in chiropractic treatments at the rate of 1 treatment per week for the first 6 weeks, biweekly treatments for the following three months, and one treatment per month for the remaining three months of the study. The other participants were given no chiropractic intervention whatsoever and were used as the control group to assess the benefits of chiropractic.
Following twenty-four matches, specialists reported a diminished amount of lower limb muscle strains in the group that had received chiropractic care. Additionally, that very group also missed fewer matches related to non-contact knee injuries. This lead the researchers to come to the conclusion that chiropractic ought to be added to sports training programs to dramatically lessen the quantity of leg injuries.
If you or your child plays sports and you would like to ensure more time is dedicated on the field versus on the sidelines, call our Lancaster, OH office at (740) 687-0100 and schedule an appointment today. We will do our best to keep you in the game!
- Hoskins, W, & Pollard, H. (2010, April 8). The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial. BMC Musculoskeletal Disorders, 11(64), doi:10.1186/1471-2474-11-64
- Misra, A. (2014, March 17). Common sports injuries: Incidence and average charges. Department of Health & Human Services.
- Stanford Children’s Hospital. (n.d.). Sports injury statistics.
According to experts, about 5 percent of the population will experience painful disorders like frozen shoulder syndrome at some time in their lives. That makes shoulder-related pain a common occurrence and one that Dr. Maynard sees in our Lancaster, OH practice on a regular basis.
Usually, this condition is more common for people in their 40s, 50s, and 60s, and it tends to affect women more frequently than men. While ice, heat, and gentle stretching can sometimes help relieve the pain, so too can chiropractic adjustments.
As an example, one study published in the Journal of Chiropractic Medicine looked at 50 people with frozen shoulder who were given chiropractic care. The duration of care ranged from 11 days to 51 days, with 28 days being the average.
The authors found that almost all of the patients fared very well with chiropractic care. Here are the results:
• 8 of the subjects reported 50-75 percent improvement
• 25 indicated improvement ranging from 75- 90 percent
• 1 participant had complete resolution of their frozen shoulder pain
Only one patient reported an improvement of 50 percent or less, so studies like this show just how effective chiropractic care can be when it comes to decreasing shoulder pain and improving quality of life.
Let Dr. Maynard help you relieve your pain by contacting our Lancaster, OH office and scheduling your appointment today.
Murphy F et al. (2012, December). Chiropractic management of frozen shoulder syndrome using a novel technique: a retrospective case series of 50 patients. Journal of Chiropractic Medicine;11(4):267-272
Dr. Maynard works with countless sciatica patients here in our Lancaster, OH office, and quite a few of these individuals were afraid that they might require surgery to treat their pain. The most recent research reveals that many people don't need surgery for this common issue, and that chiropractic is more effective at solving sciatic nerve pain.
A common surgery for sciatica is microdiscectomy, and in a 2010 study, researchers examined 80 women and men with sciatica who were referred for this procedure.
Forty patients were then randomly sorted into one of two groups. The first group was to receive surgical microdiscectomy and the second group received chiropractic care.
Both groups got better; however, no noticeable difference in results was recorded one year post-treatment between either group. In addition, roughly 60% of the participating subjects who could not find assistance from any other treatment approach "benefited from spinal manipulation to the same degree as if they underwent surgical intervention."
Put another way, chiropractic delivered the same positive benefits as surgery without needing to endure the greater levels of surgery-based pain or suffer through extended recovery times often associated with that particular treatment method. Additionally, you also don't run the risks affiliated with surgical microdiscectomy, such as nerve root damage, bowel or bladder incontinence, bleeding, or infection.
Surgery ought to be the last option for sciatica pain. If you live in Lancaster, OH and you're being affected by back pain or sciatica, give Dr. Maynard a call today at (740) 687-0100. We'll help determine the source of your pain and work hard to get you relief.
- McMorland, G et al. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics 2010;33(8):576-584.
- Solberg TK, Nygaard OP, Sjaavik K, Hofoss D, Ingebrigtsen T. The risk of "getting worse" after lumbar microdiscectomy. European Spine Journal 2005;14(1):49-54.
According to The American Academy of Pain Medicine, more people in the US suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. In addition, neck pain is the third most documented type of pain, beat out only by back problems and headache.
As a result, many patients come to our Lancaster, OH office looking for neck pain care, and Dr. Maynard has helped many of them find relief. This is a smart decision, as some studies have shown that over 90 percent of neck pain patients get relief with chiropractic care.
Studies Confirm Chiropractic Works
A study published in The Journal of Orthopaedic and Sports Physical Therapy included 64 men and women who were suffering with neck problems. Approximately half were placed in an experimental group and the other half were assigned to a comparison group. Both were given chiropractic adjustments of the neck as well as a home exercise program, whereas the experimental group also received thoracic spine adjustments.
Information was gathered before treatment began and one week after the adjustments. Researchers found that 94% of the experimental group claimed "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the patients who received neck adjustments showed the same level of improvement, showing that looking at the entire spine is a critical part of restoring the body's normal function.
Yet another study posted in Physical Therapy involved 60 adults who were suffering with neck pain. Each individual was randomly allocated to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with follow-up exams occurring two and four days after the treatments.
The investigators discovered that the study participants who received the thrust manipulations (the same adjustments that provided such positive results in the first report) "experienced greater reductions in disability" than the group that received the non-thrust manipulations. Their pain was lower as well, which shows that this type of approach offers many benefits.
Help After Failed Medical Procedures
Another study even found the same sort of positive outcomes after thoracic adjustments in a patient who had a failed neck surgery. This specific case involved a 46-year-old patient who had recently had neck surgery but still experienced neck pain, headaches, pain in her elbow, and muscle fatigue.
The woman reported decreased pain in her neck and lower headache intensity, immediately after the first chiropractic adjustments. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still rated her pain at a zero on a scale of 1 to 10. Her neck disability reduced as well, with a rating score that represented that it was a "great deal better."
It is studies like these that prove the advantages of chiropractic adjustments, even if you've already attempted neck surgery that didn't provide relief. So, if you are dealing with neck problems and would like to find a remedy that has a high success rate, try chiropractic. It may just be the relief you're looking for.
We're located in Lancaster, OH and Dr. Maynard can help you recover from neck pain. Give us a call today at (740) 687-0100.
- AAPM facts and figures on pain. The American Academy of Pain Medicine.
- Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
- Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
- Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.
With the Migraine Research Foundation reporting that migraines affect 38 million adults and children in the U.S. (more than asthma and diabetes put together), it's no surprise that Dr. Maynard treats a lot of headache patients in our Lancaster, OH office. Although some people try to relieve migraine pain with medications, chiropractic is a great, all-natural approach that often provides positive results.
For example, one report published in the Journal of Manipulative and Physiological Therapeutics involved 127 patients ranging in age from 10 to 70-years-old who struggled with regular (at least monthly) migraines. Each subject engaged in up to 16 chiropractic sessions. The patients noted that their headache frequency, duration, and disability two months before the treatments began, during the duration of the sessions (which was two months), and two months post-treatment.
What the authors discovered is that spinal manipulation therapy reduced the frequency, duration, and disability of the migraine pain when compared with the control subjects who didn't receive chiropractic. Even better, this enabled them to take less medication for the pain, providing them an all-natural solution for a chronic condition.
Another paper found that a combination of chiropractic and neck massage reduced migraine headaches almost 68%.
If you have migraine pain and are looking for relief, call Dr. Maynard today and request an appointment in our Lancaster, OH chiropractic office. We'll do what we can to help you become pain-free!
Migraine Fact Sheet. Migraine Research Foundation. Retrieved from http://www.migraineresearchfoundation.org/fact-sheet.html on November 2, 2015
Noudeh Y et al. (2012). Reduction of current migraine headache pain following neck massage and spinal manipulation. International Journal of Therapeutic Massage & Bodywork;5(1):5-13
Tuchin P et al. (2000, February). A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics;23(2):91-5
Knee pain is a common issue for people in our Lancaster, OH chiropractic practice, and Dr. Maynard has happily provided many of these folks relief. This is largely because chiropractic care has been found to help with many forms of knee pain.
For instance, some individuals experience pain in and around the knee area due to osteoarthritis. Research has proven that this condition responds very well to chiropractic--and rather quickly, too. In fact, one article published in The Journal of the Canadian Chiropractic Association found that men and women with osteoarthritis in their knees felt significant pain relief and improved function after just two weeks of chiropractic care.
If your knee pain is caused by a medial meniscus tear, chiropractic could likely help with that as well. One case reported that combining chiropractic with soft tissue therapy, rest, ice, and compression on the affected knee helped lower the intensity of the pain.
Clearly, sometimes a knee replacement surgery is required in order to rectify the issue, and if that's the case, chiropractic care can also help improve the outcome. How?
Medical research has shown that people with low back pain often have less positive outcomes after knee surgery. So, dealing with your back pain through chiropractic before having a total knee arthroplasty can help with your post-surgery healing.
No matter what your knee issue, Dr. Maynard can likely help. Call our Lancaster, OH practice today and find out what we can do for you!
- Pollard H et al. (2008, December). The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. The Journal of the Canadian Chiropractic Association;52(4):229-42
Boyle J et al. (2014, March). Influence of low back pain on total knee arthroplasty outcome. Knee;21(2):410-4
- Jarosz B & Ames R. (2010, December). Chiropractic management of a medial meniscus tear in a patient with tibiofemoral degeneration: a case report. Journal of Chiropractic Medicine;9(4):200-8