Chiropractor

Paget’s Disease of the Bone

Paget disease of the bone is a chronic condition that causes the bones to become dense, enlarged and deformed, leading to fragile bones that fracture. It is the most common bone disorder after osteoporosis in adults after the age of 50. The risk of Paget’s disease of bone increases with age and with family history.

Bone remodeling is defined as a process in which new bone tissue replaces old bone tissue. This process is affected by Paget’s disease, resulting in dense but brittle bones.  It most commonly affects the pelvis, skull, spine, and legs. Complications of Paget’s disease of bone can include broken bones, hearing loss and pinched nerves in your spine.

There are two types of Paget’s disease of bone: monostotic (when only one bone is affected), or polyostotic (when multiple bones are involved).
Paget’s is also associated with neurologic complications, such as deafness, facial nerve palsies, radiculopathies, and spinal cord compression
The exact cause of Paget disease of the bone is not known, but genetics are thought to play a role.

There is some evidence that viral infection may also have a role in its development. Proteins derived from the respiratory syncytial virus and measles virus are present in pagetic osteoclasts. Paget’s disease tends to aggregate in families. First-degree relatives of patients with Paget ’s have a 7- to 10-fold increased risk of developing the condition.

While about 70% of patients with PDB are asymptomatic, in the remaining cases, it presents with joint inflammation, bone deformity, pain, and predisposition to fractures.

 

Paget’s disease can cause skeletal deformities, such as bowing of long bones, enlarged skull, pelvic alterations, and osteoarthritis. It can lead to traumatic and pathologic fractures. Very rarely, it can lead to osteosarcomas, which have a poor prognosis (5-year survival rate of approximately 10%). Paget’s is also associated with neurologic complications, such as deafness, facial nerve palsies, radiculopathies, and spinal cord compression. If it affects the skull, that can lead to hydrocephalus, nerve entrapment, and cerebellar dysfunction, causing the symptoms of nausea, ataxia, incontinence, gait disturbance, or dementia. It is also associated with high cardiac output, hypercalcemia, and hyperparathyroidism, but these are all rare.

 

Tests that can be done to confirm/support the diagnosis include:

  • Serum alkaline phosphatase: these levels are raised in any condition of bone growth or an increased activity of bone cells.
  • Bone scan: This is a nuclear imaging test that shows blood flow to the bone and cell activity within the bone, which helps determine areas of abnormally high bone turnover. It detects up to 50% more lesions than seen on x-ray films.
  • X-ray films: It is the main mode of its diagnosis. It shows osteolytic, osteoblastic, or mixed lesions. Other characteristic features include transverse lucent areas, enlargement of bones, expanding lytic changes, thickened cortices, or osteoporosis with lytic involvement in the skull.
  • Bone biopsy: These may be done to confirm the diagnosis through tissue assessment, but they are mostly done if the malignant transformation of the bone is suspected, which is characterized by cortical destruction and the presence of a soft tissue mass outside of the bone.

Treatment is targeted at suppressing osteoclastic activity.  The most commonly used agents are the bisphosphonates (such as Etidronate) that inhibit bone resorption. Intravenous options are also available, such as pamidronate. Salmon and human calcitonin are also FDA-approved and are given subcutaneously.

Spinal Manipulation Could Help Headache Sufferers

A headache is something we have all experienced at one point in our lives. But for many these headaches stay for days and days. In many, they are chronic and significantly affect a person’s functioning. This might be at work or at home – either way, it affects who you are as a person and stops you from putting your best foot forward. For those suffering cervicogenic headaches there may be a new treatment on the horizon. For years many of your colleagues or friends may have recommended spinal manipulation – the chiropractic technique – but now research is mounting that spinal manipulation is effective for this condition.

What is a cervicogenic headache?

A detailed run through of cervicogenic headaches can be found at physiopedia but as an overview, a cervicogenic headache is a chronic headache that arises in the neck and at the back of the hand and moves round to the front of the head. Patients experience:

  • A one-sided headache
  • A headache is worsened when they move their neck
  • The top 3 points in the neck are painful to touch
  • There may also be neck pain
  • They have tightness in the upper shoulder muscles or back.

What is spinal manipulation?

Spinal manipulation is one of the man treatments used by chiropractors. There are a number of variants of spinal manipulation but generally, the practitioner will move the spine with his or her hands. They will move the spine in a way that is beyond its usual range of motion – this force can be applied slowly or with great speed.

Spinal manipulation techniques have been gathering evidence for the past 10 years for a whole range of conditions

Does spinal manipulation work for cervicogenic headaches?

Spinal manipulation techniques have been gathering evidence for the past 10 years for a whole range of conditions. However, a recent paper to be published in The Spinal Journal shows that move spinal manipulation therapy sessions is associated with a decreased frequency of having cervicogenic headaches. The trial looked at visits of spinal manipulation therapy versus the number of days with a headache per month. The individuals received 0 6 12 or 18 sessions. There were 256 patients included in the trial. The authors found that:

They found that 6 extraspinal manipulation sessions were equal to a reduction of 1 day with a headache a month

  • In a patient who had 18 sessions of spinal manipulation the average number of headaches per month fell from 16 to 8 days.

The authors end by concluding that

“For the highest and most effective dose of 18 SMT visits, CGH days were reduced by half and about 3 more days per month than for the light-massage control.”

If you or somebody you know suffers with chronic headache – it might cervicogenic in nature. Get in contact with a specialist chiropractic centre today to discuss spinal manipulation therapy further.

Health Options for Temporomandibular Joint Pain

Temporomandibular Joint Pain DiagnosisTemporomandibular joint pain occurs where there is a problem with the jaw, the facial muscles surrounding it or, the actual hinge joint which connects the lower mandible to the temporal bone. This impacts the movement of the jaw and limits chewing motion. Although the actual cause of temporomandibular joint pain is not entirely clear, it can certainly impact life on a day to day basis. The exact cause may be unknown but, whiplash injuries or, general injury to the muscles of the head, neck or jaw may be responsible for joint pain. Grinding teeth can put a lot of pressure on the jaw if there is osteoarthritis or rheumatoid arthritis in the jaw, or the individual is highly stressed, this may cause the tightening of the muscles in the jaw. It is important to also consider whether there is dislocation of the disc between the ball and socket.

 

Symptoms can be painful. Headaches are likely to be experienced and there will be a pain in the temple area. There may be limited movement around the temporomandibular joint and the ears may pop, develop a ringing sound or dizziness may be experienced. There may also be stiffness in the back, shoulder or neck. Symptoms will be related to the amount of mental and physical stress that occurs on a day to day basis. Stress impacts everyone in life, it’s impossible to avoid it completely so learning how to manage it and to compensate is important. Even those under pressure from stressful situations in the short term need to learn how to manage stress levels. The healing powers of each person will vary too. This is also interconnected to the individual’s adaptability. Constant pain can lower immune function and affect mood, and this is why it is important to seek medical assistance when temporomandibular joint pain occurs. Self-diagnosis is not advisable. Symptoms are likely to continue if treatment does not take place and the condition can even become chronic if left unchecked. Where there is early intervention, there is usually a much quicker relief. The Orthopedic Center Arizona specializes in chiropractic treatment for these types of conditions and the success rate for this type of condition is high. Chiropractic treatment works well generally.

 

It takes a holistic and whole-body approach to wellness and the chiropractor will need to understand the condition and how it affects the individual so to create an accurate recovery plan. There may be x-rays to assess the body structure and spine. The individual’s medical history will be reviewed, and a physical examination will also occur. Subsequently, some spinal adjustments are likely.

 

In addition, massage therapy, rehabilitation exercises, electrical nerve stimulation and lifestyle changes are likely. There may be adaptations to posture, nutrition and a discussion about weight-loss. Spinal mobilization and manipulation have been found to be beneficial for those with temporomandibular joint pain offering much relief. Treatment is based on an accurate diagnosis of the cause of pain considering any traumatic or surgical history and typically, it is a treatment that offers much relief for back and neck pain generally.  Find out more about how to improve this condition by seeking advice from OSPLarizona

 

Different Kinds of Chiropractic Treatment Options

Chiropractic is a branch of health care that deals with disorders of the nervous and musculoskeletal systems and the impact of these disorders on the overall health of an individual. Chiropractic therapy deals with the prevention and treatment of neck pain, back pain, pain in the limbs and joints, headaches and other related conditions.

 

Who is a chiropractor?

Chiropractors are trained professionals who deliver chiropractic therapy to patients. Chiropractors have broad diagnostic skills that help them diagnose the cause of a painful symptom. They also have the skills and knowledge to suggest a rehabilitative or therapeutic strategy to resolve the painful condition of the patient.

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Chiropractic Treatment Options

Perhaps the greatest advantage of a chiropractic therapy is the non-invasive nature of the therapy and the abstinence from using medications. The best chiropractors like the chiropractors of Gilbert AZ never recommend the intake of medicines and try to alleviate the symptoms of pain without the need to perform any invasive procedures. Here are some of the commonly adopted chiropractic treatment options:

  • Spinal Adjustments and Manual Therapies: Chiropractic adjustments or manual manipulations are popular chiropractic therapies for treatment of lower back pains. Here a chiropractor applies manual manipulation on the vertebrae to adjust the vertebrae back to its normal condition. The manual adjustments may reduce the subluxation and nerve irritability and thus increase the functionality and range of motion in the affected region.

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  • Electrical Nerve Stimulation: Similar to acupuncture therapy where needles are used, electrical nerve stimulation involves the placement of electrodes at various points on the skin and passage of light electrical pulses through the electrodes to the different areas of the body for reduction of pain and inflammation and putting a check on muscle spasms.

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  • Massage Therapy: Massaging helps improve painful conditions by enhancing blood circulation and thus speeds up the body’s own healing power.

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  • Ice and/or Heat Therapy: Heat and ice therapies may be adopted by chiropractors to bring relief to the patient from back pain or muscle spasms. Ice and heat therapies may be alternated in repeating cycles to heal the affected area. First, ice pack is applied to the affected area for 10-15 minutes for numbing the area. Next, a heating pad or wrap cchiropractor in chandler azan be used to restore blood flow to the affected region.
  • Rehabilitation Exercises: Exercises help patients overcome neuro muscular diseases to a great extent. Efficient chiropractors like the chiropractors of Gilbert AZ instruct the patients to follow a set of stretching and strengthening exercises to improve their condition.
  • Advice on Lifestyle Changes: Chiropractors also advise the patients to adapt a number of lifestyle changes. Often, the work conditions of a person may subject the person to neuromuscular or musculoskeletal problems. Chiropractors will advice individuals subjected to such work related conditions ways and means by which they can overcome such situations in the workplace which subject their body to further stress. Chiropractors may also suggest dietary changes to a healthier and more nutritional diet that will fasten up the healing process. The patient may need to undergo a number of changes and modify the way they lead their lives to check the source of their problem or speed up the recovery process.

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