Chiropractic Care for Arthritis

If you’ve had back pain or a stiff neck, whether from arthritis or an injury, you’ve likely considered seeing a chiropractor. While it’s true that chiropractors manipulate or adjust the spine to improve pain and mobility, the benefits may extend beyond the back and neck. By using varying degrees of force in an effort to adjust misaligned joints, chiropractors try to improve the relationship between the spine and nervous system, which they believe may affect the function of all the organs and systems in the body. 

“We are certainly the front-line providers for back pain, but we’re also primary-care professionals who look at and evaluate the whole body,” says Ron Boesch, a chiropractor and professor and director of clinics at Palmer College of Chiropractic in Davenport, Iowa. Chiropractic treatment continues to grow in mainstream medicine. In a 2015 Gallup poll commissioned by the college, 60% of the more than 5,400 people polled believed chiropractic care is an effective treatment for neck and back pain. But what should you expect from a chiropractor visit and is it safe for arthritis? 

What to Expect From a Chiropractor 

If you’re looking for a non-medication way to take the edge off of those painful joints, chiropractic medicine may be for you, as long as you remember to listen to your body.

Most of what chiropractors do today is gentler than cracking backs or popping necks into place. In fact, there are more than 150 techniques that chiropractors use to manually adjust the spine, joints and muscles with varying degrees of force. 

While an athlete with lower back pain may benefit from a high-velocity spinal adjustment, you would receive care specific to your needs and your type of arthritis. A chiropractor may gently manipulate your soft tissue to stop muscle spasms and relieve tenderness. Or she may use active exercises or traction to slowly stretch your joints and increase your range of motion. Your visit may feel like a more hands-on version of physical therapy.  

Chiropractors focus on the relationships between structure and function, explains Robert Hayden, PhD, a spokesperson for the American Chiropractic Association and a chiropractor of 22 years. They are different from an osteopath, who uses manual manipulations but also treats the entire body and may use medication or surgery. 

The thinking is simple, he says. If the structure of a joint is not right, then it can’t work as it was designed. “The place where chiropractic really shines is in maximizing the function of an arthritic joint,” he adds. “Our goal is to restore patients’ function so they can have the kind of life they want.” 

During your first visit, the chiropractor should take a detailed medical history and perform a physical exam of every joint to determine what approaches are right for you. The doctor may also take an X-ray of your spine. 

Is Chiropractic Care Safe for Arthritis? 

If you have back or neck pain due to osteoarthritis, chiropractic is one of the safest therapies you can use, explains Scott Haldeman, MD, a neurologist in Santa Ana, California and Chairman Emeritus of the Research Council for the World Federation of Chiropractic. But if you have an inflammatory disease, like rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis, you are going to need to be more careful.  

If you have active inflammation (due to a flare, for example), a fused spine or osteoporosis in the spine or neck, you shouldn’t be treated with chiropractic therapy. “If a patient has joints with active swelling, I would not recommend going to a chiropractor,” says Alyce Oliver, MD, PhD, assistant professor of rheumatology at the Medical College of Georgia in Augusta. “If you can’t get swelling under control, it would be dangerous to get an adjustment.” 

Dr. Hayden agrees that inflamed joints should be “off-limits,” but notes that chiropractors offer several adjunctive therapies that can help. 

• Ultrasound. Many think of ultrasound as imaging technology, but when applied to soft tissues and joints, sound waves can also produce a massaging effect that helps reduce swelling and decrease pain and stiffness.  
• Electrotherapy. These tiny electric pulses are not painful. They treat soft tissue injuries by stimulating nerves and muscles. 
• Low-level laser or “cold laser.” This technique uses a non-heat-producing laser or light that penetrates deep into the tissue, sometimes reducing inflammation. 
• Infrared sauna. Imagine having a hot compress warm up your joints from the inside. These rooms use controlled amounts of heat to relieve pain and increase circulation. 

Even if they never touch your arthritic joint, David Feschuk, a chiropractor in Stone Mountain, Georgia, says treating the surrounding tissues may significantly reduce overall pain. 

“If someone is having a flare in a knee that is causing him to walk awkwardly, it may lead to a secondary pain syndrome in the lower back. I would not treat an inflamed joint, but if I adjust the pelvis I may be able to reduce overall pain by four to five units on the 1-to-10 pain scale and make daily living activities easier. ” 

What Medical Doctors Think 
In the past, chiropractic got mixed reviews from physicians. However, in early 2017, The American College of Physicians released new guidelines. It now supports the use of nonpharmacologic therapies, such as chiropractic and acupuncture, as first-line treatments for low back pain, before using medication. 

Increasingly, studies in mainstream medical journals are demonstrating the benefits of chiropractic for back and joint pain. A 2017 review in the Journal of the American Medical Association, found that spinal manipulation reduces lower back pain. And a 2013 study published in Osteoarthritis and Cartilage found that patient education combined with 12 chiropractic treatments (twice a week for six weeks) were more effective for hip OA than a daily stretching program or patient education alone. Reports from the chiropractor-led spine program at Beth Israel Deaconess Hospital in Plymouth, Massachusetts, are also positive: Most patients with bad backs experience significant pain relief in about five visits.  

But while research shows clear benefits for musculoskeletal pain, namely of the back and neck, its effects beyond pain-relief are not known. And the jury on manual therapy for hip and knee arthritis is still out.  “There is no clear evidence that chiropractic or any other treatment offers long-term change in the X-ray findings in arthritis,” says Dr. Haldeman. 

The bottom line, he says, is chiropractic is worth a try. “However, if any clinician says her treatment will permanently cure your arthritis, you should walk out,” he warns. “If you don’t see improvement within four to 10 treatments, either switch chiropractors or try a new treatment path.” 
For more information, or to find a chiropractor near you, visit: 

Can Chiropractic Care Ease Joint Pain?

People choose chiropractic care for all kinds of health concerns. If you have problems with your joints, you may be wondering if chiropractic care can help you. The answer may depend on the cause of your pain. Here’s what to consider before you try chiropractic care.

How Chiropractic Care Works

The theory behind chiropractic care is that your nervous system works best when the bones in your spine are aligned correctly, to benefit not just your muscles and joints, but all the systems of the body. Many people use it to address musculoskeletal problems.

Chiropractic care is a form of manual therapy, which means practitioners use their hands and special instruments to deliver treatment. They don’t prescribe medication and they don’t do surgery. But they are licensed and may have recommendations on exercise and other therapies.

Chiropractors have a number of ways to work out problems in your joints and soft tissue:

• High-velocity low-amplitude spinal manipulation therapy (HVLA SMT). This is the “adjustment” most associated with chiropractic care. The chiropractor pushes a joint, usually in your spine, beyond its normal range of motion with one or more quick, forceful thrusts.
• Joint mobilization. Here, the joint is worked gently through its natural range of motion, looking for places where movement is restricted.
• Stretching and massage.
• Heat and/or cold therapy.
• Transcutaneous electrical nerve stimulation (TENS). This device delivers a mild electrical pulse to stimulate your muscles and nerves.
• Ultrasound. Sound waves can help relieve pain and swelling in joints and soft tissue.
• Low-level laser. A type of laser that doesn’t generate heat can also bring down swelling.

Chiropractic Care and Joint Problems

Some types of joint problems may limit what your chiropractor can do. Spinal manipulation should not be used on joints that are inflamed or infected. It also shouldn’t be done on people with weak bones, as it can cause a fracture.

But other techniques chiropractors use, such as joint mobilization and soft-tissue therapies, may be used safely. Damage to a joint can cause a domino effect of tightness and spasms in the surrounding muscles, ligaments, and other tissues. Working on those can relieve your pain.

The cause of your joint pain will determine whether chiropractic care might be helpful.

Osteoarthritis

Osteoarthritis is the most common kind of arthritis and a main cause of joint pain. It happens when the cartilage that cushions your joints wears down. Bone rubs against bone, causing pain and swelling.

Chiropractic treatment may be able to address the cause of osteoarthritis. A joint may be damaged over time because it’s out of alignment, or because of the way you sit, stand, or walk. Chiropractic care can fix those issues, which may keep your arthritis from getting worse. But it can’t restore cartilage that’s already lost.

Rheumatoid Arthritis and Psoriatic Arthritis

These are joint diseases caused by your immune system attacking healthy tissue. The main treatment is medication that works on your immune system. Because chiropractors don’t prescribe medication, you’ll also need to keep working with your medical doctor.

You shouldn’t get joint manipulation done on areas of your body where the disease is active.

These types of arthritis and the medicines used to treat them can lead to osteoporosis. That can put you at risk for a fracture during spinal manipulation.

Chiropractic care has been said to help your immune system work better, which could potentially help with autoimmune conditions like rheumatoid or psoriatic arthritis. But there’s very little scientific evidence to support that.

Other Joint Problems

If your joint pain is caused by something other than arthritis, chiropractic care is more straightforward. It’s often used to treat soft tissue injuries, whether caused by an accident or by overuse or improper use of a joint.

Soft tissue therapies can help with your pain and range of motion. And a chiropractor can teach you how to avoid the motion that caused your injury so it doesn’t happen again.

Choosing Chiropractic Care

Talk to your primary care doctor or arthritis specialist about whether chiropractic care would be a good addition to your treatment plan and what the risks might be. They also might be able to refer you to someone.

The American Chiropractic Association has a database of practitioners you can search by ZIP code.

Before you start treatment with a chiropractor:

• Ask about their experience treating your specific problem.
• Let them know about your symptoms and medical conditions.
• Tell them what medications you’re taking.

It’s important to discuss your symptoms and any changes in your overall health at every treatment session. Changes to your condition may mean a specific therapy used in one visit may not be right for another.

How Chiropractic Can Help Relieve Pain For Rheumatoid Arthritis Patients

Arthritis refers to inflammation of one or several joints within the body. Most patients with arthritis experience chronic pain and stiffness that worsens over time. Although our Atlanta Chiropractors treat hundreds of types of arthritis, the most common is rheumatoid arthritis. This particular kind of arthritis is progressive and does not currently have a cure. However, Chiropractic Treatment does serve as a natural, non-invasive resource for managing the symptoms associated with rheumatoid arthritis.

Treating Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease that causes the body’s white blood cells to attack its joint tissue. As a result of this assault, the body responds with joint inflammation, which causes significant swelling and pain. If left untreated, the affected joints will become unstable and deformed to a state that’s beyond repair.

Atlanta Chiropractic Treatment For Rheumatoid Arthritis

For patients who manage rheumatoid arthritis throughout Atlanta, Chiropractic Adjustments are an excellent solution for alleviating painful symptoms like inflammation. Adjustments are customized to meet the unique needs of each patient’s condition and are a safe alternative to painkillers or other potentially addictive medications.

Chiropractic Adjustments also help restore proper functioning of the nervous system, which helps prevent the body’s immune system from attacking itself. And, patients who manage rheumatoid arthritis can restore flexibility to their joints through ongoing Chiropractic Treatment.

Contact AICA Atlanta For Rheumatoid Arthritis Relief

If left untreated, rheumatoid arthritis can significantly impair your ability to follow through with everyday activities, professional obligations, and favorite pastime hobbies. While painkillers or prescription medications can provide relief from the symptoms associated with arthritis, they only serve as temporary solutions that are not capable of providing permanent support.

Chiropractic Treatment helps patients experience long-lasting pain relief, while also reversing the effects of inflammation and joint stiffness. If you or someone you know experiences rheumatoid arthritis, contact AICA Atlanta to schedule a free consultation or a complete examination for treatment.

Our Atlanta Chiropractic Clinic is open Monday through Sunday for your convenience and provides 24/7 access in case you have any questions. Contact or call our office today to speak with one of our friendly staff members about scheduling an appointment – (404) 889-8828.

Category: Conditions, Inflammation

Making the Best of It

By Dr. Molly Casey

Arthritis by definition from Mayo Clinic is inflammation of one or more joints within the body. Symptoms are generally joint pain and stiffness that typically worsen with age. There are more than 100 different types of arthritis, but one of the most common is rheumatoid arthritis. While rheumatoid arthritis is progressive and incurable, the good news is that there are non-invasive, drug-free ways to manage the potentially debilitating pain it can cause.

Let’s first start off by understanding how rheumatoid arthritis impacts the body, then take a look at a natural treatment option commonly used to combat the pain and regain control of daily life.

Rheumatoid Arthritis (RA)

Rheumatoid arthritis is an autoimmune disease in which the body’s immune system attacks the joints. A properly functioning immune system attacks and disables foreign substances, such as viruses and bacteria. In the case of RA, the immune system sees the body’s joints as the foreign substance/invader and responds accordingly by attacking them. This attack creates an inflammatory response in the joint lining (synovium) and associated cartilage and tissue. Pain, swelling and — over time — degradation of the joint can occur. If left unchecked, joints ultimately become loose, unstable, experience loss of mobility and become deformed. Joint damage cannot be reversed.

RA generally affects the most distal joints (joints farthest from the spine) first, such as fingers, hands, wrists, ankles and knees. One distinguishing factor of RA is that it affects joints symmetrically, so both ankles or both hands.

While there are cases of rheumatoid arthritis being present in toddlers to seniors, it most commonly affects women more than men and symptoms generally begin to appear between the ages of 19 and 60.

Treating Pain from Rheumatoid Arthritis with Chiropractic Care

Chiropractic adjustments are a phenomenal way to provide some much needed relief while dealing with the pain of RA. The chiropractic adjustments performed are unique to the individual’s needs — they provide a non-invasive, non-addictive and safe option compared to prescription opioids, which are commonly prescribed to patients to help them manage their pain.

Below are some benefits of chiropractic care for those with RA that certainly will aid the body’s journey to be healthy as possible:

• Clearer communication in the body – A chiropractic adjustment supports proper functioning of the nervous system. The nervous system is the master communication system, which controls the function of every system and organ in the body. If the immune system is not functioning correctly — for example, perceiving the joints as foreign invaders — it is of utmost importance there are no interferences in the master communication system. Clearing the interference in the nervous system doesn’t guarantee a correction in immune system malfunction, but it does give your body the greatest chance for decreasing any additional stressors that may exacerbate symptoms and increase the need for the immune system to work harder than necessary.




• Increased motion – One of the symptoms of RA is decreased range of motion — and a chiropractic adjustment helps to restore joint restrictions in joints. When doctors of chiropractic restore movement to the spinal joints, it’s called a chiropractic adjustment. When done to extremities, it’s called a joint manipulation. Regularly maintaining joint motion through adjustments and extremity manipulation is a very important step in joint health; in my professional opinion as a chiropractor, it is logical to infer that such action may assist in decreasing or prolonging the effects of rheumatoid arthritis.




• Decreased inflammation – Chiropractic adjustments help decrease the inflammation process when proper joint motion is restored and proper nervous system functioning is supported. The entire premise of RA is that it is an inflammatory process. While the adjustment may not target the specificity of the immune system for recognizing a joint as an invader, by nature it can help decrease the inflammation process and associated pain.

As you can see, with so many benefits that directly combat symptoms caused by RA, chiropractic care can be an important tool to have in your health toolkit.

Yes, rheumatoid arthritis can leave you feeling overwhelmed, but understanding what it is and how your lifestyle and choices play a role in the disease are an important part of staying healthy. It is also important to have a partner in health to walk with you on the journey to good health, even with the obstacles of rheumatoid arthritis.

If you or a loved one is dealing with rheumatoid arthritis, visit the chiropractors at The Joint Chiropractic today to learn more about the many benefits of chiropractic care.

The information, including but not limited to, text, graphics, images and other material contained on this page are for informational purposes only. The purpose of this post is to promote broad consumer understanding and knowledge of various health topics. It is not intended to provide or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your chiropractor, physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this page.

Rheumatoid Arthritis and Chiropractic Care

Over 52 million people in the US suffer from arthritis, and of those about 2 million have a condition called rheumatoid arthritis. Although arthritis is thought of as something that impacts the elderly, this couldn’t be farther from the truth. Rheumatoid arthritis can begin as a child, and often impacts young adults and people well before middle age. Chiropractic care can help your symptoms if you suffer from rheumatoid arthritis.

What is Rheumatoid Arthritis (RA)?

RA manifests itself differently in each person. Generally it is characterized by swollen, warm and tender joints that have prolonged stiffness and pain lasting more than 30 minutes. Sufferers may experience a general sense of malaise or have a fever and symmetrical symptoms such as pain in both wrists. Wrist and finger joints that are closest to the hand are impacted as well as the shoulder, knee, hip, elbow, ankle, neck and feet and the symptoms can progressively spread to other parts of the body – not just joints.

RA can be tricky because some people have symptoms for a few months or years and then the symptoms go away. Other people have moderate symptoms with occasional flare ups when the symptoms get worse and then periods where the symptoms get milder or disappear for a while. Then there are those who have a severe form that are constantly in pain for years at a time, and that can lead to joint damage and a loss of mobility.

Exercise

Exercise can be very beneficial to those with RA and is considered to be a key in arthritis management. Exercise promotes healthy and strong muscles, flexibility, endurance, and joint mobility. It has to be balanced with rest, however, in order to help lessen active joint inflammation, fatigue, and pain. Dance, stretching, tai chi and other range of motion exercises are best to help with flexibility and building muscle for people with RA.

How do you find the right balance between exercise and rest? Well, when you’re having a flare up or are in an active arthritis phase then rest. When the symptoms decrease, exercise more. It is important to consult with your chiropractor and other health care providers for the best advice in how to balance rest and exercise.

How Your Chiropractor Can Help

Chiropractors can help assist you with keeping mobile and also help to make you more comfortable. Keeping your body aligned will not only help you to move more freely but also reduce your need for pain management medications. Remember, chiropractic addresses the whole body, not just the problem. Your chiropractor can help you address your lifestyle, diet, and exercise habits that can have an impact on your whole body. Plus, your joints will benefit from adjustments and alignment by reducing your pain and stiffness. Chiropractic care is a great, non-invasive alternative to promote health and manage conditions like RA, helping you to lead a more productive and pain free life.

Used under Creative Commons Licensing courtesy of Pedro Pablo Arevalo

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The Role of a Chiropractor in Reducing Inflammation by EIH

Inflammation is the body’s response to infection, injury or irritation. It induces redness, swelling and pain, sometimes rendering the affected area nonfunctional. Acute inflammation – such as what happens after you sprain your ankle or get a mosquito bite – is your body’s attempt at preserving itself. This type of inflammation helps remove harmful irritants and pathogens so the healing process can begin. Healthy, beneficial swelling dissipates with time and treatment.

Chronic inflammation is different. This is when the body generates a stronger-than-necessary inflammatory response due to an imbalanced immune system or a condition that causes the immune system to attack healthy tissue. Certain foods, lack of sleep and high stress all increase the risk of chronic inflammation.

If you have rheumatoid arthritis, Crohn’s disease, multiple sclerosis or another condition associated with chronic inflammation, chiropractic care could be very beneficial. Consider the role a chiropractor plays in reducing inflammation.

Chiropractic Adjustments Help Reduce Inflammatory Agents

The primary purpose of chiropractic care is to realign the vertebrae in your spine to reduce pressure on the nerves and promote a healthy nervous system. When the spine and other joints are properly aligned, and your nerves function as they should, your body’s biomechanics return to normal. This stops the production of neuropeptides, which can help reduce inflammation.

Chiropractic adjustments may also help reduce the production of cytokines, proteins that regulate the cells of the immune system. When cytokines build up, they can cause a severe inflammatory response. Preliminary studies suggest that chiropractics may help not only the affected areas but other parts of the body as well.

Chiropractors Can Offer Lifestyle Advice

Along with offering beneficial spinal adjustments, chiropractors can further assist in the fight against chronic inflammation by suggesting lifestyle changes. Receive personalized advice on the following topics the next time you visit a chiropractor:

• Anti-inflammation diet: A nutrient-dense, low-calorie diet comprised largely of fruits, vegetables, lean meat and fish can help reduce inflammation. Your chiropractor may also suggest taking vitamin D, magnesium and fish oil supplements to help promote joint health.
• Exercise: Physical exercise promotes healthy bodily functions and reduces inflammation. Make time for 30 minutes of aerobics and 15 minutes of weight training four to five days a week.
• Weight loss: If you’re overweight, your body is naturally more inflammatory. Losing weight with diet and exercise can help decrease this.
• Stress management: Your chiropractor may suggest techniques for managing your stress, such as meditating, doing yoga or trying other techniques. Getting enough sleep can also help you tackle stressful situations more effectively.

If you deal with a chronic inflammatory disease, chiropractic care can go a long way toward easing your symptoms. A balanced approach that includes chiropractics, proper nutrition, exercise and effective stress management can lead to an all-around healthier you.

For more information about reducing inflammation, or to schedule a chiropractic visit, please contact Effective Integrative Healthcare today. We are conveniently located in Crofton, Millersville and Lanham, MD to better serve you.

Rheumatoid arthritis – Advance Chiropractic

Dr. Vic Weatherall

Rheumatoid arthritis (RA) is a chronic widespread inflammatory disease of unknown cause. It is an autoimmune disease in which joints, usually those of the hands and feet, are inflamed resulting in swelling, pain, and often the eventual destruction of the joint’s interior.

Rheumatoid arthritis¹

Watch the rheumatoid arthritis video. This disease can also cause a variety of symptoms throughout the body, for example, it may cause nodules under the skin, lymph node enlargement, inflammation around the heart and lungs, and inflammation of the blood vessels.

In RA, the immune system attacks the tissues that line and cushion the joints, eventually causing the cartilage, bone, and ligaments of the joint to erode, and causing scarring within the joint. The rate of joint deterioration is highly variable. The autoimmune reaction can also affect other tissues, as described above.

The cause of RA is unknown, but many factors, including genetic predisposition, may influence onset. Many researchers suspect that it could be triggered by an infection with a common germ causing the immune systems of susceptible people to react abnormally.

This article discusses

To schedule an appointment, contact Dr. Vic Weatherall.

Who gets it?

An estimated 293,000 people in Canada suffer from rheumatoid arthritis. It develops in about 1% of the population, affecting women 2-3 times more than men. This disease usually appears between the ages of 25-50, but can occur at any age.

What are the signs and symptoms?

Rheumatoid arthritis may start gradually or with a sudden, severe attack with flu-like symptoms. Common signs and symptoms include:

• pain and swelling in three or more joints, primarily in the hands, wrists, or fingers (for at least 6 weeks)
• usually symmetrical (on both sides)
• morning stiffness of joints and muscles lasting for more than 1 hour (for at least 6 weeks)
• general weakness and fatigue
• fever and weight loss

Symptoms vary from person to person. In some, the disease may be mild with periods of activity or joint inflammation (flare-ups) and inactivity (remissions), in others it may be continuously active and get worse as time goes on.

How is it diagnosed?

Many arthritic diseases can mimic rheumatoid arthritis, therefore, if RA is suspected it is vital to have the appropriate tests to confirm the diagnosis. The diagnosis is generally made based on

• signs and symptoms as above
• increased rheumatoid factor (RF) and increased sedimentation rate (ESR) in the blood
• characteristic changes on x-rays
• abnormal findings on joint fluid analysis or tissue biopsy (not commonly performed)

Early diagnosis is very important to help avoid disability or deformity.

How is it treated?

Although there is no cure for RA today, much can be done to manage the condition. A variety of treatments exist to treat the symptoms resulting in less pain, stiffness, and easier movement. There are four major treatment approaches for RA: physical management, lifestyle management, medication, and surgery. Active patient involvement during treatment plan is essential.

Treatment should start with the least aggressive measures moving to more aggressive ones if required.

Physical management

There are a variety ways to help manage the pain of RA and regain optimal function in the affected joints without using drugs, or in combination with them.

Heat and cold

Heat reduces pain by relaxing tight tissues surrounding the joint and by improving blood flow in the area. Cold blocks pain signals from the area and decreases inflammation. Note that during periods of increased inflammation, heat may exacerbate the situation.

Therapy

Chiropractors, physical therapists, and occupational therapists teach techniques to reduce the pain and restore joint motion and muscle strength to increase comfort throughout daily life.

Home exercise

Exercise helps lessen symptoms of RA and make the patient feel better overall. Appropriate and moderate stretching and strengthening helps relieve pain and keeps the muscles and tendons around the affected joint flexible and strong.

Low impact exercises like swimming, walking, water aerobics, and stationary bicycling can all reduce pain while maintaining strength, flexibility, and cardiovascular function. Patients should always check with their health care provider before beginning an exercise program.

Lifestyle management

Patient must protect their joints by avoiding excess stress from daily tasks. For example, alternate heavy tasks with lighter ones, avoiding stressful joint positions and support them where necessary, using assistive devices such as canes and grab bars. They must strive to stay at their recommended weight to avoid increased stress on their joints. Note that most RA sufferers are not obese.

A basic principle of RA treatment is resting the joints. Regular rest periods often help relieve pain and complete rest may be needed during severe flare-ups. Splints can be helpful to help immobilize and rest the joints; however, some overall movement is needed to prevent the joints from stiffening.

A regular healthy diet is generally appropriate. Some people have flare-ups after eating certain foods. A diet rich in fish and plant oils but low in red meat may help reduce the inflammation. Calcium supplementation may also be helpful. Food allergy testing may be considered as well.

Developing good relaxation and coping skills gives the a patient a greater feeling of control over their arthritis and a more positive outlook.

Medication

Nonsteroidal anti-inflammatories (NSAIDs): NSAIDs reduce pain when taken at a low dose and relieve inflammation when taken at a higher dose. Non-prescription drugs include ASA (Aspirin, Anacin) and ibuprofen (Motrin IB, Advil). Prescription NSAIDs include Naprosyn, Relafen, Indocid, Voltaren, Feldene, and Clinoril. Taking more than one NSAID at a time increases the possibility of side effects, particularly stomach problems such as heartburn, ulcers and bleeding. People taking these medications should consider a stomach protectant such as misoprostol (Cytotec). COX-2 selective inhibitor NSAIDs directly target COX-2, an enzyme responsible for inflammation and pain. They reduce the risk of peptic ulceration, the main feature of drugs such as celecoxib (Celebrex). However, this class of NSAID can pose a risk to other organs.

Disease modifying anti-rheumatic drugs (DMARDs): DMARDs may be prescribed when inflammation continues for more than 6 weeks or when RA strikes many joints at once. These drugs target the cells in the immune system causing the inflammation, but do not reverse permanent joint damage. The most common medications are gold salts, methotrexate, sulfasalazine, hydroxychloroquine, chloroquine, and azathioprine. A DMARD is usually prescribed in addition to an NSAID or corticosteroid. Side effects may include mouth sores, diarrhea and nausea. More serious side effects, monitored through regular blood and urine tests, include liver damage, and excessive lowering of white blood cell count (increasing susceptibility to certain infections), and platelet count (affecting blood clotting).

Corticosteroids: Corticosteroids are man-made drugs that closely resemble cortisone, a hormone natural produced by the body. In RA, these drugs are used to treat extreme inflammation accompanied by severe pain and stiffness. They are also used to treat systemic RA which may affect the lining of the lungs and blood vessels. The most common form of corticosteroid is prednisone, taken in pill form. Side effects from long term use may include cataracts, high blood pressure, sleep problems, muscle loss, bruising, thinning of the bones (osteoporosis), weight gain, and susceptibility to infections. The goal with this and most drugs is to find the lowest effective dose that will avoid as many of the side effects as possible.

Corticosteroids sometimes injected into one or more joints or other areas of inflammation. While eliminating the serious side effects, injections may harm joints if given more than a few times a year.

Surgery

Severe cases that have not responded to treatment may benefit from surgery. There are a number of different kinds of surgery for RA ranging from minor procedures to complete joint reconstruction.

What is the outcome?

The course of RA is variable and the results of various types of treatment differ from person to person. Most people can maintain an active lifestyle and manage very well with the combined benefits of balanced exercise, rest, modified lifestyle, and medication.

Image citation

1. Wouterstomp at en.wikipedia [Public domain], from Wikimedia Commons.

90,000 Chiropractor: Walk at least 7-8 km per day | Healthy life | Health

These and other questions were answered by a well-known chiropractor, doctor of medical sciences, professor, academician of the Russian Academy of Natural Sciences, founder and head of the Scientific Research Medical Clinic of Chiropractic and Osteopathy (NILKHO), author of the book “Treatment of the spine and joints. Longevity and Health “Leonid Bulanov.

“AiF”: – Is rheumatoid arthritis treatable or not?

L.B .: – Rheumatoid arthritis is an infectious disease. Can this disease be treated with manual therapy? – Yes, it is possible, you will feel relief, but it all depends on the degree of damage to the joints themselves, called osteochondrosis, arthrosis and spondylosis.

It is believed that the 1st-2nd degree of arthrosis is treated, the 3rd degree is extremely rarely treatable. For the treatment of this disease, drugs, physiotherapy, osteopathy, manual therapy are used.Since this is a sluggish disease of a chronic form, it was necessary to clarify the diagnosis. If a person is aged, a rheumatologist, orthopedist-traumatologist, chiropractor should play a role here.

“AiF”: – Is there a threshold at which it becomes impossible to cure scoliosis?

LB: – Of course. The primary formation of bone structures occurs during puberty – 12-14 years, secondary formation in girls – at the age of 19 years, in boys – up to 27-28 years.First, the bone is formed, up to 40 years old it is in the normal structure of osteophytes and osteoblasts, and after 40 years the aging process begins. This is how the musculoskeletal system changes in the process of life. Phosphorus and calcium are involved in bone formation. The bone itself is a rather fragile structure. My book is devoted to how we will use this knowledge throughout our life, how to try to preserve the musculoskeletal system.

Osteopathy is a world science, it was formed about 160 years ago, the first osteopathic school was opened in England in 1854.The Belgians, French and British made a great contribution to this science.

“AiF”: – Is it possible to cure scoliosis?

LB: – You can. As a rule, in such situations, the first or second degree of scoliosis is formed. With the second degree of scoliosis, the curvature of the spine reaches 20 degrees. Ideally, when treating scoliosis, one degree of curvature is removed in one session.

Akinesia – no movement

“AiF”: – What should be the prevention of intervertebral hernia in the thoracic region?

L.B .: – It is important not to load the damaged joint. Chondroprotectors – glucosamines and chondromethines – are trace elements that help restore damaged joints and cartilage.

As for the load, the external mechanical effect is important: lifting weights, improper position, table-to-chair ratio when sitting and working in the office. Recently, more and more people began to talk about the fact that a person is switching to a sedentary lifestyle, akinesia develops – a lack of movement.This is a catastrophic problem, because a person needs to move a lot during his life. Even in Greece, there were peripatetics – philosophers who believed that thought is born in movement. And we, on the contrary, sit down, plunge into a computer and do nothing, only spoil our eyesight and experience mental stress due to the ratio of numbers and letters on the screen. Of course, later this will have an extremely negative effect on humanity. Not only Ph.D. and doctoral dissertations are being written on this topic, but also books.

In modern life, we meet with different types of diseases, which can be caused by stress and depression. I was one of the first to come up with the idea that akinesia and cerebrovascular accident would contribute to stress and depression.

Akinesia gives a violation of cerebral circulation, as a result of which blood hardly enters the brain or flows from it. Thus, the brain is not well-nourished and is more prone to stressful situations. 30-40 years ago, when a person was more resistant to stress, we did not observe such extensive depressive phenomena.Stress in English is stress. A person is not in an adequate state, is exposed to a sharp tension in the central nervous system, a breakdown occurs, which forms a mild depression, which develops into a complex one (a state of mental disorder). The more a person is exposed to stress, the faster his central nervous system wears out, the brain is in great stress – stress is inevitable. If there are cerebrovascular accidents stress or depression will be more difficult in and of itself. Being in a state of depression, you can simply be sad, or you can get sick, up to a violation of the autonomic nervous system and the activity of internal organs.

“AiF”: – What should be done to avoid this?

LB: – Need to walk more. Gorbachev loved to walk about 9-11 km a day, and the late Patriarch Alexy walked 5-6 km a day. Our musculoskeletal system is designed for 75,000 km or more over a lifetime. I would recommend walking at least 7-8 km a day. Some authors advise walking 15 km. It all depends on the following factors: whether you walk in heels or not, on what surface and how you do it.It is necessary to walk in sneakers, cotton clothes, not on asphalt, but along paths, forest paths. When people come to rest by the sea, they walk a lot with bare feet along the coast – this is very useful. It is necessary to take so many steps a day so that our muscles and joints are in good shape.

15 minutes to work, 15 minutes to walk

“AiF”: – What are the main daily exercises you can recommend in case of osteochondrosis and poor condition of the lumbosacral spine?

L.B .: – The required set of exercises consists of 48 exercises. I would like to advise you to alternate walking and work: 15 minutes to work at the computer, 15 minutes to walk. Journalists are indignant all the time, they say that it is impossible, but I answer that nothing is impossible. You must go to another office, rationally distribute your working day. I would pay attention to my book “Treatment of the spine and joints. Longevity and Health “. She has good stretching exercises.

Here are some exercises:

1.Starting position – lie on your back, arms along the body. Then raise / lower straight legs alternately to an angle of 45 degrees.

2. Circular movements at an angle of 45 degrees: a circle is described with the leg both right and left with a return to the starting position.

3. Raise the right leg to an angle of 45 degrees, take it to the right, touching the floor, and inward, touching the floor with the back of the foot.

These exercises can have beneficial effects when done correctly. But, nevertheless, I would like to draw readers to the exact method – books or to the exercise therapy doctor who will prescribe treatment.

See also:

MD Yurtaev – Manual therapy improves the functionality of people with rheumatoid arthritis

Rheumatoid arthritis is a chronic autoimmune disease in which the body’s immune system attacks various parts of the body. This disease is characterized by chronic inflammation that destroys joints, tissues, and organs over a period of time. A recent study published in the Annals on vertebral subluxation describes how specific chiropractic practices and rehabilitation exercises have shown outstanding results in a woman with long-term rheumatoid arthritis.

A 54-year-old woman went to a chiropractor after a seven-year diagnosis could not be made. Her main complaint was severe bilateral polyarthralgia, especially in the hands and fingers. The patient also had swelling of the hands, fingers, knees, and toes. The patient had difficulties with weight, movement, and had a severe relapse every morning. The patient takes methotrexate and prednisone daily to relieve her symptoms.

She described her pain as constant at nine on a scale of severity from 1-10. The patient was comprehensively assessed using a variety of instruments, including posture assessments, electromyography, and X-ray images. Subluxations were found along the entire length of the spine, especially in the upper neck. Hypolordosis of the cervical spine, with an appropriate head position, was another clinical feature. Studies have shown that head position can add a significant amount of abnormal leverage, pulling the entire spine, making it uneven and limiting normal breathing.These posture problems can lead to a loss of 30 percent of the vital capacity of the lungs.

Decreased oxygen supply alters immunological control in the body. The term subluxation or displacement of the spine, also causes irritation of the nerve pathways that affect all organs and systems of the body. Birth injury, falls, whiplash, and poor posture are known to cause vertebral subluxation. This kind of stress on the nerve pathways leads to changes in the body’s immune function and increased susceptibility to a number of diseases.

Subluxation contributes to the maintenance of chronic inflammatory conditions

Chronic inflammatory diseases, based on the influence of the nervous, endocrine and immune systems. Nerve stimulation is essential for the growth, function, and control of inflammatory cells. The researchers noted that abnormal neurological results in the development of various inflammatory diseases such as rheumatoid arthritis.

A chiropractor examination is able to provide a detailed analysis of the spine to find areas of vertebral subluxation.Specific corrective adjustments can reduce subluxation and restore normal nervous system function. The research team found that when a breast correction of the subluxated area is performed on the area, the level of white blood cells increases significantly.

Many studies have confirmed that specific adjustments to the upper cervical spine and posture improvements have a large impact on the normalization of immune function.This patient was treated and underwent a complete spinal correction, correcting it at each visit for a total of 36 visits over four months.

The patient also underwent rehabilitation exercises such as “oscillating” movements and repetitive stretching to improve soft tissue function and restore the spine by correcting spinal curvature. After receiving four months of corrective manual therapy sessions, the patient’s pain scale changed from 9/10 to 1/10.

She no longer takes methotrexate or prednisone to relieve symptoms. The patient was now able to walk up and down stairs, even dance and exercise without pain. Post-treatment testing revealed significant changes in spinal posture as noted on x-ray analysis. She also had noticeable improvements in electromyography.

http://www.naturalnews.com/036823_chiropractic_care_rheumatoid_arthritis_improvement.html#ixzz3iOiD5MRY

Rheumatoid arthritis – Kazan-clinic.ru

Rheumatoid arthritis is a chronic systemic disease of the connective tissue of an autoimmune nature.

The causes of rheumatoid arthritis have not yet been established. It is known that pathological changes are based on autoimmune damage to the connective tissue of the lining of the joints. However, what triggers the immune response remains unclear.
The most common manifestation is polyarthritis, i.e. inflammation of several joints at once.As a rule, a symmetrical bilateral lesion of the joints of one or several groups develops – the joints of the hands, feet, wrist, knee, intervertebral joints of the neck are involved. There is pain on palpation, swelling, stiffness, an increase in skin temperature over the joint. Stiffness of movements in the joints is often noted, especially pronounced after prolonged rest. Morning stiffness for more than 1 hour is almost always indicative of arthritis.
The disease is characterized by an undulating course with periods of exacerbation and remission.As the progression progresses, deformities of the joints develop, associated with partial destruction of the articular cartilage, stretching of the tendons and the capsule of the joint.

In the majority of patients rheumatoid arthritis begins gradually, manifested by fatigue, weakness, loss of appetite, weight loss and other nonspecific symptoms.

The diagnostic potential of the Kazan Clinic allows for a comprehensive examination of patients, which is necessary for an accurate diagnosis.A rheumatologist conducts laboratory diagnostics to determine the level of rheumatoid factor, the level of C-reactive protein and ESR. Also, the doctor can conduct an ultrasound scan of the joint that bothers you and prescribe an additional MRI or X-ray examination.

To date, drugs are used to treat rheumatoid arthritis that allow to extinguish the active inflammatory process using subcutaneous and intravenous infusion.

Manual and hardware treatment techniques in the Evolife medical center

Treatment of patients by the influence of a doctor’s hands.

It is generally accepted that manual therapy is associated with severe physical influences, which are inevitably accompanied by pain and crackling in the bones. In fact, such ideas have nothing to do with the truth. Professional chiropractors treat painlessly, effectively, and most importantly, safely. What is their work based on and how not to be mistaken with the choice of a good specialist?

Manual therapy involves the treatment of patients with the hands of a doctor. From the outside, the procedure is somewhat reminiscent of massage, but it is fundamentally different from it in terms of the technique of exposure.With the help of massage, the specialist kneads soft tissues and stimulates receptors located in the skin. While the chiropractor is interested in deeply located structures: muscles, joints, ligaments, bones and internal organs.

The treatment is based on the anatomical connection of all body systems with the spine. It is known that pathological impulses from the affected organ enter the segment of the spinal cord that is responsible for its work. In response, nerve cells send their signals.They force the muscles around the diseased tissue to contract. In places of spasm, the processes of local blood circulation are disrupted, which leads to the progression of the disease and its transition to a chronic form. Acting simultaneously on the spine and areas of muscle hypertonicity, the chiropractor breaks the vicious circle and stops the further development of the disease.

Treatment methods consist of three types of techniques:

• relaxing,
• mobilization,
• manipulation.

Relaxing techniques are similar to conventional massage. The patient’s body is kneaded in order to relax as much as possible and prepare for further more intense exposure.

Mobilization focuses on the development of the affected joints and muscles. The specialist performs a series of rhythmic movements to help relieve muscle spasms and improve joint mobility. It can be stretching, shaking, springing, twisting. Traction of the spine is a commonly practiced form of mobilization.

Manipulations are used to remove functional blocks, in which the range of motion in the joints is noticeably reduced. In fact, such techniques are a continuation of mobilizations. Having reached the stop when moving the affected joint, the doctor tries to gently overcome it. At the same time, traumatic techniques, for example, blows or jolts, which are often used by osteopaths and chiropractors, are completely excluded from the work of the chiropractor.

Indications and Contraindications

Modern medicine recommends manual therapy in complex treatment:

• osteochondrosis,
• curvature of the spine,
• arthritis,
• arthrosis,
• myalgium,
• lumbodynia,
• neurological diseases,
• radiculitis,
• flat feet,
• intervertebral hernias,
• diseases of ENT organs,
• obesity,
• neuroses,
• depressions,
• headaches,
• chronic pathologies of the genitourinary system,
• head injuries,
• birth injuries.

The procedures can be prescribed for infants and pregnant women.

Manual techniques are contraindicated for osteoporosis, malignant tumors, rheumatoid diseases. It is impossible to carry out treatment immediately after injuries or in the acute period of the disease – the affected structures require rest and anti-inflammatory therapy.

How is the treatment carried out?

Before the start of the therapeutic course, the doctor asks the patient to undergo a diagnostic examination:

• to pass general and biochemical blood tests;
• to make an X-ray, ultrasound or MRI of problem areas.

In complex cases, an additional opinion from a neurosurgeon may be required.

In the first session, the chiropractor palpates the joints and spine, identifies pain points, and evaluates the tension of muscle tissues. Based on the results of manual diagnostics and examination data, an individual therapy program is developed for the patient.

Treatment is carried out no more than 1-2 times a week. A higher load on the body is fraught with the development of complications.In general, in order to put a person on his feet, it is enough for a specialist to carry out 5-7 sessions. Although if the patient is well developed physically, then 2-3 sessions may be enough for him.

The procedure begins with relaxing techniques. The patient lies on the couch, and the doctor warms up his muscles with stroking and kneading movements. Then mobilization is performed. Separate joints of the limbs and the spine are worked out in turn. The final stage is manipulation, during which all movements in the diseased joints are carried out with the maximum allowable amplitude.

If the therapy is carried out correctly, the patient should not feel sharp pains. Only a moderate sensation of tension in the joints and muscles is acceptable.

After the first session, the general state of health may slightly deteriorate, which is associated with the inclusion of protective reactions of the body. However, by 3-4 procedures, the feeling of discomfort should completely disappear. If this does not happen, you should seek help from another specialist.

After the treatment of the spine, the doctor may recommend to wear a brace, replicator or neck brace for some time.Supportive devices reduce the stress on the affected area and also help the patient learn to re-use the muscles that have been stretched and strengthened.

To maintain the achieved result, it is important to undergo repeated courses of therapy 1-2 times a year.

Arthritis and sore throat

Chronic tonsillitis is a common infectious-allergic disease with local manifestations in the form of persistent chronic inflammation of the tonsils, characterized by a recurrent course and occurring more often as a complication of infectious pathology.

Chronic tonsillitis is a condition of the palatine tonsils, in which their natural protective functions are lost and they become a chronic focus of infection, intoxication and allergization of the body. Chronic tonsillitis can cause and maintain many diseases such as rheumatism, myocarditis, glomerulonephritis, pyelonephritis, etc. Chronic tonsillitis either contributes to their development, or negatively affects their course.

When studying the flora in the gaps and on the surface of the palatine tonsils, more than 30 combinations of various forms of microbes were revealed.The main causative agents of chronic tonsillitis are hemolytic streptococcus, greening streptococcus, enterococcus, staphylococcus, adenoviruses.

Rheumatism is a toxic-immunological systemic inflammatory disease of the connective tissue with a predominant localization of the process in the cardiovascular system, which develops in persons predisposed to it in connection with an acute infection caused by group A ß-hemolytic streptococcus, mainly at the age of 7-15 years.

Currently, it has been convincingly proven that the occurrence of rheumatism and its relapses are associated with ß-hemolytic group A streptococcus (tonsillitis, pharyngitis, streptococcal cervical lymphadenitis).

In typical cases, rheumatism, especially at the first attack, begins in school and adolescence 1-2 weeks after an acute or exacerbation of chronic streptococcal infection (tonsillitis, pharyngitis). Then the disease enters a “latent” period (lasting from 1 to 3 weeks), characterized by an asymptomatic course or mild malaise, arthralgia, and sometimes subfebrile body temperature.In the same period, an increase in ESR, an increase in ASLO, antistreptokinase, anitstreptogyaluronidase titers is possible. The second period of the disease is characterized by a pronounced clinical picture, manifested by carditis, polyarthritis, other symptoms and changes in laboratory parameters.

More typical for primary rheumatism, it is based on acute synovitis. The main symptoms of rheumatic arthritis: severe pain in large and medium joints (symmetrically), often knee and ankle, swelling, hyperemia of the skin in the joint area, severe limitation of movement, volatile pain, rapid relief of non-steroidal anti-inflammatory drugs, the absence of residual articular phenomena.

Consider a clinical case of patient B., born in 1974, who was treated at the ENT department of the Central Regional Hospital in the city of Zheleznodorozhny from ___ 06.02.2008 to 15.02.2008. Was admitted with complaints of frequent sore throats (up to 5-6 times a year), persistent sore throat, discomfort in the throat when swallowing, fever up to 37.5C, pain and stiffness in all joints of the upper and lower extremities, limitation of movement, difficulty opening the mouth , weakness.

From the anamnesis it is known that at the age of 6 months she had a sore throat.In the future, sore throats were repeated up to 6 times a year. He has been suffering from rheumatoid arthritis since the age of 2, for which he has repeatedly undergone courses of anti-inflammatory therapy with a short-term effect. The disease progressed, almost all joints were involved in the process. At the age of 15, she underwent synovectomy of the right knee joint, in 1990 – osteotomy of the left hip, arthropalysis, in 1994 – endoprosthetics of the left hip joint, in 1996 – the left knee joint. In 1998 she underwent resection arthroplasty of the right elbow joint.Received systemic anti-inflammatory therapy. Examined by an ENT doctor, diagnosed with Chronic decompensated tonsillitis, bilateral tonsillectomy was recommended.

On admission: a state of moderate severity. Body temperature – 37.2C. Moves with crutches. ENT status: opening the mouth is difficult due to arthritis of the maxillary joint. Pharyngoscopy: the mucous membrane of the oropharynx is moderately hyperemic. Palatine tonsils of 1 degree of hypertrophy, soldered to the edematous palatine arches, wide gaps, with pressure, abundant purulent plugs are determined.

In blood tests – ESR-75 mm / h, ASLO-250.0, SRB-120.0, RF-13 units / ml.

12.12.08 under local infiltration anesthesia performed bilateral tonsillectomy with technical difficulties. The postoperative period was unremarkable. Received general and local anti-inflammatory therapy. On the 2nd day after the operation, laser therapy was carried out with the apparatus. It was examined in dynamics after 3 months: there was an improvement in the general condition, normalization of body temperature, remission of rheumatoid arthritis, mouth opening improved, palatine niches were clean, without signs of inflammation.In blood tests, the indicators have stabilized to normal.

Chronic tonsillitis often leads not only to many somatic diseases, but also to the disability of patients, as in our case.

Authors: D.M. Mustafaev, T.V. Kozyrkova, N.U. Adilkhanova, A.N. Yusupov

Effective treatment of rheumatoid arthritis in Moscow on DocDoc.ru

Moscow rheumatologists – latest reviews

I have been addressing this specialist for several years now, a wonderful doctor.The reception was calm and attentive. Larisa Ivanovna conducted an examination, wrote out directions for tests and ultrasound, gave recommendations, appointments and treatment. I made an appointment for a second appointment, I recommend a doctor.

Moderation,

September 18, 2021

She asked the same questions 5 times! She didn’t really say anything about the ECG result, they say they need an additional examination.That’s the whole trick. Clearly understandable. With such experience and experience, the consultation was about nothing.

Alina,

September 16, 2021

My doctor’s appointment went well.Dmitry Anatolyevich is a friendly, helpful doctor. He carefully examined, explained everything what to take. He told me my next steps. I will go to the doctor again.

Irina,

September 16, 2021

Everything was great.At the reception, the doctor conducted an examination, a survey, prescribed a medicine, sent for tests, X-rays. Lyudmila Alexandrovna is like an ordinary doctor. So far there has been no treatment. There was only the initial reception and directions.

Nazgul,

September 13, 2021

Very good welcome and I liked the doctor.Anna Alexandrovna gave me a lot of time and attention. The doctor at the reception gave two injections. She is a pleasant woman, attentive, very carefully studied all the documents and analyzes.

Novel,

September 12, 2021

So far so good.I don’t know what will happen next. It was just a consultation. The doctor wrote down which pills to take, gave directions. I will go for a second appointment, with the results of the ultrasound. Let’s see what Bronislava Borisovna has to say. She communicated well with the patient. The doctor is a professional in his field.

Bach,

09 September 2021

Alexander Viktorovich is a very good doctor! Respectful and attentive specialist! I am not a local, and he said that I was not treated at all in my hometown.During the reception, he told a lot of interesting things and showed them. Gave directions and a contact number. I have already sent him my results and will definitely continue to be treated with this doctor! And he did me even more than the allotted time!

Galina,

05 September 2021

At the appointment, the doctor interviewed me, looked at everything thoroughly, checked, sent me for an ultrasound scan, an ECG and prescribed another treatment, which, I hope, will help me., The doctor is attentive, pleasant in communication, seeks to help the patient, explains everything clearly and easily. I can recommend this specialist to my friends, if necessary, and if necessary, I can apply again. I was pleased with the quality of the reception.

Pauline,

28 Aug 2021

Irina Nikolaevna is an absolutely wonderful doctor.She is definitely the best in her profile! The doctor put a blockade on my mother and the pain went away, which had bothered for several decades! I am very pleased!

Tamara,

07 July 2021

I didn’t like the doctor’s attitude! At first she went about her business, then looked at the papers, examined me, wrote everything down to her card.She did not say the diagnosis, wrote it down somewhere, prescribed medication and sent it to the honey. sister. There was some kind of reply! I was waiting for this appointment for 40 minutes, and the examination was 5 minutes. I will definitely not recommend this doctor to anyone! I am completely disappointed!

Irina,

30 october 2019

Show 10 reviews of 2855 90 000 Doctor of manual therapy – a method of treatment for pain in the head, neck and back in Zelenograd

Manual therapy is the use of hands for the purpose of a therapeutic effect on the patient’s body using special techniques and techniques.

The goal of treatment is to adapt the body to stress, increase the adaptive capabilities of the body and, as a consequence, reduce pain, increase mobility in the spine and joints. All techniques are performed by a doctor of manual therapy with special education and work experience. The complex of techniques of a chiropractor is based on the methods of manual influence on the body for the correction of biomechanical disorders. Manual influence is based on the principles of neurology, orthopedics, neurophysiology.The difference from conventional massage lies in the effect not only, and not so much on soft tissues, but also on joints, intervertebral discs, internal organs, and cranial rhythm.

Clinic “CHILDHOOD Plus” offers to make an appointment with a chiropractor. The specialist will conduct a diagnostic examination, examination, develop individual schemes for complex treatment and rehabilitation. We guarantee systemic monitoring of treatment results, mild effects and high treatment benefits.

When should you see a doctor?

Disorders with which manual therapy and osteopathy works: pain in the head, back, neck, joints, abdomen. Pains, for example, in the heart area, leg, arm, shoulder can be caused by diseases of the spine. If you have any of the following symptoms, this is a reason to see a chiropractor:

• Discomfort and pain syndromes constraining movement in the lower back, shoulder, pelvic joints, elbows, knees
• Headaches
• dizziness on movement of the neck;
• visual impairments;
• trouble falling asleep;

Manual therapy will improve the mobility of functional blocks, relieve pain, solve joint problems, and reduce the manifestations of vertebral diseases associated with the spine, scoliosis, hernia.If you notice similar symptoms in yourself, we advise you to consult a doctor.

Types of manual therapy

Chiropractors from our clinic use classic + gentle treatment methods. The doctor will offer several methods for the treatment of the spine, joints, organs:

1. Myofascial – the specialist interacts with the skin, adipose tissue, ligaments, muscles. This technique reduces pain, improves body symmetry, and models posture.
2. Arthro-vertebral manual therapy — aimed at working with the spinal motion segment, with herniated intervertebral discs, improving the function of the joints. Reduces muscle spasms, limitation of movement in the joint, compression of nerve roots.
3. Cranial – acts on the bones of the skull. Work in the cranial direction consists in treating the head, jaw, ENT organs, reducing dizziness, headaches, restoring blood circulation, and normalizing intracranial pressure.
4. Visceral – involves an effect on the abdomen and internal organs, is used for prolapse of organs, adhesions, neurological syndromes.

Which diseases are treated by manual therapy

Cranial, visceral, vertebral, other methods of manual therapy can cope with a wide range of diseases, including both obvious, for example, a hernia of the spine or scoliosis, lordosis, kyphoscoliosis, and specific, in particular, hypertension, intercostal neuralgia, pulmonary diseases caused by changes in structures spinal column.

What diseases does a chiropractor treat:

• osteochondrosis
• arthrosis, arthritis
• humerus periarthritis;
• sciatic nerve neuralgia;
• vertebral artery syndrome;
• lumboischialgia, lumbodynia;
• cervicalgia;
• migraine;
• listeses, retrolistheses;
• sciatica.

Diagnostics

Comprehensive diagnostics is the cornerstone of any treatment.Only after the diagnosis of osteopathy, manual therapy brings real benefits without negative side effects. At the reception, the doctor conducts a conversation with the patient, learns about his complaints, chronic diseases in order to identify contraindications, collects an anamnesis. The specialist assesses the flexibility of the spine, the amount of movement in the joints, the presence of functional blocks, and examines the discomfort zone and associated zones.

Based on the result of the conversation, the doctor prescribes examinations and records the patient for the next appointment.As research is carried out:

• general blood / urine test;
• x-rays;
• computed tomography;
• MRI;
• ultrasound.

At the next appointment, the specialist will analyze the information received and select a treatment method. The selection of an individual recovery scheme will be based on the diagnosis + research data.

How is the session going?

At the reception, the doctor assesses the patient’s condition, if he is repeated, he assesses the dynamics of changes, for example, the degree of scoliosis leveling.In the process of work, hard + soft techniques are used.

In the course of treatment, the doctor uses

Manual therapy techniques:

• myofascial release, impact on muscles, ligaments;
• abdominal therapy, impact on internal organs;
• traction techniques, for example, traction traction of the spine, impact on the cervical, thoracic, lumbar spine separately;
• post-isometric muscle relaxation;
• methods of autorelaxation;

In the work of a therapist, there are a lot of techniques that he directs to certain parts of the patient’s body.Manipulation techniques involve the use of short jerky movements in the sacrum or spine. Mobilization techniques are aimed at gently stretching the vertebrae and tilting the spine. Soft techniques are beneficial in relieving pain syndromes, improving muscle tone, relieving tension.

A few more techniques:

• stretching shortened ligaments, muscles – suitable for the rehabilitation of damaged tissues;
• pressure (pressure) or acupressure, used to influence the induration in the muscles;
• relaxation – muscle tension in a certain way for their subsequent complete relaxation.

The benefit of the procedure is to restore the mobility of the joints and the spine, reduce muscle spasms, correct organic disorders, eliminate the blockade of the vascular and nerve plexuses.


In his work, the doctor uses Manual Muscle Testing (MMT)

MMT is a method of biological feedback with the body. MMT evaluates the activity of the stretch reflex (stretch reflex) under conditions of isometric contraction.

Contraindications

Like any other treatment, manual therapy has a number of contraindications. In the presence of fractures, fresh injuries, any intervention will be dangerous. The same applies to cases with fragments of a sequestered disc hernia. Another contraindication is inflammation and infections in different parts of the body, for example, tuberculous spondylitis, osteomyelitis.

In addition to the listed contraindications for therapy are:

• disorders of cerebral, spinal, cardiac circulation;
• acute disorders in the chest, abdominal cavity;
• arterial hypertension;
• thrombosis
• mental illness;
• ankylosing spondylitis;
• oncological diseases
• arterial hypertension in the stage of decompensation
• febrile conditions.

The presence of the listed contraindications is established by the doctor during the diagnostic process. If contraindications are identified, they resort to using other techniques.

Benefits of treatment in our clinic

The DETSTVO Plus clinic offers services in the field of manual therapy. We organize an individual approach to each patient. He undergoes a thorough examination for the presence of contraindications, on the basis of diagnostic data, methods of recovery are selected.We use complex therapy to get the result faster. After each session, a person gets benefits, feels lightness, a surge of strength and an increase in tone.

Each patient receives:

• initial consultation;
• a full range of diagnostic procedures depending on the preliminary diagnosis;
• in the presence of chronic pain — manual therapy, elements of osteopathy and other procedures;
• regular monitoring, control of the condition and dynamics of treatment.

On the site you can see photos of the clinic, descriptions of services, prices. To clarify the cost of treatment and make an appointment, call us or fill out the form on the website.