In a recent study published in Global Spine Journal (GSJ) on July 7, 2020 confirms that most cases of herniated disc are best address by “conservative treatments” as opposed to surgical intervention such as micro-discectomy.
The study examined the treatment records of 277,941 adult patients during a 10 year period (2007-2017) with an initial lumbar (lower back) herniated disc. Theses patients were divided into 2-groups. The first was a group of patients successfully treated with non-surgical therapy (aka conservative treatment/care). The second group were patients that failed a conservative treatment plan and underwent micro-discectomy surgery.
Of the 277,941 patients included in this study, 269,713 (97%) of them were successfully treatment with conservative care and only 8,228 (3%) failed with conservative care and underwent lumbar micro-discectomy.
The results of this study of nearly 300,000 lumbar herniated disc patients suggests that patients are successfully manage through conservative management while a small subset required surgical intervention.
Now you have to ask the question, in the world of healthcare, what exactly is conservative care? Conservative care is anything non-surgical which is largely chiropractic care & physiotherapy.
So maybe those old-time chiropractors were right when they said...Chiropractic First, Drugs Second, Surgery Last.
To your health!
Dr. Todd Narson
Diplomate of the American Chiropractic Board of Sports Physicians
_____________________________________
Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. Dr. Narson has completed a medical rotation at the US Olympic Training Center and has traveled as the sports chiropractor with Team USA Triathlon. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine. www.NaturalSportsMedicine.com
Reference:
#chiropractormiamibeach #MiamiBeachChiropractor #SportsInjuriesFixedHere #DrNarson #ToddNarson #Narson #TriDoc #TriathlonDoc #ChiropracticSportsMedicine #ACASC #SportsMedicine #SportsChiropractor #MiamiBeachSportsMedicine #SportsMedicineMiami #MiamiSportsMedicine #MiamiChiropractor #Triathlon #Running #Ironman #IFixPeopleInPain #TrainWithoutPain #MiamiBeachChiropractor #GrastonTechnique #FAKTR #IASTM #Chiropractor #FootPain #Narson #NarsonBodyMechanic #NarsonTool #DACBSP #CCSP #ACBSP #BackPain #NeckPain #ShoulderPain #RotatorCuff #ITBandSyndrome #runnersKnee #PlantarFasciitis #Plantarfascitis #AchillesTendonitis #AchillesTendonosis #GettingAthletesBackInTheGame #MiamiBeachChiropractor #MiamiSportsMedicine #MiamiBeachSportsMedicine #WeFixPeopleInPain #TrainWithoutPain #ChiropracticSportsMedicine #ACASC #ProSportChiropractic #FunctionalMedicineMiami #DrNarson #BackPainRelief #NeckPainRelief #SportsInjuriesFixedHere #LaserTherapy #RockTape #KinesioTape #KTTape #Nutrition #21DayPurificationProgram #DetoxProgram #PaleoDiet #PaleoDoc #FunctionalNutrition #Chirooractor #Chiropractic #ChiropracticPhysician #DoctorOfChiropractic #GrastonTechnique #IASTM #FAKTR #USATriathlon #USAT #TeamUSA #CorporateWellness #HappyEmployeedProfitableBusiness #HeadacheRelief #MigraineHeadacheRelief #Migraine #SportsSpecificExam #SportSpecificTreatment #WorkCompDoc #WorkersCompensation #ankleSprain
In 2015 I wrote a blog post titled: Stroke
From A Chiropractic Adjustment?The Evidence Says No. In that post it was revealed that the
referenced studies showed patient’s suffering a Vertebral Artery Dissection
(VAD) did not receive a chiropractic neck adjustment in 1/3 of the cases.
Furthermore, of all of the patients studied from that visited their primary
care physician (PCP) none of the PCP’s patients were given a chiropractic
adjustment or other type of neck manipulation of any form. So this begs the
question, how are patient’s suffering a VAD type stroke when 1/3 of the
chiropractic patients were never adjusted yet still suffered a VAD? How did
patients visiting their primary care medical physician suffer a VAD type stroke
when none of their patients received any type of neck manipulation?
The conclusions were obvious. The
patient was walking into their chiropractic physician (DC) and their PCP’s office
for treatment of symptoms that were associated with the VAD in progress.
This is further illustrated by a case
report from the British Medical Journal: BMJ Case Rep. 2015; 2015:
bcr2015212568. Vertebral artery dissection in evolution found during
chiropractic examination. In this published case study the authors report the
following case history:
“A
30-year-old otherwise healthy woman consulted a chiropractor, reporting right-sided neck pain in the suboccipital region. The patient reported that,
3 days previously, she had gone to the local hospital emergency department (ED)
because of the sudden onset of loss of left peripheral vision. The visual
symptoms interfered with her ability to see through her left eye; this was
accompanied by ‘numbness’ in her left eyelid. About 2 weeks prior to this ED
visit, she had experienced an episode of acute left-sided neck pain with severe
left-sided headache. She also related a history of migraine headache without
prodrome. She was released from the ED with a tentative diagnosis of ocular
migraine. She had never been previously diagnosed with ocular migraine, nor had
she ever experienced any visual disturbances with her previous migraines.
Shortly
after the left-sided ocular symptoms resolved, she suddenly developed
right-sided neck pain without provocation, for which she sought chiropractic
treatment. She also reported a transient episode of right-sided visual
disturbance occurring that same day as well. This was described as sudden
blurriness that was of short duration and resolved spontaneously earlier in the
day of her presentation for chiropractic examination. When she presented for
the initial chiropractic examination, she denied current visual disturbance.
She said that she was not experiencing any numbness, paresthesia or motor loss
in the upper or lower extremities. She denied ataxia or difficulty with
balance. Medical history was remarkable for childbirth 2½ months prior to
initial presentation. She stated that her migraine headaches were associated
with her menstrual cycle. Family history was remarkable for a spontaneous
ascending thoracic aortic aneurysm in her older sister, who was about 30 years
of age when her aneurysm had occurred.”
The hospital’s emergency
department released the patient with a tentative diagnosis of ocular migraine,
due to her history of migraine headaches. However, the patient stated that the left-sided headache was atypical—“like
nothing I've ever experienced before.” Her previous migraines were
associated with her menstrual cycle, but not with any vision changes. She had
never been previously diagnosed with ocular migraine.
Based on the history of sudden onset of severe upper cervical spine
pain and headache with visual disturbance and ocular numbness, the chiropractic
physician was concerned about the possibility VAD. Magnetic resonance
angiography (MRA) and MRI of the neck and head were performed because the neck
pain and headaches were related to vertebral artery dissection rather than to a
mechanical disorder. Due to this suspicion, the chiropractic physician did not
perform a physical exam or neck manipulation/adjustment.
The MRA of the cervical region revealed that the
patient actually had an acute dissection with thrombus formation in the left
vertebral artery. The
symptoms she had been experiencing, including the headache, neck pain and
visual disturbances were symptoms of the VAD in process.
The patient was admitted to the hospital for close neurological
monitoring. During her hospital stay symptoms of headache and neurological
deficits improved. She was discharged the following day with a diagnosis of
left vertebral artery dissection and transient ischemic attack. She was
instructed to avoid vigorous exercise and trauma to her neck. Daily aspirin was
prescribed or 3-6 months. MRI/MRA imaging was repeated 3 months later which demonstrated improved diameter of the
cervical left vertebral artery with resolution of the thrombus within the false
lumen. The imaging of the intracranial compartment remained normal, without
evidence of interval infarction or perfusion asymmetry.
This case report
demonstrates what my previous post illustrated. While there is an association between
chiropractic and VAD, there is no causation. The case above clearly
demonstrates that patients are presenting with neck pain and headaches that are
associated with a VAD in progress. In a
typical scenario, the patient would have been discharged from the emergency
department, gone to the chiropractor and the chiropractor would have been
accused of causing the patient’s VAD.
_____________________________
Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine. www.NaturalSportsMedicine.com
Dr
Narson's "Back Pain Survival Guide For Hurricane Prep & Cleanup"
In both preparing for and cleaning up after tropical storms and
hurricanes, many people injure themselves. I would like to offer you a few back
safety tips during your preparation/cleanup for hurricane Ike and any other
storms throughout the rest of the 2017 season.
Cleaning up around your house or condo requires a lot of
bending, lifting, twisting and reaching.
1) Bend & Lift
Properly
When bending, even for the smallest and lightest of objects, bend with your
knees. Do not bend from your waist as this is the easiest and most popular way
to herniated a disc in your back. It doesn’t matter how heavy the object is,
bend properly and you reduce the chance of injury. Remember, not all objects
are evenly balanced. That’s why your trainer has you do those unbalanced
squats!! Be careful.
2) Pack & Move
Smaller Objects
Don’t be tempted to lift larger objects, even if they are light in weight. In
order to move a larger awkward object yourself, you have to compromise proper
lifting technique and make your back vulnerable to injury. Pack small boxes
that are easy to lift. When packing a box, keep in mind the weight of it as you
add items. If you have a heavy or large object, put it on a dolly, hand-truck
or get another person to help.
3) Twisting &
Reaching
In order to store your stuff, you may have to lift it above your head, twist
and reach as you put it away. Use a step stool and put objects away that are
above the level of your shoulders. Try to keep the object at the level of your
shoulder when you are on the stool or ladder and hold objects close to your
torso. The further you hold an object away from you, the more pressure you
place on your back. When twisting to the left, be sure that your left foot,
left hip and left shoulder is pointing in the same direction as you turn.
Obviously the same goes for turning to the right. This method keeps your spine
in line when turning. Turning this way is okay, twisting your spine is not.
4) Apply Ice, Ask
Questions Later
If you do feel that you have hurt yourself and are not sure what
to do, I always tell people to apply ice compresses 1st and ask questions
later. Obviously, you must stop any lifting and take care of yourself. When
applying ice, never put it directly on your skin; always lay a handkerchief or
other cloth on the skin and then apply the ice pack on top of that. 15-20 on,
the rest of the hour off, repeat as needed. (and yes, I know of some of those
new ice recommendations, but after 27 years of practice, I've seen the results
and I'm sticking with ice per the original recommendations) for acute injuries.
Not everyone has full time professional trainers to help them with joint and
soft tissue mobilization, eccentric lengthening, manual lymphatic drainage or
other active techniques and until you get to a competent, physician with knowledge of muculoskeletal medicine (DO, DC or MD) , certified athletic trainer or
PT, Ice First-Ask Questions Later.
5) Moist Heat To Relax
There is no question you will be somewhat sore after preparing
for the hurricane. If you feel a little stiff, sore or achy, apply a moist hot
compress for 15-20 minutes to the affected areas to help relive soreness.
Repeat as needed 15-20 minutes per hour. Do not apply heat for longer than 20
minutes per application. And DO NOT Sleep on a heating pad! Unless you want to slow cook your muscles!!! A hot bath is a nice way to sooth sore, stiff achy muscles- just as long as you don’t need your bathtub to store extra water.
6) Don't Sit Too Long!
Please remember that sitting in one place while you are evacuated for a
prolonged period of time can flair up back pain just like an acute injury (even
if you have no back problems at all). So make sure you get up and move around
every 25 minutes throughout the day & stretch too!
7) We Are Here For You
Remember, when the hurricane is over, these tips apply for the clean-up as
well. If you do hurt yourself or you feel sore, stiff, achy and are not sure
what to do, remember, we are always here to help. If you have questions or have
an issue while prepping or cleaning up, text or call me personally 305.984.6336
If you do suffer some sort of back or neck pain or other strain of your body and it doesn't do away by itself in 48-72 hours, come see us for help.
Good luck weathering the storm should it hit. I hope these tips
are helpful for you and your family
Yours truly,
Drs.
Todd & Corey Narson
Miami
Beach’s Chiropractors!
“El
Movemiento Es Vida!” - Movement Is
Life! So Keep It Moving!
Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He is sports chiropractor to the University of Miami Hurricanes. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.
#chiropractormiamibeach #MiamiBeachChiropractor #SportsInjuriesFixedHere #DrNarson #ToddNarson #Narson #TriDoc #TriathlonDoc #ChiropracticSportsMedicine #ACASC #SportsMedicine #SportsChiropractor #MiamiBeachSportsMedicine #SportsMedicineMiami #MiamiSportsMedicine #MiamiChiropractor #Triathlon #Running #Ironman #IFixPeopleInPain #TrainWithoutPain #MiamiBeachChiropractor #GrastonTechnique #FAKTR #IASTM #Chiropractor #FootPain #Narson #NarsonBodyMechanic #NarsonTool #DACBSP #CCSP #ACBSP #BackPain #NeckPain #ShoulderPain #RotatorCuff #ITBandSyndrome #runnersKnee #PlantarFasciitis #Plantarfascitis #AchillesTendonitis #AchillesTendonosis #GettingAthletesBackInTheGame #MiamiBeachChiropractor #MiamiSportsMedicine #MiamiBeachSportsMedicine #WeFixPeopleInPain #TrainWithoutPain #ChiropracticSportsMedicine #ACASC #ProSportChiropractic #FunctionalMedicineMiami #DrNarson #BackPainRelief #NeckPainRelief #SportsInjuriesFixedHere #LaserTherapy #RockTape #KinesioTape #KTTape #Nutrition #21DayPurificationProgram #DetoxProgram #PaleoDiet #PaleoDoc #FunctionalNutrition #Chirooractor #Chiropractic #ChiropracticPhysician #DoctorOfChiropractic #GrastonTechnique #IASTM #FAKTR #USATriathlon #USAT #TeamUSA #CorporateWellness #HappyEmployeedProfitableBusiness #HeadacheRelief #MigraineHeadacheRelief #Migraine #SportsSpecificExam #SportSpecificTreatment #WorkCompDoc #WorkersCompensation #ankleSprain
I first encountered Shephard's pie during lunch at Coral Springs Middle School. Surprisingly, I loved it. That was probably a first for a school lunch anywhere. Since being an adult and a doctor, eating healthy is a part of my life and based on much research, paleo is how I eat.
I've seen and tried several recipes for paleo Shephard's pie and have tweaked them to the point I call this one my own. I make it with either grass-fed ground beef or free range ground turkey (not ground turkey breast because it comes out too dry).
Shephard's pie has two layers, the "meat mixture" and the topping. Instead of mashed potatoes, this recipe uses a cauliflower mash. The recipe uses carrots, onions, celery and cauliflower, so there is quite a bit of 'veg' in there.
Also, you can use the cauliflower mash as a side dish for steak, chicken, fish or use it by itself as a snack. try it as you make it, you'll see.
If you like a hearty, savory meal, this is it. I make a tray of it and use it for lunch and dinner for about 3-4 days. I hope you enjoy it as much as I do.
Dr. Narson's Paleo Shephard's Pie:
For the top layer
- 2 large heads
cauliflower, cut into florets
- 2 tbsp ghee,
melted
- Salt and
freshly ground black pepper, to taste
- Fresh
parsley, to garnish
- Paprika to
garnish
- 4 heaping
Tbsp of nutritional yeast
- 1 tsp garlic
powder
- 1 tbsp onion
powder
For the bottom layer
- 2 lb. grass-fed
ground beef (or free range turkey)
- 1 Tbsp
coconut oil & 1 Tbsp of Ghee
- 1 large
onion, diced
- 3 carrots,
diced
- 2 celery
stalks, diced
- 1 can of
tomato paste
- 1 cup
chicken broth
- 1 tsp dry mustard
- 1/4 tsp
cinnamon
- 1/8 tsp
ground clove
- 1 tsp of
smoked paprika
- Salt and
freshly ground black pepper, to taste
- 2 heaping
Tbsp of the ‘cauliflower mash’
- 1 Tbsp of
coconut flour (optional)
Instructions
- Place a
couple inches of water in a large pot. Once the water is boiling, place
steamer insert and then cauliflower florets into the pot and cover. Steam
for 15-20 minutes, until fork tender. Drain and place in large mixing bowl.
- Add the
ghee, nutritional yeast, garlic powder, onion powder, salt, and pepper to
the cauliflower. Using an immersion blender (aka: stick blender) to combine the ingredients until
smooth. Taste test for flavor, make any adjustments then set aside.
- Meanwhile,
heat the coconut oil & ghee in a large skillet over medium heat. Add
the onion, celery, and carrots and sauté for 5 minutes until carrots and
celery get soft and onions become clear and just start to brown.
- Add the
salt, pepper, ground clove, cinnamon and smoked paprika to the ground
beef, combine well until the spices are well incorporated into the ground
beef. Flatten into a large patty and place on top of the
carrot/onion/celery mixture and press the ground beef into the pan. Cook
until it browns (once one side is brown, cut it into 4 piece, flip each
piece so the other side can brown. Once the second side browns, chop into
small pieces with a chopper. Cook for another 3-4 minutes and mix as you
go.
- Stir the
tomato paste and chicken broth into the meat mixture. Season to taste with
salt and pepper. Simmer for 3-4 minutes, stirring occasionally.
- Add 2 tbsp
of cauliflower mash to the meat mixture and mix it in
- Sprinkle
coconut flour on top of meat mixture, then, mix it into the meat mixture
to thicken the sauce. Let simmer another 2-3 minutes.
- Distribute
the meat mixture evenly in a rectangular glass pan to about ½ the height
of the pan wall. Distribute cauliflower mash evenly over the meat mixture
until the meat mixture is completely covered. Sprinkle (non-smoked)
paprika lightly over the top.
- Place in
oven on 325 for 15 minutes. Then broil until top later starts to brown.
- Enjoy!
Let me just say.... Wow, this was good!
Enjoy!
Dr. T
_____________________________________________________________
Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.
#MiamiBeachChiropractor
#chiropractormiamibeach #SportsInjuriesFixedHere #DrNarson #ToddNarson #Narson #TriDoc #TriathlonDoc #ChiropracticSportsMedicine #ACASC #SportsMedicine #SportsChiropractor #MiamiBeachSportsMedicine #SportsMedicineMiami #MiamiSportsMedicine #MiamiChiropractor #Triathlon #Running #Ironman #IFixPeopleInPain #TrainWithoutPain #MiamiBeachChiropractor #GrastonTechnique #FAKTR #IASTM #Chiropractor #FootPain #Narson #NarsonBodyMechanic #NarsonTool #DACBSP #CCSP #ACBSP #BackPain #NeckPain #ShoulderPain #RotatorCuff #ITBandSyndrome #runnersKnee #PlantarFasciitis #Plantarfascitis #AchillesTendonitis #AchillesTendonosis #GettingAthletesBackInTheGame #MiamiBeachChiropractor #MiamiSportsMedicine #MiamiBeachSportsMedicine #WeFixPeopleInPain #TrainWithoutPain #ChiropracticSportsMedicine #ACASC #ProSportChiropractic #FunctionalMedicineMiami #DrNarson #BackPainRelief #NeckPainRelief #SportsInjuriesFixedHere #LaserTherapy #RockTape #KinesioTape #KTTape #Nutrition #21DayPurificationProgram #DetoxProgram #PaleoDiet #PaleoDoc #FunctionalNutrition #Chirooractor #Chiropractic #ChiropracticPhysician #DoctorOfChiropractic #GrastonTechnique #IASTM #FAKTR #USATriathlon #USAT #TeamUSA #CorporateWellness #HappyEmployeedProfitableBusiness #HeadacheRelief #MigraineHeadacheRelief #Migraine #SportsSpecificExam #SportSpecificTreatment #WorkCompDoc #WorkersCompensation #ankleSprain #concussion #LawrenceTaylor #LisaDwoskin #DrStevePerman
From my colleagues at Sports Care Performance Place...
Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He is an active triathlete, USA Triathlon Certified Coach and Ironman Miami 70.3 finisher. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.
#chiropractormiamibeach #MiamiBeachChiropractor #SportsInjuriesFixedHere #DrNarson #ToddNarson #Narson #TriDoc #TriathlonDoc #ChiropracticSportsMedicine #ACASC #SportsMedicine #SportsChiropractor #MiamiBeachSportsMedicine #SportsMedicineMiami #MiamiSportsMedicine #MiamiChiropractor #Triathlon #Running #Ironman #IFixPeopleInPain #TrainWithoutPain #MiamiBeachChiropractor #GrastonTechnique #FAKTR #IASTM #Chiropractor #FootPain #Narson #NarsonBodyMechanic #NarsonTool #DACBSP #CCSP #ACBSP #BackPain #NeckPain #ShoulderPain #RotatorCuff #ITBandSyndrome #runnersKnee #PlantarFasciitis #Plantarfascitis #AchillesTendonitis #AchillesTendonosis #GettingAthletesBackInTheGame #MiamiBeachChiropractor #MiamiSportsMedicine #MiamiBeachSportsMedicine #WeFixPeopleInPain #TrainWithoutPain #ChiropracticSportsMedicine #ACASC #ProSportChiropractic #FunctionalMedicineMiami #DrNarson #BackPainRelief #NeckPainRelief #SportsInjuriesFixedHere #LaserTherapy #RockTape #KinesioTape #KTTape #Nutrition #21DayPurificationProgram #DetoxProgram #PaleoDiet #PaleoDoc #FunctionalNutrition #Chirooractor #Chiropractic #ChiropracticPhysician #DoctorOfChiropractic #GrastonTechnique #IASTM #FAKTR #USATriathlon #USAT #TeamUSA #CorporateWellness #HappyEmployeedProfitableBusiness #HeadacheRelief #MigraineHeadacheRelief #Migraine #SportsSpecificExam #SportSpecificTreatment #WorkCompDoc #WorkersCompensation #ankleSprain
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