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 ...
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"Natural Sports Medicine Blog" - 5 new articles

  1. Herniated Disc? Should You Go To The Surgeon or to the Chiropractor?
  2. The Fallacy of Chiropractors Causing A Stroke –More Evidence As The Truth Emerges
  3. Hurricane Irma Back Pain Survival Guide
  4. Dr. Narson's Paleo Shephard's Pie Recipe
  5. Top 20 Reasons Why You Need A Sports Chiropractor!
  6. More Recent Articles

Herniated Disc? Should You Go To The Surgeon or to the Chiropractor?

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:



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The Fallacy of Chiropractors Causing A Stroke –More Evidence As The Truth Emerges

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 
    

Hurricane Irma Back Pain Survival Guide

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
    

Dr. Narson's Paleo Shephard's Pie Recipe

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
  1. 2 large heads cauliflower, cut into florets
  2. 2 tbsp ghee, melted
  3. Salt and freshly ground black pepper, to taste
  4. Fresh parsley, to garnish
  5. Paprika to garnish
  6. 4 heaping Tbsp of nutritional yeast
  7. 1 tsp garlic powder
  8. 1 tbsp onion powder
For the bottom layer
  1. 2 lb. grass-fed ground beef (or free range turkey)
  2. 1 Tbsp coconut oil & 1 Tbsp of Ghee
  3. 1 large onion, diced
  4. 3 carrots, diced
  5. 2 celery stalks, diced
  6. 1 can of tomato paste
  7. 1 cup chicken broth
  8. 1 tsp dry mustard
  9. 1/4 tsp cinnamon
  10. 1/8 tsp ground clove
  11. 1 tsp of smoked paprika
  12. Salt and freshly ground black pepper, to taste
  13. 2 heaping Tbsp of the ‘cauliflower mash’
  14. 1 Tbsp of coconut flour (optional)
Instructions

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Add 2 tbsp of cauliflower mash to the meat mixture and mix it in
  7. 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.
  8. 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.
  9. Place in oven on 325 for 15 minutes. Then broil until top later starts to brown.
  10. 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

Friday, June 3, 2016

    

Top 20 Reasons Why You Need A Sports Chiropractor!

From my colleagues at Sports Care Performance Place... 

Top 20 Reasons Why You Need A Chiropractor

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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