DENVER — Chiropractic care for musculoskeletal pain is associated with a significant reduction in opioid prescriptions compared with non-chiropractic care in this patient population, new research suggests.
In a new meta-analysis and systematic review, patients who visited a chiropractor for a musculoskeletal pain condition were 49% less likely to receive an opioid prescription than their counterparts who went to other healthcare providers.
"Preventing opioid addiction and overdose continues to be a significant public health priority; and as part of a strategy to lessen opioid use, clinical guidelines now recommend many non-pharmacological options to be considered as front-line treatment ahead of any medication," lead author Kelsey L. Corcoran, DC, VA Connecticut Health Care System and Yale Center for Medical Informatics, Yale School of Medicine, New Haven, told Medscape Medical News.
"Chiropractors provide many of the treatments included in the clinical guidelines for the initial treatment of low back pain, neck pain, and osteoarthritis of the hip, knee, and hand," Corcoran said.
Fran Lowry. Chiropractic Care Tied to Significant Reduction in Opioid Scripts - Medscape - Mar 19, 2019.
When I hear about those people who jump out of bed every morning full of energy, I die a little bit inside.
My experience couldn't be more different. On the rare occasions I do manage to get a solid eight hours of sleep, I still wake up feeling tired.
And just when things are going well, I'll stay up past my bedtime on the weekend — or get distracted by something on my phone on a weeknight — and sabotage my good work.
I'm not alone in feeling tired and under slept. A recent report estimated that nearly 40 per cent of Australians experience some form of inadequate sleep.
Osteoarthritis is one of the most common forms of arthritis. It occurs when the cartilage between joints breaks down, leading to pain, stiffness and swelling. The degenerative condition mostly affects the hands, spine and joints in the hips, knees and ankles and is most likely to develop in people aged over 45 years. Affecting almost one in 10 Australians, it is a leading cause of knee and hip replacement surgery.
Have you recently carried heavy shopping bags up a few flights of stairs? Or run the last 100 metres to the station to catch your train? If you have, you may have unknowingly been doing a style of exercise called high-intensity incidental physical activity.
Our paper, published today in the British Journal of Sports Medicine, shows this type of regular, incidental activity that gets you huffing and puffing is likely to produce health benefits, even if you do it in 30-second bursts, spread over the day.
In fact, incorporating more high intensity activity into our daily routines – whether that’s by vacuuming the carpet with vigour or walking uphill to buy your lunch – could be the key to helping all of us get some high quality exercise each day. And that includes people who are overweight and unfit.