Laurel Chiropractic & Wellness, Dr. Mahin Darabi

EXERCISE AND BONE LOSS IN THE HIP:

"A 5-year program of weighted vest plus jumping exercise maintains hip BMD by preventing significant bone loss in older postmenopausal women."

The Journals of Gerontology: Series A, Volume 55, Issue 9, 1 September 2000, Pages M489–M491.

https://doi.org/10.1093/gerona/55.9.M489

Microbial Symphony: Exploring the Role of the Gut in Osteoarthritis-Related Pain. A Narrative Review

“One of the most common musculoskeletal disorders, osteoarthritis (OA), causes worldwide disability, morbidity, and poor quality of life by degenerating articular cartilage, modifying subchondral bone, and inflaming synovial membranes…….

In recent years, it has been acknowledged that gut microbiota (GM) can significantly contribute to the development of OA. Dysbiosis of GM can disrupt the “symphony” between the host and the GM, leading to a host immunological response that activates the “gut–joint” axis, ultimately worsening OA.”

https://link.springer.com/article/10.1007/s40122-024-00602-9?fromPaywallRec=false

Cost of chiropractic versus medical management with spine-related pain:

Patients with spine-related musculoskeletal pain who consulted a chiropractor as their initial provider incurred substantially decreased downstream healthcare services and associated costs, resulting in lower overall healthcare costs compared with medical management.

https://chiromt.biomedcentral.com/articles/10.1186/s12998-024-00533-4?fbclid=IwAR0aD9zbuBazS3JfYIBgkXsXG7ghVR4C0ogZderMPiyUuFaMV9x5pYSKtHY

The medical and chiropractic management of patients with acute mechanical low back pain:

Compared to family physician-directed (usual care) UC, full (clinical practice guidelines) CPG-based treatment including CHIROPRACTIC SPINAL MANIPULATIVE THERAPY (CSMT) IS ASSOCIATED WITH SIGNIFICANTLY GREATER IMPROVEMENTIN CONDITION-SPECIFIC FUNCTIONING.

https://doi.org/10.1016/j.spinee.2010.08.019

EXERCISE AND HIP BONE LOSS:

"Long-term exercise using weighted vests prevents hip bone loss in postmenopausal women"

https://doi.org/10.1093/gerona/55.9.m489

"Association between spinal manipulative therapy and lumbar spine reoperation after discectomy: a retrospective cohort study"

"This study found that adults experiencing lumbosacral radiculopathy (LSR) at least one year after lumbar discectomy who received Spinal manipulative therapy (SMT) were less likely to undergo lumbar spine reoperation compared to matched controls not receiving SMT."

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-024-07166-x?fbclid=IwAR36w6IFUoGvlu2Qf1iI-tC2TkLcMVUW6AWEces1YZdUgHohJkNB4bBeWds

"This Mendelian Randomization study found a causal effect between 10 gut microbiota and intervertebral disc degeneration."

Genetic analysis of the causal relationship between gut microbiota and intervertebral disc degeneration: a two-sample Mendelian randomized study - PubMed This Mendelian Randomization study found a causal effect between 10 gut microbiota and intervertebral disc degeneration, and we summarize the possible mechanisms of action in the context of existing studies. However, additional research is essential to fully understand the contribution of genetic fa...

All patients who come to our office receive practical tips on how to minimize postural stress on their neck.

A great study:
Assessment of Stresses in the Cervical Spine Caused by Posture and Position of the Head.

In an upright posture, the head normally weighs about 10 to 12 lbs. When the head is tilted forward, it can put additional strain on the neck, reaching up to 50 or even 60 lbs of pressure.

Ref: Neuro and Spine Surgery, SURGICAL TECHNOLOGY INTERNATIONAL XXV, 2014. KK, Hansra – pingeprii.eehttps://pingeprii.ee/wp-content/uploads/2016/09/Hansray-K.K.-Assessment-of-Stresses-in-the-Cervical-Spine-Caused-by-Posture-and-Position-of-the-Head.pdf

PIRIFORMIS SYNDROME:

Over the last 24 years, I have had great success treating patients suffering from PIRIFORMIS SYNDROME which causes symptoms similar to sciatica. Here's a very interesting study on the condition.

Novel anatomical findings with implications on the etiology of the piriformis syndrome
https://doi.org/10.1007/s00276-022-03023-5

"The cause of the piriformis-related pelvic and extra-pelvic pain syndromes is still not well understood. Usually, the piriformis syndrome is seen as extra-pelvic sciatica caused by the entrapment of the sciatic nerve by the piriformis in its crossing through the greater sciatic foramen. However, the piriformis muscle may compress additional nerve structures in other regions and cause idiotypic pelvic pain, pelvic visceral pain, pudendal neuralgia, and pelvic organ dysfunction. There is still a lack of detailed description of the muscle origin, topography, and its possible relationships with the anterior branches of the sacral spinal nerves and with the sacral plexus. In this research, we aimed to characterize the topographic relationship of the piriformis with its surrounding anatomical structures, especially the anterior branches of the sacral spinal nerves and the sacral plexus in the pelvic cavity, as well as to estimate the possible role of anatomical piriformis variants in pelvic pain and extra-pelvic sciatica."

One reason chiropractic care is effective in treating migraines:
The pathophysiology of migraine: implications for clinical management

The Lanclet Neurology: https://www.sciencedirect.com/science/article/abs/pii/S1474442217304350

Research points to the association between issues in the neck & and migraine headaches:
“The understanding of migraine pathophysiology is advancing rapidly leading to the view of migraine as a complex, variable disorder of nervous system function rather than simply a vascular headache………..Recent studies have provided important new insights including a greater appreciation of the potential role of the cervical nerves.”(nerves in the neck).

Begin with Yes - A page filled with wave makers! ❤

Image Credit: Healing Meme Therapy

SPINAL MANIPULATION AND FIBROMYALGIA

https://pubmed.ncbi.nlm.nih.gov/36695286/

Conclusions: Spinal manipulation used in addition to pharmacological treatment in young/middle-aged female patients with fibromyalgia could be an effective treatment for pain, disease severity, and functionality.

Effectiveness of spinal manipulation in addition to pharmacological treatment in fibromyalgia: A blinded randomized trial - PubMed Spinal manipulation used in addition to pharmacological treatment in young/middle-aged female patients with fibromyalgia could be an effective treatment for pain, disease severity, and functionality.

"For the correlations of baseline biomarkers with 4-week change in outcomes, vitamin D showed a correlation with change in disability and/or pain (|r| ≥ 0.20, p > .05) in manipulation-related groups"

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-06027-9?fbclid=IwAR0Lh900bUb-3XsDMeMYXu10LfRLSS4VYwK5rBQttIsnep_sXmVCqmu7G_o

The association of biomarkers with pain and function in acute and subacute low back pain: a secondary analysis of an RCT - BMC Musculoskeletal Disorders Background Low back pain (LBP) is a common musculoskeletal condition and a major cause of disability worldwide. Previous studies have found associations of biomarkers with pain and pain-related disability in LBP patients. This study aimed to explore the association between serum biomarkers and pain....

SPINAL IMPLICATIONS OF HIP MISALIGNMENT:

Overview and Spinal Implications of Leg Length Discrepancy: Narrative Review

https://doi.org/10.4055/cios20224

"LLD (Lower leg discrepancy) is an underrecognized and prevalent condition among the U.S. population. LLD may be present from birth due to a congenital disorder or may be acquired through illness, infection, or trauma. The effects of LLD vary on an individual basis depending on the cause and size of the discrepancy. Most cases of LLD are less than 10 mm and are asymptomatic or normal variant. Current research supports discrepancies greater than 20 mm to be clinically significant and require treatment. Such discrepancies can alter biomechanics and result in functional limitations, such as gait, posture, and balance problems. The asymmetrical loading patterns of LLD can also result in various musculoskeletal disorders, such as functional scoliosis and degenerative disease of the spine."

Overview and Spinal Implications of Leg Length Discrepancy: Narrative Review - PubMed Leg length discrepancy (LLD) is an underrecognized and prevalent condition among the U.S. population, with effects varying depending on the cause and size of the discrepancy. LLD occurs when the paired lower extremities are unequal in length and can be etiologically classified as functional or struc...

The female neck is not a scaled version of the male neck. These differences in muscle attachment could partially explain differences in muscle torque production and range of motion and thus biomechanical differences in cervical spine stabilization between sexes. It sheds a much-needed light on the reason for higher whiplash rates, concussion, and chronic cervical pain among females.

Sexual dimorphism of the posterior cervical spine muscle attachments
Lee Keidan Alon Barash Ziv Lenzner Chaim G. Pick Ella Been
First published: 19 April 2021 https://doi.org/10.1111/joa.13448

Sexual dimorphism of the posterior cervical spine muscle attachments Journal of AnatomyEarly View ORIGINAL PAPER Sexual dimorphism of the posterior cervical spine muscle attachments Lee Keidan Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel‐Aviv University, Tel‐Aviv, IsraelSearch for more papers by this author Alon Barash Azrieli Faculty ...

Great job properly stretching hip flexors while out for a bike ride!!

Dear Patients, we are pleased to announce the reopening of our office as of May 19th. Please note the following:

Please do not book/come in if you have come into contact with anyone suspected of having COVID 19, if you have any flu-like symptoms or have traveled outside BC in the last 14 days. We ask that if anyone is accompanying you, have them wait outside the office so as to reduce the number of people in the office at any given time.

Every patient is asked to sanitize their hands upon entering the office, all surfaces are carefully disinfected after each patient and surgical masks are used to ensure safety during the treatments. Patients are asked to use masks or face coverings as much as possible.

Many thanks!

Essential Services List includes Chiropractors.

B.C. defines essential services in fight against COVID-19 | CBC News B.C. Solicitor General Mike Farnworth released a list of essential and non-essential services Thursday as he vowed to use his emergency powers to keep “communities safe, goods moving and essential service workers supported” as the province attempts to curb the spread of COVID-19.

Dear Patients, our clinic closure is extended to May 1 and maybe extended beyond that date due to COVID 19 considerations. The situation will be monitored very closely and health authorities' recommendations will be followed. Urgent cases can email us or call and leave a VM. Phone consultations and video conferencing are available.

Infographic: Exercise for Intermittent Claudication, https://bjsm.bmj.com/…/early/2020/02/12/bjsports-2019-101930