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Articles - Complimentary Therapy
Complementary Therapy
- A Randomised Trial of Chiropractic and Medical Care for Patients with Low Back Pain
This study suggests that whilst people may believe chiropractic is more effective for managing low back pain this does not appear to be the case. Physical therapy was shown to be more effective than medical care alone in some cases but was not directly compared to chiropractic. The evidence of ongoing pain at 18 months highlights the need for further research into the most effective models of care.
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- Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study
Neck manipulation has long been used for neck pain, often being touted as remarkably safe and comfortable. However this study shows that 3/10 patients receiving manipulation for neck pain have adverse reactions to this treatment. Mobilization of neck joints were shown to be significantly less likely to have an adverse reaction. Given the lack of evidence for manipulation over mobilization for treating neck pain, this study recommends using mobilization as a more appropriate therapy, particularly patients with more severe pain.
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- Bipolar Permanent Magnets for the Treatment of Chronic Low Back
Based on the findings from this study, magnets provided no greater relief for chronic low back pain.
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- Chiropractic spinal manipulation for low back painThis article shows that the effectiveness of chiropractic spinal manipulation is uncertain. It also recommends that osteoporosis should be reguarded as a contraindication for chiropractic manipulation.
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- Clinical Utility of Surface EMG Based on the lack of evidence with the studies up to this point, SEMG is considered unacceptable as a clinical tool in the diagnosis of low back pain. People with low back pain should be wary of any claims made by clinicians regarding their condition based on findings obtained from surface electromyography (SEMG).
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- Effect of Magnetic vs. Sham ? magnetic Insoles on Plantar heel pain
Magnets have become a popular treatment for many musculoskeletal conditions despite little scientific support for therapeutic benefit. Based on the evidence from this article, magnets provided no greater relief from plantar fasciitis.
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- Effectiveness of foot orthoses
The results are generally good 78% of recipients of foot orthoses agreed or strongly agreed that they had gained some relief. A wide range of symptoms were treated but the sample is too small to produce a valid analysis of trends.
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- Glucosamine and Chondroitin for Treatment of Osteoarthritis
According to these earlier studies, pain associated with osteoarthritis of the hip or knee appears to improve with Glucosamine and Chondroitin supplements. Shortcomings found in these studies however raises the question of how accurate the early findings are. As better studies are completed the true effectiveness of these preparations should become clearer (please refer to other references contained in this section).
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- Glucosamine therapy for treating OA
Glucosamine is safe but does not appear to improve pain and functional limitation associated with OA as much as previously thought, if at all.
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- Glucosamine, Chondroitin Sulfate, and the Two in Combination for Painful Knee Osteoarthritis
Glucosamine and Chondroitin Sulfate preparations when taken alone or in combination do not effectively reduce pain levels for those people suffering osteoarthritis of the knee. This study suggests that these supplements are more effective for those suffering moderate to severe pain, but this requires further research.
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- Homeopathic arnica for prevention of pain and bruising
The results of this double -blind, placebo-controlled, randomized trail do not support the routine use of homeopathic arnica for preventing or reducing postoperative complications such as bruising, swelling and pain.
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- Homoeopathic Arnica
Homeopathic arnica failed to show any advantage compared with placebo in reducing post-operative pain, bruising, and swelling in patients having elective hand surgery.
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- Some observations on the pharmacology of deep-heat, a topical rubifacient
This article examines the effect the ‘deep-heat’ has on normal tissue. There was found to be an erythematous response and an increase in venous blood oxygen levels. The active ingredients also acted on the clotting system to make cells more resistant to clotting factors. This study is limited in that it doesn’t show any effects to tissues deeper than the skin.
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- The Use of Ice in the Treatment of Acute Soft-Tissue Injury
This study reviews the efficacy of icing in the treatment of acute soft-tissue injury. Many studies have been conducted examining its efficacy with mixed results. Conclusions were drawn suggesting ice must be applied as early as possible in acute inflammatory phase, and be combined with exercise outside of this phase. Further studies that use ice in this manner are required to prove its efficacy.
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- Intermittent Ice application vs Standard Ice application
Intermittent ice application may enhance the therapeutic effects of ice after soft tissue injury. However at the moment these effects are limited to pain relief in the early stages of rehabilitation.
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- Therapeutic Magnets
A well designed study concluding that a nil thermal effect was observed with magnet treatment over a time period, contradicting one of the fundamental claims made my magnet advocates.
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- Topical NSAIDs for Musculoskeletal Conditions. A Review of The Literature
This review examines the efficacy of topically applied non-steroidal anti-inflammatory drugs (NSAIDs) in the treatment of musculoskeletal conditions. It suggests that the local concentrations of NSAID in tissues under the area of application are equal to that gained using oral NSAIDs. The systemic levels of the active ingredients, however, are much lower than using the oral form, therefore reducing the risk of systemic reactions such as hearing loss, upper gastrointestinal bleeding, asthma and renal impairment. There is associated risk of cutaneous irritation. Rubbing the affected area may contribute to some of the effects gained and often topically applied NSAIDs are used as adjuncts to other therapy therefore their effects as sole intervention are not often examined.
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- Whole body vibration exercise
There are now many outlets throughout New Zealand that offer Whole Body Vibration training. This review has found that there is no conclusive evidence that Whole Body Vibration is effective for strength and cardiovascular training for fit and healthy subjects. It is, however relatively safe for short periods of training and may be effective for elderly populations, particularly those with osteoporosis.
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