This document discusses alternative therapies for treating facet joint pain, including chiropractic care, herbal supplements, and aromatherapy. It finds that while chiropractic care can provide short-term relief and improve mobility, herbal supplements like Boswellia seem to be the most effective option for pain relief. Boswellia is shown to reduce inflammation and pain similarly to NSAIDs but without side effects, and it is more cost-effective long-term than medications or other traditional treatments. Physical therapy supervised by a professional is also identified as a beneficial non-medication option for improving function.
Our commitment is to improve your pain with available non-surgical options and critical medication management. We offer a complete range of pain treatment services for back, neck, joint, and nerve pain.
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Comparison of Passive Stretching Versus Massage on Preventing the Symptoms of...dbpublications
OBJECTIVE: To compare the effectiveness of passive stretching versus massage on preventing the symptoms of delayed onset muscle soreness in normal adults. STUDY DESIGN: Quasi- Experimental study design. SUBJECTS: 50subjects, with the age group of 18-21 years of both the genders were selected. INTERVENTION: Subjects were randomly divided into 2 groups (Group A& Group B), 25 subjects in Group A received passive stretching and 25 subjects in Group B received Massage after 3 hours of inducing DOMS. OUTCOME MEASURE: Pain, Elbow Range of Motion and swelling were assessed by Visual analogue scale, goniometer, Inch tape. RESULTS: Statistical analysis was done by using independent ‘t’ test and paired ‘t’ test which showed there is no statistical significant difference between Group A(Passive stretching) and Group B(Massage). CONCLUSION: The result of this study concludes that massage decreased the pain immediately after intervention and regained the Elbow Range of Motion at immediately at 24 hours, at 48 hours and 72 hours than passive stretching. But massage and passive stretching has equal effect on pain reduction at 24hours, 48 hours and 72 hours after intervention. Similarly they both have equal effect on Arm Circumference.
Our commitment is to improve your pain with available non-surgical options and critical medication management. We offer a complete range of pain treatment services for back, neck, joint, and nerve pain.
For more information and details, visit our website https://peakhealthandwellness.com/
Comparison of Passive Stretching Versus Massage on Preventing the Symptoms of...dbpublications
OBJECTIVE: To compare the effectiveness of passive stretching versus massage on preventing the symptoms of delayed onset muscle soreness in normal adults. STUDY DESIGN: Quasi- Experimental study design. SUBJECTS: 50subjects, with the age group of 18-21 years of both the genders were selected. INTERVENTION: Subjects were randomly divided into 2 groups (Group A& Group B), 25 subjects in Group A received passive stretching and 25 subjects in Group B received Massage after 3 hours of inducing DOMS. OUTCOME MEASURE: Pain, Elbow Range of Motion and swelling were assessed by Visual analogue scale, goniometer, Inch tape. RESULTS: Statistical analysis was done by using independent ‘t’ test and paired ‘t’ test which showed there is no statistical significant difference between Group A(Passive stretching) and Group B(Massage). CONCLUSION: The result of this study concludes that massage decreased the pain immediately after intervention and regained the Elbow Range of Motion at immediately at 24 hours, at 48 hours and 72 hours than passive stretching. But massage and passive stretching has equal effect on pain reduction at 24hours, 48 hours and 72 hours after intervention. Similarly they both have equal effect on Arm Circumference.
Wyndham Physio provides treatments like Hydrotherapy and Dry Needling. Hydrotherapy is extremely in aiding pain relief & Dry Needling involves inserting an acupuncture needle into a trigger point and is typically used to treat the pain associated with injuries.
Comparison of Passive Stretching Versus Massage on Preventing the Symptoms of...dbpublications
OBJECTIVE: To compare the effectiveness of passive stretching versus massage on preventing the symptoms of delayed onset muscle soreness in normal adults. STUDY DESIGN: Quasi- Experimental study design. SUBJECTS: 50subjects, with the age group of 18-21 years of both the genders were selected. INTERVENTION: Subjects were randomly divided into 2 groups (Group A& Group B), 25 subjects in Group A received passive stretching and 25 subjects in Group B received Massage after 3 hours of inducing DOMS. OUTCOME MEASURE: Pain, Elbow Range of Motion and swelling were assessed by Visual analogue scale, goniometer, Inch tape. RESULTS: Statistical analysis was done by using independent ‘t’ test and paired ‘t’ test which showed there is no statistical significant difference between Group A(Passive stretching) and Group B(Massage). CONCLUSION: The result of this study concludes that massage decreased the pain immediately after intervention and regained the Elbow Range of Motion at immediately at 24 hours, at 48 hours and 72 hours than passive stretching. But massage and passive stretching has equal effect on pain reduction at 24hours, 48 hours and 72 hours after intervention. Similarly they both have equal effect on Arm Circumference.
KEY WORDS: Delayed onset muscle soreness, Eccentric exercise, Elbow flexors, Muscle strength, Elbow Range of motion, Passive stretching, Massage.
Wyndham Physio provides treatments like Hydrotherapy and Dry Needling. Hydrotherapy is extremely in aiding pain relief & DryNeedling involves inserting an acupuncture needle into a trigger point and is typically used to treat the pain associated with injuries.
Comparison of pre-mixed and sequentially intrathecal administration of Clonidine with hyperbaric Bupivacaine in caesarean sections-Adjuvant and hyperbaric Bupivacaine mixing in a single syringe before injecting the drugs intrathecally is an age old practice. It may cause intraoperative hemodynamic changes. Administering local anesthetic and the adjuvant separately may minimize these side effects. So this study was aimed to compare effect of administering hyperbaric Bupivacaine and Clonidine intrathecally as a mixture and sequentially in cases undergoing caesarean section (CS). This study conducted at a District Hospital of Rajasthan in year 2013. Cases undergoing elective caesarean sections were divided into two groups by chit box method each of two groups consists of 30 cases. One group (Group A) is given mixture of Clonidine (75 mcg) and hyperbaric Bupivacaine 0.5% (10 mg) intrathecally, whereas other Group B received Clonidine (75 mcg) followed by hyperbaric Bupivacaine 0.5% (10 mg) through separate syringes. It was found that duration of analgesia was significantly longer in Group B (466 ± 18.2 min) in which the drug was given sequentially than in Group A (334 ± 16 min). Likewise, the time to achieve highest sensory and complete motor block was significantly less in Group B than Group A. So it can be depicted that administering Clonidine and hyperbaric Bupivacaine in a sequential manner is better than mixing of the two drugs.
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-for-pain-and-suffering/
Free Sample copy of TSM MSK 07 Transformational Shift module for chronic pain complete with energetic downloads for more information visit our website www.VisualizeHealth.net
Corticosteroids in dentistry and endodonticsDr. Ritu Gupta
this seminar provides information about the corticosteroids ,history,uses, functional anatomy of adrenal glands, it's drawbacks, cushing's habitus, dental implications, mineralocorticoids, glucocorticoids
Wyndham Physio provides treatments like Hydrotherapy and Dry Needling. Hydrotherapy is extremely in aiding pain relief & Dry Needling involves inserting an acupuncture needle into a trigger point and is typically used to treat the pain associated with injuries.
Comparison of Passive Stretching Versus Massage on Preventing the Symptoms of...dbpublications
OBJECTIVE: To compare the effectiveness of passive stretching versus massage on preventing the symptoms of delayed onset muscle soreness in normal adults. STUDY DESIGN: Quasi- Experimental study design. SUBJECTS: 50subjects, with the age group of 18-21 years of both the genders were selected. INTERVENTION: Subjects were randomly divided into 2 groups (Group A& Group B), 25 subjects in Group A received passive stretching and 25 subjects in Group B received Massage after 3 hours of inducing DOMS. OUTCOME MEASURE: Pain, Elbow Range of Motion and swelling were assessed by Visual analogue scale, goniometer, Inch tape. RESULTS: Statistical analysis was done by using independent ‘t’ test and paired ‘t’ test which showed there is no statistical significant difference between Group A(Passive stretching) and Group B(Massage). CONCLUSION: The result of this study concludes that massage decreased the pain immediately after intervention and regained the Elbow Range of Motion at immediately at 24 hours, at 48 hours and 72 hours than passive stretching. But massage and passive stretching has equal effect on pain reduction at 24hours, 48 hours and 72 hours after intervention. Similarly they both have equal effect on Arm Circumference.
KEY WORDS: Delayed onset muscle soreness, Eccentric exercise, Elbow flexors, Muscle strength, Elbow Range of motion, Passive stretching, Massage.
Wyndham Physio provides treatments like Hydrotherapy and Dry Needling. Hydrotherapy is extremely in aiding pain relief & DryNeedling involves inserting an acupuncture needle into a trigger point and is typically used to treat the pain associated with injuries.
Comparison of pre-mixed and sequentially intrathecal administration of Clonidine with hyperbaric Bupivacaine in caesarean sections-Adjuvant and hyperbaric Bupivacaine mixing in a single syringe before injecting the drugs intrathecally is an age old practice. It may cause intraoperative hemodynamic changes. Administering local anesthetic and the adjuvant separately may minimize these side effects. So this study was aimed to compare effect of administering hyperbaric Bupivacaine and Clonidine intrathecally as a mixture and sequentially in cases undergoing caesarean section (CS). This study conducted at a District Hospital of Rajasthan in year 2013. Cases undergoing elective caesarean sections were divided into two groups by chit box method each of two groups consists of 30 cases. One group (Group A) is given mixture of Clonidine (75 mcg) and hyperbaric Bupivacaine 0.5% (10 mg) intrathecally, whereas other Group B received Clonidine (75 mcg) followed by hyperbaric Bupivacaine 0.5% (10 mg) through separate syringes. It was found that duration of analgesia was significantly longer in Group B (466 ± 18.2 min) in which the drug was given sequentially than in Group A (334 ± 16 min). Likewise, the time to achieve highest sensory and complete motor block was significantly less in Group B than Group A. So it can be depicted that administering Clonidine and hyperbaric Bupivacaine in a sequential manner is better than mixing of the two drugs.
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-for-pain-and-suffering/
Free Sample copy of TSM MSK 07 Transformational Shift module for chronic pain complete with energetic downloads for more information visit our website www.VisualizeHealth.net
Corticosteroids in dentistry and endodonticsDr. Ritu Gupta
this seminar provides information about the corticosteroids ,history,uses, functional anatomy of adrenal glands, it's drawbacks, cushing's habitus, dental implications, mineralocorticoids, glucocorticoids
How physiotherapy help in your life by treating painshealthheal
Physiotherapy is a healthcare profession that assesses, diagnoses, treats, and works to prevent disease and disability through physical means. Physiotherapists are experts in movement and function who work in partnership with their patients, assisting them to overcome movement disorders, which may have been present from birth, acquired through accident or injury, or are the result of ageing or life-changing events.
If you are living with chronic back pain, you may be looking for relief. Stem cell therapy is a promising treatment option for many chronic pain conditions, including lower back pain. In this presentation, Dr. David Greene Arizona discusses how stem cell therapy can help patients find relief from back pain.
Complementary and alternative approaches to pain relief during laborpharmaindexing
Even though delivery is a natural phenomenon, it has been demonstrated that the accompanying pain is considered severe or extreme in more than half of cases. Besides conventional approaches, such as epidural analgesia, many complementary or alternative methods have been reported to reduce pain during labor and delivery. Not every woman wants traditional pain medication. Many moms-to-be want their labor and delivery to be as natural as possible (and for women who are recovering from drug and alcohol abuse, analgesics are usually a no-no), but still as comfortable as possible.
Dr Susmit Naskar has completed his Bachelor degree (MBBS) from Calcutta Medical College, the oldest and one of the most renowned medical colleges in India. After completion of his MBBS, he went to Mumbai to earn his Masters degree in Orthopaedics. He completed his masters from Sion’s Lokmanya Tilak Hospital - the Trauma Centre of western India. The Orthopedics unit of Sion Hospital is one of the busiest and diverse Departments in India.
New York DNS & Physical Therapy center is the first one in the niche to practise Dynamic Neuromuscular Stabilization therapy method in New York. Its professional medicine employees have more than 18 years of experience.
Dr Ananda's invited article on Yoga for Dental Professional : Scope and Simplified Practices published in the Journal of Scientific Dentistry, 2017;7(1):1-11
Can Chiropractic care help with Lower Back Pain?Jacinta911
Previous research has suggested that some people are more likely to benefit from spinal manipulation than others: for example, those whose symptoms last fewer than 16 days, who have no pain below the knee and who are willing to remain active.
1. Running head: ATERNATIVE THERAPIES FOR THE RELIEF OF FACET JOINT PAIN 1
Alternative Therapies for the Relief of Facet Joint Pain
David Commini
Everglades University
2. ALTERNATIVE THERAPIES FOR THE RELIEF OF FACET JOINT PAIN 2
Abstract
This paper examines a few alternative therapies for the treatment and relief of facet joint pain.
In addition to the alternative therapies, traditional therapies are also examined. Traditional therapies
will include medications, physical therapy, and surgery. Alternative therapies will include chiropractic,
herbal/botanical medicines, and aromatherapy.
3. ALTERNATIVE THERAPIES FOR THE RELIEF OF FACET JOINT PAIN 3
Alternative Therapies for the Relief of Facet Joint Pain
Facet joint disorders are among the most common recurring lower back problems (Ray, 2002).
Symptoms include intermittent lumbar facet pain, tenderness over inflamed facet joints, discomfort
whilst leaning backwards, and pain radiating from the facets into the buttocks and into the upper leg
(Ray, 2002). For lumbar pain, “standing may be somewhat limited but sitting and riding in a car is the
worst. So-called "limited duty" (sitting) assignments for patients with low back pain are paradoxically
bad. When at its height of pain and disability, the muscle spasm is so continual that it fatigues the
muscles, which in turn, repeats the cycle.” (Ray, 2002)
Traditional medical treatments for facet joint disorders will often include Physical Therapy,
steroid shots, or even nerve blocking surgery, in conjunction with NSAIDs for general pain relief. In
the case of physical therapy, the therapist may have the patient do a series of exercises that will help
strengthen the core and back muscles. Even though movement may be limited, staying stationary is the
least helpful thing to be done when dealing with facet joint pain.
Epidural steroid shots seem to be popular amongst many doctors and pain management
specialists, given in a series of three or four shots a year if needed (Scott, 2013). Results can vary from
no relief to full relief of pain. The cost of such a procedure can range between $200 and $300 each
(Scott, 2013). Epidural steroid shots are not without risk as a fungal meningitis outbreak occurred in
2012 from a tainted steroid batch - 58 people died (Scott, 2013). The author would like to note that he
had two epidural steroid shots spaced out over a few months and saw little to no relief from his pain
either time, though environmental factors could have been in play during that time.
Chiropractic treatments may improve range of motion, relax the muscles, and even reduce pain;
however there is no evidence of chiropractic treatments stopping facet join pain (caused by
osteoarthritis) completely (Ehrlic, 2014). Reviewing scientific literature suggests that, “chiropractic,
4. ALTERNATIVE THERAPIES FOR THE RELIEF OF FACET JOINT PAIN 4
especially when combined with glucosamine supplements and stretches and exercise, helps treat OA.
Chiropractors will avoid using direct thrusts or pressure on red, swollen joints.” (Ehrlic, 2014)
Treatment for facet joint pain can be done while also treating decompression flexion distraction (Kline,
2006).
Price for chiropractic treatments can range from around $34 to just over $100 with an average
price of $65 ("How Much Does a Chiropractor Cost?”). Of course, if there are any other treatments
needed, such as massage, the price can go up. While some insurance may cover chiropractic care, some
may not and the patient would be left covering the cost of multiple sessions. While chiropractic
treatments could be more beneficial in pain management than the previously mentioned epidural
steroids the out of pocket cost can quickly make this treatment not as cost effective.
Boswellia, or more commonly known as Frankincense, has been shown to reduce pain and
inflammation. As opposed to NSAIDs there are no known side effects. One study's findings showed,
“that there is statistically significant improvement in the efficacy variables in the patients of
OA knee treated with BSE. After eight weeks of thrice daily administration in the dose of 333
mg per capsule, BSE decreased the pain in the affected knee joints, decreased the swelling and
improved the loss of function in terms of increased knee flexion, stairs climbing and walking
distance. Radiologically there was no change in the affected joints. BSE is recommended in the
patients with OA knee and may also have therapeutic utility in the treatment of other arthritis
like osteoarthritis of other joints, JRA, rheumatoid arthritis, ankylosing spondylosis and
degenerative diseases of spine (Kimmatkar, 2003).”
Basically the study says that Boswellia is more effective at pain relief than NSAIDs. Cost wise
can vary. Swansonvitamins.com has Boswellia 100 400mg capsules listed at $3.99, as compared to
Walmart having BC Powder 50 count listed at $6.22 and Equate Naproxen 100 count listed at $5.48.
5. ALTERNATIVE THERAPIES FOR THE RELIEF OF FACET JOINT PAIN 5
Not only is the Boswellia better at providing relief, it is also much more cost effective than treating
with NSAIDs or any of the other previously mentioned treatments.
As well as taking an herbal supplement, a sufferer from facet joint pain could also use essential
oils through the guidance of an experienced aromatherapist. The effects would be the same as what was
shown in the study quoted above. Of course the author can not stress the importance of having the
guidance of an experienced aromatherapist enough, since many people who sell essential oils via multi-
level marketing schemes can often be very misleading to make a sell.
The cost of Boswellia oils can range from $20 to $96 for a 1/2oz bottle, depending on where
one purchases the oil from (the author wants to note that the two most expensive oils he found were
from aforementioned multi-level marketing schemes). If a sufferer of facet joint pain does purchase
Boswellia oil for pain relief this could still be more cost effective that NSAIDs in the long run since the
oil would often be diluted before being applied to the skin, thus allowing for the oil to last longer,
though the outright cost can be very steep. Oils can often be more potent than regular herbal
supplements, side effects can include, “when taken orally include abdominal pain, bloating, diarrhea,
nausea, stomach pain, vomiting and a burning sensation in the stomach. The side effects of
frankincense oil creams include a rash, redness, itching and increased skin sensitivity. The side effects
typically occur at the application site (Davies, 2009)." It was unclear to the author if the side effects
were from the oil itself or possibly other ingredients in the skin creams interacting with the oil, though
in the previously cited study and other sources throughout the internet state that there are no known
interactions between Boswellia and other medications.
In conclusion, it seems that supervised excersises done by a Physical Therapist (Ehrlic, 2014)
could be the most beneficial for improved function since it doesn't inlvove medication and would most
likely be paid for by insurance. However, getting to the point of doing exercises one may need to take a
6. ALTERNATIVE THERAPIES FOR THE RELIEF OF FACET JOINT PAIN 6
medication of some sort, it seems that taking Boswellia as an herbal supplement would then be most
beneficial overall. The author would not recommend going the oil of Boswellia route – despite being
very effective - since the oil can be quite expensive.
7. ALTERNATIVE THERAPIES FOR THE RELIEF OF FACET JOINT PAIN 7
References:
Davies, D. (2009, December 31). Side Effects of Frankincense Oil. Retrieved July 19, 2015.
Ehrlic, S. (2014, January 21). Osteoarthritis. Retrieved July 22, 2015, from
http://umm.edu/health/medical/altmed/condition/osteoarthritis
How Much Does a Chiropractor Cost? - CostHelper.com. (n.d.). Retrieved July 19, 2015.
Kimmatkar N, Thawani V, Hingorani L, Khiyani R. Efficacy and tolerability of Boswellia serrata
extract in treatment of osteoarthritis of knee – A randomized double blind placebo controlled
trial. Phytomedicine [serial online]. January 1, 2003;10:3-7. Available from: ScienceDirect,
Ipswich, MA. Accessed July 19, 2015.
Kline, C. (2006, February 1). Track Record. Retrieved July 19, 2015, from
http://www.acatoday.org/JacaDisplay1.cfm?CID=1214&DisType=PDF
Ray, C. (2002, December 20). Symptoms and Diagnosis of Facet Joint Problems. Retrieved July 20,
2015, from http://www.spine-health.com/conditions/arthritis/symptoms-and-diagnosis-facet-
joint-problems
Scott, J. (3012, June 24). Do Steroid Shots Really Alleviate Back Pain? Retrieved July 20, 2015.