All posts by West Mesa Wellness

Our practice is run as an extension to our clients’ lives. We are here to educate how to live healthy and pain free – naturally. When you come to our office be ready to be welcomed to our family – our team. We all have one goal, to help our clients reach their wellness goals. Yes, that was help. We cannot do this alone. As a client you have to be proactive and in control of your wellness as well. Your success is entirely up to you. We suggest a care plan based on your current health. It is your job to implement it; stick to the recommended visits and frequency; and keep your diet and exercise in check. We may ask that you do traction, use ice/heat packs, or exercise. We are in this TOGETHER, but remember we can not help you if you are not ready to help yourself. Congratulations! You’ve taken the first step to Wellness! A patient is “one who suffers”. A patient is always reliant upon the doctor. A client is active in their recovery and maintains their health by taking responsibility for themselves. A client is self determined and is willing to perform regular home exercises and traction. They are educated as to how chiropractic is beneficial to their lives. They are in control of its application. They are proactive. We would like to make you our client, not our patient. We want to permanently and positively change your life! We are run by our fearless leader, Dr. David Greif. Dr. Greif’s passions are his family, his saxophone, his dog, and his desire to change lives through chiropractic care. He has been in practice for 20 years in New Mexico. He hails from New York by way of Florida.

The Bacterial Link Between Crohn’s Disease and Arthritis

Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, March 6th, 2017

A team of researchers from New York has filled in the blanks as to how Crohn’s disease and spondyloarthritis are related. The work, published February 8, 2017 in Science Translational Medicine, revealed a type of E. coli bacteria found in Crohn’s patients that can trigger inflammation associated with spondyloarthritis.

According to the February 9, 2017 news release, “The researchers used fecal samples from patients with inflammatory bowel disease IBD to identify bacteria in the gut that were coated with antibodies called immunoglobulin-A (IgA) that fight infection. Using flow cytometry, in which fluorescent probes are used to detect IgA-coated bacterial species, the researchers discovered that IgA-coated E. coli were abundant in fecal samples from patients with both Crohn’s disease and spondyloarthritis.”

“The investigators found that patients with Crohn’s disease and spondyloarthritis had higher levels of Th17 cells, and that a protein called IL-23 triggers their activity. With the recent FDA approval of an anti-IL-23 medication for Crohn’s disease called ustekinumab, the findings may help physicians select therapies that target symptoms of both the bowels and the joints in these patients.”

Randy Longman, M.D., Ph.D., a gastroenterologist at the Jill Roberts Center for Inflammatory Bowel Disease at Weill Cornell Medicine and NewYork-Presbyterian, led the translational study along with co-author Ellen Scherl, M.D., director of the Roberts Center at NewYork-Presbyterian and Weill Cornell Medicine and the Jill Roberts Professor of Medicine at Weill Cornell Medicine. They worked in collaboration with Hospital for Special Surgery rheumatologists and co-authors Drs. Lisa Mandl and Sergio Schwartzman.

Dr. Longman told OTW, “A critical clinical question for orthopedic surgeons is to differentiate inflammatory from non-inflammatory arthritis, since the treatment options—medicine vs. surgery—could be very different. While a diagnosis of rheumatoid arthritis, for example, will often trigger evaluation of inflammatory musculoskeletal pain, an existing diagnosis of inflammatory bowel disease (IBD) may not.”

“Our current data suggest that microbiome characteristics may identify Crohn’s patients with inflammatory arthritis. These findings highlight the need for careful evaluation of these symptoms in patients with IBD in order to identify the most appropriate therapeutic approach.”

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Spinal Cord Manipulation Reduces Opioid Use

Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, March 10th, 2017

 

New research from Thomas Jefferson University in Philadelphia is giving new hope to those suffering with chronic pain. The research, sponsored by Abbott Laboratories, involved the examination of opioid usage in more than 5,400 patients both prior to and after receiving a spinal cord stimulation (SCS) system implant. According to the January 20, 2017 news release, the researchers found that “opioid use declined or stabilized in 70% of patients who received an SCS system.”

 

“As our society has been seeking ways to stem opioid abuse and [in] addition, our company offers treatment options that can reduce their exposure to opioid medication,” said Allen Burton, M.D., medical director of neuromodulation at Abbott. “Data like these are critical to helping us demonstrate that spinal cord stimulation can reduce exposure to opioids while giving patients comprehensive pain relief.”

 

Morphine equivalent dose (MED) in patients with effective SCS (blue) and those who had their SCS explanted (gray) before and after SCS implant (dashed line). Left: solid lines are median and shaded areas are interquartile ranges. Right: solid lines are mean and shaded areas are SE./Courtesy of Congress of Neurological Surgeons

 

Ashwini Sharan, M.D. is director of Functional and Epilepsy Surgery at Vickie and Jack Farber Institute for Neuroscience at Jefferson. He told OTW, “I have always felt that spinal cord stimulation works very effectively in managing patients’ pain but did not know if the therapy helped reduce medication use, as well. We had to complete a population-based study using thousands of patients to find out what is happening with their medication management. We wanted to see if there was a secondary benefit and how it can be measured objectively.”

 

Asked why this hasn’t been demonstrated previously, Dr. Sharan noted, “The problem is in the process; unless doctors go out and collect data then there will be no compiled evidence. The doctor has to have a passionate about it in order to make the study happen. Also, companies don’t do post-marketing studies. It’s just not the culture. It comes down to time and resources.”

 

“If they see that patients are taking more and more pain killers then they have to identify that something is wrong. There should be a correlation between the patients’ pain and anxiety levels. An increase in the use of narcotics often just means that patients are developing a tolerance. Narcotic use is almost never a solution to chronic pain.”

 

“The study needs to be replicated. We need to be able to provide tools to physicians to help identify when patients are developing this narcotic tolerance and identify earlier when patients are candidates for these types of therapies. Right now these tools don’t exist.”

Asthma

I caught the weather report this morning and the man on the television said the levels of juniper and mulberry were extremely high. This correlates to what I’m seeing in my office. So, I felt it was the appropriate time to talk about asthma, specifically allergy-induced asthma.

I see a lot of asthmatic patients in my office. Whether it’s because I get results with them or I’m sensitive to this condition more than most, being I’m asthmatic, I cannot say. It’s kind of the chicken/egg phenomenon and not really relevant to this discussion. Bottom line, chiropractic can help asthma and I have helped many asthmatics in my office over the years.

How can chiropractic help asthma? Glad you asked. The mechanism upon which that works is called the somatic-visceral reflex. There was a man named Meric who noticed a correlation with different levels of the spine correlating with different organs in the body. He theorized that if the communication of the nerves exiting out of the spine where not sending a crystal-clear message to the organs, the organ in question would function less than optimally. By improving the communication through chiropractic adjustments, the organ’s function would improve. His theory proved accurate and his system became known as the Meric system. A chart of the Meric system can be found posted on the back wall in my office.

How effective is this treatment? There are contributing factors to the answer to that question. How long has the condition been going on? Are there ongoing irritants restimulating the condition? I’ve noticed some conditions I have a high effectiveness in treating and others I’m less successful. With asthma, I’m on the higher effectiveness level in treating. I’ve adjusted many asthmatics in my office during a several days attack where the secondary muscles for breathing are fatigued and the bronchodilator are giving little relief. An immediate response resulting in easier breathing and diminishing of the wheeze is a common outcome.

So, if your breathing is labored by allergy-induced asthma, give my office a call. I’ll do my best to have you breathing easier, with less drug intervention. Nothing would make me happier. 🙂

Best of health,

Dr. Dave

 

WHERE DOES THAT BACK PAIN REALLY COME FROM?

Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, February 16th, 2017

Ah, the pain that travels…so fun. There are loads of patients who live with low back pain that radiates to the buttock, groin, thigh, and even knees. But where does the pain start? A new article published in the February Journal of the American Academy of Orthopaedic Surgeons (JAAOS) describes the identical symptoms associated with hip and spine pain and discusses the diagnostic steps and tests required to treat them appropriately. The article is entitled, “Differentiating Hip Pathology From Lumbar Spine Pathology: Key Points of Evaluation and Management.”

“In these instances, similar or overlapping symptoms may delay a correct diagnosis and appropriate treatment,” said article author Afshin Razi, M.D., an orthopedic surgeon and clinical assistant professor at New York University Langone Hospital for Joint Diseases, in the February 6, 2017 news release.

“Plain and advanced imaging studies and diagnostic injections also can be used to further delineate the primary problem and guide the appropriate sequence of treatment,” said Dr. Razi.

“Focusing on both the spine and the hip as potential causes of pain and disability may reduce the likelihood of misdiagnosis, and the management of conditions affecting the spine and/or hip may help reduce the likelihood of persistent symptoms,” said Dr. Razi.

Dr. Razi told OTW, “As an orthopaedic surgeon specializing in spine surgery I encounter many patients who present with concomitant back and hip pain. Many of these patients are also referred to me by surgeons who solely take care of hip problems such as total hip replacement or sport medicine specialist who treat younger patients with hip pain. It can be very difficult to properly diagnose the main issue and as such some patients go on to have unnecessary treatments, including surgery, because of their persistent symptoms.”

“It was our goal to try to educate physicians, including orthopaedic surgeons, on the common differential diagnoses, appropriate clinical history and physical examination, diagnostic tools and their evaluations appropriately, as well as treatment options and priorities of which one to be treated first. More recently, it has been noted that some patients who have undergone total hip replacement with significant curvature of the spine had postoperative dislocation of the hip after reconstruction of the spinal malalignment. This article also talks about this newly seen problem.”

“We did an extensive literature search and through our two previous seminars on this topic we were able to gather information to aid our colleagues on best ways of differentiating causes of hip and back pain.”

“There is a major need for obtaining a thorough clinical history, performing a complete physical examination, and ordering with analyzing appropriate diagnostic tests followed by diagnostic and therapeutic injections can differentiate between hip problems versus back related pathologies. There also should be patient education with regard to complex hip-spine problems to make sure they’re aware that despite addressing one problem the other problem may also need to be addressed at some point.”