We see a number of patients in our Singapore office with ankle sprains but Dr. Neil Stakes has had a lot of success helping them recover more quickly. Why are ankle sprains so common and how can chiropractic help?
According to the American College of Sports Medicine (ACSM), approximately 25,000 men and women in the US sprain their ankles every day. As a matter of fact, these injuries make up almost half of all sports injuries, causing people to spend time away from the activities they enjoy most.
Like any injury, there are many causes of ankle sprains. The most common is inversion, or when the ankle rolls inward. This injury can occur due to one forceful movement, or it can develop over time, and activities that increase the risk for this type of ankle sprain include running and jumping. You're also at risk if you have pre-existing ankle injuries, poor posture or balance, weak muscles, and reduced range of motion.
How Can Chiropractic Treatments and Dr. Neil Stakes Help?
A study printed in the Journal of Manipulative and Physiological Therapeutics set out to identify chiropractic's role when it comes to ankle sprain recovery. The authors recruited 33 people between the ages of 18 and 45 who had a history of ankle inversion sprains, who were reporting tenderness and/or pain, and had not re-injured the area in the previous six weeks.
18 of the participants were assigned to receive rehabilitation and the other 15 subjects received chiropractic adjustments in addition to rehab. Each person had five full weeks of therapy, with the rehabilitation group receiving treatment seven days a week and the rehabilitation plus chiropractic group receiving therapy six out of the seven days.
Research Supports Chiropractic Helps With Ankle Sprains
Researchers found that the people who participated in both rehabilitation and chiropractic fared the best at the 4-week mark when it came to pain and joint restriction. In addition, no undesirable effects were reported, showing that this treatment option is safe.
If you're near our location in Singapore and you're struggling with an ankle injury, give us a call. We'll do what we can to keep you up and running... literally!
- American College of Sports Medicine. (n.d.). Ankle sprains and the athlete. Retrieved from https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf
- Lubbe, D et al. (2015, January). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of Manipulative and Physiological Therapeutics, 38(1), 22-34, doi:10.1016/j.jmpt.2014.10.001
If you suffer from fibromyalgia, you are not alone, as Dr. Neil Stakes sees many people with this particular condition in our Singapore chiropractic practice. Actually, the Centers for Disease Control and Prevention (CDC) reports that roughly two percent of all adults in the United States have fibromyalgia. Fortunately, chiropractic is one treatment option that can provide positive results.
In a paper published in mid-2015, 215 adults with fibromyalgia were evaluated based on factors ranging from pain to quality of sleep to the levels of depression and anxiety they felt. Then they were divided into two groups with one group receiving a multi-modal treatment program for three months and the second group receiving the same approach plus chiropractic care (specifically, to the upper neck area) for the same length of time.
The subjects who received chiropractic care combined with the multi-disciplinary therapy approach reported greater benefits in all areas (pain, sleep, depression, and anxiety) at three months post-treatment when compared to the study participants who received multi-modal therapy without chiropractic. Additionally, those positive outcomes were long-lasting as the people reported continued improvement one full year later.
Fibromyalgia can substantially reduce your quality of life, both psychologically and physically. If you're suffering from fibromyalgia, we might be able to help.
You don't have to suffer! To see what Dr. Neil Stakes can do for your fibromyalgia, call our Singapore chiropractic office today.
- Fibromyalgia. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/arthritis/basics/fibromyalgia.htm on November 2, 2015.
- Moustafa I & Diab A. (2015, July). The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial. Rheumatology International;35(7):1163-74.
Unfortunately, quite a few of our Singapore patients know the pain associated with a herniated disc all too well. On a positive note, Dr. Neil Stakes has helped many people with disc pain, and a number of medical studies have verified that chiropractic care can help people recover from this kind of condition.
Research on Chiropractic and Disc Herniations
In one report, specialists from Switzerland selected 148 patients who were suffering with pain in their low back and legs due to a disc herniation (which was confirmed through magnetic resonance imaging, or MRI). Each individual then received chiropractic adjustments that focused on the location of his or her disc herniation.
Data was collected after the first treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to determine what type of short-term and long-term effects, if any, chiropractic offers when it comes to resolving this particular condition. Among the information gathered was the individual's self-reported changes in both lumbar and leg pain.
Researchers found that, overall, the study participants reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the patients stated that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those patients who were defined as "chronic" still claimed an improvement in pain at a rate of 89% one year beyond when treatment first began. This is the same positive result that was found in the following case study.
Case Study Shows that Chiropractic Benefits Chronic Disc Herniation Symptoms
In this study, a 26-year-old man had presented with disc herniation symptoms such as pain in the low back, left leg, and left groin area, along with left foot drop and muscle weakness. He had endured these problems for more than two years after sustaining a sports injury, and his disc herniation was confirmed via MRI.
After receiving chiropractic care, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." In addition, the patient was still experiencing relief one year after the chiropractic intervention.
Studies like these show how useful chiropractic can be when it comes to alleviating herniated disc pain and relieving the symptoms they bring about. So, if you are suffering from back ache caused by a herniated disc and wish to find some relief, chiropractic may be an effective solution.
Don't suffer from chronic herniated disc pain. Give our Singapore office a call today at 62351220 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
Dr. Neil Stakes sees a lot of patients troubled with carpal tunnel syndrome in our busy Singapore chiropractic office. While some people think that the origin of this wrist-related pain is muscular, it's really a condition that stems from the nerves--and not just the nerves in your hands.
A recent study printed in the Journal of Orthopaedic & Sports Physical Therapy evaluated 71 women between the ages of 35 and 59 who were diagnosed with carpal tunnel syndrome. Upon studying the subjects' neck range of motion, the doctors found that the patients had reduced cervical mobility when compared to a healthy control group.
Furthermore, it was also found that the level of the women's reported carpal tunnel discomfort was linked to the lateral flexion of the cervical spine. In short, the less range of motion in the neck, the higher the level of pain.
This study is very important, as you can't successfully resolve a condition until you fully understand its cause. By understanding that the root of carpal tunnel pain is in the neck, this means that natural approaches like chiropractic can often restore normal function, eliminating the need for risky surgery.
If you suffer with carpal tunnel pain, call our Singapore location and ask how Dr. Neil Stakes can help you get relief!
De-la-Llave-Rincon A et al. (2011, May). Women with carpal tunnel syndrome show restricted cervical range of motion. Journal of Orthopaedic & Sports Physical Therapy;41(5):305-10.
Simon H. Carpal Tunnel Syndrome. University of Maryland Medical Center. Updated May 6, 2012. Retrieved from https://umm.edu/health/medical/reports/articles/carpal-tunnel-syndrome on November 2, 2015.
We see a number of people with back pain in our Singapore office, and Dr. Neil Stakes has been able to provide a lot of relief to them through various chiropractic techniques. However, recovering from back problems doesn't necessarily mean having to make a choice between chiropractic care and medical treatment, as many people utilize both types of care with great success.
Research Confirms Chiropractic and Medical Treatment Work Well with Each Other
In a report published by the medical journal Spine, researchers looked at a group of active-duty military personnel between the ages of 18 and 35 who reported both acute soreness and restricted function due to back pain. Some of the study participants engaged in treatment via standard medical care, while the remainder were given chiropractic adjustments in addition to standard medical care, as researchers wanted to determine which group fared better.
Researchers determined that the patients who got standard medical care combined with chiropractic care scored "significantly better" than the patients who received medical care alone; 73% reported positive benefits compared to just 17% of the medical treatment only group who reported the same amount of improvement. This was true regarding both pain and level of function at two and four weeks.
Therefore, incorporating these two forms of treatment can greatly benefit you--the patient--offering benefits when compared to medical care alone. However, while chiropractic and medicine can work alongside each other, chiropractic offers some unique strengths over medical therapy.
Where Chiropractic Pulls Ahead
Although it may seem as if each approach plays a 50-50 role, there is one significant advantage that chiropractic care has over medical treatment and that is in patient satisfaction. In fact, a study done at UCLA2 that was published in the American Journal of Public Health reports that, on average, chiropractic patients are generally more satisfied with their recovery than people undergoing medical treatment.
According to the researchers, the main factors that patients preferred over medical treatment were "self-care advice and explanation of treatment." This isn't unexpected, as chiropractors typically spend much more time advising their patients as to how they can improve their health on their own, as well as explaining more thoroughly what to expect from chiropractic.
Chiropractic Offers a Holistic Approach
Without a doubt, the techniques associated with chiropractic are very different than those provided with medical therapy, but a large amount of the difference is the fact that chiropractic is a natural approach to health and wellness. In contrast to focusing on just relieving the symptoms, chiropractic involves tracking down the primary cause of your pain, which often results in greater improvement as you are tackling the problem at its source.
In addition, while medication is sometimes helpful for treating certain conditions, many health issues respond well to a natural approach such as chiropractic. This means fewer negative responses to medications and more permanent results.
You don't have to suffer from back pain or other health issues. Book an appointment online or give our clinic a call today at 62351220. We'll do our best to help you get and stay free from back pain.
- Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine 2013;38(8):627-634.
- Hertzman-Miller RP1, Morgenstern H, Hurwitz EL, Yu F, Adams AH, Harber P, Kominski GF. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. American Journal of Public Health 2002;92(10):1628-1633.
According to The American Academy of Pain Medicine, more Americans suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. Furthermore, neck pain is the third most reported type of pain, beat out only by back problems and headache.
As a result, many people come to our Singapore office seeking neck pain care, and Dr. Neil Stakes has helped many of them find relief. This is a smart decision, as some research indicates that over 90 percent of neck pain patients get relief with chiropractic.
Studies Confirm Chiropractic Works
A study published in The Journal of Orthopaedic and Sports Physical Therapy involved 64 people who were suffering with neck pain. Around half were placed in an experimental group and the other half were designated to a comparison group. Both were given chiropractic adjustments of the neck as well as a home exercise program, while the experimental group also received thoracic spine adjustments.
Data was collected before treatment began and one week after the adjustments. Researchers found that 94% of the experimental group reported "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the individuals who received neck adjustments showed the same level of improvement, illustrating that thinking about the entire spine is a critical part of restoring the body's normal function.
Yet another study posted in Physical Therapy involved 60 individuals between the ages of 18 and 60 who reported dealing with neck pain. Each person was randomly allocated to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with follow-up exams occurring two and four days after the treatments.
The investigators found that the study participants who received the thrust manipulations (the same manipulations that provided such positive results in the first report) "experienced greater reductions in disability" than the patients who received the non-thrust adjustments. Their pain was lower as well, which shows that this type of technique offers many benefits.
Help After Failed Neck Surgery
Another study even found the same kind of positive results after thoracic adjustments in a woman who had a failed neck surgical treatment. This particular case involved a 46-year-old woman who had recently had neck surgery but still experienced neck pain, headaches, pain in her elbow, and muscle fatigue.
The woman reported decreased pain in her neck and lower headache intensity, immediately after the first chiropractic treatment session. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still rated her pain at a zero on a scale of 1 to 10. Her neck disability improved as well, with a rating score that represented that it was a "great deal better."
It is scientific studies like these that demonstrate the effectiveness of chiropractic care, even if you've already attempted medical procedures that didn't provide relief. So, if you are suffering with neck problems and would like to find a solution that has a high success rate, try chiropractic. It may just be the help you're looking for.
Our office is in Singapore and Dr. Neil Stakes can help you recover from neck pain. Give us a call today at 62351220.
- AAPM facts and figures on pain. The American Academy of Pain Medicine.
- Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
- Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
- Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.
Shoulder Pain is a common symptom after an auto collision, and it's something that Dr. Neil Stakes sees often in our Singapore office. Chiropractic can be very helpful for shoulder pain symptoms after a crash. Let's see what causes shoulder pain and why chiropractic works.
There are at least two ways that you can develop shoulder pain after an accident: by direct injury to the shoulder joint or by referred pain from the neck.
Direct injury can be caused by hitting your shoulder on a hard object in the car during the impact, or can occur if you have a tight grip on the steering wheel during a rear end crash. With this type of trauma, you'll often be aware of the pain shortly after the wreck.
More frequently, Dr. Neil Stakes finds that shoulder or arm pain doesn't immediately appear after a crash, but starts a few days or weeks after the accident. This type of shoulder pain actually starts in the cervical spine. Injured soft tissue in your neck can squeeze nerves in your neck, causing numbness, tingling, or soreness in your shoulder, elbow, or wrist.
We've worked with many types of shoulder problems in our Singapore office. This process involves chiropractic adjustments to restore your spine's natural mobility and home exercises that strengthen your neck and shoulder.
Dr. Neil Stakes is here in Singapore to help you recover from shoulder pain. We've been helping patients since 2005 and we can probably help you, too. First, we'll do a careful assessment to determine the root cause of your pain, and then decide how to restore your body's natural functioning. Give our office a call today at 62351220 to make an appointment.
Asthma is a significant concern for many people in Singapore and for society as a whole, really, since the Centers for Disease Control and Prevention (CDC) reports that this condition currently affects almost 19 million adults and 7 million kids in the US. A full-blown asthma attack likely means a hospital visit. Fortunately, Dr. Neil Stakes has helped many folks in Singapore get relief from asthma symptoms.
The scientific literature confirms what we see in our practice. For example, a paper published in Clinical and Experimental Allergy assessed 31 adult asthma patients after receiving four weeks of chiropractic treatments. The researchers reported that the participants who received chiropractic adjustments had a 34% decrease in asthma symptoms.
The Journal of Manipulative and Physiological Therapeutics printed another asthma-based study, except this one involved children. In this article, the 36 participants ranged from 6 to 17 years in age and their asthma was regarded as either mild or moderate in severity.
After 12 weeks of chiropractic care, as a whole, the patients reported a higher quality of life and a decreased level of severity. As a bonus, they also reported that they relied less on their bronchodilator and these positive effects lasted one year after chiropractic care was finished.
So, whether you're 9 or 90, if you have symptoms of asthma, be sure to contact Dr. Neil Stakes in Singapore and schedule an appointment today. We'll do what we can to help you breathe easier!
- Asthma. Centers for Disease Control and Prevention.
- Bronfort G et al. (2001, July-August). Chronic pediatric asthma and spinal manipulation: a prospective clinical series and randomized clinical pilot study. Journal of Manipulative and Physiological Therapeutics;24(6):369-77
- Nielsen N et al. (1995, January). Chronic asthma and chiropractic spinal manipulation: a randomized clinical trial. Clinical and Experimental Allergy;25(1):80-8
In our Singapore office, we see many patients who are struggling with back pain, and a few of these folks have been advised they might need surgery to recover. Fortunately, Dr. Neil Stakes has helped many people get pain relief without the need for any type of surgical procedure. The scientific research confirms the results we see in our practice. One research study published in the medical journal Spine found that consulting with a chiropractor as your first step in overcoming with your back pain may actually keep you off of the operating table.
In this report, medical professionals from Dartmouth analyzed statistics from 1,885 workers from Washington state who first saw either a surgeon or a chiropractor for their back pain issues. They then examined three years' worth of follow-up medical information to find out whether the patients ended up having back surgery in an attempt to treat the issue.
What the researchers found was that about 43% of the men and women who first consulted with a surgeon for their back pain ended up with surgery in that 3-year time frame, whereas only 1.5% of those who first saw a chiropractor had the same fate. The authors wrote:
"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."
These are remarkable results. Seeing a chiropractor considerably decreases your odds of having back surgery, plus the chiropractic patients in this study "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.
Let's also take into account this important point: this study was carried out by orthopedic surgeons from Dartmouth College, and printed in the world's most influential medical publication on spinal injuries.
Surgery: The Last Resort
Any surgical procedure has risks, but a major problem related to spine surgery is that there is a very high failure rate. In an important analysis in the European Spine Journal, researchers wrote:
"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."
The authors of this same study concluded:
"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."
As a chiropractor, Dr. Neil Stakes believes that surgery should be the absolute last resort for treating back pain. Chiropractic care works to restore your spine to its normal function--without risky surgery or drugs--and many scientific studies have confirmed the efficacy of chiropractic for back pain.
If you live in Singapore and you need care for your back pain, give our practice a call today at 62351220 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!
- Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
- Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
The latest numbers show that there are over 500,000 spinal surgeries annually in the US. Although in some cases it's necessary to have surgery for back pain, the fact is that if you can avoid this type of invasive procedure, you're often better off.
Dr. Neil Stakes is here to make sure that people in Singapore have a natural, non-surgical option for back problems. We've helped many people recover from back pain without the need for surgery.
There are plenty of reasons to avoid unnecessary medical treatments: Surgeries often result in a longer recovery time and complications, neither of which is a desirable scenario. Fortunately, as one study has found, chiropractic may actually keep you off the surgeon's table completely.
In this report, 1,885 workers with back injuries were evaluated over a three year period. When the workers first sought care with a surgeon, over 42 percent wound up having back surgery. For subjects who saw only a chiropractor, only 1.5 percent had surgery!
These findings mean that chiropractic care can help you recover from back pain without surgical procedures.
If you live in the Singapore area, Dr. Neil Stakes can probably help you with your back pain. We have two convenient locations Orchard Road and Raffles Place. Give our office a call today at 62351220 for more information or click here for an online appointment.
Keeney BJ, Fulton-Kehoe D, Turner JA, et al. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.