From PTJ: Office Work Doesn’t Have To Be a Pain in the Neck

Office workers with neck pain may benefit from workplace-based strengthening exercises, especially those focused on the neck and shoulder, say authors of a recent systematic review.

Among all occupations, office workers are at the highest risk for neck pain, with approximately half of all office workers experiencing neck pain each year. “Workplace-based interventions are becoming important to reduce the burden of neck pain,” researchers write, “due to the increasing responsibility of companies toward employee health, and the potential cost-savings and productivity gains associated with a healthy workforce.”

Full story at APTA

Flex CEUs: Removal of Older CEU Courses


***This course will be expiring on 9/27/2017***

This course systematically reviews the efficacy, effectiveness, cost-effectiveness, and harms of acupuncture, spinal manipulation, mobilization, and massage techniques in management of back, neck, and/or thoracic pain.  In addition, the contraindications and safety profile of the three most prevalent complementary and alternative medicine therapies for back pain in adults compared to that for other complementary and alternative medicine therapies, conventional therapies, placebo, or no treatment will be investigated.


***This course will be expiring on 9/27/2017***

This course provides an overview of dystonia, a disorder characterized by involuntary muscle contractions. The symptoms are different depending upon the form of dystonia. The classifications of dystonia are presented, along with their symptoms. Current treatments for the disorder are reviewed, followed by an update on research being performed.

For more information, visit Flex CEUs

Flex CEUs: New Courses


Work-related symptoms in the neck and shoulders are common among occupational computer users and other sedentary occupations.  The goals of this CEU course are to understand the impact of neck pain and the strategies office workers use to manage their pain, and to investigate the effect of workplace neck / shoulder strength training on neck / shoulder pain and headache among office workers.


Plantar fasciitis is the most common cause of heal pain and many treatment options are available.  This CEU course provides an overview on the physical and medical definitions of shock waves, as well as gives a detailed assessment of the quality and significance of studies on extracorporeal shock wave therapy (ESWT) in patients with plantar fasciopathy (PF).

For more on these new courses and many more, visit Flex CEUs

Survey Results Reveal Traction Popular Among PTs Treating Neck Pain

Authors of a new study write that although systematic reviews provide “limited support” for the use of cervical traction to manage neck pain, a recent survey of APTA Orthopaedic Section (OS) members revealed that most physical therapists (PTs) in the section use it, even when it’s a less strongly indicated intervention. They believe that the high rate of use—and the variety of traction methods employed—point to the tendency of PTs to pursue “comprehensive plans of care.”

The study, e-published ahead of print in The Journal of Orthopaedic and Sports Physical Therapy, is based on responses to a survey sent to 4,000 OS members nationwide. A total of 1,001 members responded to the questionnaire, which included 28 open- and closed-ended questions on demographics, adherence to classification criteria for traction, delivery methods used, and additional interventions, as well as 2 clinical scenarios.

Full story of cervical traction to manage neck pain at APTA

Study: Early Physical Therapist Management for Neck Pain Makes Sense for Patients, PTs, and Payers

According to a new study, providing physical therapy within 4 weeks after an individual first experiences neck pain is a win-win-win proposition for physical therapists (PTs), payers, and most importantly, patients. Researchers found that getting to a PT early not only achieved more improvement per $100 spent, but actually doubled a patient’s odds of decreased disability compared with patients who were treated after a delay of more than 4 weeks.

Researchers tracked 1,531 patients using an outcomes management system maintained by Intermountain Healthcare, a private nonprofit system, to analyze changes to disability and pain scores through an episode of neck pain. Patients were included if they had 2 more visits to a PT over fewer than 180 days, and if they recorded scores of 10 or greater on the Neck Disability Index (NDI) and 2 or greater on the Numerical Pain Rating Scale (NPRS).

Full story of early PT management for neck pain at APTA

Is your job a pain in the neck? Quarter of Britons blame aches and pains on their working environment

Nearly one in four people blame their aches and pains on their working environment where they remain in the same position for long periods of time, a new study has revealed.

Job Causing Body and Neck PainsMore than one in six Britons also blame joint pain and back ache on the chair they sit in at work, according to new research.

However, more than a third of Britons who suffer aches and pains believe they are just an inevitable part of ageing.

The study suggests that people’s aches and pains also cause them trouble outside of work – one in seven Britons say they are less interested in romantic relationships as a result of their pain.

The survey of 1,000 people, aged 25 to 65, with aches and pains was commissioned by the Simplyhealth Advisory Research Panel.

Full story of body aches and pains during work at the Daily Mail UK

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Saunas Help Ease Neck and Head Pain Says New Research

Saunas Help Ease Neck and Head PainCarried out by Dr Giresh Kanji, the research at Masey University in Wellington showed that immersing oneself in a sauna not only reduced the intensity of pain related to a headache, but also worked to minimize its duration.

Mr Mouw, who owns West Virginia-based Almost Heaven Saunas, said: “We’ve always known about the health benefits of regular sauna use, and the benefits are well-documented. For instance saunas are an excellent method of reducing stress and are terrific for detoxification because they encourage the release of toxins through the skin as a result of the intense heat in the sauna.”

“In addition, regular sauna use strengthens the immune system, improves circulation, causes cardio conditioning, and more.”

Mouw continued, “It’s certainly nice to see more scientific studies being carried out to highlight these benefits both within the medical community and the general public at large.”

Full story of saunas easing neck and head pain at PR Web

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Chiropractic Techniques Help to Lower Blood Pressure?

Chiropractic Techniques Help to Lower Blood PressureHigh blood pressure is one of the many symptoms stemming from nerve interference in the neck. Chiropractic patients can experience a significant drop in blood pressure – even after just one adjustment!

The University of Chicago’s Hypertension Centre’s Dr. George Bakris reported back in 2007 that he and his team were astonished by the effects of chiropractic care on patients with high blood pressure. This followed a study, during which Dr. Bakris and his team monitored 25 patients in the early stages of hypertension who received an upper cervical (upper neck) adjustment from a Doctor of Chiropractic, against 25 patients who received a placebo adjustment.

None of the patients took blood pressure medication for eight weeks; their blood pressure was measured at the start of this study period and again at the end.  X-rays were also taken before and after the adjustment to indicate a measurable difference in the position of the vertebrae.

Full story of chiropractor to lower blood pressure at Fitness Goop

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Chiropractic medicine may help pain

Chiropractic Care Helps PainIn cases where traditional medicine isn’t sufficient to address muscular or skeletal pain, many people turn to chiropractic medicine.

Chiropractors predominantly manipulate the spine to correct misalignments such as scoliosis, and symptoms such as neck pain and lower back pain.

Phil Pietala of CoreWellness Chiropractic and Natural Medicine in Houghton said his chiropractic patients will typically come in for a 20-minute session, which can include manual adjusting as well as whole body vibration and microcurrent therapy.

How often a patient comes in will vary. In the case of an acute lower back problem, they might come in four or five times within two weeks, Pietala said. However, his average is about once a month.

“A lot of times we’ll leave it up to the patient,” he said. “As soon as we’re done with their condition or their goals or met, then we’ll discontinue care until they want to start again.”

Full story of chiropractic medicine at Mining Gazette

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Yet another headache

Migraines and Heachaches Becoming ChronicAlmost everybody has one now and then, but people tend to dismiss them as a nuisance at best. “All headaches are not the same,” says P.N. Renjen, senior consultant, neurology, Indraprastha Apollo Hospitals, New Delhi. “You need to figure out what sort of headache you are dealing with.”

According to the World Health Organization (WHO), headaches are most prevalent in one’s productive years—from the late teens to the 50s—and have been linked with loss of productivity and absenteeism at work and school.

While migraines are more commonly known now, there are also other types of headaches that can be debilitating in varying degrees. And since there are no definitive tests to clearly identify some headaches, diagnosing them can be tricky.

It’s common for chronic migraine to be diagnosed as chronic tension-type headache (TTH), says Mukul Varma, senior consultant, neurology, Indraprastha Apollo Hospital. “When migraine becomes chronic, the migrainous character (one-sided, throbbing pain) of many of the headaches is lost, and they assume a tension-type character (whole head, dull ache of a non-throbbing kind). The International Headache Classification now says that even if eight of the 15 headaches occurring in a month have a migrainous character, the diagnosis is chronic migraine,” explains Dr Varma, who will be attending the 16th edition of the International Headache Congress starting 27 June in Boston, US, where neurologists and pain specialists will discuss the latest in headache research and medical practice.

Full story of headaches and pains at Live Mint

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