The most common treatment for this condition is large dosages of corticosteroids for one to two years.  The symptoms usually reside quickly once a diagnosis and treatment is made.  Often a biopsy of the area is needed. 

It is important to see your medical doctor or chiropractor if you are over the age of 60 and have these symptoms.  Left untreated the patient may develop permanent blindness.

There are complications to taking large doses of steroids but unfortunately at this time there are few if any other treatments for this condition.

If you have headache and neck pain, consider chiropractic care.  If you have any similar symptoms of temporal arteritis you should see your MD or Chiropractor immediately.

David J Moreland DC, CCSP

Rolla MO  364-8086

Sincerely

Rolla's full time chiropractor.

David J. Moreland, DC, CCSP

364-8086

I hope everyone has a healthy and fun filled Cinco de mayo. 

Sincerely,  Rolla's full time Chiropractor.

David J. Moreland DC, CCSP.

There are offices in the area where the chiropractor lives several counties away and practices in Rolla on a limited basis.  When your back is out, you want to see your Chiropractor now, not the next time he is in town. 

If you are considering seeing a Chiropractor in the Rolla or St. James MO area consider this. 

Don't delay, call today.

364-8086

If you are suffering from back pain and live in the Rolla or St. James MO area give us a call.

364-8086

This is great news for many people suffer from both chronic and acute neck pain.  It is not however earth shattering news.  I have been treating neck pain in Rolla MO and St. James MO area now for seventeen years with great result using chiropractic manipulation. 

I understand though that many people may have a fear of having their neck adjusted. I too have seen the movies where the bad guy grabs the person and twist his neck and breaks it.  This is far from the truth.  Cervical spine adjusting is gentle.  There is little twisting and more often than not the patient's response is very positive.

If you live in the Rolla MO area and have neck pain.  You should give us a call, if you are alittle apprehensive just come by and talk with us.  We will discus your case and give options.  You will find that it is a pleasant experience.  If chiropractic isn't for you we will direct you in a manner that might be more suited for you.  Either way its time to stop hurting and doing the things you love.

Call today.  364-8086

(1) Spinal Manipulation, Medication, or Home exercise, a randomized trial.

1. Roni Evans, DC, MS;
2. Alfred V. Anderson, DC, MD;
3. Kenneth H. Svendsen, MS;
4. Yiscah Bracha, MS; and
5. Richard H. Grimm, MD, MPH, PhD

+ Author Affiliations

So patients yet again are left to wonder what treatment may or may not be appropriate for them.  I have found many patients have benefited from steroid injections.  So in my practice I always advise the patients to talk to their medical doctor and consider steroid injections as a part of their treatment plan.

I'm a chiropractor and I love helping people out of pain and on the road to better health.  I have seen many studies that proclaim Chiropractic care does wonders for  patients then tomorrow another study says it doesn't.  So I take every study with a grain of salt, and I can testify that I have seen patients get benefit from steroid injections.  Many patients have so much inflammation they need the help from meds or injections in addition to Chiropractic manipulation.

If you have sciatica or lower back pain you should come see us and get back to doing what you love.  Chiropractic is safe and effective without a lot of side effects.  If you need medications to help with the pain you should talk to your doctor.  You will find out that sometimes both Chiropractic and medicine make for a faster recovery time.

If you are in the Rolla  MO or St. James MO area and you have back pain.  Give us a call.  We are easy to talk to and you wil find out how great it feels to be out of pain.

1. Diener, Hans-Christoph. “Low Back Pain: Time to Put Down the Needle?” Medscape. October 21, 2011. Accessed January 3, 2012. http://www.medscape.com/viewarticle/751916.

We like to utilize a treatment known as SOT.  It is a gentle adjustment that restores the normal curve to the cervical spine.  We also ask our patients to perform McKenzie extension exercies at home.  This exercise helps strengthen the spine and also restore the normal lordodic cure of the cervical spine. This treament is oftne combined with stim and massage.

Contact us at 364-8086 if you are suffering from headaches.

Chiropractic care for Carpel tunnels system is very effective. Our office utilizes targeted trigger point therapy and ART therapy for the treatment of Carpel tunnel syndrome.  Recent studies prove that this therapy is very useful in the management of carpal tunnel syndrome. I have been using these therapies in my office since 1995.

If you are in the Rolla Mo or St. James Mo. Area and have carpal tunnel or think you have carpal tunnel you should call our office today.

Carpal tunnel syndrome is painful and generally does not get better on its own. There are few if any medications for it and surgery should always be the last resort.

Call us today  364-8086

 Hains G, Descarreaux M, Lamy, AM, Hains F. A randomized controlled (intervention) trial of ischemic compression therapy for chronic carpal tunnel syndrome. Journal of Canadian Chiropractic Association 2010;54(3):155-63.

So I shouldn’t be shocked that more people are looking into Chiropractic care now that Dr. Oz has given his thumbs up for Chiropractic care.  I guess I am more amazed at the thought that people have been benefiting from chiropractic care for a hundred years, and one five minute segment on the Dr. Oz show is what is needed to give chiropractic care credibility.

Chiropractic care is safe and effective for treating your pain.

So if you have back pain, shoulder pain and or headaches give our office a call. If you are in the Rolla or St. James area come by and see us.

364-8086

► 5:41► 5:41

www.youtube.com/watch?v=1Vnm92lQQHI

The answer is yes.  It is rare that I don’t. Sometimes there is an indication that an adjustment should not be performed.  In these cases I refer them for x-rays that are read by a Medical Doctor/Radiologist then a treatment plan is offered.  Our office is in the business of treating pain and getting people back in the game of life. We don’t make you come to classes that teach you to be dependent on a Chiropractor once a month for the rest of your life. The practice of not adjusting on the first visit is a marketing tool taught by practice management groups that help the chiropractor make money. I have never belonged to or utilized a practice management course or service.

My philosophy is when you give people great service they will come to you and refer their friends to you.

If you are hurting and want you to get back to doing what you love, give us a call, no sales pitches required.

We have been providing service to the good people of Rolla MO and Phelps County since 1995.   

364-8086

David J. Moreland, DC, CCSP

Certified by the American Chiropractic Board of Sports Physicians

Tips for finding a great Chiropractor:

 1: Ask your doctor.  Your family doctor knows you and your community. He or she will be able to guide you to a Chiropractor that is reputable and experienced.  Many medical doctors go to Chiropractors for their back pain. 

2: Ask your doctor’s staff or nurses. Nurses often have back issues themselves. Being a nurse is an intense job that takes its toll on a spine. Many nurses utilize chiropractors regularly.  Nurses are a valuable source for a referral to any chiropractor, dentist, optometrist, etc.

3: Ask your friends or co-workers.  

4: Choose experience. The longer a Chiropractor has been in the community, and in practice, the better chance you will have a positive experience. Find a Chiropractor with at least ten years of experience and preferably a board certification. These are doctors of chiropractic who have completed extensive post-doctoral education in non-surgical orthopedics, neurology, diagnostics etc. and have passed a specialty examination to become board certified chiropractic orthopedists by The Academy of Chiropractic Orthopedics or The American Chiropractic Board of Sports Physicians.  These chiropractors have to maintain their board certification yearly with the certifing board in addition to maintaining their license with the state board of chiropractic examiners. 

These are the best ideas I have for finding a great Chiropractor.

Things you may want to avoid.

A: The discounted initial consultation or a bait and switch. If the person promised you one price and you get to the office and find out there are more fees.  

B: The spinal scan scam, this is where a person sets up a screening at a craft fair or local business using a computerized scanner and tells every person they have a bad back.  If your back is not hurting this is awesome.  Keep up the good work. The Chiropractor will be there when you need them.

David J. Moreland, DC,CCSP

Dr. Moreland graduated from Logan College of Chiropractic in 1995. He is board certified by the American Chiropractic Board of Sports Physicians. He has taught courses for Logan College of Chiropractic, MLRS, and New College of California.  He attended Missouri S&T and Missouri State University where received degrees in Chemistry and Microbiology.  Since his graduation he has practiced at the same location in his home town of Rolla Mo.

Don't delay, call today and see what chiropractic care can do for you. Get back into life and enjoy yourself.

364-8086

Merry Christmas to all

David J. Moreland,DC, CCSP

Dave.  

X-rays and Chiropractors. My philosophy is take a great history and do a focused examination. Then decide if the patient needs to be exposed to x-radiation. Most of the patients that come to our office never need x-rays. Most get incredible results and save themselves money and exposure to radiation.

I've heard it before you wouldn't want a mechanic to work on your car without looking under the hood. Nice saying but you are not a car. Doctors are trained to take a history and an exam, then decide what test, if any, need to be ordered. If we decide you need to be x-rayed we order them. We have ordering privileges at PCRMC, St. Johns, and Rolla Radiology. The x-ray units at these facilities are high frequency units that use much less radiation than any small unit in a small chiropractic office. The x-rays are then read by a Medical doctor that specializes in radiology. The pictures or films then show up immediately on our office computers where we can look at them with you and your family. 

Doing x-rays this way is the best way. You are exposed to less radiation. The films are read by an MD. Your MD can see them on their systems. If you need a referral you won't have to be x-rayed a second time. You are confident in your diagnosis.   This makes for happy patients with healthy back and wallets.

The real reason most Chiropractic offices order x-rays are for financial gain. They are great money makers if you make every person get them. Its wrong. Patients don't need blood work, MRI's, PET scans, Ultra sounds, exploratory surgery, or x-rays every time they see a doctor. They need the doctors ear, the doctors attention. It's what is wrong with our broken down health system, the dollar comes before the patient.

If your back is hurting and you want to get better give us a try.

Call today 364-8086

Fact is you neck shouldn't be straight, it is meant to have a gentle curve. When we lose this curve, we get headaches. Leave the neck straight even longer and degenerative changes occur and disc begin to deteriorate. 

There is a simple fix with chiropractic care. It is quick.

So get off the sidelines and get your headaches under control.

Call us today. 364-8086

I have to say it has been my clinical experience that many people are easily treated with Chiropractic Care. Most not only go back to work but few miss any work at all.

Our office treats Lumbar spine disc easily with Cox Flexion distraction adjustments. This adjustment decompressed the disc and feeds the disc with blood which speeds up the healing process.

If you have a herniated or bulging disc you should call our office today. We have 16 years’ experience treating bulging and herniated disc. We literally have thousands of satisfied patients.

Call Us Today 364-8086

So it's Monday and I am back in my air conditioned office with lots of patients to keep me cool and happy. I'm not complaining any more about this heat, doesn't help any.

Best Luck. I will write about a story I read about the failure of most L-spine disc surgeries later this week. Just to swamped to do it today. 

Dave.

Everyone stay safe and out the heat. Drink lots of water and watch out for your friends. When we get overheated we don't think straight and make poor decisions.

Sincerely

David J. Moreland, DC, CCSP

Treatment is easy with chiropractic care. Spinal manipulation frees up the subluxated or fixed vertebrae, providing quick relief from the pain.

Call us today.  364-8086

In these troubling times and with the Government setting out techniques to deal with a possible Zombie apocalypse, you can well imagine the number of patients asking me how to deal with back pain that is caused by Zombies.  Zombie back pain can be similar to any back pain. Let’s say you’ve had a Zombie attack and in your effort to escape you lifted pushed the Zombie off yourself or your friend.  Its important ice this initial injury for ten to fifteen minutes every two to four hours.  If you are suffering pain down your legs or arms you may have Zombie induced pinched nerve.  Chiropractors are well trained to treat this type of injury and you should make an appointment as soon as possible.

Remember when lifting a Zombie off you or a friend it is important to lift with your legs and try not to twist.  It is advised to get away from the Zombie if possible. Being under Zombie bombardment can be stressful and cause headaches as well.  Once again chiropractic care for Zombie induced headaches can be very effective.  We utilize a gentle technique to restore the normal curve of the cervical spine that may be damaged during a Zombie attack.

If you have back pain Zombie induced or not, call us today.

364-8086                        

Call us for a chit chat about it.

364-8086   

Back pain is the leading reason that people seek out the help of a chiropractor, and it is estimated that 80 to 90% of people in the United States will experience some kind of back pain in their lives. Most patients with low back pain (LBP) will find their symptoms improve after a few weeks or months, and chiropractors can assist this process by identifying pain issues in the early stages and helping patients stay active during their recovery. However, in approximately 10% of cases, acute low back pain develops into a chronic condition, one that lasts six months or more. Chronic low back pain is very difficult to treat, and it can have a substantial impact on a patient's quality of life.

Research is beginning to uncover the factors that can determine who develops chronic low back pain, and these findings can have great relevance in determining a treatment path. In a study published in The Spine Journal, researchers from the Netherlands merged the results of three randomized controlled trials of a total 628 workers on medical leave for LBP. The trials drew from a wide base of professions, comparing results among airline, healthcare, industrial, construction, and office workers.

The researchers considered physical factors, including age and gender of participants, pain intensity, disability level, the amount of heavy lifting required at their job, as well as psychological factors like overall job satisfaction and fear of movement triggered by past pain experiences, also known as kinesiophobia. The study followed up with patients after one year to determine which patients had developed chronic conditions.

After reviewing their results, the researchers developed a short list of the most significant factors in predicting who will develop chronic low back pain. Patients who did not experience a decrease in pain intensity or their level of disability within the first three months of the onset of pain were most likely to develop a chronic condition. Those who started out with a higher pain intensity and those with a higher kinesiophobia where also determined to be at higher risk. Previous studies have suggested that patients who do more heavy lifting at work are at higher risk of developing a chronic condition, but this study could not confirm that this was as great a predictor as the other factors.

These findings have important implications for the treatment of low back pain. The results suggest that health practitioners, including chiropractors, should monitor the pain intensity and disability levels of patients with acute LBP frequently within the first three months of treatment. Patients whose symptoms don't change during this critical initial period may require more targeted treatment. In addition, initially intense pain levels can lead to a fear of movement that significantly impedes recovery, so care providers must also be proactive about reducing kinesiophobia in their low back pain patients.

Hemans MW, vanBuuren S, Knol DL, Anema JR, van Mechelen W, de Vet HCW. The prognosis of chronic low back pain is determined by changes in pain and disability in the initial period. The Spine Journal 2010 (10) 847-856.
 

David J. Moreland, DC, CCSP

Dr. David J. Moreland, DC, CCSP

Rolla, MO

Call 364-8086

As you read the marketing material for these machines they are intended to boost your patient volume and maximize your income. The tests reveal red and green lines drawn on flashy big screens. An elaborate print out is given to the person with information on why they must seek care immediately.   

Do these test really give you any reliable information though? Insurance companies and neurologists, for the most part, like me believe they do not. The test is not covered by any insurance company. So I asked myself, is it the machine, or is it the way it is used?

The most common use is at a marketing event, lawn and garden show, etc. Another is to go to a small office or business and test all the employees. The problem with this testing is that everyone tested has a bad back. They all need immediate care to restore their health, red flags and lines are raised.  How can this be?  Does every person have a horrible back that requires immediate attention?

The answer is no. I love being a Chiropractor; I enjoy helping people with their spinal problems. The fact is, if you are not in pain you probably don’t need to be in a Chiropractic office. If you do have a back problem you most likely can benefit from being in a Chiropractic office.

If you back doesn’t bother you this is awesome. Eat right, exercise and stay healthy. A Chiropractor will be there when you need one.

If your back does hurt find an URAC board certified Chiropractor with at least ten years’ experience. Talk to your friends, family, or your medical doctor. This is the best way to find a great Chiropractor.

The weather is turning for the better so get out there and enjoy it.

David J. Moreland, DC, CCSP

Dave M.

At our office we go back to the first test and x-rays ordered and most often we find the cause. Unfortunately it is simple and just ignored. Physicians are not taught that this simple finding can cause patients such terrible headache.

Straightening of the normal lordodic curve of the neck.  God intended for our necks to be curved slightly backwards. When we lose that curve we get headaches. When the curve is restored the headaches diminish.

I utilize a chiropractic technique called SOT and combine it with McKenzie extension exercises at home. The results are remarkable. If you have headaches you don’t have to live with them, call our office today. See if we can help. We are always ready to answer your questions.

364-8086  

As one lady told me today, " it's much cheaper than smoking."

Call today- 364-8086

Our office prefers to treat these with a method known as Cox flexion distraction. We have literally treated thousands of these. Most of our patients get great results. The procedure is painless, patients state it feels good. It is easy to perform, with the right equipment and training, and very inexpensive. 

If you have a bulging disc you should contact our office today to get started on the road to recovery.

Ask your friends and your doctor. You may find out that they have similar problems and come to our office for relief.

Call Today. 364-8086