Page 26 - Time Special Edition Alternative Medicine (January 2020)
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ALTERNATIVE      MEDICINE THE NEW MAINSTREAM







                   prema ture infants, and she suspects that an ener-             manipulation—a chiropractor’s application of force
                   gized vagus nerve may explain why.                           at specific joints of the spine—is a good place to start.
                      Massage offers the kind of benefits that can cer          A study pub lished in the Annals of Internal Medicine
                   patients can appreciate as well. A study published in        showed that chiropractic treatment of neck pain pro-
                   the Journal of Integrative Oncology found that after         vided more relief than over-the-counter drugs like
                   learning massage techniques in short workshops,              aspirin and ibuprofen. Specifically, after 12 weeks of
                   partners of cancer patients were able to give treat-         treatment, more than half of chiroprac tic subjects
                   ments that reduced anxiety, pain, nausea and other           reported at least a 75% reduction in pain, compared

                   side effects of cancer by up to 44%. As is often the         with one third of those in the drug group.
                   case with complementary treatments, the research-               The improvement seemed to last—a year later,
                   ers hy pothesized that it wasn’t so much the therapy         more than 50% of the chiropractic group still re-
                   itself as the intimacy of the contact that conferred         ported a significant decrease in pain. Meanwhile,
                   the positive result. On the other hand, the Cedars-          those  patients   taking  painkillers  tended   to  have
                   Sinai AVP study found that massage seemed to raise           upped their dosage by the time of the follow-up, and
                   the production of the cancer-fighting white blood            that meant an added bonus for the members of the

                   cells known as lymphocytes, and that is much less            chiropractic group: they didn’t have to worry about
                   likely to be a result of such a placebo effect.              the side effects the drug group was contending with.
                      Neither cancer nor post-op healing is the pri mary           Which isn’t to imply that chiropractic treat ment
                   battleground of massage. The condition that drives           is without controversy. Years ago neu rologists no-
                   more patients to massage therapists and chiroprac-           ticed a pattern of people suffering strokes follow-
                   tors than any other is much more mundane: back               ing chiropractic adjust ment for neck pain. Many
                   pain. According to the American Chiropractic As-             implicated the sudden neck-twisting that is cen-
                   sociation, more than 30 million Americans suffer             tral to the treatment, hypothesizing that it injured
                   from back pain at any given time, and if you’re not          the  arteries  leading  to  the  brain,  thus  triggering

                   among them at the mo ment, chances are you will              strokes. But more recent research is causing doctors
                   be eventually. An es timated 80% of us will fall prey        to rethink that assumption. One study found that
                   sooner or later.                                             younger stroke patients were more likely to have
                      And when you’re hurting, fast relief is all that’s        complained about head and neck pain—symptoms
                   on  your   mind.    Research    indicates   that  spi nal    that often precede a stroke—before their visit to the
                                                                                chiropractor, and that could mean they were already

                                                                                suffering the effects of damaged arteries before they
                                                                                under went any manipulations.
                                                                                   If that’s the case, the only significant risk of ma-
                                                                                nipulative medicine may be to your wallet. Accord-
                                                                                ing to a 2010 survey by the American Massage Ther-
                                                                                apy Association, just 3% or so of Americans who got
                                                                                a massage over the previous five years were covered
                                                                                by health insurance for the treatment. Massage ther-
                                                                                apists aren’t considered licensed medical practitio-

                                                                                ners, which means their work isn’t recognized by
                                                                                most insurers. On the other hand, almost 90% of in-
                                                                                sured Americans are covered for chiropractic treat-
                                                                                ment, because licensed chiroprac tors, like physi-
                                                                                cians, have undergone four years of schooling.
                                                                                   For now, there is still no national standard for
                                                                                massage therapists, making it that much more im-

                                                                                portant to scout out a therapist you can trust. Then
                                                                                again, anyone who is prepared to lie facedown and
                        Chiropractic treatment of neck pain may offer           naked on an odd table in a room with a stranger has
                         more relief than over-the-counter pain pills.          probably done that due diligence already.              





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