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In addition to medical management, there are a variety of manual (hands-on) therapies that some people find helpful in managing their arthritis symptoms. Two of the more common treatments include manual manipulation, which is often referred to as chiropractic care, and massage therapy.
Chiropractic Treatment
Manual manipulation, which is commonly provided by chiropractors, has existed for thousands of years. Today, chiropractors are licensed health care professionals who concentrate on diagnosing and treating neuromuscular and skeletal disorders. They use manual adjustment or manipulation and/or mobilization of the spine rather than surgery or medication.
Chiropractors originally based their practice on the beliefs that:
- Biomechanical and structural problems in the spine can affect the nervous system.
- By restoring the structural integrity of the spine, chiropractic treatment can reduce pressure on sensitive neurological tissue, improving an individual’s health.
Today, chiropractic care has evolved as a science with many studies supporting it to be as or more effective in both patient satisfying results and cost containment when compared to pharmaceutical as well as other forms of health care.6 Chiropractors have become an integral part in pain management, frequently working side-by-side with medical doctors, physical therapists, and others in a group or multidisciplinary setting.7,8
While some people with arthritis say they benefit from chiropractic manipulation, certain types of manipulation such as the commonly employed “high velocity low amplitude” (HVLA) thrust manipulation can carry serious risks for certain people, such as those with active, inflammatory rheumatoid arthritis and those experiencing certain stages of ankylosing spondylitis. Practitioners can use lower-force techniques to reduce the likelihood or risk of serious side effects.
Because of the risks associated with manual manipulation, patients are advised to consult with their rheumatologists or other physicians (who have expertise with their form of arthritis) prior to undergoing treatment. In fact, one way to find a skilled and experienced chiropractor or manual manipulation health professional is to ask for a physician referral from the medical specialist who is managing the patient's arthritis.
Similar to chiropractors, osteopathic physicians are specially trained in providing manual manipulation. Physiatrists or other health providers may also be trained in manual manipulation.
+ نوشته شده در شنبه بیست و چهارم تیر ۱۳۹۶ساعت 18:39 توسط DPT Saeid Khanmohammadi |
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نویسنده: روژان رفیعی