I find myself answering the same question from many of my patients.  It usually goes something like this. “I feel so much better, do I need to come back?”  Well according to  a recent study on Chiropractic, it sure seems like it would be a good idea.

The research showed that treatment 3 times a week for 4 weeks significantly reduced back pain (we already knew this). Then they divided that group and half of them were released to return in 9 months and the other half received continued care 2 times per month for 9 months. The group with monthly care continued to improve through the 9 months. The other group slowly increased in pain levels and were almost as bad as when they started at the 9 month checkup.

Remember pain is only a symptom and a lot of the time is the last one to show up and the first one to go away. The goal at Valley Chiropractic is to correct the problem not  just squash the symptom.

Dr. Daniel Knight


Low Back Pain: Why Is It So Common?

This question has plagued all of us, including researchers for a long time!  It seems like the only guarantee in life is death, taxes and low back pain.  Could it be because we just live in a world of sitting in front of computers? Or maybe it’s because we have a job that’s too demanding on our back?  Maybe we don’t exercise as much as we should.

So, what are the common links as to why back pain is so common?  One reason has to do with the biomechanics of the biped – that is, the two legged animal. When compared to the 4-legged species, the vertically loaded spine carries more weight in the low back, shows disk and joint deterioration and/or arthritis much sooner, and we overload the back more frequently because, well, we can! We have 2 free arms to lift and carry items that often weigh way too much for our back to be able to safely handle. Frequently, we lift and carry using poor technique. To make matters worse, we do this over and over again without even thinking.

Another important cause to consider is just how our bodies are designed.  Anatomically, the blood supply to our disks is poor at best, and becomes virtually non-existent after age 30.   The discs, therefore, rely largely on motion for proper fluid exchange.  As we reduce our activity levels do to pain, lifestyle, occupation, etc., the disc is starved of proper nutrition.  That makes healing of disk tears or cracks nearly impossible.

Risk factors for increased back injury include heavy manual lifting requirements, poor or low control of the work environment, and prior incidence of low back pain.  Other risk factors include psychosocial issues such as fear of injury, beliefs that pain means one should not work, beliefs that treatment or time will not help resolve a back episode, the inability to control the condition, high anxiety and/or depression levels, and more.

Because there are so many reasons back problems exist, since the early 1990’s, it has been strongly encouraged that we as health care providers utilize a “biopsychosocial model” of managing those suffering with low back pain, which requires not only treatment but proper patient education putting to rest unnecessary fears about back pain.

Here are some interesting facts about back pain:

  1. Economic effect related to low back pain is well over $100 billion per year in the United States alone.
  2. The prevalence of low back pain (LBP) is common, as 70-85% of ALL PEOPLE have back pain that requires treatment of some sort at some time in life.
  3. On a yearly basis, the annual prevalence of back pain averages 30% and once you have back pain, the likelihood of recurrence is high.
  4. Back pain is the most common cause of activity limitation in people less than 45 years of age.
  5. Back pain is the 2nd most frequent reason for physician visits, the 5th ranking reason for hospital admissions, and is the 3rd most common cause for surgical procedures.
  6. About 2% of the US workforce receives compensation for back injuries annually.
  7. Similar statistics exist for other countries, including the UK and Sweden.

Daniel Knight, DC





The Truth About Chiropractors

I originally came across this article while on the Fox News website.  It looks like they borrowed it from Details magazine.  It turns out that celebrities need the benefits of chiropractic too.  Enjoy.

Dr. Daniel Knight, DC

Making a visit to the back doctor could help you stave off injury, reach your fitness goals, and be pain-free. Here’s what you need to know about the joys of being manipulated.

Photograph by Adam Voorhes
March 2013 Issue

Chiro’s resurgence is being fueled by high-powered CEOs, Hollywood studio execs, and A-listers—mostly via concierge services in their homes or offices or on movie sets.

“A patient of mine asked if I would leave my practice and travel around the world with him to treat him,” says Los Angeles–based Brad Fazekas, D.C.

The paparazzi snapped Leonardo DiCaprio leaving a chiropractic office in New Orleans; Kim Kardashian tweeted, “Chiropractors really are life savers. . . . I’m obsessed!;”and Jessica Alba is reportedly a fan.

Why they’re doing it
Because it’s not just about easing back problems. Karen Erickson, D.C., a spokesperson for the American Chiropractic Association, says, “Besides relief of muscle soreness and pain, patients often report an overall feeling of well-being and reduced stress.” Getting straightened out can have benefits for both your sedentary life and your gym performance

When you’re always on the computer or an i-whatever, the upper back starts to round,” Fazekas says. “We can correct that.” And because you’re eliminating stiffness and pain, you will be able to work out harder.How it works
Chiropractors ease muscle pain by unlocking stiff joints.”We restore range of motion, and that will stop the nerve irritation and release any muscles that are in spasm,” says Erickson, who adds that the chiropractic “pop” is caused by a change in pressure in the joint. “It’s like pulling the cork on a bottle of champagne,” she says.

You should feel immediate relief with most issues, although some take at least three to four treatments to get results. Chiropractors also recommend occasional check-ins.

Chiropractic Progress

Studies document value of chiropractic to mitigate escalating incidents, costs of back pain

April 9, 2013 — A new study, “Aging baby boomers and the rising cost of chronic back pain: secular trend analysis of longitudinal Medical Expenditures Panel Survey (MEPS) data for years 2000 to 2007,” (J Manipulative Physiol Ther.; 1.1.2013), concludes that the prevalence of back pain and costs associated with existing treatment patterns have and will continue to escalate — in part due to an aging population.

According to the Foundation for Chiropractic Progress (F4CP), a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, utilization of chiropractic care presents opportunities for improved patient outcomes and decreased costs.

“Chiropractic care is a cost-effective, evidence-based approach that is well-documented for its outstanding patient outcomes and satisfaction scores,” states Gerard Clum, DC, spokesperson, F4CP,  referencing the latest study, “Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain: A Double-Blinded Randomized Controlled Trial in Comparison With Diclofenac and Placebo,” (Spine;4.1.2013), which found spinal manipulation to be significantly better than non-steroidal anti-inflammatory drug diclofenac and clinically superior to placebo for patients with acute non-specific low back pain. “When used as a primary treatment option for back pain, chiropractic can boost avoidance of risky and costly measures, and promote equal or greater clinical outcomes.”

The JMPT analysis conducted by researchers out of National University of Health Sciences found no indication of a decline in regards to the number of chronic back pain incidents and costs coupled with current treatment patterns. The conclusion demonstrates the strong need for better organization of healthcare spending and traditional treatment standards.

Clum asserts the need for a fundamental re-evaluation of our nation’s healthcare system, adding, “To improve the system, it will be essential that patient care approaches with clinical and economic advantages — such as chiropractic care — be the focal point of progressive healthcare and health policy discussions.”

Source: Foundation for Chiropractic Progress,

It’s Not Halloween, So Don’t Mask Your Pain With Drugs

Here’s a funny video that teaches great lesson about your health.

I’m not saying that drugs are bad, in fact, I think that they can be extremely effective.  However, just taking pain medication won’t solve your problem.  You have pain for a reason; it’s telling you something is wrong and needs to be addressed.  So, just taking a pill to block your pain is like using ear plugs to stop the sound of the smoke alarm during a fire.  If you ignore it long enough, you’re going to have even bigger problems to deal with.

Why not treat the problem at the source?  Call my office and schedule your appointment now while that fire is easy to put out.


Happy Days,

Dr. Daniel Knight