What is Niacin?

Niacin (vitamin B3, nicotinic acid), Niacinamide


Niacin (vitamin B3, nicotinic acid), Niacinamide

Vitamin B3 is made up of niacin (nicotinic acid) and its amide, niacinamide, and can be found in many foods, including yeast, meat, fish, milk, eggs, green vegetables, and cereal grains. Dietary tryptophan is also converted to niacin in the body. Vitamin B3 is often found in combination with other B vitamins including thiamine, riboflavin, pantothenic acid, pyridoxine, cyanocobalamin, and folic acid.

Source: http://www.mayoclinic.com/health/niacin/NS_patient-niacin


These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Key to grades

 Grading rationale

High cholesterol (niacin)

Niacin is a well-accepted treatment for high cholesterol. Multiple studies show that niacin (not niacinamide) has significant benefits on levels of high-density cholesterol (HDL or “good cholesterol”), with better results than prescription drugs such as “statins” like atorvastatin (Lipitor®). There are also benefits on levels of low-density cholesterol (LDL or “bad cholesterol”), although these effects are less dramatic. Adding niacin to a second drug such as a statin may increase the effects on low-density lipoproteins. The use of niacin for the treatment of dyslipidemia associated with type 2 diabetes has been controversial because of the possibility of worsening glycemic control. Patients should check with a physician and pharmacist before starting niacin.

Pellagra (niacin)

Niacin (vitamin B3) and niacinamide are U.S. Food and Drug Administration (FDA)-approved for the treatment of niacin deficiency. Pellagra is a nutritional disease that develops due to insufficient dietary amounts of vitamin B3 or the chemical it is made from, tryptophan. Symptoms of pellagra include skin disease, diarrhea, dementia, and depression.

Atherosclerosis (niacin)

Niacin decreases blood levels of cholesterol and lipoprotein (a), which may reduce the risk of atherosclerosis (“hardening” of the arteries). However, niacin also can increase homocysteine levels, which may have the opposite effect. Overall, the scientific evidence supports the use of niacin in combination with other drugs (but not alone) to decrease cholesterol and slow the process of atherosclerosis. More research is needed in this area before a firm conclusion can be drawn.

Prevention of a second heart attack (niacin)

Niacin decreases levels of cholesterol, lipoprotein (a), and fibrinogen, which can reduce the risk of heart disease. However, niacin also increases homocysteine levels, which can increase this risk. Numerous studies have looked at the effects of niacin, alone and in combination with other drugs, for the prevention of heart disease and fatal heart attacks. Overall, this research suggests benefits of niacin, especially when combined with other cholesterol-lowering drugs.

Age-related macular degeneration (AMD)

Niacin may benefit the choroidal blood vessels, which underlie the region of the retina called the macula. Age-related macular degeneration (AMD) may result from disrupted blood flow in the choroidal vessels. Studies suggest that niacin may be used to treat AMD, but more well-designed studies are needed.

Alzheimer’s disease/ cognitive decline

Dementia can be caused by severe niacin insufficiency, but it is unclear whether variation in intake of niacin in the usual diet is linked to neurodegenerative decline or Alzheimer’s disease (AD). Further research is needed before a conclusion can be drawn.

Diabetes (Type 1/Type 2)

Niacinamide may prevent diabetes or delay the need for insulin. More research is needed to determine if niacinamide delays or prevents the onset of insulin dependence in individuals with type 1 diabetes. Niacin has been used to treat dyslipidemia associated with type 2 diabetes. However, this treatment has been controversial because it may worsen glycemic control. Patients should seek medical advice before starting niacin.


There is not enough information about the treatment or prevention of headaches with niacin. More research is needed.

High blood phosphorous level (hyperphosphatemia)

Niacinamide may reduce the high serum phosphate levels in hyperphosphatemia. However, more research is needed before niacinamide can be used to treat hyperphosphatemia.

Osteoarthritis (niacinamide)

Preliminary human studies suggest that niacinamide may be useful in the treatment of osteoarthritis. Further research is needed before a recommendation can be made.

Skin conditions

Niacinamide has been used in skin care products, including moisturizers, anti-aging products, and rosacea treatments. The benefits of niacinamide in skin care needs to be further studied before recommendations are made.

Type 1 diabetes mellitus prevention (niacinamide)

Niacinamide (not niacin) does not appear to delay the development of diabetes mellitus (type 1). Evidence is mixed and more study is needed in this area.

Source: http://www.mayoclinic.com/health/niacin/NS_patient-niacin/DSECTION=evidence

Posted in Atherosclerosis, Chiropractic, Grades, High-cholesterol, Mayo-Clinic, Research, Supplements | Tagged , , , , , , | 1 Comment

Methylsulfonylmethane (MSM) – Studies show benefits for the treatment of osteoarthritis.

Studies of MSM have suggested some benefits, particularly for treatment of osteoarthritis.

Methylsulfonylmethane (MSM) is an organosulfur compound with the formula (CH3)2SO2. It is also known by several other names including DMSO2, methyl sulfone, and dimethyl sulfone.[1] This colorless solid features the sulfonyl functional group and is considered relatively inert chemically. It occurs naturally in some primitive plants and is present in small amounts in many foods and beverages and it is marketed as a dietary supplement.


Evidence from clinical trials

Small-scale studies of possible treatments with MSM have been conducted on both animals and humans. These studies of MSM have suggested some benefits, particularly for treatment of osteoarthritis.


A review by S. Brien, P. Prescott, N. Bashir, H. Lewith and G. Lewith of the two small randomized controlled trials of methylsulfonylmethane in osteoarthritis knee pain relief[11][12] “reported significant improvement in pain outcomes in the treatment group compared to comparator treatments; however, methodological issues and concerns over optimal dosage and treatment period were highlighted.”[13]

The two trials included only 168 people, of whom 52 actually received the drug, so the review authors are careful to state: “No definitive conclusion can currently be drawn” and there is no “definitive evidence that MSM is superior to placebo in the treatment of mild to moderate osteoarthritis of the knee.”[13] While one of the two studies suggests that taking MSM for 12 weeks or less may be safe, “further research is needed to assess its safety for long-term use.”[14] Side effects of MSM ingestion include stomach upset, diarrhoea and headache.[14] In the absence of studies into dosage, longer-term safety and definitive efficacy trials, MSM must be considered experimental and should not be self-administered or prescribed outside clinical trials.[14]

After several reports that MSM helped arthritis in animal models, one study by P.R. Usha et al. had suggested that 1.5 g per day MSM (alone or in combination with glucosamine sulfate) was helpful in relieving symptoms of knee osteoarthritis.[12] The Usha clinical trial, however, was outsourced to India and conducted by researchers with little prior experience in clinical trials; tests were described without associated data, while some results were unsupported by the data that was shown. K.S. Jayaraman has warned that such outsourcing of clinical trials can be “rash” and “risky,” citing deficient ethics committees as well as an unethical approach to patient recruitment.[15]

Kim et al. conducted a second clinical trial of MSM for treatment of patients with osteoarthritis of the knee. Twenty-five patients took 6 g/day MSM and 25 patients took a placebo for 12 weeks. Ten patients did not complete the study, and intention to treat analysis was performed. Patients who took MSM reported reduced pain and improved physical function, but no evidence was found of a more general anti-inflammatory effect; there were no significant changes in two measures of systemic inflammation: C-reactive protein level and erythrocyte sedimentation rate.[11] Not counting an unpublished, no-control group trial by Lawrence, these two articles are the only clinical-trial support for MSM for osteoarthritis.

Source: http://en.wikipedia.org/wiki/Methylsulfonylmethane

Posted in Chiropractic, Pain, Supplements | Tagged , , , , | 1 Comment

Muscle and Body Aches?

Muscle and Body Aches? –  Why not begin your chiropractic experience in the latest generation of relaxation technology with a state of the art zero-gravity deluxe massage chair.

Experience the ultimate relaxation of Swedish or Shiatsu-style massage with REAL Rollers. Now you can say goodbye to stress in this NASA-inspired near zero gravity position. Imagine countless hands and fingers slowly, continuously kneading and rolling your tired aching muscles. Powerful rolling wheels closely duplicate the hand movements of massage—kneading, stretching, tapping, rolling to de-stress stiff and achy muscles. You’re in heaven! Before you know it, all the day’s stress have melted away.

  • Zero gravity design
  • Designed with a set of S-track movable intelligent massage robot, special focus on the neck, shoulder and lumbar massage according to body curve
  • Automatically detect the whole body curve as well as make micro adjustments, which brings more humanistic and scientific massage enjoyment
  • Designed with six unique auto-programs: Healthcare, Relax, Therapy, Smart, Circulation and Demo
  • Automatic massage for the upper body (shoulder, neck, back and lumbar), the low body (buttock, thigh, calves and feet)
  • Manual massage for the upper body with three options, full body, partial and fixed
  • Six Massage styles – rolling, kneading, clapping, shiatsu, Swedish and combo
  • With five levels of speed & intensity
  • Three kinds of width adjustable settings, Wide, Medium and narrow
  • Air pressure massage for back (two airbags), with five intensity options
  • Air pressure for lower body (twenty-six airbags), with five intensity options
  • Powerful vibration massage for buttocks
  • Calf rest can be lifted and stretched, backrest can be lifted
  • LCD displayer
  • Auto timer 5-30 options
  • Wireless mini-controller
  • 32 air bags, 10 in the feet, 10 in the calves, 3 in the seat and 2 in the back. 2 in the shoulders, 3 neck & 3 in the hips
  • Air & Vibration Arm Massage
  • Hip Air Massage
  • Vibration Seat Massage
  • Lower Back Heat Therapy
  • Air Squeeze Neck massage
  • Shoulder Air Massage

Our office is fully equipped with these extraordinary massage chairs.  Located in Lansing, Illinois for over 60 years, Lansing Chiropractic Clinic is a leader in herniated disc treatment and pain management. Give us a call at 708-895-3228 to set up an appointment today.

Posted in Chiropractic, Massage, Pain | Tagged , , , , , , , , | Leave a comment

Glucosamine Sulfate Research – Double Blind Study

Glucosamine Sulfate Use and Delay of Progression of Knee Osteoarthritis

A 3-Year, Randomized, Placebo-Controlled, Double-blind Study

Karel Pavelká, MD, PhD; Jindriska Gatterová, MD; Marta Olejarová, MD; Stanislav Machacek, MD; Giampaolo Giacovelli, PhD; Lucio C. Rovati, MD 

Arch Intern Med. 2002;162:2113-2123.

Background  Conventional symptomatic treatments for osteoarthritis do not favorably affect disease progression. The aim of this randomized, placebo-controlled trial was to determine whether long-term (3-year) treatment with glucosamine sulfate can modify the progression of joint structure and symptom changes in knee osteoarthritis, as previously suggested.

Methods  Two hundred two patients with knee osteoarthritis (using American College of Rheumatology criteria) were randomized to receive oral glucosamine sulfate, 1500 mg once a day, or placebo. Changes in radiographic minimum joint space width were measured in the medial compartment of the tibiofemoral joint, and symptoms were assessed using the algo-functional indexes of Lequesne and WOMAC (Western Ontario and McMaster Universities).

Results  Osteoarthritis was of mild to moderate severity at enrollment, with average joint space widths of slightly less than 4 mm and a Lequesne index score of less than 9 points. Progressive joint space narrowing with placebo use was -0.19 mm (95% confidence interval, -0.29 to -0.09 mm) after 3 years.Conversely, there was no average change with glucosamine sulfate use (0.04 mm; 95% confidence interval, -0.06 to 0.14 mm), with a significant difference between groups (P = .001). Fewer patients treated with glucosamine sulfate experienced predefined severe narrowings (>0.5 mm): 5% vs 14% (P = .05). Symptoms improved modestly with placebo use but as much as 20% to 25% with glucosamine sulfate use, with significant final differences on the Lequesne index and the WOMAC total index and pain, function, and stiffness subscales. Safety was good and without differences between groups.

Conclusion  Long-term treatment with glucosamine sulfate retarded the progression of knee osteoarthritis, possibly determining disease modification.

From the Department of Medicine and Rheumatology, Charles University (Dr Pavelká), and the Institute of Rheumatology (Drs Pavelká, Gatterová, Olejarová, and Machacek), Prague, Czech Republic; and the Department of Clinical Pharmacology, Rotta Research Laboratorium, Monza, Italy (Drs Giacovelli and Rovati).

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OARSI/OMERACT Initiative to Define States of Severity and Indication for Joint Replacement in Hip and Knee Osteoarthritis. An OMERACT 10 Special Interest Group
GOSSEC et al.
The Journal of Rheumatology 2011;38:1765-1769.

Risk factors predictive of joint replacement in a 2-year multicentre clinical trial in knee osteoarthritis using MRI: results from over 6 years of observation
Raynauld et al.
Ann Rheum Dis 2011;70:1382-1388.

The Fate of Oral Glucosamine Traced by 13C Labeling in the Dog
Dodge et al.
Cartilage 2011;2:279-285.

Chondroitin sulphate reduces both cartilage volume loss and bone marrow lesions in knee osteoarthritis patients starting as early as 6 months after initiation of therapy: a randomised, double-blind, placebo-controlled pilot study using MRI
Wildi et al.
Ann Rheum Dis 2011;70:982-989.

Decrease in serum level of matrix metalloproteinases is predictive of the disease-modifying effect of osteoarthritis drugs assessed by quantitative MRI in patients with knee osteoarthritis
Pelletier et al.
Ann Rheum Dis 2010;69:2095-2101.

Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analysis
Wandel et al.
BMJ 2010;341:c4675-c4675.

Clinical efficacy and safety of glucosamine, chondroitin sulphate, their combination, celecoxib or placebo taken to treat osteoarthritis of the knee: 2-year results from GAIT
Sawitzke et al.
Ann Rheum Dis 2010;69:1459-1464.

Effect of Glucosamine on Pain-Related Disability in Patients With Chronic Low Back Pain and Degenerative Lumbar Osteoarthritis: A Randomized Controlled Trial
Wilkens et al.
JAMA 2010;304:45-52.

Method for Delivering a Controlled Impact to Articular Cartilage in the Rabbit Knee
Fening et al.
Cartilage 2010;1:211-216.

A-Z of nutritional supplements: dietary supplements, sports nutrition foods and ergogenic aids for health and performance Part 9
Castell et al.
Br. J. Sports. Med. 2010;44:609-611.

Acute liver injury associated with the use of herbal preparations containing glucosamine: three case studies
Smith and Dillon
BMJ Case Reports 2009;2009:bcr0220091603-bcr0220091603.

Protective effects of licofelone, a 5-lipoxygenase and cyclo-oxygenase inhibitor, versus naproxen on cartilage loss in knee osteoarthritis: a first multicentre clinical trial using quantitative MRI
Raynauld et al.
Ann Rheum Dis 2009;68:938-947.

The placebo effect and its determinants in osteoarthritis: meta-analysis of randomised controlled trials
Zhang et al.
Ann Rheum Dis 2008;67:1716-1723.

Effects of strontium ranelate on spinal osteoarthritis progression
Bruyere et al.
Ann Rheum Dis 2008;67:335-339.

Effect of Glucosamine Sulfate on Hip Osteoarthritis: A Randomized Trial
Rozendaal et al.
ANN INTERN MED 2008;148:268-277.

Predictors of symptomatic response to glucosamine in knee osteoarthritis: an exploratory study
Bennett et al.
Br. J. Sports. Med. 2007;41:415-419.

Superiority of the Lyon schuss view over the standing anteroposterior view for detecting joint space narrowing, especially in the lateral tibiofemoral compartment, in early knee osteoarthritis
Merle-Vincent et al.
Ann Rheum Dis 2007;66:747-753.

Current role of glucosamine in the treatment of osteoarthritis
Reginster et al.
Rheumatology (Oxford) 2007;46:731-735.

EULAR evidence based recommendations for the management of hand osteoarthritis: Report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)
Zhang et al.
Ann Rheum Dis 2007;66:377-388.

A 2 yr longitudinal radiographic study examining the effect of a bisphosphonate (risedronate) upon subchondral bone loss in osteoarthritic knee patients
Buckland-Wright et al.
Rheumatology (Oxford) 2007;46:257-264.

A prospective randomised multicentre study comparing continuous and intermittent treatment with celecoxib in patients with osteoarthritis of the knee or hip
Luyten et al.
Ann Rheum Dis 2007;66:99-106.

Oral Glucosamine for 6 Weeks at Standard Doses Does Not Cause or Worsen Insulin Resistance or Endothelial Dysfunction in Lean or Obese Subjects
Muniyappa et al.
Diabetes 2006;55:3142-3150.

Glucosamine Supplementation Accelerates Early but Not Late Atherosclerosis in LDL Receptor-Deficient Mice
Tannock et al.
J. Nutr. 2006;136:2856-2861.

Effect of Glucosamine on Glucose Control
Stumpf and Lin
The Annals of Pharmacotherapy 2006;40:694-698.

Low levels of human serum glucosamine after ingestion of glucosamine sulphate relative to capability for peripheral effectiveness
Biggee et al.
Ann Rheum Dis 2006;65:222-226.

Chondroprotective drugs in degenerative joint diseases
Rheumatology (Oxford) 2006;45:129-138.

Comparison of quantitative and semiquantitative indicators of joint space narrowing in subjects with knee osteoarthritis
Mazzuca et al.
Ann Rheum Dis 2006;65:64-68.

Is it time for more rheumatologists to embrace osteoarthritis?
Birrell et al.
Rheumatology (Oxford) 2005;44:829-830.

Glucosamine Long-Term Treatment and the Progression of Knee Osteoarthritis: Systematic Review of Randomized Controlled Trials
Poolsup et al.
The Annals of Pharmacotherapy 2005;39:1080-1087.

A naturalistic study of the determinants of health related quality of life improvement in osteoarthritic patients treated with non-specific non-steroidal anti-inflammatory drugs
Rabenda et al.
Ann Rheum Dis 2005;64:688-693.

Chondroprotective activity of N-acetylglucosamine in rabbits with experimental osteoarthritis
Shikhman et al.
Ann Rheum Dis 2005;64:89-94.

Use of complementary medicines for osteoarthritis–a prospective study
Zochling et al.
Ann Rheum Dis 2004;63:549-554.

The use of conventional and complementary treatments for knee osteoarthritis in the community
Jordan et al.
Rheumatology (Oxford) 2004;43:381-384.

Non-surgical treatment of osteoarthritis: a half century of “advances”
Ann Rheum Dis 2004;63:117-122.

This house believes that we should advise our patients with osteoarthritis of the knee to take glucosamine
Manson and Rahman
Rheumatology (Oxford) 2004;43:100-101.

BMJ 2003;327:E182-182.

A topical cream containing glucosamine and chondroitin sulphate reduced joint pain in osteoarthritis of the knee
Evid. Based Med. 2003;8:154-154.

Structural and Symptomatic Efficacy of Glucosamine and Chondroitin in Knee Osteoarthritis: A Comprehensive Meta-analysis
Richy et al.
Arch Intern Med 2003;163:1514-1522.

Investigating CAM
CMAJ 2003;168:1527-1528.

Robin Goodfellow (42-1)
Rheumatology (Oxford) 2003;42:196-196.

BMJ 2002;325:1046-1046.

Is glucosamine worth taking for osteoarthritis?
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AM J HOSP PALLIAT CARE 2002;19:369-371.

Posted in Chiropractic, Knee, osteoarthritis, Research, Supplements | Tagged , , , , , , , | Leave a comment

What is Glucosamine?



Glucosamine is a natural compound that is found in healthy cartilage. Glucosamine sulfate is a normal constituent of glycoaminoglycans in cartilage matrix and synovial fluid.

Available evidence from randomized controlled trials supports the use of glucosamine sulfate in the treatment of osteoarthritis, particularly of the knee. It is believed that the sulfate moiety provides clinical benefit in the synovial fluid by strengthening cartilage and aiding glycosaminoglycan synthesis. If this hypothesis is confirmed, it would mean that only the glucosamine sulfate form is effective and non-sulfated glucosamine forms are not effective.

Glucosamine is commonly taken in combination with chondroitin, a glycosaminoglycan derived from articular cartilage. Use of complementary therapies, including glucosamine, is common in patients with osteoarthritis, and may allow for reduced doses of non-steroidal anti-inflammatory agents.

Source: http://www.mayoclinic.com/health/glucosamine/NS_patient-glucosamine


These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Key to grades

 Grading rationale

Knee osteoarthritis (mild-to-moderate)

Based on human research, there is good evidence to support the use of glucosamine sulfate in the treatment of mild-to-moderate knee osteoarthritis. Most studies have used glucosamine sulfate supplied by one European manufacturer (Rotta Research Laboratorium), and it is not known if glucosamine preparations made by other manufacturers are equally effective. Although some studies of glucosamine have not found benefits, these have either included patients with severe osteoarthritis or used products other than glucosamine sulfate . The evidence for the effect of glycosaminoglycan polysulphate is conflicting and merits further investigation. More well-designed clinical trials are needed to confirm safety and effectiveness, and to test different formulations of glucosamine.

Osteoarthritis (general)

Several human studies and animal experiments report benefits of glucosamine in treating osteoarthritis of various joints of the body, although the evidence is less plentiful than that for knee osteoarthritis. Some of these benefits include pain relief, possibly due to an anti-inflammatory effect of glucosamine, and improved joint function. Overall, these studies have not been well designed. Although there is some promising research, more study is needed in this area before a firm conclusion can be made.


Chronic venous insufficiency

“Chronic venous insufficiency” is a syndrome that includes leg swelling, varicose veins, pain, itching, skin changes, and skin ulcers. The term is more commonly used in Europe than in the United States. Currently, there is not enough reliable scientific evidence to recommend glucosamine in the treatment of this condition.


Diabetes (and related conditions)

Early research suggests that glucosamine does not improve blood sugar control, lipid levels, or apolipoprotein levels in diabetics. Additional research is needed in this area.


Inflammatory bowel disease (Crohn’s disease, ulcerative colitis)

Preliminary research reports improvements with N-acetyl glucosamine as an added therapy in inflammatory bowel disease. Further scientific evidence is necessary before a strong recommendation can be made.


Pain (leg pain)

Preliminary human research reports benefits of injected glucosamine plus chondroitin in the treatment of leg pain arising from advanced lumbar degenerative disc disease. Further scientific evidence is necessary before a firm recommendation can be made.


Rehabilitation (after knee injury)

Glucosamine has been given to athletes with acute knee injuries. Although glucosamine did not improve pain, it did help improve flexibility. Additional research is needed to confirm these early findings.


Rheumatoid arthritis

Early human research reports benefits of glucosamine in the treatment of joint pain and swelling in rheumatoid arthritis. In other research, glucosamine did not exert anti-rheumatic effects, but it did improve symptoms of the disease. However, this is early information, and additional research is needed before a conclusion can be drawn. The treatment of rheumatoid arthritis can be complicated, and a qualified healthcare provider should follow patients with this disease.


Temporomandibular joint (TMJ) disorders

There is a lack of sufficient evidence to recommend for or against the use of glucosamine (or the combination of glucosamine and chondroitin) in the treatment of temporomandibular joint disorders.


High cholesterol

Glucosamine does not appear to alter LDL or HDL levels in patients with chronic joint pain or diabetes.

Source:   http://www.mayoclinic.com/health/glucosamine/NS_patient-glucosamine/DSECTION=evidence

Posted in Chiropractic, Mayo-Clinic, osteoarthritis, Research, Supplements | Tagged , , , , , , | 1 Comment

Press Release: Effective Treatment for Osteoarthritis – Glucosamine Sulfate

Osteoarthritis is one of the most common complaints that presents to our office on a daily basis which fortunately can be treated effectively with a supplement known as Glucosamine sulfate.

In the past few decades, extremely favorable and extensive research has shown that Glucosamine sulfate at the pharmaceutical grade level may have tremendous therapeutic effects that will mitigate both the pain and progression of the disease, Osteoarthritis.  The study also concluded that many of the participants had reversal of the cartilaginous destruction proven by x-ray analysis.  This research was born out of successful outcomes from animal studies and application in veterinarian practice showing remarkable improvements in pets of all breeds.  This led to the FDA funding a 22 million dollar double-blind randomized placebo controlled trial which in turn was followed up by many other large studies showing efficacy rates superior to all other oral therapeutic pharmacological medications.

Our facility prides itself in supplying only the absolute purest and most effective pharmaceutical grade Glucosamine on the market.  Please don’t hesitate to ask the Doctor about your joint pain.  I cannot make this point more clear that buying cheap supplements will result in expensive urine.

Call my office at 708-895-3228 or visit our website to learn more about the services at Lansing Chiropractic Clinic!

Thanks for reading,

Dr. Timothy Durnin 


Glucosamine definition from Mayo Clinic Site – http://www.mayoclinic.com/health/glucosamine/NS_patient-glucosamine

Glucosamine Health Grades from Mayo Clinic Site – http://www.mayoclinic.com/health/glucosamine/NS_patient-glucosamine/DSECTION=evidence

Glucosamine Sulfate Use and Delay of Progression of Knee Osteoarthritis – A 3-Year, Randomized, Placebo-Controlled, Double-blind Study – http://archinte.ama-assn.org/cgi/content/abstract/162/18/2113

Randomised, Double-Blind, Parallel, Placebo-Controlled Study of Oral Glucosamine, Methylsulfonylmethane and their Combination in Osteoarthritis – http://www.donausa.com/images/randd/(Pavelka)%20Arch%20Int%20Med%202002.pdf

Glucosamine and Chondroitin for Treament of Osteoarthritis A Systematic Quality Assessment and Meta-analysis – http://jama.ama-assn.org/content/283/11/1469.short 

Randomised, Double-Blind, Parallel, Placebo-Controlled Study of Oral Glucosamine, Methylsulfonylmethane and their Combination in Osteoarthritis – http://www.ingentaconnect.com/content/adis/cdi/2004/00000024/00000006/art00005

Glucosamine sulfate reduces osteoarthritis progression in postmenopausal women with knee osteoarthritis: evidence from two 3-year studies – http://journals.lww.com/menopausejournal/Abstract/2004/11020/Glucosamine_sulfate_reduces_osteoarthritis.4.aspx

Posted in Chiropractic, Grades, Mayo-Clinic, News, osteoarthritis, Press Release, Research, Supplements | Tagged , , , , , , , , , , | Leave a comment

Research Supporting Chiropractic

Numerous studies have shown that chiropractic treatment is both safe and effective.  The following are excerpts from a few of the more recent studies.  By examining the research supporting chiropractic care, you will find that chiropractic offers tremendous potential in meeting today’s health care challenges.

For Acute and Chronic Pain

“Patients with chronic low-back pain treated by chiropractors showed greater improvement and satisfaction at one month than patients treated by family physicians. Satisfaction scores were higher for chiropractic patients. A higher proportion of chiropractic patients (56 percent vs. 13 percent) reported that their low-back pain was better or much better, whereas nearly one-third of medical patients reported their low-back pain was worse or much worse.”

– Journal of Manipulative and Physiological Therapeutics, Nyiendo et al. (2000),

In a Randomized controlled trial, 183 patients with neck pain were randomly allocated to manual therapy (spinal mobilization), physiotherapy (mainly exercise) or general practitioner care (counseling, education and drugs) in a 52-week study. The clinical outcomes measures showed that manual therapy resulted in faster recovery than physiotherapy and general practitioner care. Moreover, total costs of the manual therapy-treated patients were about one-third of the costs of physiotherapy or general practitioner care.

 — British Medical Journal, Korthals-de Bos et al. (2003)

In Comparison to Other Treatment Alternatives

“Acute and chronic chiropractic patients experienced better outcomes in pain, functional disability, and patient satisfaction; clinically important differences in pain and disability improvement were found for chronic patients.”

– Journal of Manipulative and Physiological Therapeutics, Haas et al. (2005)

“In our randomized, controlled trial, we compared the effectiveness of manual therapy, physical therapy, and continued care by a general practitioner in patients with nonspecific neck pain. The success rate at seven weeks was twice as high for the manual therapy group (68.3 percent) as for the continued care group (general practitioner). Manual therapy scored better than physical therapy on all outcome measures. Patients receiving manual therapy had fewer absences from work than patients receiving physical therapy or continued care, and manual therapy and physical therapy each resulted in statistically significant less analgesic use than continued care.”

– Annals of Internal Medicine, Hoving et al. (2002)

For Headaches

“Cervical spine manipulation was associated with significant improvement in headache outcomes in trials involving patients with neck pain and/or neck dysfunction and headache.”

— Duke Evidence Report, McCrory, Penzlen, Hasselblad, Gray (2001)

“The results of this study show that spinal manipulative therapy is an effective treatment for tension headaches. . . Four weeks after cessation of treatment . . . the patients who received spinal manipulative therapy experienced a sustained therapeutic benefit in all major outcomes in contrast to the patients that received amitriptyline therapy, who reverted to baseline values.” ‘

— Journal of Manipulative and Physiological Therapeutics, Boline et al. (1995)

Cost Effectiveness

“Chiropractic care appeared relatively cost-effective for the treatment of chronic low-back pain. Chiropractic and medical care performed comparably for acute patients. Practice-based clinical outcomes were consistent with systematic reviews of spinal manipulative efficacy: manipulation-based therapy is at least as good as and, in some cases, better than other therapeusis.”

– Journal of Manipulative and Physiological Therapeutics, Haas et al. (2005)

Patient Satisfaction

“Chiropractic patients were found to be more satisfied with their back care providers after four weeks of treatment than were medical patients. Results from observational studies suggested that back pain patients are more satisfied with chiropractic care than with medical care. Additionally, studies conclude that patients are more satisfied with chiropractic care than they were with physical therapy after six weeks.”

— American Journal of Public Health, Hertzman-Miller et al. (2002)

Popularity of Chiropractic

“Chiropractic is the largest, most regulated, and best recognized of the complementary and alternative medicine (CAM) professions. CAM patient surveys show that chiropractors are used more often than any other alternative provider group and patient satisfaction with chiropractic care is very high. There is steadily increasing patient use of chiropractic in the United States, which has tripled in the past two decades.”

– Annals of Internal Medicine, Meeker and Haldeman (2002)

Call my office at 708-895-3228 or visit our website to learn more about the services at Lansing Chiropractic Clinic!

Thanks for reading,

Dr. Timothy Durnin

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Today’s Fashion Can Be Tomorrow’s Pain

Looking your best might not always be the best thing for you. Today’s society is extremely fashion and style conscious. Unfortunately, clothing designers and stylists aim to please by creating unique looks that might not always be practical or even comfortable. 

The look of the season shows runway models in high platform heels and tight skirts or pants. Models have perfected the runway “walk,” but the popular looks and accessories are frequently impractical and could create leg, back, and spine or neck problems. “Sometimes I see a woman walking down the street with high heels and a two-ton bag, and I want to stop her and make her aware of what she is doing to her body,” said ACA president Dr. Richard Brassard.

Women generally wear high heels to complement an outfit, not for comfort, but some might not realize that these shoes can cause serious discomfort in the feet and can also exacerbate back pain. High heels alter the balanced position of a person’s body. When a woman wears high heels, a new dynamic equilibrium occurs. Dr. Brassard compared the musculoskeletal system to a mobile, hanging in dynamic equilibrium, each part balancing the other. If one part becomes ‘fixed,’ the whole system will compensate with a movement or restriction. Essentially, wearing high heels for any length of time increases the normal forward curve of the back and causes the pelvis to tip forward. This alters the normal configuration of the pelvis and spine necessary for the body to maintain a center of gravity.”The legs are the foundation of the musculoskeletal system, and a person standing flat-footed or bare-footed would be completely balanced,” said Dr. Brassard. “While standing, the hamstrings are taut and both parts of the pelvis are stabilized so that the support is normal. By bringing the heel up, you encourage the shortness of the hamstring muscles.”Women and men alike fall into the fashion trap.

However, women, more than men, tend to wear clothes that are too tight. Stylish tight tube skirts and tight pants can be attractive, but are often too restrictive. Clothes that are too tight throw a person off-balance, and simple everyday tasks such as bending, sitting and walking become difficult. “Tight clothes restrict a person from moving comfortably, resulting in poor posture and misalignment of the spine,” said Dr. Brassard.

Another unhealthy fashion statement is the use of heavy purses, backpacks and handbags. Women and men tend to carry too many items in one bag, or briefcase, and are often not aware of the potential health risks associated with toting an excessive amount of “stuff.” Carrying a bag with detectable weight-more than 10 percent of your body weight-can cause improper balance. When hiked over one shoulder, it interferes with the natural movement of the upper and lower body. “The person carrying the bag will hike one shoulder to subconsciously guard against the weight, holding the other shoulder immobile,” said Dr. Brassard. “This results in the unnatural counterbalance movement of one shoulder and little control over the movements of the arms and legs. Even worse, the spine curves toward the shoulder.”More and more people carry their credit cards, ATM cards and personal identification in the back pocket of their pants. This might be a convenient way of carrying the necessary items with you each day, but carrying your wallet in the back pocket of your pants can cause discomfort.

Dr. Brassard suggested men and women remove their wallets or other items before sitting for long periods of time. “Sitting on your wallet or card holder for the entire day will create a pocket in the muscle lying underneath the wallet, and whether your pants are tight or loose-fitting, this can result in discomfort or pain.”

In today’s society, it might be important to you to look fashionable, but it is more important to choose clothes, shoes and bags that are comfortable and that suit your style. By following and remembering these simple steps, it is possible to look and feel your best.

  • Choose comfortable shoes. If you must wear high heels, bring a pair of flat shoes along with you to change into should you become uncomfortable. If you walk to work, wear flat shoes and change into your more fashionable shoes when you arrive to alleviate any pain or discomfort.
  • If the shoe is uncomfortable while standing, chances are it will not be any more comfortable while walking. The wrong shoe can affect the body’s center of gravity.
  • Choose supportive shoes. Designer spikes or non-supportive loafers may look nice but do not allow for easy, symmetrical walking.
  • While sitting, whether or not you are wearing heels, it is important to take frequent stretch breaks to alleviate atrophy of the hamstring muscles.
  • Avoid excessive wear of tight pants or clothing. If you prefer tighter clothes, choose styles that allow you to perform daily tasks with ease.
  • Select a briefcase or purse with a wide adjustable strap. Ideally, the strap should be long enough to place over the head. This evenly distributes the bulk of the weight across the body.
  • When carrying a bag, or briefcase, switch sides frequently to avoid placing the burden of the weight on one side of your body.
  • Take the time to empty unnecessary items from your bag.
  • Place all necessary items-such as wallets and cellular phones-in the front pockets of the bag. Stretching around to reach for your wallet can result in a pulled neck or back.
  • If you are driving or sitting for long periods of time, remove your wallet or card holder from the back pocket of your pants.
  • Think about your daily tasks. If your clothes affect your movements, consider outfits that fit your lifestyle.
Designers and stylists tend to be more concerned about the way something looks rather than the way it feels. Listen to your body. One of the most important aspects of being in style and looking your best is to maintain healthy judgement. By following simple suggestions, being fashionable can be comfortable.
Source: ACA

Call us at 708-895-3228 or visit our website to learn more about our services!

Thanks for reading,

Dr. Timothy Durnin

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Press Release – ACA: Senate Panel to Pentagon: Increase Services Provided by Doctors of Chiropractic Among Troops

Press Release

Media Contacts:
Caitlin Lukacs: (703) 812-0218 | 
Melissa Lee: (703) 812-0259 | 

FOR IMMEDIATE RELEASE: September 29, 2011

Senate Panel to Pentagon: Increase Services Provided by Doctors of Chiropractic Among Troops

Musculoskeletal Injuries in Combat Areas Prompts Congressional Response

The American Chiropractic Association (ACA) and the Association of Chiropractic Colleges (ACC) today applauded a Senate proposal calling for greater utilization of the services provided by doctors of chiropractic within the Department of Defense (DoD). The U.S. Senate Committee on Appropriations recently filed a report to accompany fiscal year 2012 spending legislation for Pentagon operations which included language urging DoD to expand the use of services delivered by doctors of chiropractic to troops in combat settings.

The language, included in Senate Report 112-77, specifically urges DoD to address musculoskeletal injuries, prevalent in the forward combat areas, by “increasing the use of chiropractic care” and “to expand the utilization of alternative medical treatment options such as chiropractic health care services at military treatment facilities to help mitigate these injuries.”

“I am encouraged that the subcommittee recognizes that the services provided by doctors of chiropractic are vital to the well-being of our troops and that we are an essential part of the recovery process for many,” said ACA President Keith Overland, DC.  “I want to especially thank committee Chairman Daniel Inouye for including this language in the report.”

The report’s pro-chiropractic language was largely in response to various media reports, including one earlier this year that received nationwide attention, stating that musculoskeletal injuries are twice as prevalent as combat injuries among deployed troops, and that musculoskeletal injuries among deployed troops have increased tenfold in the last several years.

The services provided by doctors of chiropractic are available at 60 military treatment facilities worldwide.  ACA and ACC are hopeful that the subcommittee’s support for the services provided by doctors of chiropractic will spur further expansion of chiropractic’s presence in both the DoD and the Department of Veterans Affairs (VA).

“The Association of Chiropractic Colleges welcomes this strong endorsement from the Senate Appropriations Committee for the vital role that chiropractic care can continue to play in addressing musculoskeletal injuries to our troops,” said Richard Brassard, DC, President of the ACC. “Studies have shown what the chiropractic profession and the Department of Defense have known for years, that doctors of chiropractic are a key part of our military health care system that cares for our soldiers, sailors, airmen and marines in times of war both here and overseas. We are honored to be a part of the DoD health care provider team.”

While the congressional report’s language does not have the force of law and does not compel DoD to take action, such report language often initiates federal departments and agencies to take action based on congressional findings and requests. Learn more about ACA’s action regarding federal initiatives at www.acatoday.org.

The American Chiropractic Association (ACA), based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.
ACA – The American Chiropractic Association (ACA) – Representing doctors of chiropractic (chiropractors)-.

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Fun & Interesting Facts!

Here are some very interesting facts and statistics about the Chiropractic field you might not know:

The popularity of Chiropractic is at an all-time high!

• 80% of Americans will suffer from back pain at some point in their lives.


Back Pain

• Back symptoms are the most common cause of disability for individuals under the age of 45.

• 20% of all American military medical discharges are due to low back pain.

• More than 20 million Americans will seek chiropractic care this year.

• Chiropractic has been around for more than 100 years.

• Today there are approximately 50,000 chiropractors in the United States – 10,000 in Japan – 5,000 in Canada – 2,500 in Australia – 1,000 in the U.K. – and 100-500 in each of Belgium, Denmark, France, Italy, Norway, Sweden, Switzerland, New Zealand, South Africa, and The Netherlands.

• In the western world 85% of people will be disabled by back pain at some point in their lives.
Spine 12(3):264-268.

• 1992 costs associated with low back pain in the U.S. were estimated to be $60 billion.
The Manga Report – 1993.

• Nearly 30% of the U.S. population aged 18 and older have used chiropractic.
The Gallup Organization – 1991.

• WCB studies indicate a 45-55% saving in overall costs when treatments are provided by a chiropractors instead of a medical doctors.
California, 1972 – Wisconsin, 1978 – Florida,1988 – Utah,1991 – State of Victoria, Australia, 1992.

• 9 out of 10 chiropractic users feel their treatment is effective.
The Gallup Organization – 1991.

• 58% of those using chiropractic considered it an essential part of their heath insurance package.
The Gallup Organization – 1991.

• “Chiropractic patients were 3 times more satisfied with their care than patients of family practice physicians.”
Western Journal of Medicine – 1989.

• “Chiropractors are now accepted as a legitimate healing profession by the public and by an increasing number of physicians.”
The Manga Report – 1993.

• “Chiropractic is a growing component of the health care sector, and it is widely used by the population.”
The College of William and Mary, Williamsburg, Virginia, and Medical College of Virginia, Richmond, Virginia, January 1992.

• 94% of all spinal manipulations are performed by chiropractors.
RAND Corporation.

More information can be found by visiting this site:  www.dcdoctor.com

Call us at 708-895-3228 or visit our website to learn more about our services!

Thanks for reading,

Dr. Timothy Durnin

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