Recent Posts

Chiropractic care Most Economic Option for Neck Discomfort

Over the years, we've helped many people in Joplin, MO recover from persistent neck pain. This isn't unexpected, as research demonstrates that chiropractic care leads to significant improvements for 94% of neck pain patients. But how does chiropractic compare to other conservative therapies in the management of neck pain?

To answer that question, it's helpful to look back at an interesting study from 2003 printed in the British Medical Journal. The research reviewed a variety of conservative treatments and concluded that manual therapy was the most economical choice for neck pain.

Researchers from the Netherlands were interested in comparing not only the costs associated with manual therapy but how successfully manual therapy provided relief when compared to other treatments. They randomly assigned 183 patients with acute neck pain to receive care from manual therapists (MT), physiotherapists (PT), or general practitioners (GP).

Patients receiving manual therapy had the fastest recovery rate. After seven weeks of treatment, 68% of the MT group had recovered, compared to 51% of the PT group and 36% of the GP group. These variances in improvement rates were still statistically significant after 26 weeks but not after 52 weeks.

To compute costs of treatments, the authors considered direct costs such as visits to the healthcare provider and the costs of prescription medications, in addition to indirect costs like work absenteeism and travel time. The manual therapy group had substantially lower costs, with patients spending only a third of the costs spent by patients in the PT and GP groups. On average, manual therapy patients had about $611 in costs compared to $1773 in the physiotherapy group and $1885 in the general practitioner group (or 447 euros, 1297 euros, and 1379 euros, respectively). Only nine patients in the MT group documented missed work due to neck pain, compared to 12 in the PT group and 15 in the GP group.

The reduced cost likely stemmed from the fact that MT patients were using substantially less prescription drugs and needed fewer treatment interventions due to quicker recovery rates. The authors concluded that manual therapy, particularly spinal mobilization, is less expensive and more effective at relieving neck pain than physical therapy or care from a general practitioner.

Dr. Lewis has worked with many patients who have suffered from neck pain. If you live in Joplin, MO and would like to stop suffering from chronic neck pain, give our office a call at (417) 782-2504 for a consultation.

Korthals-de Bos IB, et al. Cost effectiveness of physiotherapy, manual therapy, and general practitioner. British Medical Journal 2003;326:911.


Joplin, MO Work Disability & How Chiropractic Can Provide Relief

Dr. Lewis has been providing care for people with work injuries since 1993. Chiropractic care may minimize work absenteeism for back and neck pain, as mentioned in recent research. In a new report, people who received chiropractic care managed to miss fewer work days in comparison to patients who hadn't seen a chiropractic physician.

In this 2013 study, 650 workers in Minnesota who had back and/or neck pain were surveyed. The authors found that many of those surveyed stated that their back pain prompted them to lose work or caused them to makeerrors on the job.

The most significant finding, however, was that the employees who saw a chiropractor had 58% fewer disability days than those who didn't see a chiropractor!

Many studies report that chiropractic care is the perfect way to manage and even prevent back pain, and that's what we've observed here in our clinic in Joplin, MO.

Call our office today at (417) 782-2504 for a consultation or for more advice.

Reference: Cifuentes M, Willetts J, Wasiak R. Health maintenance care in work-related low back pain and its association with disability recurrence. Journal of Occupational and Environmental Medicine 2011; 53(4): 396-404.


Shoulder Pain after Auto Injury in Joplin, MO

Shoulder soreness is a condition reported by many auto injury patients, and there are two common explanations.

The first is direct injury to the shoulder during the impact. If your shoulder strikes something directly, it can injure the joint capsule. Also, if you are gripping the steering wheel tightly during a rear-end collision, your torso can lag behind the car, placing strain on your wrists and shoulders.

The second cause of shoulder pain is not as straightforward and can be harder to identify. Injuries to the neck or back can create tension on the nerve fibers that travel from the spine to your shoulder, arm, and hands. This can be perplexing, as the painful sensation or numbness is sensed in one part of your body, while the problem is actually in your spine.

Chiropractic is a proven, effective way to help people with shoulder pain, and we've been working with these types of injuries in Joplin, MO since 1993.

If you've been in a crash and have symptoms of shoulder injury, Dr. Lewis is here to help. We can help establish the underlying cause of your problem and develop a treatment plan to help you restore your health. We have helped many patients in Joplin, MO recover from these types of injuries.

Call our office today at (417) 782-2504 for an appointment or for more information.


The Secret to Effective Back Pain Recovery in Joplin, MO

Do you want to understand the key to effective back pain relief? It's not lying on your couch, aching with pain as you wait for it improve. It's not just doing your day-to-day physical therapy and icing. So what is it?

Exercise therapies are great for musculoskeletal injury, but to get the complete effects of the exercise you have to to get therapy that corrects misalignments in the muscles plus the spine. That's where your Joplin, MO chiropractor, Dr. Lewis, can help. If you have injured your back, it is more than likely that you have a spinal misalignment. Lengthening and strengthening your back muscles alone won't be enough to remedy the out-of-place vertebrae. Recent research explains why combining physical therapy with chiropractic is so useful.

Scientists studied 49 individuals with chronic back pain who were randomly assigned to get either manual therapy or sham (placebo) treatment. Manual therapies included procedures commonly employed by Dr. Lewis, like spinal adjustments and chiropractic mobilization. Directly after treatment, patients did exercises like stretching, muscle and motor control workouts, mobility exercises, and strengthening. The patients were treated eight times, with an assessment after three and six months.

Immediately after treatment, patients treated with manual therapy plus exercise experienced larger reductions in pain compared to the placebo plus exercise group. The advantage seen in the treatment room was maintained at the three and six-month follow-up visits. The chiropractic clients had reduced disability and a pattern of lower pain scores compared to the sham group. These results suggest that a blended treatment of chiropractic and exercise could be better than exercise therapy alone for back problems.

So if you'd prefer lasting relief of back pain, pick up the phone and give our office in Joplin, MO a call. After a few sessions with Dr. Lewis, you'll wonder why you didn't call earlier!

Balthazard P, et al. Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. BMC Musculoskeletal Disorders 2012; 13: 162.


Headache After a Car Accident

 Headache is an extremely common complaint after an auto accident but unless you hit your head during the crash, you may be wondering why.

Neck injuries like whiplash frequently cause pain felt at the back of the head and above the eyes. These headaches are called cervicogenic headache, and get their name from  where they start in the cervical spine (which runs  through your neck).  This typically occurs when a misaligned vertebra or an inflamed tissue exerts pressure on a spinal nerve, causing radiating pain in the head.

Other patients who already suffer from headache or migraine may experience a worsening in symptoms after the car accident due to stress or inflammation in the body.

Fortunately, chiropractic care can help. Research shows that chiropractic neck adjustments, stretching, and exercise can provide efficient headache relief without drugs. Dr. Lewis in Joplin, MO is experienced in alleviating headache after auto injury.

First, we'll do a detailed evaluation to determine the root cause of your headache pain. Then, using gentle chiropractic adjustments, we'll help restore your spine's natural functioning to reduce strain on your body and nervous system. Many of our patients see a rapid improvement in their signs or symptoms.

If you are close to our clinic in Joplin, MO and you suffer from chronic headaches, give our office a call at (417) 782-2504 today to make an appointment or get more information.


Racicki S, et al. Conservative physical therapy management for the treatment of cervicogenic headache: a systemic review. Journal of Manual and Manipulative Therapy 2013; 21(2): 113-124.

Jahangiri JN, Vatankhah N, and Baradaran HR. Reduction of Current Migraine Headache Pain Following Neck Massage and Spinal Manipulation. Journal of Therapeutic Massage and Bodywork. 2012; 5(1): 5–13.


Chiropractic Minimizes Healthcare Expenses

An increasing body of research reveals that chiropractic is both effective and less costly than more invasive medical treatments.

In a recent study, researchers assessed the medical expenses of over 12,000 adults with spine conditions. They found that patients who used alternative therapies have lower annual healthcare expenses compared to patients receiving traditional medical treatments.

Chiropractic care contributed significantly to reduced costs since chiropractic accounted for 75% of alternative therapy use.

Previous reports have revealed that chiropractic prevented recurring disability in patients with back pain which could help to minimize health-related spending.

Research has also suggested that chiropractic cuts spending for patients by helping them eliminate risky procedures, tests, surgeries, and expensive medications. Doctors of chiropractic work to take advantage of the body's innate healing capabilities with a combination of natural, effective techniques.

If you live in Joplin, MO and you would like to improve your health and save money, give Dr. Lewis a call at (417) 782-2504 today for an appointment.


Cifuentes M, Willetts J, Wasiak R. Health maintenance care in work-related low back pain and its association with disability recurrence. Journal of Occupational and Environmental Medicine 2011; 53(4): 396-404.\
Martins B, et al. The association of complementary and alternative medicine use and health care expenditures for back and neck problems. Medical Care 2012; 50 (12): 1029-1036. doi: 10.1097/MLR.0b013e318269e0b2.