New Zealand Chiropractors' Association - Media releases

CUT BACK ON PAIN MEDICATION

New Zealanders should think twice before resorting to pain relief medication, the country≠s chiropractors advised today. They point out that treatment by a qualified chiropractor and light exercise may be the best way to relieve neck pain, according to new research.

The New Zealand Chiropractors≠ Association (NZCA) says the results stress that arthritis and muscular pain require more than just a drug-treatment approach.

A study, conducted by a team from Northwestern Health Sciences University in Minnesota, just published in the Annals of Internal Medicine found that chiropractic treatment results in better outcomes than common pain relief drugs such as aspirin and ibuprofen.

The study involved more than 270 adults suffering from different types of neck pain, who were divided into three groups. One group had sessions with a chiropractor, and the second group took common pain medication. The third group was given advice from a chiropractor and encouraged to do a set of gentle exercises

Dr Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors≠ Association explains: `After 12 weeks, the group that received spinal manual therapy from the chiropractor had significantly less pain than patients from the group that took pain medication.≠

He points that the patients in the chiropractic and exercise groups maintained their improvement after one year, but that in addition to their limited pain relief, the people on medications kept taking them. ‘This is not a good approach. Taking these medications for up to a year can lead to all sorts of systemic side effects such as gastrointestinal problems; most frequently internal bleeding.≠

It was found that 32% of the patients treated by a chiropractor and 30% of those who exercised reported being completely pain free, compared to just 13 per cent of the group treated with medication.

All three groups had pain relief, but spinal manipulation by a chiropractor was more effective than pain medication in both the short and long term. Home exercises were also effective at relieving pain after participants were given instructional sessions in stretching. The study is the first large federally funded study to compare the different treatments.

Dr Thomas adds: `As a professional association we welcome evidence based care. The perception of pain is very subjective but the large number of patients in this study reduces the influence of social and cultural factors. We believe that work like this will make it more likely that patients get appropriate treatment.≠

Neck pain affects nearly 75 percent of the population and according to another recent study women consistently report experiencing more pain, for back and neck pain, knee and ankles strains, complications of HIV, and sinusitis. The results were reported online in the Journal of Pain.

OPTIMISE YOUR BODY FOR SUMMER

New Zealanders are encouraged to optimise their bodies before rushing into strenuous summer activities and save their spines. According to the New Zealand Chiropractors' Association, getting the body optimised again after a sedentary winter is important to prevent injury and enjoy the holiday season to the maximum.

Dr Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors' Association explains: `We do encourage people to come and have a check up. If your spine is stiff, posturally incorrect or injured and you suddenly start strenuous activity you may do more damage. At this time of year we start to see more people who are out of condition and suddenly they go out and exert themselves and end up with injuries and strains.'

By getting your body optimised for summer you can increase the range of motion in the joints in the spinal column; increase muscle balance; decrease the risk of injury by improving mechanical function and maximise body-brain feedback and nerve system co-ordination.≠

Dr Thomas points out that research demonstrates how optimising your body can improve pre-existing conditions in other areas of the body, for example improvements to hip function have been shown to speed recovery from ankle injury and vice versa through the chain of inter-related movements.

Also, if an injury has occurred the pain might go away on its own after a few days but functional consequences can go unnoticed, and if uncorrected can cause significant problems later down the track. 'This is why you should always get an injury checked by an appropriately qualified provider to help prevent future problems' says Dr Thomas.

He adds: `Your local NZCA chiropractor will also be able to develop a tailored programme of specific stretches and exercises to improve posture. Good posture means there is neuro-musculo-skeletal balance. This balance helps to protect the joints in the spine and surrounding tissues from excessive loads, tension or stress. It also guards against injury and possible deformity. Good posture is a great 'tool' to possess to help prevent pain and ensure optimum function.'

The NZCA has produced ten tips for safer activities and injury prevention this summer:

10 Tips for Safer Summer activities

1. Warm up with a brisk walk, gentle stretches or a slow jog for sports activities. This will get your blood pumping and warm up your muscles. 2. While stretching before for any activity, breathe in and out, slowly and rhythmically; do not bounce or jerk your body, and stretch as far and as comfortably as you can. Stretching should not be painful. Consider a course of yoga or Pilates to help get your body in better condition for summer. 3. If working in the garden, bend with your knees and not your back, and use your arms and legs while working. 4. A warm up and cool down period is as important in gardening as it is for sporting activity and will help alleviate injuries, pain and stiffness. 5. Have a break. Stop when fatigue starts to set in. 6. Avoid dehydration. Eight cups of water a day is a minimum recommendation. If the temperature is high and activity strenuous increase this to a cup every 20 minutes. Have a good quality sports drink for activities greater than an hour to replace electrolytes. Thirst is a sign you are in the early stages of dehydration. 7. Avoid heat exhaustion where the body temperature increases quicker than your body can decrease it. Fatigue, muscle cramps, and light headedness are often signs of mild heat exhaustion. Wear loose light coloured clothing and avoid strenuous outdoor activity between 10am-2pm. 8. Have a plan of action if an injury is experienced. 9. Applying ice to any joint that is sore after activity can help reduce inflammation and improve recovery time. High quality Omega 3 supplementation can also help reduce joint inflammation and assist nervous system function and overall health. 10. Know your limits, use protective equipment, and have fun whatever the activity.

STAND UP STRAIGHT FOR WORLD SPINE DAY

New Zealanders are urged to stand up straight for World Spine Day (16th October) and save their backs, as new research shows that most office workers sit at their desks for much longer than health guidelines recommend.

According to the New Zealand Chiropractors' Association, long uninterrupted sedentary periods are risk factors for poor health. Citing a new report into workplace sedentary behaviour Dr Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors' Association explains that the study looked at the sitting behaviour of office workers and adherence to three different recommendations (maximum length of a sitting event of: 20 min; 30 min; 55 min).

Dr Thomas says: `No participants met the 20 or 30�min recommendations on every working day and only eight per cent of participants met the 55�min recommendation. Emerging evidence suggests prolonged sitting has negative health effects and adverse sitting behaviour is prevalent in the office. We want to say to New Zealanders whether they are at a desk or not, remember to take a break and straighten up.'

He points out: `Good posture means there is musculoskeletal balance. This balance helps to protect the joints in the spine and surrounding tissues from excessive loads, tension or stress. It also guards against injury and possible deformity. Good posture is a great 'tool' to possess to help prevent pain and ensure optimum function.'

The NZCA advises a number of posture improvement initiatives:

Get up, walk tall and stretch often.

Exercise regularly and keep the abdominal muscles strong to help support the spine. An active spine is a healthy spine. The Straighten Up New Zealand daily posture exercises are a simple way to start (visit www.straightenup.org.nz).

Avoid wearing high-heeled shoes. Choose shoes that offer good foot support and comfort.

Bags, backpacks, briefcases - Carry only the items that are required for each day and avoid a heavy tote bag worn over one shoulder.

Working at a desk - Choose office furniture that is ergonomically designed and that fits your body.

Sit with your back against the back of the chair with knees at hip level. Consider using a footrest. A small pillow or rolled towel placed at the lower back can offer needed support.

The workstation or desk should be at elbow height. Adjust chair height to meet this need. Sit with your shoulders straight and parallel to the hips. Don't slouch forward to view work or the computer monitor.

Tilt the monitor so the centre of the screen is at eye level for easy viewing.

Don't cradle the phone between your head and shoulder. Use the speakerphone, a headset or hold the phone in your hand.

A good mattress can help keep your spine aligned and muscles relaxed during sleep.

Try not to sleep on your stomach. Sleep on your side or back.

Oversize pillows do not benefit your spine. Use a pillow that allows your head to align with the rest of your body.

Dr Thomas adds: `Of course there are hundreds of other suggestions to help establish a lifestyle supporting good posture. Your chiropractor can give you many personalised tips to help you gain the benefits good posture offers.'

For further information on better posture visit www.straightenup.org.nz

BABY BOOMMERS' BAD BACKS PUTS BRAKE ON LIFESTYLES

Kiwi baby boomers are not coping well with the onset of late middle age, according to the New Zealand Chiropractors≠ Association.

Citing a new US report into trends in disability among 50- to 64-year-olds1, the chiropractors point out that an increasing number of New Zealanders are seeking help for functional disabilities linked to back problems that began earlier in life.

Dr Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors≠ Association explains that health care professionals are seeing a rising tide of disability among the baby boomer generation.

Between 1946 and 1965 NZ Statistics calculates that 1.125 million babies were born in New Zealand √ 77% more than in the 20 years before the baby boom. The Department of Labour says that this means by the middle of this century, one in four New Zealanders will be aged 65 or older, compared with one in eight today.

Dr Thomas says ŒWe are seeing more people with problems in this age group. They are generally far more concerned with their quality of life and are not prepared to put up with conditions that affect that. Unlike previous generations who tended to resign themselves to progressive degeneration, these people are looking forward to another 40 years of good function and want us to help them maintain or improve their wellbeing. Our experience is confirmed by data recently published from the US National Health Interview Survey1 that over the 10-year period from 1997 to 2007 found increasing problems reported among this group.'

ŒOver 40% of people aged 50√64 reported that, because of a health problem they now had difficulty with at least one of nine physical functions, and many reported difficulty with more than one function according to the researchers.≠

The most common problems cited were: 1. Stooping, bending, or kneeling
 2. Standing for two hours 3. Walking a quarter mile
(400 metres) 4. Pushing or pulling a large object 5. Climbing 10 steps

Of medical conditions the respondents believed were responsible for their disabilities, they cited back or neck problems, and arthritis or rheumatism, most frequently.

Dr Thomas points out that the US researchers are concerned because this rise in disability has potentially far-reaching and long-term negative consequences for individuals and society as a whole.

Richard Sulzman, of the US National Institute of Aging, which sponsored the study, is quoted as saying: ŒIf people have such difficulties in middle age, how can we expect that this age group˘today≠s baby boomers˘will be able to take care of itself with advancing age? If it continues, this trend could have a significant effect on the need for long-term care in the future.≠

Reference: 1Martin LG et al., Trends in disability and related chronic conditions among people ages 50 to 64, Health Affairs, 2010; 29:725√31.

CHIROPRACTIC TOPS COMPLEMENTARY THERAPY SATISFACTION SURVEY

The annual questionnaire conducted by the US Consumer Reports National Research Center surveyed 45,601 Consumer Reports subscribers online, and found that three out of four were using some form of alternative or complementary therapy for their general health. Chiropractic dominated the lists of helpful approaches for particular conditions whereas other alternative treatments used for 12 common health problems were usually deemed far less helpful than prescription medicine.

According to Dr Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors≠ Association: 'Hands-on care such as chiropractic along with the mind-body practice of yoga topped the lists of helpful alternatives for discomfort from conditions such as back pain, neck pain, and osteoarthritis.'

Chiropractic outperformed all other back pain treatments. Around six in 10 of those who used chiropractic or deep-tissue massage said it helped a lot as a neck treatment. Those who tried chiropractic or deep-breathing exercises for fibromyalgia said they helped as much as or more than over-the-counter medications.

The survey indicated that some widely used dietary supplements ranked far below over-the-counter medications in many cases.

Respondents said their doctors were generally aware of their use of complementary approaches for their medical conditions. For instance, 81 percent of those who sought chiropractic care said their doctors knew about it and 21 percent who used chiropractic said their doctors had recommended it. One in four respondents undergoing chiropractic care for any condition said their chiropractor was more interested and insightful than their medical doctors.

`There appear to be a number of reasons people look at alternative therapies, says Dr Thomas; They may have gone through a major life event or illness that has caused them to look at their health in a different way, some are frustrated with conventional approaches or the side effects of drugs, and others prefer dietary supplements or herbal remedies to medicines because they're natural, even though it's not necessarily the case that they are safer or have less side effects than conventional medications.≠

'Whatever health care approach people choose, there are potential risks along with the possible benefits, and practitioners of all kinds are encouraged to work together for the good of the patient' adds Dr Thomas.

www.consumerreports.org/health/natural-health/alternative-treatments/overview/index.htm

WINTER WEATHER MAY LEAD TO DECONDITIONING SYNDROME WARNS NEW ZEALAND CHIROPRACTORS

The New Zealand Chiropractors' Association is urging Kiwis to maintain their activity levels over winter to ward off de-conditioning or inactivity syndrome.

People who curtail their daily physical activities, may develop what is known as de-conditioning. In other words they get out of shape.≠ Joints become stiff, muscles become flabby, endurance decreases, and some put on excess weight. In addition this de-conditioning leads to decreased pain tolerance and many other physiological effects.

According to Dr. Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors≠ Association: At this time of year we see an increase in people seeking care for conditions brought on by too little activity as well as those who have tried to do too much without enough preparation.'

Many people find that the reduced daylight hours and the colder, wetter weather that comes with winter means they stop exercising as much and tend to hibernate. This can result in joint stiffness, loss of muscle strength and control, and numerous other health issues related to inactivity such as depression, weight gain, and increased risk of diabetes and heart disease. At the other extreme are those people who get even more active with winter sports such as rugby, netball, soccer and skiing but who don≠t always prepare properly. We want to encourage people to be active, however care should be taken to train properly to reduce injury risk and to warm up and cool down appropriately. We advise people to develop and maintain a regular physical exercise program that is individually tailored to their needs.≠

'In short, your body needs regular movement to stimulate growth and repair from a cellular level on up' says Dr. Thomas. 'Inactivity affects all body systems but the good news is it's never too late to start moving. Just be sure to work within your limits and build up activity slowly and sensibly'.

CHIROPRACTIC MAINTENANCE CARE BEST OPTION FOR REDUCING REPEAT LOW BACK INJURY SAY NEW ZEALAND CHIROPRACTORS

The value of chiropractic maintenance care for low back injury has been emphasised by the latest study comparing different types of management, according to the New Zealand Chiropractors≠ Association. New research published in the latest issue of the Journal of Occupational and Environmental Medicine showed that the lowest incidence of repeat injury was found among those workers who had received chiropractic maintenance care. The study followed 894 injured workers for a period of one year. During that year there were four different types of care available to the workers: medical management, physical therapy, chiropractic, and no therapy. Episodes of repeat disability were recorded during the year following the initial injury. Physical therapy had the highest percentage of reinjured workers followed by those receiving medical management or no treatment at all.

According to Dr. Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors≠ Association: `This latest research follows on from research published earlier this year which shows that ongoing spinal manipulation for chronic non-specific low back pain results in better long term outcomes . Other research published late last year found that patients with lower back pain enjoy significant improvement with chiropractic care, but little to no improvement with usual medical care .≠

The New Zealand Chiropractors≠ Association has called for the success rate of lower back treatment in this country to be improved by health providers working more closely together.

Dr Thomas added: `This study suggests the best approach to obtain long-term benefit requires maintenance chiropractic care after the initial intensive therapeutic phase following an injury. Patients report little to no improvement with usual medical care, so the NZCA is working towards improved understanding and collaboration between medical practitioners and chiropractors to speed patient referral leading to faster and better recovery for New Zealanders. We shouldn≠t be working against each other. Both medical practitioners and chiropractors have skills that can improve a patient≠s well being and help them lead a healthier, happier life free of lower back pain. The sooner health care providers start collaborating, the sooner we will be able to make a dent in those lower back injury numbers in New Zealand and help improve the overall function and productivity of our citizens.≠

LOWER BACK PAIN RESULTS WILL IMPROVE IF HEALTH PROVIDERS WORK TOGETHER SAY NEW ZEALAND CHIROPRACTORS

The success rate of lower back pain treatment in this country could be improved if health providers worked more closely together, according to the New Zealand Chiropractors≠ Association.

New research published in the Spine Journal late last year found that patients with lower back pain enjoy significant improvement with chiropractic care, but little to no improvement with usual medical care. Despite these results significant numbers of GPs still do not refer patients to chiropractors.

‘The study found that after 16 weeks of care the patients referred to medical doctors saw almost no improvement in their condition, were likely to still be taking pain medication and saw no benefit with added physical therapy and yet were unlikely to be referred to a chiropractor,≠ explains Dr. Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors≠ Association.

Although this was a US study, a similar pattern often exists in New Zealand. ‘Health providers should be working together in the best interests of the New Zealand public, rather than isolating themselves from each other≠ he adds. ‘Researchers have found that lower back pain treatment which includes chiropractic spinal manipulation can result in greater improvement than usual care provided by a family doctor. However, some medical doctors seem unwilling to consult with other health care professionals when it could prove to be beneficial to the patient≠s overall well being. That≠s a worrying trend and will go no way towards improving the lower back pain statistics in this country, which are already causing a great deal of suffering and costing taxpayers millions of dollars.≠ Dr. Thomas hopes that continued research into the positive effects of chiropractic care on lower back pain and other health outcomes will encourage medical practitioners to refer patients to a registered chiropractor.

‘We shouldn≠t be working against each other,≠ says Dr. Thomas. ‘Both medical practitioners and chiropractors have skills that can improve a patient≠s well being and help them lead a healthier, happier life free of lower back pain. The sooner health care providers start collaborating, the sooner we will be able to make a dent in those lower back pain numbers in New Zealand.≠

CHIROPRACTIC CARE FOR CHRISTCHURCH

Two major earthquakes and thousands of aftershocks have recently devastated New Zealand's third largest city, Christchurch, leaving many dead and thousands injured and homeless.

Over 800 central city buildings will have to be demolished including many high rise office and hotel blocks. Entire suburbs have been decimated by the liquefaction that has occurred, with over 10,000 homes damaged beyond repair. Many people are still without power, water or sanitation. The death toll is expected to rise to over 200. Frequent, significant aftershocks continue to haunt the residents.

Christchurch has always had a strong chiropractic presence and the city is home to 35 members of our national association (The NZCA). They need our help, now.

The situation is dire. They are hurting psychologically and financially. Some have lost practices or homes and all of them are feeling the effects of stress. The personal tragedy combined with extremely low visit numbers due to loss of infrastructure, a large population exodus and the collapse of discretionary spending has left them severely challenged.

Our Association is fronting up to help our chiropractic colleagues with the establishment of a significant relief package supported by a levy on our membership along with physical and psychological assistance. We are also appealing to our global chiropractic family to help us get Christchurch chiropractors back on their feet and continue to serve a community that needs their care more than ever.

To make it easy for you to help, the NZCA has set up an official online donation fund through PayPal for secure electronic or credit card payments http://www.chiropractic.org.nz/donations.

I can assure you that this fund will be used wisely by the Executive of the NZCA to help members rebuild their shattered lives and assist the local community.

Your much needed donation, of any amount, will be hugely appreciated by the chiropractors and community of Christchurch. Thank you for your support.

Yours sincerely,

Dr James Burt President, New Zealand Chiropractors' Association

PS: If you would like updates on the situation and/or to be publicly acknowledged for your contribution please email your details to info@chiropractic.org.nz after making your donation.

WRONG PILLOW COULD BE CAUSING NEW ZEALANDERS A PAINFUL NIGHTS SLEEP SAY CHIROPRACTORS

Thousands of New Zealanders could be needlessly suffering from disrupted sleep due to bad pillow choices at bedtime. That is according to the New Zealand Chiropractors' Association, who claim that using the wrong pillow can be a common cause of neck and back pain and can have a significant impact on both the quality and duration of sleep, leading to chronic tiredness and other health problems.

According to the Massey University Sleep Wake Centre 37 per cent of New Zealand adults aged 30 to 60 are sleep-deprived and 25 per cent of adults aged 20 to 60 have insomnia. A number of studies have shown that proper selection of a pillow can significantly reduce neck pain and improve quality of sleep . Chiropractors believe that more education around pillow and bed selection could help reduce these numbers.

People rarely give much thought to the pillows that they use, focusing almost entirely on the bed. However, if the neck is not supported properly when sleeping it can cause a whole range of problems from neck pain to upper and lower back discomfort, headaches, shoulder and arm pain and restlessness, explains Dr. Hayden Thomas, chiropractor and spokesman for the New Zealand Chiropractors' Association.

A new study by researchers at the University of Warwick Medical School, UK, shows that people who are unable to get a sleep of at least six hours a day are at an increased risk of suffering a heart attack or stroke. The researchers found that those who slept for less than six hours a day had a nearly 50 percent more risk of suffering a heart attack and 15 percent more at risk of a heart stroke .

Fortunately, there are a number of things that can be done to ensure an unsuitable pillow is not going to get in the way of getting a healthy night's sleep.

It is important to choose a pillow that is of a shape and material that suits your sleeping position, advises Dr. Thomas. For example, a side sleeper will need something that cradles and contours the neck, providing an even surface, whereas a back sleeper will require a medium support pillow that will support the natural curvature of the upper spine, providing support under the head, neck and shoulders. If you are in any doubt, get in touch with a suitably qualified health professional as they will be more than happy to point you in the right direction.

One of the other mistakes people make is that they keep the same old pillow for years, adds Dr. Thomas. They do wear out and need to be replaced eventually, just like your bed. As a general rule, a feather pillow should last around eight years, a down pillow five years and a man made filling from six months to two years. The best way to check whether it is time to get a new feather or down pillow is to lay it on a hard surface, fold it in half and squeeze out the air. Release the pillow. If it unfolds and returns to its original position, it has enough support. An overused pillow will stay folded.

To test a polyester pillow, fold it in half in the same way and place an object weighing about ten ounces or 280 grams on top. If it unfolds itself and dislodges the object, it has plenty of use left in it. If it remains folded then it won't be adequately supporting your head and really should be replaced.

'Today the choice is vast' says Dr Thomas 'There are now pillows on the market made from specially contoured memory foam, natural latex and even a water-filled pillow which has been shown very effective for neck pain suffers and improving sleep quality.' These newer designs and materials may offer an advantage for some people giving greater support and usually last far longer than loose filled pillows, however they can be a significant initial investment.

GOOD POSTURE KEY TO JOB INTERVIEW SUCCESS ACCORDING TO NEW ZEALAND CHIROPRACTORS

According to the New Zealand Chiropractors≠ Association, paying attention to posture could give job seekers the winning edge as they search for employment this year. New research has revealed that adopting a confident expansive stance can have a deciding influence on whether or not an interviewee lands a coveted job role.

Three studies conducted by Kellogg School of Management at Northwestern University found that posture matters more than hierarchical role and can make a person think and act in a more powerful way. They discovered that in an interview situation, an interviewee's posture not only conveys confidence and leadership but the person actually thinks and acts more powerfully.

'It is believed that when a person carries themselves positively, opens up their body and takes up more space they feel more confident and powerful, regardless of their actual rank in an organisation,' explains Dr. Hayden Thomas, chiropractor and spokesman for the New Zealand Chiropractors Association.

'Unfortunately, many people get into the habit of not holding themselves correctly and they slouch or roll their shoulders forward. This is a constrictive or closed posture and makes individuals look more submissive, less confident and not as capable of leadership.'

Thankfully, there are a number of actions that can be taken to make sure a person's posture gives the right impression on interview day.

'Targeted exercises are one of the best ways to correct bad posture,≠ says Dr. Thomas. 'It only takes around three minutes a day to help improve spinal health and posture, which isn≠t a huge time commitment. The Straighten Up New Zealand campaign is especially effective with each exercise designed to help the participant develop strong postural muscles. Other causes of bad posture include the wrong height chair and desk at work, obesity and, for women, spending too much time in high heels. Remedying each of these will lead to improved spinal health, which will make maintaining good posture easier and more comfortable.'

'When you are heading into the interview remind yourself to walk tall with your head up, chest raised and shoulders back,' adds Dr. Thomas. 'Once seated, keep your legs and arms uncrossed and sit up straight, with your back relaxed against the back of the chair. Along with making you feel less tense, this positive posture will give the interviewee exactly the right first impression as well.'

For further information on the New Zealand Chiropractors≠ Association and how to maintain a healthy posture, visit www.chiropractic.org.nz. More details on the Straighten Up New Zealand campaign can be found at www.straightenup.org.nz.

INCREASING NUMBERS OF NEW ZEALANDERS AT RISK OF TEXT NECK; WARN CHIROPRACTORS

According to the New Zealand Chiropractors Association cases of text neck, a repetitive stress injury to the body from using hand held mobile devices such as mobile phones, portable gaming units, MP3 players and e-readers, could be on the rise in this country.

It is believed that when someone has their head flexed forward while looking down at the screen on their hand held mobile device for long periods of time, the bones and muscles of the spine adapt to that posture and functional changes ensue, explains Dr. Hayden Thomas, spokesman for the New Zealand Chiropractors' Association. These changes in the curve, supporting ligaments, tendons, and musculature, as well as the bony segments can eventually lead to nerve involvement, muscle spasms and pain.

With the ever rising prevalence of hand held mobile devices in this country, we are concerned that we are going to be seeing increasing numbers of people of all ages with headaches, neck pain, shoulder and arm pain, resulting from excessive strain on the spine from looking in a forward and downward position at mobile technology, adds Dr. Thomas.

The term was first coined in the United States by chiropractor, Dr. Dean Fishman. He noticed that more and more people were seeking evaluation and treatment of chief complaints consisting of headaches, neck pain, shoulder pain, arm pain, as well as numbness and tingling of the upper extremities. The one thing that all his patients had in common was that they used texting as the primary way to keep in touch with friends and family.

Fortunately, there are a number of things that can be done to lessen the chance of injury.

Handheld technology is an integral part of our lives now, whether it is for work purposes or to keep in touch with loved ones, and can't be avoided all together, says Dr. Thomas. However, there are changes that can be made so that they have less of a negative impact on overall health and wellness. For example, pay attention to posture when you are texting or looking at a handheld device. Hold your phone directly in front of your face while texting or reading emails to avoid bending your neck downward.

It≠s also important to take regular breaks≠, adds Dr. Thomas. Doing any repetitive task for long periods of time without a break will only result in cramped, sore muscles and repetitive strain injuries. Make it a habit to stop regularly and give your body a chance to recover. A few small tweaks to how you use your mobile phone, MP3 player or e-reader could mean the world of difference when it comes to the health and longevity of your spine, neck and muscles.

CHIROPRACTORS RELAUNCH STRAIGHTEN UP CAMPAIGN AS BACK PAIN CASES AMONG CHILDREN AND ADOLESCENTS CONTINUE TO RISE

This month, The New Zealand Chiropractors≠ Association (NZCA) relaunches its nationwide Straighten Up New Zealand (SUNZ) campaign to coincide with World Spine Day and raise awareness of the growing prevalence of back pain among children and to provide advice on how to prevent it.

A recent Australian study which followed 434 young people from age 13 to 17 years over five years revealed that low back pain was common and increased with age for both girls and boys. Each year they were 40% higher than the previous year. Girls reported having pain more often than boys, with almost twice as many girls reporting regular pain compared to boys. In a Tunisian study , lifetime occurrence of low back pain for 622 nine to 11 year olds was 28.4%. It was responsible for 23% of school absenteeism and 29% of sport absenteeism.

Campaign organiser and chiropractor, Dr. Dean Carter explains: Back pain was once seen purely as an affliction of older people. However, it is becoming more and more common amongst children and adolescents. There are a number of potential reasons for this including increased use of computers, watching television and playing computer games, which have been linked with neck and back pain and headaches. Poorly designed school furniture and inappropriate backpack use, carrying weights of more than 10% of body weight, could also be to blame.≠

Fortunately, there are a number of things that can be done to reduce the risk of suffering back pain.

First, I highly recommend having children checked by a chiropractor because we help the spine and nervous system to function at an optimal level≠ explains Dr. Carter. Doing the three minute set of simple exercises recommended by Straighten Up New Zealand every day will help improve posture, stabilise core muscle groups, enhance health and prevent spinal disability, It is also important to encourage children to stand or sit straight and to take frequent breaks to walk around and stretch if they have been sitting down for a while. This will help to stop muscles getting tight and strained.

Many of our local schools in Franklin do SUNZ exercises daily and teachers have reported to me that the children are more alert and happier, they sit with better posture and concentrate better in lessons,≠ adds Dr. Carter. So SUNZ is far more than helping with back and neck pain, the health of a child≠s spine and nervous system are key to optimal health and performance for their lifetime.

Straighten Up New Zealand is a simple, engaging spinal exercise programme, designed to promote spinal health. The Straighten Up campaign was originally developed in the US and is now being adopted by countries all over the world. It is endorsed by the World Health Organisation and the World Federation of Chiropractic. The NZCA has produced brochures and posters, and developed a website to support the campaign. Remember that is always advisable to have any pain that is severe or not improving checked out promptly by your family chiropractic doctor.

For more information on the Straighten Up campaign, visit www.straightenup.org.nz. Further details on the New Zealand Chiropractors≠ Association can be found at www.chiropractic.org.nz.

BACK PAIN SUFFERERS CONCERNED ABOUT OVER USE OF PAINKILLERS MAY FIND RELIEF FROM CHIROPRACTIC CARE ACCORDING TO NEW SURVEY ANALYSIS

People concerned about the over use of pain killers or unwanted side effects from some common medications may find relief from complementary approaches according to The New Zealand Chiropractors≠ Association.

New research published in the latest issue of The Journal of the American Board of Family Medicine reports that around four million Americans find relief from back pain through chiropractic every year.

Dr. Hayden Thomas, spokesman for the New Zealand Chiropractors≠ Association says: `There has been a lot in the news about people overdosing on common painkillers and unwanted side effects such as heart attack and stroke from anti-inflammatory drugs. It is important to realise that some musculo-skeletal conditions may be relieved through other safer options such as chiropractic care.

`This new study shows that back pain is the second most common reason patients seek medical care. Complementary medicine is used by 40% to 60% of the population yearly, and back pain is the most common condition for which people use complementary therapies, most of them consulting a chiropractor. Using a nationally representative survey, the researchers documented that the majority of respondents who used this approach for back pain perceived great benefit and identified specific factors associated with perceived benefit.≠

On the other hand, supplementation with glucosamine, a widely used approach, may not be as effective as first thought according to chiropractic led research published last week in the Journal of the American Medical Association which reported that glucosamine did no better than a cellulose placebo for the relief of lower back pain caused by osteoarthritis (OA) of the lumbar spine.

Dr Thomas explains: ŒThe study indicates that glucosamine sulphate is no better than placebo in reducing pain-related disability in patients with chronic low back pain. These results do not say anything about the effect of glucosamine on the joints themselves, only that they may not be as effective for symptomatic relief as commonly believed.

'The key findings from current research indicates that the best results for chronic low back pain come from improving function through exercise, manual intervention such as chiropractic care, stress reduction and taking a high quality omega 3 fish oil.'

TAKE CARE ON THE SLOPES THIS WINTER. SKIERS MOST AT RISK OF INJURY ON THE THIRD DAY OF THEIR HOLIDAY WARN CHIROPRACTORS

The New Zealand Chiropractors Association is warning people to take extra care this ski season, especially if they are unfit or do not regularly hit the slopes. According to the NZCA, skiers are most likely to injure themselves after 3pm on the third day of a skiing holiday . This is due to the fact that after a few days of skiing using unaccustomed muscles, skiers become confident but are physically tired, and their capability isn't necessarily matched to their confidence.

It is often assumed that a ski injury is most likely to happen on the first day, explains Dr. Hayden Thomas, spokesman for the New Zealand Chiropractors Association. However, there is a much higher risk of hurting yourself a few days into skiing as muscle fatigue actually reaches its peak 48 hours after you start your holiday. Falls, knee ligament sprains and damage to upper limbs are all common injuries that can be caused or exacerbated by tired muscles.

Fortunately, there are a number of things that can be done to lessen the chance of injury.

Obviously, it is recommended that you increase your fitness before you go on holiday, especially if you have a sedentary job or lifestyle, says Dr. Thomas. Exercising through squats, sit ups and cycling is a good way to shape up the right muscles. Once you're on the slopes, it is important to warm up before you start anything strenuous. Start off gently, rather than heading straight for the black runs and round the day off with a stretch. Also, be careful not to overexert yourself as it will ruin the whole experience. Moderate the length of skiing time and listen to your body. Pain is a warning sign, don't ignore it.

Prevention is always better than cure,adds Dr. Thomas. Just one joint or muscle out of line can be a disaster when travelling down a slope on two skis. If you take a few simple precautions before your winter break, you will stay safe and reduce the risk of accident and injury, enabling you to enjoy the remainder of the New Zealand ski season.

TOO MUCH TIME WITH TV AND COMPUTERS COULD MEAN BACK PAIN FOR KIWI TEENAGERS THIS WINTER WARN CHIROPRACTORS

The New Zealand Chiropractors' Association is warning parents that excessive time in front of computer and television screens this winter could mean an increase in back pain, neck and shoulder pain and headaches for their children.

A new study published in the BMC Public Health Journal has found a link between the amounts of time adolescents spend using computers, watching television and playing computer games, and back pain and headaches. The study's authors think that the link between back and head pain and screen time might not be related to the kind of screen activity the teens were engaged in, but to the amount of time they spent doing it and how they sat or stood while screen-engaged.

Dr. Hayden Thomas, spokesman for the New Zealand Chiropractors' Association explains:

'All the research shows that teenagers are spending an increasing amount of time participating in screen-based activities, such as TV, computer games, and other types of computer based entertainment. During winter, as the weather worsens outside, this is likely to increase even further.

'Screen time is fine in small quantities but longer periods sitting down, hunched over in the same position for hours on end can be seriously detrimental to a persons health. Not moving for extended periods causes the muscles in the neck, arms and back to stiffen up and become sore. On top of that, slouching increases the amount of compressive force through the spine. This increased force may, over a period of time, fatigue the spinal muscles and cause pain, or may lead to early degenerative changes.'

Despite the health risks associated with the overuse of computers and television, Dr Thomas emphasises that it is not necessary for teenagers to give up their technology entirely.

'It's all about moderation. Computers and TV can be a valuable source of entertainment and education for young people and you're never going to convince them to give it up altogether,' says Dr. Thomas. 'However, it is important to make sure they understand the dangers of excessive screen time and how to avoid painful back pain. Encourage them to sit up with their shoulders back and their feet on the floor when they're at their PC or watching television. They should also have their chair pulled close enough to the computer screen so that they're not tempted to lean forward, putting stress on the lower back. Finally, advise that they take frequent breaks to walk around and stretch. This will stop muscles getting tight and strained.'

Of course, it is also preferable that teenagers try to get outside and do some exercise, even over the winter months,' adds Dr. Thomas. 'Regular exercise, whether it is by participating in a team sport or going for a quick walk, keeps body fat and high blood pressure down, and reduces the prevalence of depression and anxiety. It also helps prevent back pain by increasing muscle strength and endurance and improving flexibility and posture.'

NZCA ENDORSES DISCIPLINARY ACTION AGAINST AUCKLAND CHIROPRACTOR

A recent investigation found Auckland chiropractor Dr Sean Parker in breach of the New Zealand Chiropractic Board (NZCB) Code of Ethics and guilty of professional misconduct by the Health Practitioners Disciplinary Tribunal (HPDT).

Dr James Burt, President of the New Zealand Chiropractors Association (NZCA) says: 'The Association is pleased that the matter was brought to the attention of the appropriate authorities and that prosecution and disciplinary action have taken place. The NZCA promotes high levels of professional behaviour and does not condone such conduct. 'The chiropractor in question is not a member of the NZCA and his actions are clearly not typical of practising chiropractors. It is extremely unfortunate when a health professional takes advantage of his or her position, causes harm, and brings disrepute through their actions.'

Initially the allegations against Dr Parker were put to the New Zealand Chiropractic Board, the regulatory body responsible for reviewing complaints. After investigation, the matter was referred to the Director of Proceedings who filed charges with the Health Practitioners Disciplinary Tribunal for prosecution.

This case involved:

• Inadequate assessment and documentation.
• Recommending a radiograph without supporting clinical reasons.
• Misrepresenting the seriousness of each patient≠s condition and associated radiographic findings.
• Recommending that each patient enter into a prolonged course of treatment which was not supported by clinical findings and/or failure to give sufficient information about that course of treatment.
• Recommending that each patient enter into a prolonged treatment scheme contrary to the New Zealand Chiropractic Board's Code of Ethics.
• Placing undue pressure on each patient to continue with the treatment and to pay for it.

The case was heard in May and the Tribunal found each charge to be proven. A copy of the decision is available here.

LONG HOT SUMMER IN THE WRONG SHOES COULD SPELL BACK PAIN FOR NEW ZEALANDERS

The New Zealand Chiropractors' Association is warning Kiwis that this long hot summer could be putting their health at risk by encouraging them to wear summer shoes which are uncomfortable, don't support the foot adequately and encourage poor posture, for longer than normal.

According to the NZCA high heels and jandals are the worst offenders. A new report on behalf of The Vitality Show, in the UK, revealed that, as well as causing bunions and damage to the tendons, high heels can have a dangerous effect on the back, distorting its natural alignment and compressing the spinal nerves resulting in back pain.

It seems that jandals can be just as bad if worn for extensive periods. In a study conducted by Auburn University*, researchers discovered that wearing thong-style jandals can cause postural imbalances, which in turn can lead to long-term health problems of the knees, ankles, hips, back and neck.

Dr. Simon Kelly, spokesman for the New Zealand Chiropractors≠ Association explains:

High heel shoes place the heels unnaturally high above the toes. On top of that, the body's centre of gravity is thrown forward. Eventually, this poor posture places too much uneven wear the discs, the joints, and the ligaments of the back.

The fact that jandals can be damaging is usually more of a surprise to people as they associate them with relaxation and comfort. But we've known for some time that when people walk in jandals they alter their stride to compromise for the lack of support the sandal provides. Jandal wearers tend to grip the shoe with their toes while walking, forcing them to take shorter steps. This modification in gait produces muscle imbalances and improper joint mechanics, leading to dysfunction in various parts of the body.

Despite the risks associated with wearing particular styles of summer shoes, Dr Kelly emphasises that it is not necessary to give up wearing heels and jandals completely.

It's all about moderation. It's been a great summer and naturally people want to look good. High heels and jandals should only be worn for short periods of time and both types of shoe should be reserved for days when you will not be doing a lot of walking. It≠s also a good idea to set aside days where you don't wear either style and stick to a supportive trainer or a sandal with ankle support and insoles instead.

*Auburn University research team, Justin Shroyer et al, 2008 annual meeting of the American College of Sports Medicine, Indianapolis

CHIROPRACTORS ISSUE WARNING OVER CHILDREN'S BACKPACKS

School children are being crushed beneath the weight of their backpacks, chiropractors say.

The New Zealand Chiropractors Association (NZCA) has warned against the classic money-saving technique of buying new-entrants one bag to last through to university following a US study which showed how serious the damage to children can be.

"Two key spinal measurements change as the backpack load increases," NZCA spokesman Dr Simon Kelly said.

"Heavier weights cause compression of the intervertebral discs, which act as a cushion between the vertebrae (bones of the spine). In the lower spine, the disc height became smaller (reflecting greater disc compression) at heavier backpack weights. Heavier loads were also associated with increased curvature of the lower spine, either to the right or the left."

Bags should be no more than 10 percent of the child's weight, but a recent survey by the Chiropractors Association of Australia found almost half carried bags well over that mark.

Dr Kelly said parents needed to take responsibility for preserving their children's spines.

"Don't buy a small child a big bag hoping they'll grow into it. They will always try and fit as much in there as they can. "Make sure they carry their backpacks on both shoulders to spread the load and always check that the bag you're buying meets their approval. If it's not cool, they won't wear it!"

TAKE THE PAIN OUT OF RETURNING TO SCHOOL

Parents are being advised to shop wisely for school bags as the new school year approaches.

"Backpacks are best, but make sure they're not too big or too heavy," says Dr Simon Kelly, a spokesperson for the New Zealand Chiropractors' Association.

Carrying heavy bags can cause chronic shoulder, neck and back pain, even in young children.

"Most kids are carrying too much weight in their backpacks. In fact, with large textbooks, sports gear and laptops all in the one bag, the weight kids are carrying often exceeds recommendations for adult weight bearing in the workplace."

Dr Kelly says children need to learn how to pack their bags, lift and wear them properly.

"We recommend parents invest in a good quality, ergonomic backpack with wide shoulder straps. The bag should be no longer than the wearer's torso - from the base of the neck to the hips."

Dr Kelly advises parents to keep an eye on their children's posture when wearing their backpacks.

"If they're leaning forward, the bag is too heavy, poorly fitted or badly packed. Make sure heavier items are at the bottom of the bag, closer to the child's centre of gravity."

Limiting loads to less than 15 percent of the child's body weight can help prevent back pain and buying the right size bag is important.

"Don't buy a small child a big bag hoping they'll grow into it. They will always try and fit as much in there as they can.

"Make sure they carry their backpacks on both shoulders to spread the load and always check that the bag you're buying meets their approval. If it's not cool, they won't wear it!"

10 Golden rules for backpacks

1. Buy backpacks with wide, padded and adjustable shoulder straps. Padded straps help absorb the load while narrow straps can dig painfully into shoulders.
2. Look for a backpack with "S" shaped shoulder straps. These will ergonomically contour to a child's body.
3. Choose a backpack with a moulded frame and/or adjustable hip strap so the weight of the full backpack will rest on the child's pelvis rather than their shoulders or spines.
4. Be sure the backpack is the right size. It should not be wider or longer than your child's torso, (i.e. from the bony bump at the base of the neck down to the top of the hips.)
5. Pack heavy items so they are closest to the child's back and make sure they can't move around. It is important to be balanced in the natural centre of gravity.
6. Make sure the child understands that carrying a backpack over one shoulder will cause back pain and possible injury.
7. Consider the weight of the backpack when empty. Canvas bags are lighter than leather.
8. Suggest to children that they use lockers to store unneeded books and sports equipment.
9. Don't try to save money by buying the biggest pack 'to last through college' - buy one that is appropriate to the child's size, and one they approve of.
10. Chiropractic care can help. If you or your child experiences any pain or discomfort resulting from backpack use, call your chiropractor (visit www.chiropractic.org.nz for a list of NZCA members). They are licensed and trained to diagnose, treat patients of all ages and will use a gentler type of treatment for children. They can also prescribe exercises to strengthen muscles and advise on posture.

The chiropractic profession in both Australia and New Zealand has been so concerned about the availability of suitable backpacks that both have endorsed Chiropak Schoolbags made by Spartan Bags. The bags, which were developed at the Macquarie University's Department of Health and Chiropractic, are ergonomically designed and reduce muscle fatigue and stress on the spine.

They have an internal spine which can be adjusted to mould to the carrier's back, contoured adjustable shoulder and chest straps, waist straps with hip pads, split compartments and compression straps to centre the contents of the pack and extra padding for comfort.

STRAIGHTEN UP NEW ZEALAND LAUNCHES

New Zealanders should perform simple exercises every day to avoid back and neck pain.

That's the message from the New Zealand Chiropractors' Association (NZCA), as they launch Straighten Up New Zealand, ahead of World Spine Day on Thursday 16 October.

"Straighten Up New Zealand is a simple, engaging spinal exercise programme, designed to promote spinal health," says NZCA vice president, Dr Simon Kelly.

"Looking after our spines should be something we work on every day - just like brushing our teeth."

The programme will be launched in primary schools across the country this week.

"We want to target children because good habits are formed at an early age," says Dr Kelly. "If we can get them into a programme of regular spinal exercises now, we can help them avoid back and neck problems later in life."

He says the association is keen to promote the programme because members see many patients with back and neck pain caused by bad posture.

"A lot of the people we see have forward-head and rounded-protracted-shoulder postures."

Research has shown an increase in slouched posture and related musculoskeletal disorders in countries with rising levels of computer usage. Rises in obesity and an increasingly sedentary lifestyle are also contributing factors.

"Studies indicate this trend is not limited to adults. It has also been identified in adolescents."

Dr Kelly says back and neck pain cause a great deal of suffering and cost taxpayers millions of dollars, but a regular stretching programme can help improve posture and prevent pain.

"The Straighten Up campaign was developed in the US. It's been very popular and is now being adopted by countries all over the world."

The association has produced brochures and posters, and developed a website, www.straightenup.org.nz to support the campaign.

"I'd encourage every New Zealander to get online or pick up a brochure from their local NZCA chiropractor and take just a few minutes each day to promote better spinal health and improve their quality of life."

visit http://www.straightenup.org.nz for more information and to download the exercises.

NZCA AUGUST EZINE

Right to Title
August 2008

A recent "turf war" played out in the country's medical publications has seen acting president of the New Zealand Chiropractors Association (NZCA), Simon Roughan, taking the media spotlight.

"Chiropractors are highly trained, primary contact healthcare professionals with the legal right to use the courtesy title Doctor on the proviso they distinguish themselves as a chiropractor in order to differentiate themselves from a medical doctor" said Simon.

The New Zealand Medical Journal and NZDoctor have both published research by Massey researcher Andrew Gilbey, which accuses chiropractors of misleading the public by using the title Doctor.

"Both articles contained false and unfounded statements which are pretty insulting to the chiropractic profession" Simon said.

Chiropractic is the third largest health care profession in the world, following medicine and dentistry. In New Zealand, chiropractic is an independent health profession with statutory rights legislated in the 1960s.

"We have a registration licensing board, scope of practice, code of ethics, and a professional association. New Zealand chiropractors are required to pass Board Competency Examinations and hold an Annual Practicing Certificate."

Chiropractors undergo a minimum of five years full-time tertiary education with over 4,200 hours of instruction. The curriculum, includes training in anatomy, biomechanics, biochemistry, neurology, philosophy, psychology, physics, physiology, radiography, radiology, as well as spinal analysis and adjusting procedures.

"Chriopractic training has a lot in common with medical training. Students have similar overall course hours and study many of the same basic subjects. Many chiropractors also hold an additional Bachelors degree in a related health field, and some hold a PhD."

Simon said Andrew Gilbey's research was perfunctory at best and the findings flawed.

"Gilbey claimed the confusion of title could be prevented by adopting stricter UK Yellow Pages advertising guidelines. In fact, the UK Yellow Pages lists chiropractors with their Doctor title."

The UK Yellow Pages guidelines specify that the title "Doctor" or "Dr" may be used provided the Advertiser is a qualified medical practitioner and that advertisers qualified in other doctorates are also entitled to call themselves "Doctor" or "Dr" but must specify the subject so that users are aware if the qualification is non-medical. The guidelines state that abbreviations may be used, e.g. "D.Ch." (Doctor of Chiropractic).

"The use of the title Doctor by chiropractors has never been intended to mislead the public into thinking the individual is a practitioner of medicine. In a recent Radio New Zealand interview Ministry of Health official, Dr John Marwick, said the courtesy title Doctor for medical practitioners, dentists, vets and chiropractors was acceptable."

Click here < http://www.radionz.co.nz/audio/national/ntn/2008/08/15/doctor> to listen to Dr Simon Roughan's Radio New Zealand interview with Kathryn Ryan, Dr Simon Robb from the Medical Council and Dr John Marwick.

Task force research backs chiropractic

A report by the Bone and Joint Decade Task Force on Neck Pain has found the manipulation and mobilisation techniques used by chiropractors are safe, effective and appropriate.

The report, which involved seven years work from more than 50 researchers over nine countries and 19 different clinical and scientific disciplines, including chiropractic, has been described as a major milestone for musculoskeletal science.

The project began in 2000. Its findings will have a significant impact on the way neck pain is perceived, treated and studied around the world.

As well as supporting the techniques used by chiropractors, the report also discredited any link between stroke and chiropractic. It said the risk of vertebrobasilar artery stroke is exactly the same for neck patients, whether they see a doctor of chiropractic or a primary care physician.

In fact, the report says 80 percent of stroke patients have neck pain in the days before their stroke, which leads them to seek medical or chiropractic care. This leads the stroke to be associated with 'not caused by' the chiropractic or medical care.

In The News

Prayers paid off for Willis <http://www.stuff.co.nz/4663235a27896.html> Nick Willis slapped his face and legs so hard they turned red as he stood on the Bird's Nest Stadium start line. He'd had his "back cracked" by his chiropractor, listened to mood music on his iPod and had his regular pre-race prayer with his brother and assistant-coach Stephen.

Hundreds treated at free clinic <http://www.ciherald.co.ck/articles/h419k.htm> Students and tutors from the New Zealand Chiropractor College spent a week in the Cook Islands recently. The purpose and mission of their trip was to educate, check and adjust as many families in the Cook Islands as possible with natural chiropractic care. The spinal checks were not restricted to adults only and patient's ages ranged from new born babies to the very elderly. Expectant mothers also attended the clinic.

Olympian credits chiropractic < http://www.reuters.com/article/pressRelease/idUS243622+13-Aug-2008+BW20080813> Pole vaulter Jeff Hartwig, the oldest member of the 2008 Olympic U.S. Track and Field at 40, attributes much of his athletic success to chiropractic care.

"The first time I was treated by a chiropractor was akin to a miracle -- a much better option than simply using conventional medicine because my injuries healed faster and my whole body felt better."

Chiropractor off to games < http://www.stuff.co.nz/manawatustandard/4592316a6502.html> Palmerston North's chiropractor to the Olympic athletes Greg Oke has shipped his treatment table off to Beijing.

Chiropractic has been a core part of New Zealand's Olympic medical team since Seoul in 1988, when gold medal-winning kayakers Ian Ferguson and Paul MacDonald made it part of their performance enhancement regime.

Lifting Olympic spirits <http://www.nzherald.co.nz/category/story.cfm?c_id=78&objectid=10525883> Greg Oke, the only chiropractor on the NZ Olympic medical team, gave our athletes a lift at a ceremony to name the flag bearer, by singing a song he had written for the team.

NEWS ARCHIVE

25/08/08 - Setting the record straight

A recent issue of the New Zealand Medical Journal (July 2008) published false and unfounded remarks regarding the chiropractic profession which has sparked some heated debate with academic, and not-so-academic exchange taking place around the world.

The original article questioned NZ chiropractor's rights to use the courtesy title 'Dr' and implied that chiropractors are using this title illegally to pretend they are medical practitioners. An accompanying letter by a retired UK professor cast wider aspersions as to the safety and efficacy of the profession.

Unfortunately, some journalists and a number of internet blog sites have taken the assertions published in the NZMJ at face value without delving into the true facts of the matter and have parroted the derogatory statements.

After legal advice, the New Zealand Chiropractors' Association asked the NZMJ to retract the original articles and for the right to a reply on the basis that the information was false, defamatory and misleading to the public.

We are pleased that this issue has come to light so that we can publicly redress many of the misconceptions that abound about chiropractic.

Some key points from the responses to the NZMJ from the New Zealand Chiropractors' Association and the New Zealand College of Chiropractic are listed below:

From the New Zealand Chiropractors' Association:

* Chiropractors are highly trained, primary contact healthcare professionals with the legal right to use the courtesy title 'doctor' on the proviso they distinguish themselves as a chiropractor in order to differentiate themselves from a medical doctor.

* The use of the courtesy title 'Dr' for medical practitioners, dentists, vets and chiropractors was also publicly declared acceptable by the NZ Ministry of Health official, Dr John Marwick, on national radio recently http://www.radionz.co.nz/national/programmes/ninetonoon).

* Chiropractors undergo a minimum 5 year full-time tertiary education comprising no less than 4,200 hours instruction. The extensive curriculum, specialising in chiropractic, includes diverse subjects such as; anatomy, biomechanics, biochemistry, neurology, philosophy, psychology, physics, physiology, radiography, radiology, along with spinal analysis and adjusting procedures. Many chiropractors also hold an additional Bachelors degree in a related health field, and some hold a PhD.

* The education to become a chiropractor compares favourably with medical training with similar overall course hours and many of the same basic subjects. In fact, in many areas chiropractors excel in comparison to their medical counterparts (such as neuro-musculo-skeletal anatomy and diagnosis, radiology, and manual spinal correction) as documented in several peer reviewed journals and other publications.

From the NZ College of Chiropractic:

* The New Zealand College of Chiropractic (the 'College') is the only chiropractic training institution in this country. Our primary responsibility is excellence in undergraduate education and research. Public safety is a major focus and chiropractors worldwide maintain an impressive safety record.

* Contrary to Colquhoun's assertions, chiropractic undergraduate education is a five year degree that meets the accreditation standards of both the New Zealand Qualifications Authority (NZQA), and the international chiropractic accrediting body, the Council on Chiropractic Education Australasia Inc. (CCEA). This latter body also accredits chiropractic undergraduate programmes in the three Universities where chiropractic is taught in Australia.

* The College's current research programme, in the area of neurophysiology, involves collaborative projects with the University of Auckland, the University of Newcastle and the University of Calgary. This research is aimed towards better understanding the clinical results chiropractors have experienced for over 110 years, and strives to improve patient outcomes.

* ...the high utilization of CAM in NZ. Rates as high as 70% in 2007 indicate the public are looking for health care answers in addition to those provided by traditional medical care. Research in NZ in 2004 found that 33% of adults who visit a CAM provider had also seen a GP for the same condition and 12% were actually referred by a medical doctor. No one profession holds all the answers. Rather than rehashing 20th century turf battles, let us continue to work together for the best interests of patients.

A further note:

Chiropractic is the third largest health care profession in the world, following medicine and dentistry and is at the cross roads of 'mainstream and alternative'. As the largest group of so-called CAM providers, chiropractors are often subjected to biased ridicule from closed minded skeptics that conveniently ignore or twist many of the facts.

The NZCA is very serious about protecting the good name of chiropractic, which was robustly defended in a twenty-one month Royal Commission of Inquiry into Chiropractic in New Zealand in the 1970's. The commission was triggered by a public citizen petition of 97,000 signatures to the parliament of New Zealand and asked that New Zealander's who choose to seek their health care from chiropractors, be afforded the same government funded health benefits that people who choose to visit medical practitioners receive.

The 1979 Report concluded that chiropractic was remarkably safe, and effective, in spite of a concerted attack against the efficacy of chiropractic by organised medicine. The Report also concluded that people who attend chiropractors should indeed receive the same financial government funding as is gifted for all medical visits, a disparity that is yet to be addressed.

Chiropractic has advanced significantly in the past 30 years through published research and a growing integrated approach to health care. The utilisation of chiropractic continues to increase as more people seek natural health care options. The focus of health care should always be for the good of the patient and the right to informed choice.

If you require further information about this issue or chiropractic in general please contact the Association.