It was a typical Monday morning. I walked into one of our treatment rooms and encountered a fit, 53-year-old female patient in severe pain. She had severe right cervical pain that radiated into her right arm and hand. Her debilitating pain drastically...
Adrian den Boer, ND, DC, IFMCP | February 14, 2022
The musculoskeletal (MSK) system is the focus of attention in many of our practices, with pain and function being the focal point of attention. I would love to broaden this scope of thinking to include the concept of immune health and inflammation, and how they are influenced by the MSK system. Part of the reason I'm shining a light on this topic is that in recent decades, the focus has narrowed on just pain and function, but there is so much more to these intricately linked systems.
Adrian den Boer, ND, DC, IFMCP | November 16, 2020
It is the start of a busy Wednesday morning and I walk into treatment room #2. One of my long-time patients is sitting on the treatment table, beaming at me, and says, "Doc, that stuff you gave me last month just rocked my socks!" Not quite knowing how to take that statement, I inquired, "Umm, how do you mean?" They replied, "My chronic knee pain is significantly better, and that deep hip pain is now well enough for me to sleep through the night!"
Adrian den Boer, ND, DC, IFMCP | December 16, 2019
Inflammation is the most common target for arthritis symptom management. However, to get to the root cause and ultimately improve outcomes, the target must incorporate the microbiome and consider systemic inflammation. Diverse pleotropic phytonutrients not only relieve local inflammation caused by the degradation of cartilage, but also enhance microbiome diversity and the gut epithelium, which helps reduce systemic inflammation. Here are the top phytonutrients I recommend for my arthritis patients:
Adrian den Boer, ND, DC, IFMCP | September 16, 2017
"Exercise is medicine." This is probably one of the most to-the-point and impactful pieces of advice you can give your patients. The improvements exercise imparts on health, including rate of healing and decreased pain, are so significant that we are doing our patients a disservice if we neglect to encourage exercise in all its forms.
Adrian den Boer, ND, DC, IFMCP | September 16, 2016
Osteoarthritis (OA) impacts over 30 million Americans, with joint pain and musculoskeletal pain in general being one of the top reason people see their physicians.1 Accompanying signs of arthritis are altered joint alignment, lack of joint mobility, morning stiffness, joint swelling, joint line tenderness, bony enlargements and pain with exercise in some cases.1,2 First-line therapies for OA include patient education, over the counter analgesics (acetaminophen) and anti-inflammatories (NSAIDs), a walking or light exercise program, weight management or nutrition program and many times a referral to a physical therapist or chiropractor to help with symptom management.1
Adrian den Boer, ND, DC, IFMCP | April 16, 2016
Chronic pain is a widespread, incapacitating and expensive condition. In the United States alone, an estimated 126 million adults reported some type of pain in the previous three months, with 25.3 million adults (11.2%) reporting daily (chronic) pain and 23.4 million (10.3%) describing intense pain.1 Chronic pain costs the United States an estimated $560 to $635 billion annually.1
Adrian den Boer, ND, DC, IFMCP | October 16, 2015
Your day begins as soon as you set foot in your office. Ten patient messages await your attention; an insurance denial on a patient's MRI beckons from your desk; one of your staff, who manages patient services and scheduling, calls in sick. As you begin responding to patient messages and mentally prepare for the day, you see your first patient pull into the parking lot. Before you know it, the day is over, and you can't help but wonder how you survived.
Adrian den Boer, ND, DC, IFMCP | February 16, 2015
From the pages of medical journals to the worried minds of family members watching loved ones suffer, the opioid crisis continues to permeate our society. Whether in chiropractic, allopathic or physical therapy offices, clinicians must focus on bringing awareness and solutions to patients concerned about physical pain and the very-real risk of addiction.
Adrian den Boer, ND, DC, IFMCP | August 16, 2014
If patients are experiencing low back pain, they're not alone. About 80% of adults experience low back pain at some point in their lifetimes, and it is one of the most common reasons patients seek out medical care. Most causes of low back pain are not acute broken bones or traumatic accidents, but subacute/overuse injuries in which increased mechanical stress accumulates and degenerates body tissues over time, resulting in tissue failure. Any injury, whether categorized as a micro or macrotrauma, results in biomechanical dysfunction and is commonly characterized by both pain and inflammation.
Adrian den Boer, ND, DC, IFMCP | July 16, 2014
According the CDC, NIH, and Institute of Medicine, more than 30% of Americans are living with some form of chronic or severe pain. To put this in perspective, 116 million Americans live in pain, compared to the 30.3 million who suffer from diabetes, 25.4 million who suffer from cancer, and 14.7 million who suffer from heart disease. More people have chronic pain than suffer from major chronic diseases, and the economic burden and complexity of chronic pain are of epidemic proportions-and growing. Musculoskeletal pain is the number one presenting complaint in clinicians' offices, and most are ill-equipped to handle it.
Adrian den Boer, ND, DC, IFMCP | July 16, 2013