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    chiropractor
    avatar
    borealius98 posted:
    would a chiropractor alignment be safe for osteoporosis
    Reply
     
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    bonebabe responded:
    We normally tell our patients with osteoporosis (-2.5 or lower bone density) that if the chiropractor has knowledge of and experience with osteoporosis patients it's probably OK. If they have severe osteoporosis (-2.5 with the presence of one or more fractures) not to go because the risk of fracturing again is too great.
     
    avatar
    angelam48 replied to Karen Kemmis, PT, DPT, MS's response:
    I HAVE OSTEOPOROSIS AND A DIFFICULTY WORKING STANDING UP OVER TWO HOURS. MY HEELS ARE IN PAIN AT ALL THE TIMES. WHAT CAN YOU RECOMEND ME. THANK YOU.
     
    avatar
    NATIONAL OSTEOPOROSIS FOUNDATION
    Karen Kemmis, PT, DPT, MS replied to angelam48's response:
    There are several reasons for heel pain, most commonly plantar fasciitis/heel spur. Heel pain is not typically a symptom of osteoporosis unless there are stress fractures in the heel (which aren't that common). Unfortunately, if the pain prevents you from being on your feet, it will get in the way of your weight-bearing activities that could help your bone strength. You may have already tried many things, but here are some suggestions:

    -You can see your primary care provider to examine your heels and possibly have x-rays or other tests done.

    -Podiatrists are specialists in feet and may be able to help you.

    -Physical therapists can examine you and suggest stretches or other things to help with the pain.

    -And, many people do well using heel cushions which are available in your pharmacy or super store where medical supplies are sold. Orthotics (custom fit arch supports) are also helpful but are much more expensive than the heel cushions.
     
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    TruthSetter replied to Karen Kemmis, PT, DPT, MS's response:
    Hi Karen, Where is your research? Before you launch an opinion out there get the truth first. What are you basing your statements on? Axial loading is the reason a compression fracture would occur in a person with osteoporosis. A chiropractor applies specific posterior to anterior force (not axial force aka top down or vice versa) by hand or instrument called:Adjustments. I hope this enlightens you and you recant your remark 'would not perform adjustments' and stay in your realm of expertise next time. Leave chiropractic to chiropractors they know best about it. Oh and 'forceful' horribly poor word choice.
     
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    An_250567 replied to TruthSetter's response:
    TruthSetter, are you a chiropractor? I'm assuming so, but if not, I apologize for taking such liberty. I'm not speaking for Karen, but wanted to make sure you understood that you are visiting a WebMD expert forum and the experts are from the National Osteoporosis Foundation. They have a wonderful website that is so informative and helpful.

    You may have noticed that this thread is a couple of years old, but it is a topic definitely worth revisiting. In fact, I logged in today to bring up this very topic.

    I actually just talked with a family member less than a week ago regarding her visits to a chiropractor. I am concerned because of her age and risk factors (thin, white, smoker, drinker, hysterectomy in 20s so no estrogen for years, no HRT, post-polio syndrom) for osteoporosis. This person is almost 70, never had a DEXA scan, visits a chiropractor for back pain. I am very, very concerned that an adjustment could prove detrimental, not necessarily because the chiropractor isn't completely trained, but because the chiro doesn't have a full picture of the patient's health. Furthermore, the chiro didn't do any type of screening- asking lifestyle or history of polio questions. At this person's age, before polio vaccines came about, it seems almost malpractice to NOT ask about polio.

    Again, glad you were searching through old posts and brought this up.
     
    avatar
    bonebabe replied to An_250567's response:
    Yes,this is a subject certainly worth revisiting.

    While it would be wonderful if all chiropractors got a complete history of picture of their patients, that's not always the case. In the area where I live, the osteoporosis center where I work has held Lunch & Learns for local chiropractors resulting in greater awareness of the illness. My personal chiro will take x-rays and get a complete history of all new patients. If someone has a suspected compression fracture, he send them for a DXA with Vertebral Fracture Assessment before he does any work on them.

    It also is the patient's responsibility to bring any health issues that may affect treatment to the attention of the practitioner. In this day and age where doctors and other healthcare workers are required to see a quota of patients and/or shorten their time with patients, they rarely have the luxury of really getting to know the people they see.


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