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Info for Health Care Providers

The chiropractors at Lehigh Valley Chiropractic serve their patients by providing conservative management strategies with an integrative approach. We make every effort to collaborate with medical providers in order to offer the best possible therapeutic experience for each patient.

What are the types of treatments available to patients?

  • There are many treatment strategies that are employed as a part of a management plan for the patients at Lehigh Valley Chiropractic. Manual therapies offered include manipulation, mobilization, soft tissue techniques (including Active Release Technique®), and distractive manipulation. Nutritional therapeutics including weight management and nutritional counseling are also available.

What is spinal manipulation?

  • Spinal Manipulation (also referred to as a chiropractic adjustment) is often used when a patient presents with a painful joint that is not moving properly; this is commonly referred to as joint fixation. In this type of manual therapy, a joint is moved beyond a passive range of motion with the goal of restoring proper motion, decreasing tenderness in the soft tissue surrounding the joint, increasing function and decreasing pain. There are many techniques used when performing manipulation. Often, with this type of treatment, you will hear a cavitation which is a slight popping noise. This is a benign release of a gas within the joint as it is moved through a rapid range of motion.

Is spinal manipulation safe?

  • For most patients, spinal manipulation is a very safe and effective method of pain relief. However, like any therapeutic intervention, there is the potential for an adverse event to occur. Every effort is made to determine whether or not a patient will respond well to manipulation before a trial of care. The most common side-effect of manipulation is transient local soreness. Although the likelihood of serious complications such as fracture, vertebral basilar artery (VBA) injury and cauda equina syndrome are relatively small, patients are screened for contraindications such as infection, acute fracture or dislocation, malignancy, progressive neurologic deficit and osteoporosis in order to further minimize the risk. You may be interested in the latest report with regard to manipulation and stroke in the February 2009 issue of Spine. The authors of the article reached the following conclusion: VBA stroke is a very rare event in the population. The increased risks of VBA stroke associated with chiropractic and PCP visits is likely due to patients with headache and neck pain from VBA dissection seeking care before their stroke. We found no evidence of excess risk of VBA stroke associated chiropractic care compared to primary care (Cassidy, 2009).

What is Active Release Technique?

  • Active Release Technique (ART) is a soft tissue technique that involves a gentle yet firm contact to a painful or injured tissue while it is moved either actively or passively through its full range of motion. There are specific protocols for muscle, fascia, many of body’s ligaments, and nerves designed to decrease pain and improve function. Conditions that commonly respond to ART include headache, back pain, neck pain, carpal tunnel, shoulder pain, knee pain, plantar fasciitis, and tennis elbow. Athletes and performing artists (dancer, actors, instrumentalists and singers) often perform repetitive movements which make them prone to muscle imbalances and repetitive stress injuries. ART is a unique system of treatment that provides for optimum performance whether on the field or center stage.

What types of patient conditions tend to respond well to chiropractic care?

  • Consider referring patients with (non-surgical) spinal conditions including:
    • Stenosis
    • Facet syndrome
    • Sacroiliac pain
    • Sprain/Strain
    • Disc related pain
    • Stable radiculopathy
    • Myofascial pain
    • Costochondritis
    • Coccydynia
    • Cervicogenic Headache
    • Pregnancy related spinal pain
    • Non-specific spinal pain.
  • Consider referring patients who suffer from
    • Carpal tunnel syndrome
    • Medial and lateral epicondylitis
    • Thoracic outlet syndrome
    • Temporomandibular joint dysfunction
    • Facial pain
    • Plantar fasciitis
    • Headaches
    • Neurally Mediated Hypotension
    • Upper extremity musculoskeletal pain
    • Lower extremity musculoskeletal pain

What types of patient conditions tend to respond well to nutrition programs at YouAnew Lifestyle Nutrition?

  • Consider referring patients with the following conditions
    • Overweight
    • Obesity
    • Metabolic Syndrome
    • Dyslipidemia
    • Cholesterol imbalance
    • Pregnancy
    • Hypertension
    • Reactive Hypoglycemia
    • Celiac Disease
    • Polycystic ovarian disease
    • Food Intolerances
    • Irritable bowel syndrome
    • Chronic Fatigue Syndrome

How many treatments will a patient need before they notice results?

  • It is difficult to predict the number of visits that will enable patients to achieve their health care goal. Some patients may respond to care within a few treatment sessions, while others may require a higher number of visits and a longer duration of care. We make every effort to release patients as quickly as possible, and we encourage them to employ lifestyle strategies that will enable independent management of their condition.

What type of training do Doctors of Chiropractic receive?

  • Doctors of Chiropractic often hold a bachelor’s degree in a science related field and must complete a pre-chiropractic program before applying to Chiropractic College. Standard chiropractic education is typically 4-5 years of intense graduate level academic and clinical training. Students are required to pass 4 national board exams and a physiotherapy exam prior to licensure. Chiropractors are licensed in all 50 states, the District of Columbia and in countries worldwide.

What types of additional training have the chiropractors at LVC received?

  • Dr. Scott Bentson holds a M.S. (Masters of Science) degree from New Jersey Institute of Technology in Biomedical Engineering. Dr. Kristen Bentson holds a M.S. in Human Nutrition from the University of Bridgeport and has biofeedback training from Widener University. Drs. Scott and Kristen Bentson are additionally certified in Active Release Technique®.

How can I contact the doctors at Lehigh Valley Chiropractic?

  • Please feel free to contact the doctors at Lehigh Valley Chiropractic by calling 610-868-6800 or via email info@lehighvalleychiropractic.com. We welcome any questions and look forward to working with you.

References

  1. Cambron JA, Gudavalli MR, Hedeker D, McGregor M, et al. One-year follow-up of a randomized clinical trial comparing flexion distraction with an exercise program for chronic low back pain. J Altern Complement Med. 2006 Sep; 12(7): 659-68.
  2. Martínez-Segura R, Fernández-de-las-Peñas C, Ruiz-Sáez M, López-Jiménez C, Rodríguez-Blanco C. Immediate effects on neck pain and active range of motion after a single cervical high-velocity low-amplitude manipulation in subjects presenting with mechanical neck pain: a randomized controlled trial. J Manipulative Physiol Ther. 2006 Sep;29(7):511-7.
  3. Boline PD, Kassak K, Bronfort G, Nelson C, Anderson AV. Spinal manipulation vs. amitriptyline for the treatment of chronic tension-type headaches: a randomized clinical trial. J Manipulative Physiol Ther. 1995 Mar-Apr; 18(3):148-54.
  4. Citak-Karakaya I, Akbayrak T, Demirtürk F, Ekici G, Bakar Y. Short and long-term results of connective tissue manipulation and combined ultrasound therapy in patients with fibromyalgia. J Manipulative Physiol Ther. 2006 Sep;29(7):524-8.
  5. Burke J, Buchberger DJ, Carey-Loghmani MT, Dougherty PE, Greco DS, Dishman JD. A pilot study comparing two manual therapy interventions for carpal tunnel syndrome. J Manipulative Physiol Ther. 2007 Jan;30(1):50-61.
  6. Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, Emberson J, Marschner I, Richardson C. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002 Sep 1;27(17):1835-43.
  7. Struijs PA, Damen PJ, Bakker EW, Blankevoort L, Assendelft WJ, et al. Manipulation of the wrist for management of lateral Epicondylitis: a randomized pilot study. Phys Ther. 2003 Jul; 83(7):608-16.
  8. Budgell B, Hirano F. Innocuous mechanical stimulation of the neck and alterations in heart-rate variability in healthy young adults. Auton Neurosci. 2001 Aug 13;91(1-2):96-9.
  9. Polkinghorn BS, Colloca CJ. Chiropractic treatment of coccygodynia via instrumental adjusting procedures using activator methods chiropractic technique. J Manipulative Physiol Ther. 1999 Jul-Aug;22(6):411-6.
  10. Maigne JY, Chatellier G, Faou ML, Archambeau M. The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study. Spine. 2006 Aug 15;31(18):E621-7.
  11. Murphy DR, Hurwitz EL, Gregory AA, Clary R. A non-surgical approach to the management of lumbar spinal stenosis: a prospective observational cohort study. BMC Musculoskelet Disord. 2006 Feb 23;7:16.
  12. Hains G, Hains F. A combined ischemic compression and spinal manipulation in the treatment of fibromyalgia: a preliminary estimate of dose and efficacy. J Manipulative Physiol Ther. 2000 May;23(4):225-30.
  13. Giles LG, Muller R. Chronic spinal pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine. 2003 Jul 15;28(14):1490-502; discussion 1502-3.
  14. Fernández-de-las-Peñas C, Pérez-de-Heredia M, Brea-Rivero M, Miangolarra-Page JC. Immediate effects on pressure pain threshold following a single cervical spine manipulation in healthy subjects. J Orthop Sports Phys Ther. 2007 Jun;37(6):325-9.
  15. Hurwitz EL, Morgenstern H, Kominski GF, Yu F, Chiang LM. A randomized trial of chiropractic and medical care for patients with low back pain: eighteen-month follow-up outcomes from the UCLA low back pain study. Spine. 2006 Mar 15;31(6):611-21.
  16. Chou R, Huffman LH; American Pain Society; American College of Physicians. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med. 2007 Oct 2;147(7):492-504. Review.
  17. Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, Owens DK; Clinical Efficacy Assessment Subcommittee of the American College of Physicians; American College of Physicians; American Pain Society Low Back Pain Guidelines Panel. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007 Oct 2;147(7):478-91.
  18. George JW, Tunstall AC, Tepe RE, Skaggs CD. The effects of active release technique on hamstring flexibility: a pilot study. J Manipulative Physiol Ther. 2006 Mar-Apr;29(3):224-7.
  19. Lisi AJ. Chiropractic spinal manipulation for low back pain of pregnancy: a retrospective case series. J Midwifery Womens Health. 2006 Jan-Feb;51(1):e7-10.
  20. Diakow PR, Gadsby TA, Gadsby JB, Gleddie JG, Leprich DJ, Scales AM. Back pain during pregnancy and labor. J Manipulative Physiol Ther. 1991 Feb;14(2):116-8.
  21. Cassidy JD, Boyle E, Cote P, He Y, Hogg-Johnson S, et al. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. Spine. 2009 February; 33(4S) Supplement: S176-S183.
  22. Sun JD, Shao YF, Zhang PL, Li DZ, Gu LY, Guo QN. Evaluation of prenatal nutrition counseling: maternal nutrition status and infant birthweight. Biomed Environ Sci. 1990 Dec;3(4):458-65.
  23. Ciancarelli I, Tozzi-Ciancarelli MG, Spacca G, Di Massimo C, Carolei A. Relationship between biofeedback and oxidative stress in patients with chronic migraine. Cephalalgia. 2007 Oct;27(10):1136-41. Epub 2007 Aug 24.
  24. Holroyd KA, Penzien DB, Hursey KG, Tobin DL, Rogers L, Holm JE, Marcille PJ, Hall JR, Chila AG. Change mechanisms in EMG biofeedback training: cognitive changes underlying improvements in tension headache. J Consult Clin Psychol. 1984 Dec;52(6):1039-53.
  25. Middaugh SJ, Haythornthwaite JA, Thompson B, Hill R, Brown KM, Freedman RR, Attanasio V, Jacob RG, Scheier M, Smith EA.The Raynaud’s Treatment Study: biofeedback protocols and acquisition of temperature biofeedback skills. Appl Psychophysiol Biofeedback. 2001 Dec;26(4):251-78.
  26. Stowell AW, Gatchel RJ, Wildenstein L. Cost-effectiveness of treatments for temporomandibular disorders: biopsychosocial intervention versus treatment as usual. J Am Dent Assoc. 2007 Feb;138(2):202-8.
  27. Tsai PS, Chang NC, Chang WY, Lee PH, Wang MY. Blood pressure biofeedback exerts intermediate-term effects on blood pressure and pressure reactivity in individuals with mild hypertension: a randomized controlled study. J Altern Complement Med. 2007 Jun;13(5):547-54.

Dr Scott Bentson

His background in biomedical engineering/physics and specialized training as a Chiropractic Sports Physician (CCSP) gives Dr. Scott Bentson a unique perspective and area of expertise when it comes to biomechanics and pain management.
His passion for helping people to feel their best combined with this specialized expertise has made him a chiropractor who is in high demand. Dr. Bentson lives and practices in Bethlehem, PA and enjoys sharing this practice with his wife and the creator of YouAnew Lifestyle Nutrition, Dr. Kristen Bentson.

Affiliations

Lehigh Valley Chiropractic Affiliations