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Wednesday, August 22, 2012
Vitamin D Sufficiency and Decreased Pain
Can Vitamin D Supplementation Promote Chronic
Pain Relief from Traumatic Injury?
August 2012 Advocate Article By Melissa D. Carter, Attorney at Law
It is well known that vitamin D promotes both bone and muscle strength. Less known is the extent that a deficiency can increase diffuse pain and impair neuromuscular functioning in individuals suffering from traumatic injury. Recent studies have shown that vitamin D supplements can aid in chronic pain relief, as well as other significant health issues.
According to the Centers for Disease Control and Prevention, chronic pain is the leading cause of disability in the United States. Patients suffering from chronic pain following a traumatic injury often end up taking narcotics such as Morphine, Fentanyl or Oxycodone to cope. A 2009 Mayo Clinic study showed that patients who require narcotic pain medication and who also have inadequate levels of vitamin D took much higher doses of pain medication, nearly twice as much, as those who had adequate levels of vitamin D. The patients of this study also self reported worse physical functioning and worse overall health perception than those with adequate levels of vitamin D. Moreover, the study found a correlation between decreasing body mass index and increasing levels of vitamin D.
A smaller, concentrated study on 28 U.S. veterans in 2012 revealed similar results. Researchers from Emory University School of Medicine reported a case series that found patients with multiple areas of traumatically induced chronic pain and low serum 25-hydroxyvitamin D concentrations at baseline reported improvements in pain, lack of sleep and quality of life after vitamin D supplementation. The authors of this study reported in the Clinical Journal of Painthat participants had no side effects during the study and that improvements were significant, compared with baseline, in terms of the pain score, sleep latency, sleep duration, bodily pain, general health, vitality and social functioning.
How Much Vitamin D is Enough
Vitamin D blood levels of 30-40 ng/ml are considered ideal. Supplements of at least 1000 to 2000 IU per day of vitamin D may be warranted, depending upon the individual’s needs (such as chronic pain), geography (living in northern climates without year round sun), and demographics (per a 2003 study conducted by Allina Center for Health Care Innovations of Minnesota, Caucasian women of child bearing age tend to have the lowest blood levels of vitamin D), according to Harvard School of Public Health. Supplements should contain vitamin D3 (cholecalciferol), rather than vitamin D2. Health care providers should discuss the individual needs of each patient and consider specific benefits and risks.
As with any nutraceutical supplement, vitamin D supplemental (a vitamin D supplement?) is part of an integrative approach to treatment of patients with chronic pain. Supplementation can be a valuable part of the treatment regimen and many practitioners are beginning to recommend this as part of an anti-inflammatory protocol.
Patients who have suffered traumatic injury and/or struggling with the aftermath of chronic pain due to the negligence of another should seek consultation with legal counsel versed in the variety of approaches to management of traumatic injury. If you or your patient requires consultation regarding a traumatic injury, the attorneys of Adler Giersch are available to assist you.
(l-r) Jon Silliman; Dr. Connie Amundson; John Kanetomi; Nik Kanetomi; (not pictured) Toni James
27 years of serving the chiropractic health and wellness needs of Seattle-area residents
Location, Office Hours, Contact
12000 15th Ave NE Ste C
Seattle WA 98125
Chiropractic & Laser
Tuesdays & Thursdays: 8 am-3 pm
Fridays: 8 am-2 pm
Saturdays: 8 am-12 pm
Mondays & Wednesdays: 11:30 am-6 pm
Tuesdays & Thursdays: 12:00-5 pm
1st & 3rd Saturdays: 1:30-4:30 pm
Mondays & Fridays: 1-5 pm
Wednesdays: 1-3 pm
Saturdays: 2-5 pm
A word or two from happy clients.
Thank you so very much for your help with my back yesterday. Today the part of my back you worked on has no pain at all. Magic.--M.R., Seattle
This is to let you know that on Friday, as I started to walk Jack, our dog, I was trying to assess my level of pain. I thought it was a bit less and that the quality of it had changed. I was so preoccupied with this that I was 1/4 way through the walk when I realized my facial muscles were relaxed--I was not gritting my teeth nor grimacing with every step. I realized I could smile easily. Also, I was not swinging my leg to the side in a stiff-legged limp. Although I had a mild limp, it was nothing like it had been before your treatment. I made the entire walk, whereas the day before I did about 3/4 before quitting due to the pain. I'm celebrating the greatly increased range of motion! Yay!
(The next day) The miracle continues: today I was able to alternate legs walking up stairs. This hasn't happened for weeks. And I was able, not only to make dinner, but also to wash most of dishes afterward. This hasn't happened for several days. I have been too tired, and it has been too painful to stand upright for that long after dinner.--S.C., Seattle
Dr. Connie's work is eminently practical--it lets me be more in tune with myself and therefore more attuned to the needs of my clients. --J.H., Seattle
When I first started seeing Dr. Connie I would get neck aches that would last for a few days at times. Through her care, I get fewer aches, and when I do, I normally just have to go home and stretch and they go away! --G.P, Seattle
I want to thank you for your incredible kindness-love-support and wisdom... You have helped me to begin to believe in my body--a feat that I know will be an ongoing process. Honestly, I was in a bad mind set when we met, but the true sadness, the depth of my despair, was so paralyzing I could barely believe or think of a tomorrow. Thank you feels like such a trivial word for what you have given me: a seed of life. I will always extend my thanks, gratitude and deep respect. --C.T.S., Los Angeles
Thank you for the care and the adjustment that you gave me yesterday. It was wonderful, quick and surprisingly powerful. I say POWERFUL because after meandering my way home I made a couple of phone calls and then "merged with my mattress" for at least two hours. The change in the feeling of my energy was profound--going from feeling that it was trying to fully accelerate but was running extremely rough and erratically to a place where it was very finely tuned and running with ease, even to the singing cells. The adjustment went to a very deep place, and I know that I am still processing today. --A.H., Port Angeles
I feel a general sense of control with my body because I am more in touch with what it needs when I experience stress.
Dr. Amundson's work has been of immense help to me for many years. I am grateful for her sensitivity and awareness as well as for her expert knowledge and skill. My weekly visits to her office are an essential contribution to my health.
D. Thome, Ph.D.
University Professor (retired)
Dr. Connie is a true healer! You can feel healing energy emanate from her wonderful hands in every touch. She also listens deeply and that makes communicating with her so wonderful. Dr. Connie always makes me feel safe and cared for. Currently, I see her once a week for health maintenance, but she is also invaluable in a healing crisis, whether that be from a car accident, to help recover from other types of illnesses or simply throwing your back out due to too much gardening! She is so well versed and I love how Dr. Connie uses a plethora of healing modalities, customizing care just for me. She has my complete trust!
Dr. Amundson has a knowledge of human physiology that I've yet to see matched. While her Network Care is well-nigh miraculous, I find her advice about everything from ergonomics to nutrition to be equally invaluable. One could not ask for a better or more complete package in a chiropractor. My lower back has never felt so good!
Connie has really helped with the neck pain I was experiencing and also increased the flexibility of my spine. Her breadth of technique that complements the basic Network Care approach has been very effective for me. I would recommend her highly (I have been to 9 or 10 other Network chiropractors since giving up on conventional chiropractic practitioners).
VP of Finance and Administration
I have known Connie Amundson for over 30 years and have watched her grow as a healer and a person. We met when we were both studying the Alexander Technique with Marj Barstow in Lincoln, Nebraska. We connected again when she moved to Seattle in 1977. We worked and played together in theatre and in Aikido, but her interest in health and well-being eventually led her to a career in the healing arts, with chiropractic as her basis.
Connie has been my chiropractor for nearly 25 years. What I appreciate most about her work is her openness and willingness to learn new approaches and techniques, her empathy and her ability to clearly connect with each of her clients. She is flexible in her approach, and partners with you to improve your health and life. I can honestly say that my health, coordination and enjoyment of life are better for having known and worked with Connie all these years.
When I first started seeing Dr. Connie Amundson, I had been abused by the medical system, being told that I had incurable conditions that could only be treated with large numbers of prescription drugs. However, the treatments I was getting from traditional medicine only made my conditions worse. I had lost a lot of hope, but was still determined to find alternative solutions.
Working with Dr. Connie has changed my life in so many ways. I have hope once more, and I am able to do things I thought I would never be able to do again. The work with Connie helped me to get my spirit back. I feel like the improvements made have gone beyond physical changes, to also include spiritual and emotional growth. People have said that they can see a change in me, my eyes are alive again.
I now have a much healthier lifestyle and have seen a great deal of improvement in my pre-existing conditions. I know that I still have more growth ahead of me, but I feel the work has enabled me to make healthier choices in all aspects of my life.
One of the highest compliments that I can give to Connie is that she truly has the spirit of a caregiver. As a client of Connie's, I have felt nothing but compassion and caring from her as a practitioner. After being treated horribly by many practitioners in the healing professions, it was truly a gift to have the chance to work with Connie. She never blamed the person in pain for their circumstances and always encouraged the client to see healing as a process. She invests in her clients, and that compassion show in her work, and I for one have definitely been able to reap the benefits.
I've been a chiropractor in Seattle, Washington, for over 25 years. During that time I have been blessed with the opportunity to serve the wellness needs of thousands of patients, as we have grown and explored the possibilities of optimum wellness together.
It is my patients who lead me to continually expand what hands-on work can accomplish for all levels of body, mind and spirit.
As a complement to my chiropractic practice, I recommend and promote health products that I find to meet high standards of quality and value.
My outside interests range from eating organic, local food to creating works of ritual theater, from downhill skiing to going to the movies, and from walking with friends to Sunday morning coffee/tea with John and a newspaper.
I grew up on a dairy farm in Minnesota, ventured to Minneapolis/St. Paul, Lincoln, Nebraska, and New York, New York before settling in Seattle with my husband, John Kanetomi. We have two sons, ages 23 and 18; the older teaches Aikido with John, and the younger attends the Foster School of Business at the University of Washington.