Blood Pressure/ Hypertension

"While results cannot be predicted for a particular hypertensive patient, a therapeutic trial of chiropractic co-management would seem to be warranted, especially when dysfunction is identified in relevant spinal areas. Proper lifestyle advice and medical care should be concurrent with a regime of adjusting. The authors advise close monitoring of blood pressure for all chiropractic patients on anti-hypertensive medication...the combined effects of the adjustment and the medication might drive a patient's blood pressure below normal." From Weber M. and Masarsky C, Eds. Neurological Fitness Vol.2 No.3 April 1993.

The types and frequencies of nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy. Leboeuf -Yde C, Axen I, Ahlefeldt G, et al. Journal of Manipulative and Physiological Therapeutics Nov/Dec 1999:22(9) 559-64.

"How frequently [do] patients report nonmusculoskeletal symptomatic improvements and [what are] the types of such reactions that patients believe to be associated with chiropractic."

Twenty consecutive patients from 87 Swedish chiropractors answered questionnaires on return visits. A total of 1,504 questionnaires were completed and returned. Twenty-three per cent of patients reported improvement in nonmusculoskeletal symptoms, including:

• Easier to breathe (98 patients)
• Improved digestive function (92)
• Clearer/better/sharper vision (49)
• Improved circulation (34)
• Less ringing in the ears (10)
• Acne/eczema better (8)
• Dysmenorrhoea better (7)
• Asthma/allergies better (6)
• Sense of smell heightened (3)
• Reduced blood pressure (2)
• Numbness in tongue gone (1)
• Hiccups gone (1)
• Menses function returned (1)
• Cough disappeared (1)
• Double vision disappeared (1)
• Tunnel vision disappeared (1)
• Less nausea (1)
  

The effect of cranial adjusting on hypertension: a case report. Connelly DM, Rasmussen SA Chiropractic Technique, May 1998; 10(2):75-78.

This paper describes the experiences of three hypertensive patients who underwent chiropractic sacrooccipital cranial technique.

One was a 73 year-old woman with a blood pressure of 170/100. Immediately following chiropractic care it was 120/78 and over the next few months measured 140/72.

The second patient was a 41 year-old woman with a blood pressure of 170/95. With cranial care it dropped to an average of 147/90. She was instructed to remove her dental plate at night and a couple of times during the day and her blood pressure dropped to 130/90.

The third patient was a 74 year-old male on blood pressure medication who presented a blood pressure of 140/100. After a series of adjustments he was told by his MDs to reduce and eliminate medications. He presented with a blood pressure of 130/80 on his last visit.

Randomized clinical trial of chiropractic adjustments and brief massage treatment for essential hypertension: A pilot study. Plaugher G, Meker W, Shelsy A, Lotun K, Jansen R.

Conf Proc Chiro Cent Found 1995; Jul: 366-367.

An effect of sacro occipital technique on blood pressure. Unger J, Sweat S, Flanagan S, Chudowski S. Proceedings of the International Conference on Spinal Manipulation. 1993 A/M. P. 87.

A single chiropractic intervention can bring about a significant reduction in blood pressure in a hypertensive group of subjects. Not only was the reduction in systolic blood pressure statistically significant; more important was the clinical significance of this effect.

Chiropractic management of a hypertensive patient: a case study. Plaugher G, Bachman TR. Journal of Manipulative and Physiological Therapeutics accepted for publication 1993.

A 38-year-old male complaining of hypertension of 14 years duration was suffering from the side effects of medication (Minipress T and Corgard T ): bloating sensations, depression, fatigue, and impotency.

Chiropractic analysis revealed vertebral subluxation complex at levels C6-7, T3-4, and T7-8.

After three visits, patient's M.D. stopped the Minipress T and reduced the Corgard T After ix adjustments, Corgard T was reduced again. All medications were stopped after seven adjustments. Medication side effects had abated as well. After 18 months, patient's blood pressure remained at normal levels.

Hypertension and the atlas subluxation complex. Goodman R. Chiropractic: J of Chiropractic Research and Clinical Investigation. Vol 8 No. 2, July 1992. Pp. 30-32.

Six of eight patients under chiropractic experienced relief of symptoms and lowered blood pressure after chiropractic care. The blood pressures of two subjects remained unchanged or increased sometime during the test period.

"Systolic pressure was lowered by an average of 27mm Hg, and the diastolic pressure by an average of 13mm Hg. In several subjects, other symptoms such as low back pain, thoracic tightness, headaches, and general malaise, diminished following the adjustments. Those subjects who were not on medication showed the greatest change."

Hypertension: a case study. McGee D. Chiropractic: J of Chiropractic Research and Clinical Investigation. Vol.7. No.4, Jan. 1992, Pp. 98-99.

This is the case history of a 46-year-old woman's rapid decrease in blood pressure following 8 weeks of chiropractic care.

Systemic effects of spinal lesions. Dhami MSI, DeBoer KF In Principles and Practice of Chiropractic, 2nd edition, Appleton and Lange, East Norwalk, CT 1992.

The authors list "organic disorders reported to be related to spinal lesions or affected by chiropractic manipulation."

These include: abdominal discomfort, asthma, Barre-Lieou syndrome, cardiac arrhythmia, colic, constipation, dysmenorrhea, high blood pressure, low-blood sugar and hyperinsulinism, migraine, pulmonary diseases, ulcers and vertebral autonomic dysfunction.

Improvements following the combination of chiropractic adjustments, diet, and exercise therapy. GS, Sauer AD, Wahl DR, Kessinger J. Chiropractic: The Journal of Chiropractic Research and Clinical Investigation 1990; 5:37-39.

Four individuals and the effects of chiropractic adjustments on their cardiac dysfunctions as monitored by ECG are presented.

A baseline ECG was taken. A treatment plan was implemented consisting of adjustments combined with exercise and diet recommendations. At the end of the treatment period, a follow-up ECG was performed and three of the four patients showed improvement.

Preliminary study of blood pressure changes in normotensive subjects undergoing chiropractic care. McKnight ME, DeBoer KF, Journal of Manipulative and Physiological Therapeutics,1988; 11:261-266.

Seventy-five people were tested after specific chiropractic cervical adjustments.

Both systolic and diastolic blood pressure decreased significantly in the adjusted group. No significant changes occurred in the control group.

In those with the highest pre-treatment blood pressures, the treatment effect was greatest, indicating that the effectiveness in hypertensives may be even more significant.

Effects of chiropractic treatment on blood pressure and anxiety: a randomized, controlled trial. Yates RG, Lamping DL, Abram NL, Wright C. Journal of Manipulative and Physiological Therapeutics, 1988; 11(6):484-8.

In this patient-blinded, assessor-blinded, placebo-controlled study, the authors state that the data "lend support to the hypothesis that chiropractic manipulation of the thoracic spine significantly reduces blood pressure in patients with elevated blood pressure."

Both systolic and diastolic blood pressure decreased significantly in the adjusted group. Adjustments were delivered to segments T-1 to T-5 of the 21 patients in the group adjusted. No significant changes occurred in the placebo or control groups.

The management of hypertensive disease: a review of spinal manipulation and the efficacy of conservative therapeusis. Crawford JP, Hickson GS, Wiles MR. Journal of Manipulative and Physiological Therapeutics, 1986; 9:27-32

From the abstract:

Hypertension, therefore, may be regarded as a prime condition warranting specialized care that includes proper education during the formative years, modification of dietary habits in conjunction with daily exercise regiment, and regular spinal maintenance, all of which are covered by modern chiropractic clinical practice.

Evidence for a possible anti-hypertensive effect of basic technique apex contact adjusting. Dulgar G, Hill D, Sirucek A, Davis BP, ACA J of Chiropractic, 1980;14:97-102.

A statistically significant drop in both systolic and diastolic blood pressure in normotensive (normal blood pressure) subjects was found under chiropractic care.

The authors write that spinal care .. "might offer a drugless means of lowering blood pressure in essential hypertensive patients."

The effects of upper cervical adjustment upon the normal physiology of the heart. Tran AT, Kirby JD. J Am. Chiropractic Association, 1977; 11/S: 58-62.

Upper cervical adjustments were found to have a hypotensive effect.

Blood pressure, results in 75 abnormal cases. Hood Robin P. Digest of Chiropractic Economics. May/June 1974

This is a paper describing seventy-five patients with abnormal blood pressure in a two-year study on chiropractic care.

Thirty-eight of the patients were taking or had been taking prescribed drugs for hypertension and many still had high blood pressure even on the drugs.

Chiropractic care involved spinal adjustments using the Gonstead method of spinal care. The patient's diet was also modified to eliminate refined, processed foods, soft drinks, stomach-sleeping and high pillows.

Results: Before care the average blood pressure of the 67 hypertensive patients was 163/93.8. After care it was 130.4/82. Before care the average blood pressure of the 8 hypotensive patients was 100/67.5, after care it was 114/76.3

Effect of osteopathic manipulative therapy on autonomic tone as evidenced by blood pressure changes and activity on the fibrinolytic system. Fichera AP; Celander DR. J Am Osteopath Assoc 1969; 68(10): 1036-8

Manipulation lowered blood pressure.

Effect of osteopathic manipulative therapy on autonomic tone as evidenced by blood pressure changes and activity of the fibrinolytic system. Celander E, Koenig AJ, Celander DR. Journal Of The American Osteopathic Association, May 1968; 67:1037-1038.

Manipulation of cervical and thoracic vertebrae reduces moderate (140/90) hypertension. The mechanism appears to be that manipulation of the cervical and thoracic vertebrae reduces moderate hypertension by causing a decrease in plasma fibrinogen that appears to favor the parasympathic nervous system. The blood pressure decreased in 86% of hypertensives.

Manipulative management of hypertension. Northup TL, Journal of the American Osteopathic Association 60:973-978, 1961

From the paper:

"After more than 30 years of practice, I know of no other modality that will as effectively maintain blood pressure at a safe level as appropriate osteopathic manipulative treatment." Hypertension adjustments were made to the upper cervical area and the lower thoracic area.

Osteopathic cardiology. Wilson PT. Yearbook of the American Academy of Osteopathy, 1958.

The objectives of treatment are the restoration of physiologic motion of the occiput, C7-T2, and T10-12.

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