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Posts tagged ‘Pain’

Are you curious or concerned about CBD? Perhaps both? This could ease your concerns.


As of March 30, 2018, 30 states have legalized marijuana in some respect, reports Governing Magazine

While many of them have made this drug legal for medical purposes only, eight of these states (and the District of Columbia) have also legalized it for recreational use. With these relatively new changes, there has been increased interest in one compound in particular that is found within cannabis plants. This is cannabidiol, or CBD.

Today, CBD can be found in a variety of products, many of which are designed to help individuals ease pain and achieve a higher level of health. It can be delivered in capsules, soft gels, and powders, and it is also in quite a few topicals and oils, making it a substance that people can take in whatever form they’re most comfortable using.

However, although marijuana―and CBD specifically―are becoming more commonplace, there is still a stigma around these two substances and a lot of the products derived from them. This leaves many individuals with some concerns when trying the latter.

As a healthcare professional, I have been questioned about CBD and its use. In alignment with my goal to help my patients as well as my community ease their angst about this particular substance, I felt it was time to answer some of the most burning questions about CBD and address those CBD concerns that many have.

What exactly is CBD?


Though this term is thrown around quite a bit nowadays, many people still have no idea what CBD is. Therefore, a little clarification can go a long way in helping one decide whether it is the right treatment option for them.

To start, CBD is a compound found within cannabis plants and research has shown that it has been used for centuries for many different chronic medical conditions related to pain and inflammation. Other more recent studies have also connected CBD use with mental benefits as well, such as lower levels of anxiety.

Not Psychoactive

As Medical News Today explains, THC (tetrahydrocannabinol) is the compound within marijuana that alters the mind, not CBD. Thus, the answer to this question is no, CBD does not cause a high type of effect.
It may also be interesting to note that the extraction methods of CBD are lower temperature methods.  When smoking marijuana the high temperature actually eliminates most of the beneficial properties by destroying the CBD.  Leaving only the psychoactive THC.  Perhaps in this way one is too “high” to even care about pain.  However, the medical benefits to smoking the substance is dramatically reduced.  Which gives yet another distinction between the two category of substances.

In fact some research, like a critical review published in Current Pharmaceutical Design, references CBD as an “antipsychotic” cannabinoid that can actually help prevent this type of response. That being said, there are some CBD products that do contain both compounds, so if this is a concern, then it’s important to choose ones that either don’t have THC in them at all or have it in such minute amounts that it won’t have any effect.

How CBD Works

Though the way CBD works is fairly complex, an easy way I like to explain it is that it serves two functions: The first, according to a marijuana expert at Leafly, is that it helps keep the body from breaking down some of the cannabinoids it produces naturally on its own (called endocannabinoids). CBD’s second function is to indirectly interact with specific receptors in the brain (namely, CB1 and CB2 receptors) that are responsible for regulating pain.

How CBD Can Help

In a presentation to the Senate Caucus on International Narcotics Council, Nora D. Volkow, director of the National Institute on Drug Abuse (NIDA) shares that CBD has been found to provide benefits for a number of conditions by serving in one of these capacities:

  • Analgesic
  • Anti-tumor (testing has not been explored in human patients)
  • Anti-psychotic
  • Anti-anxiety

Therefore, CBD’s potential reach is extensive as a number of health conditions fall under one or more of these umbrella categories.

Drug Tests and CBD

A routine drug screening for marijuana use, such as for a new job, are designed to detect THC and its main metabolite (THC-COOH) and other illegal drugs or prescription medications. The typical urine drug screen for THC is known to have little cross-reactivity to other cannabinoids that are not psychoactive such as CBD, CBG (cannabigerol), CBN (cannabinol) and others. Since CBD oil is derived from hemp containing only trace amounts of THC, use of less than 1,000 mg a day should not cause a failed urine drug screen, though false positives do occur.

If a patient tends to use higher doses of CBD of 1,000 mg a day or more they may be exposed to around 3 mg of THC per day, so the chances of it showing up on a drug test do increase.
Also, just for the record.  I am actually not a proponent of smoking marijuana and feel it should fall under the same controls as other substances used by responsible adults understanding the risks of its use.

However, CBD is truly a different substance and has shown many benefits without the psychotropic effects associated with THC.

Which CBD Products To Take

test tube and drop of water with science chemical structure on green

With any dietary supplement, not all products are created equal. It is important to consider factors relating to quality and absorption.

Unfortunately, many have experienced unreliable results when using products obtained on the internet or in dispensaries. It is a common occurrence to use a product that seems to work and then to purchase that same product again and have negative side effects such as feeling “high”, excessive drowsiness or no effect at all. Because the emphasis to date has been on the recreational market, there is a fundamental lack of quality control and dose reliability in this new and rapidly-growing industry.

Those who are seeking alternative treatments to serious disorders have not been the primary target audience for these recreational products. Dr. Shapero and Premier Health Care work with very select vendors whose target audience is the patient looking for alternatives to pharmaceutical medications that are either ineffective or fraught with side effects. Many patients can take less medication or even eliminate medications when using high-quality either No-THC or low-THC CBD products. We want to know what medications you ore taking, and what specific medical problems you are dealing with before taking any CBD products. Therefore, we only work with venders using medical-grade, organically grown products.  We are able to introduce our patients to high quality higher dose products which have been third party tested.

A Natural Approach

Because prescription drugs are more well-known and widely accepted, some people may be wondering why they should try CBD at all. This is where I’d like to mention that we currently have a serious opiate problem across the country.  Please take a look at an earlier post about the current opiate epidemic.

It is well known that prescription painkillers can actually do more harm than good since they are highly addictive in nature and contribute to more than 115 deaths every day due to Opioid overdose. Therefore, by choosing CBD products instead, those in pain are able to handle their pain and inflammation naturally.

Quite possibly you may have more questions regarding the information you just read about CBD and if that is the case please feel free to contact my office.   May this information enable you to make a more educated decision about whether these products align with your treatment-based beliefs. May this also make you feel better about your choice on this topic and for your own health.

#DrShapero #PremierHealthCareWellness  #CBD #Opiates #PainKillers  #Cannabinoid

Yours for Better Health, Dr. Shapero


Greater Trochanteric Pain Syndrome

Non-drug Solution is available.
trochanteric pain

After osteoarthritis, greater trochanteric pain syndrome is the most frequently encountered hip ailment, estimated to affect approximately 10% to 20% of the population. The individual typically experiences pain with single-leg stance, and the discomfort is often aggravated by side-lying on the affected hip.

This problem affects females four times as often as males.  Most commonly seen in ages of 40 to 60 year-olds. This common condition can be surprisingly difficult to treat without proper Chiropractic care and rehabilitative exercises, and symptoms may last months to years. While it was originally believed the lateral hip pain resulted from chronic inflammation in one of the three greater trochanter bursae, recent research confirms bursal inflammation correlates poorly with the presence of lateral hip pain. As a result, the term greater trochanteric bursitis has been abandoned in favor of greater trochanteric pain syndromegreater-trochanteric-pain-syndrome

Based on research the following outcomes proved very interesting.  One particular study of 229 patients diagnosed with unilateral greater trochanteric pain syndrome divided into one of three treatment protocols: a single local corticosteroid injection (25 mg prednisolone); a repetitive low-energy shockwave treatment; or a home training program that included specific hip abductor / rotator stretches and exercises as follows, performed twice daily, seven days a week for 12 weeks.  Study findings were interesting in that corticosteroid injection produced significant short-term improvements, while shockwave treatment and home stretches / exercises produced better long-term results.  Even though the injections initially gave better pain relief after a few months the exercise group had a far better outcome with greater pain reduction.

Other case evaluations indicate that home therapy coupled with chiropractic care offers the best long term outcome.  This approach restores function and rebalances the muscles.

Here are some of the exercises which I recommend for this problem.  If this does not seem to resolve quickly the most likely reason is nerve irritation of the lumbar spine.  Chiropractic treatment will correct this and allow for better and faster results.

Yours for Better Health, Dr. Shapero

Dr. Shapero STILL makes Housecalls??

Doctors-Making-Housecalls-Featured-ImagePain, particularly back pain can have a devastating effect on your life.  As was the case with J. who was experiencing some pain in the lower back which came and went.  As many of us do who are caught up in the day to day J.s back problem got pushed to the bottom of the “to do” list.  However, after sitting at his desk recently he realized when he attempted to get up that this time the pain was different.  In fact it was so intense he dropped to his knees.  After several hours of attempting to move he called our office.  J. spent the next couple of days on a table in the dining area.  After several visits J. was able to get up and move around.  J. was thankful to be back to the activities of life. Pain is the way the body lets you know something is wrong.  If you ignore the small signals they generally get bigger.  This was a wakeup call for J.  Yes, I do make house calls, however, it is much easier to take care of things early before it’s too late.  Now is the time to get your spine checked.  Before the stress of the holiday season sets in.  If you have a health question or concern you would like to see addressed here let me know.

Yours for Better Health, Dr. Shapero



Fast Pain Relief Without the Side Effects



When it comes to pain the last thing you want to do is cover it up and ignore it.  I often use the analogy of a warning light on the dash board of a car.  However, pain can sure cut into your production and your enjoyment.  Once the underlying problem is identified many of my patients, understandably say, I want pain relief NOW!  We do have solutions for quick pain relief which I will share with you in this article.

It is not news that pain killers kill more than pain.  Even periodic use of over the counter pain medication causes liver, kidney and intestinal damage.  Many times worse than the painful problem they were taken to relieve.

Before covering up pain the problem should be accurately identified so that the proper remedy can be applied.  Once this is done the typical first aid for an area of pain is usually ice.  Quite often this is overlooked.  It’s simple, it’s readily available and easy to use.  However, once this has been tried you may need something much more to relieve the pain.

Keep in mind as we interrupt the pain cycle, which is part of the inflammatory response of the body, we do not want to interfere with healing process which is what medications have shown to do.  Even so I still hear this, “I get that I’m inflamed, and that it takes time to reduce the inflammation causing my pain…..but I hurt right now! what can I take right now for my pain?

May have tried topical analgesics and over the counter pain medications however we have something much better.  This is an herbal analgesic with a 35-45 minute onset for musculo-skeletal, nerve induced and smooth muscle (cramping) pain, and any other type of acute pain you may be experiencing.  It works on about the same level of pain relief as two or three Tylenol or 500mg ibuprofen, with ZERO side effects and contraindications.

Now if you would like more of the technical aspect of how it works.  It contains California poppy, Jamaican Dogwood and Corydalis. California poppy is a relative of the opium poppy and on a much milder level (1-3% the strength of hydrocodone) and works the same way. Opiates attach to opioid receptors, primarily in the brain, spinal cord and intestinal tract, and block pain signaling to the brain. This is not a complete and total blockage that masks 100% of the pain, even with strong opiates. The California Poppy works in a similar fashion, but very mildly, without euphoria, addictive properties or constipation. Corydalis, or Chinese Poppy, works in a similar way, but acts on dopamine receptors, not opioid. This also calms pain signaling, and promotes a relaxed state. Jamaican Dogwood is anti-inflammatory which slows nerve-based pain signaling, particularly in smooth muscle tissue like uterine or intestinal walls. It will address both pain and anxiety. Great for night time pain and menstrual cramping as well.

If you or someone you know is suffering from pain this could help so please pass it along.

To Your Health, Dr. Shapero

Top 10 Chiropractic Studies of 2013

Today I wanted to share with you the top 10 chiropractic research studies of 2013. We are dedicated to bringing current and pertinent health and wellness information to you. May this year bring better or continued good health.

1. Immediate Benefits of Chiropractic Visible on MRI:For the first time, researchers used MRI to document changes in spinal gapping immediately after a chiropractic adjustment.

2. AMA Recommends Chiropractic Before Resorting to Surgery: The Journal of the American Medical Association released new guidelines for back pain treatment that encouraged patients to seek chiropractic and physical therapy before resorting to surgery.

3. Chiropractic as Effective as Epidural Injections for Lumbar Disc Herniation: Patients with lumbar disc herniation were randomly assigned to receive either nerve root injections or chiropractic care. Overall, 76% of chiropractic patients reported feeling “better” or “much better” after treatment compared to just 62.5% of injection patients.

4. Chiropractic Lowers Blood Pressure: Hypertensive patients had reduced diastolic blood pressure readings after receiving chiropractic adjustments in a new study.

5. Chiropractic Best Option for SI Joint Pain: Chiropractic care was better than physical therapy or injections of corticosteroids for sacroiliac joint dysfunction.

6. Neck Adjustments Immediately Improve Joint Position Sense: Cervical manipulation was shown to improve joint position sense, which could assist in improving mobility in patients with neck pain.

7. Chiropractic Better than Medical Care Alone for Back Pain: Military personnel with back pain had a significantly better chance of recovery when they received a combined treatment of chiropractic and medical care, compared to those who only received medical care.

8. Spinal Adjustments Relieve Muscle Pain Instantly: Patients with myofascial pain experienced immediate improvements in pressure pain thresholds after receiving chiropractic adjustments.

9. Cervical Disc Herniation Eased by Chiropractic: A study of patients with cervical radiculopathy showed that 85% experienced significant reductions in pain and disability after receiving chiropractic care for three months.

10. Chiropractic Thaws Frozen Shoulder Syndrome: Patients had a 78% improvement in pain after receiving chiropractic care for frozen shoulder syndrome. In another study of patients treated with manipulation under anesthesia, patients had significant reductions in nighttime pain and shoulder stiffness.

Yours for Better Health, Dr. Shapero

Patient’s Speak Out – – My Life Is So Much Better, Wow

Aching back, headaches, digestive problems and not sleeping were the worst of it. Believe me the list goes on. I just did not feel good most of the time. I felt as if life was taking its toll and I was so discouraged. I used to be so active and now it was a chore just to to keep up with the basic day to day activities. That is how it was before I started seeing you Dr. Shapero. I feel as though I now have a new life. I sleep soundly and wake up with joyous energy. Oh, now and again I push it too much or get overloaded with stress and end up with a back ache or headache. But, now I know in usually one visit I am good as new. I am so thankful. I am now walking and exercising regularly. You have without a doubt saved my life. I can now enjoy the people around me and I have a whole new look about life. It puzzles me why so many people suffer needlessly, why would they just get your help. I still have some work to do but I feel so good now, Thanks, Dr. Shapero. Linda B.
Yours for Better Health, Dr. Shapero

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