Would you like to switch to the accessible version of this site?

Go to accessible site Close modal window

Don't need the accessible version of this site?

Hide the accessibility button Close modal window
Accessibility View Close toolbar
Dr Edelson 813-831-8321 Chiropractic & Massage

4250 W Bay to Bay Blvd.

Tampa, FL 33629 US

813-831-8321

Open mobile navigation
  • Home
  • New Patient Center
    • Online Forms
    • What to Expect
      • Your First Visit
      • Phase 1: Relief Care
      • Phase 2: Corrective Care
      • Phase 3: Wellness Care
    • Virtual Office Tour
    • Health Resources
    • Payment Options
  • About Us
    • Meet the Doctor
    • Services & Techniques
    • Our Wellness Partners
    • Our Office Manager
  • Testimonials
  • Office Hours
  • Auto Accident
  • Links
  • Videos
  • Pictures
  • Contact Us
  • Exercises & Traction
  • Map
  • Community Content
    • We May Help You With
      • Auto Accident Injuries
      • Back and Shoulder Pain
      • Body Pain
      • Chronic Disease Relief
      • Conditions Affecting Women
      • Headaches
      • Herniated Discs
      • Improved Health
      • Pediatric Ailments
      • Repetitive Use Injuries
      • Respiratory Function
    • About Chiropractic Care
      • What is Chiropractic
      • How Does it Work
      • Who is Chiropractic For
      • Vertebral Subluxation
      • Wellness Resources
    • Chiropractic Techniques
    • Chiropractic Therapies
    • Life is Motion
    • Healthy Thinking
      • Get Positive
      • Relaxation Techniques
    • Wellness Lifestyle Tips
      • Treat Yourself Well
      • Treat Others Well
      • Eat Well
    • Wellness Essentials
      • At Home
      • At Work
      • Exercise
      • Nutrition
      • What You Wear
    • Wellness Perspectives
      • Social
      • Physical
      • Spiritual
      • Mental
    • Wellness4Kids
    • Newsletter Library
      • Weight Loss
      • Staying Motivated
      • Staying Young
      • Life-Work Balance
      • Stress & Anxiety
      • Mind-Body Connection
      • Wellness
      • Pregnancy & Parenting
      • Back, Body & Joint Pain
      • Senior Health
      • Healthy Tips
      • Exercise & Fitness
      • Chronic Conditions
      • Nutrition & Healthy Eating
      • Injury Rehab & Prevention
      • Breaking Bad Habits
      • Kid's Health
      • Illness Prevention
  • Home >
  • Articles >
  • Newsletter Library >
  • Wellness >
  • Making Sense of Guidelines for Care

Making Sense of Guidelines for Care

  • Created in Newsletter Library, Wellness

Not too long ago, the Eighth Joint National Committee (originally commissioned by the National Heart, Lung, and Blood Institute) released a new set of evidence-based guidelines for evaluation and treatment of hypertension (high blood pressure). The guidelines committee, comprised of 17 academics, spent five years reviewing evidence as preparation for developing the new recommendations.

The committee’s report represents nothing less than a sea change in the treatment of patients with higher-than-normal blood pressure readings. The primary shift is from a long-held standard of implementing treatment when a person’s blood pressure is higher than 140/90 mmHg. The new guidelines recommend beginning treatment only when blood pressure readings are higher than 150/90 mmHg. The new standard is a huge modification of decades-old practice methods, and has generated substantial controversy.1.2 Of course, a good portion of the pushback is from those who have a vested interest in maintaining the status quo, such as physicians who dispense medications from their office and earn substantial income from selling antihypertensive drugs at multiples of their wholesale costs. In addition to physicians who act as pharmacies, drug companies who manufacture antihypertensive medications also stand to lose significant revenue. But aside from considerations related to the practice of medicine as a business, the real issues should be focused on the benefits and harms to patients. In this context, it may be reasonably stated that fewer medications are, by and large, a good thing.

The new blood pressure guidelines have two primary impacts. First, for people over age 60, treatment for presumed hypertension should be initiated when blood pressure readings are higher than 150/90 mm/Hg. More than 7.4 million Americans over age 60 will be in the new safe range. Many of these millions of people have been taking antihypertensive medication for years, possibly needlessly as implied by the new guidelines. Next, for all those under age 60, there is insufficient medical evidence that a systolic blood pressure (the first number in the reading) threshold exists that would dictate treatment. In other words, for many years the systolic threshold had been 140 (as in 140/90 mmHg). Higher systolic readings virtually mandated antihypertensive treatment. Although the committee expressed its opinion that the systolic threshold of 140 mmHg ought to be maintained for those younger than age 60, even though evidence for such a threshold is weak. Thus, it may be that many millions more people have been taking antihypertensive medication without such recommendations being backed by sound scientific research.

The point here is not that people should stop taking their blood pressure medication.3 All such types of decisions should be made in consultation with the prescribing physician. The main consideration is having the ability to make informed choices. Some medication regimens may be appropriate. Some may not. Some may need to be reevaluated. As always, regular chiropractic care is of value by providing you with the best opportunity to achieve maximum good health.

1Mitka M:Groups spar over new hypertension guidelines. JAMA 311(7):663-664, 2014
2Kieldsen SE, et al: Hypertension management by practice guidelines. Blood Press 23(1):1-2, 2014
3Sheppard JP, et al: Missed opportunities in prevention of cardiovascular disease in primary care: a cross-sectional study. Br J Pract 2014, Jan;64(618):e38-46. doi: 10.3399/bjgp14X676447

  • We May Help You With
    • Auto Accident Injuries
    • Back and Shoulder Pain
    • Body Pain
    • Chronic Disease Relief
    • Conditions Affecting Women
    • Headaches
    • Herniated Discs
    • Improved Health
    • Pediatric Ailments
    • Repetitive Use Injuries
    • Respiratory Function
  • About Chiropractic Care
    • What is Chiropractic
    • How Does it Work
    • Who is Chiropractic For
    • Vertebral Subluxation
    • Wellness Resources
  • Chiropractic Techniques
  • Chiropractic Therapies
  • Life is Motion
  • Healthy Thinking
    • Get Positive
    • Relaxation Techniques
  • Wellness Lifestyle Tips
    • Treat Yourself Well
    • Treat Others Well
    • Eat Well
  • Wellness Essentials
    • At Home
    • At Work
    • Exercise
    • Nutrition
    • What You Wear
  • Wellness Perspectives
    • Social
    • Physical
    • Spiritual
    • Mental
  • Wellness4Kids
  • Newsletter Library
    • Weight Loss
    • Staying Motivated
    • Staying Young
    • Life-Work Balance
    • Stress & Anxiety
    • Mind-Body Connection
    • Wellness
    • Pregnancy & Parenting
    • Back, Body & Joint Pain
    • Senior Health
    • Healthy Tips
    • Exercise & Fitness
    • Chronic Conditions
    • Nutrition & Healthy Eating
    • Injury Rehab & Prevention
    • Breaking Bad Habits
    • Kid's Health
    • Illness Prevention
--
No form settings found. Please configure it.

Featured Services

Click to Find Out More

  • Services

    We strive to provide complete care for our patients. Learn more about all the services we provide.
  • Make an Appointment

    We will do our best to accommodate your busy schedule. Schedule an appointment today!
  • Online Forms

    Our patient forms are available online and can be completed in the privacy of your own home or office.

Office Hours

Our Regular Schedule

Monday:

8: 00 am - 2:00 pm

Tuesday:

12: 00 pm - 6:00 pm

Wednesday:

12: 00 pm - 6:00 pm

Thursday:

8: 00 am - 2:00 pm

Friday:

12: 00 pm - 6:00 pm

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "I had been suffering from chronic pain in my upper back and shoulder every time I sat at my desk for more than an hour. After my first visit with Doctor Edelson, I felt immediate relief, and after just 6 visits, the pain was gone altogether. I also appreciated how Dr Edelson took the time to explain to me what adjustments he was making, and how they affect the alignment of my spine. I would highly recommend Edelson Chiropractic to anyone who suffers from pain."
    Marc B Tampa, FL

Featured Articles

Read about interesting topics

  • Chiropractic Care for Sacroiliac Joint Dysfunction

    Chiropractic treatment may offer the perfect solution to back and hip pain caused by sacroiliac joint dysfunction. ...

    Read More
  • Treating Work Injuries With Chiropractic

    Are you eager to get back to work after an on-the-job injury? Chiropractic treatment can help. ...

    Read More
  • Is it Time to See a Chiropractor?

    Are you struggling with aches and pain? A chiropractic adjustment may offer the solution to your problems. ...

    Read More
  • Stop Work-Related Back Pain

    Does your back ache after a day at work? These tips can help you avoid back pain. ...

    Read More
  • Common Causes of Back Pain

    Is your back killing you? Find out what could be to blame for your pain. ...

    Read More
  • The Benefits of Chiropractic Care for Recovery Sports Injuries

    Chiropractic care can help you get off the sidelines after a sports injury. ...

    Read More
  • Relieve Chronic Stress With Chiropractic Care

    Preventing stress-related pain can be as simple as scheduling regular chiropractic appointments. ...

    Read More
  • Adjusting to a New Year

    Want to stay healthier this year? Chiropractic offers a natural solution. ...

    Read More
  • Winter Activities that Can Cause Pain and How to Prevent It

    Do you know how to avoid winter aches and pains? ...

    Read More
  • Does Your Pain Worsen During the Winter? Cold Weather May Be To Blame

    Struggling with a painful chronic condition? Winter weather may worsen your pain. ...

    Read More

Newsletter Sign Up

Follow Us

  • Copyright © 2021 MH Sub I, LLC dba iMatrix.
  • Admin Log In
  • Site Map