- Osteoporosis
- Headaches
- ArthritisCarpal tunnel syndrome (CTS) is the most common peripheral neuropathy of the upper extremity. It can arise from many causes (sometimes more than one at the same time) such as anatomical variations, ganglion cysts, occupational mechanical stress, and systemic diseases including obesity, drug toxicity, alcoholism, diabetes, hypothyroid, rheumatoid arthritis (RA), etc. Let’s discuss how a [..]
- FibromyalgiaAre there differences in lifestyle between people with vs. without fibromyalgia (FM)? A recent study found women with FM found spend more time engaged in sedentary behaviors and less time in physical activity. In the study, researchers followed 413 female patients with FM and 188 age-matched healthy female controls. Researchers used three different approaches to [..]
- RheumatologyFibromyalgia (FM) affects at least 6 million Americans (1) and is the third most prevalent rheumatologic disorder (after osteoarthritis and rheumatoid arthritis) representing 5% of family practice office visits and 20% of rheumatology visits. Approximately 90% of FM patients are women between the ages of 40 and 60 years, with an average age of 49. [..]
- Nutritional CounselingWhen patients seek chiropractic care, the focus is on improving ALL aspects of health, not just the presenting complaint of back or neck pain. The “Triangle of Health” is represented by an equilateral triangle where one side represents structure (something that chiropractic SPECIFICALLY manages), chemical (where we look closely at diet and nutrition), and emotional [..]
- Primary CarePast research has shown that greater access to chiropractic care is linked to a lower reliance on primary care services for treatment for a condition like low back pain, which is handy as experts predict a severe shortage of primary care physicians in the near future. But is the inverse true, does reduced access to chiropractic lead to greater utilization of primary care?
- Sleep DisordersIn the absence of a sleep disorder, most people take getting a quality night’s sleep for granted, as well as all the health benefits that accompany good sleep hygiene. However, when someone has trouble sleeping through the night, it can be expressed in fatigue, irritability, daytime dysfunction (including increased workplace errors and injuries), slowed responses, [..]
- Family Practice
- Emergency CareIn a chiropractor’s ideal world, people would do everything possible to reduce their risk for a condition like low back pain, and in the event a low back injury occurs, they’d seek care right away. Barring any red flags that necessitate a referral to a specialist or a trip to the emergency room, the patient would receive care tailored to their unique situation and soon be back to carrying out their everyday activities. Unfortunately, this is rarely the case, and a patient with low back pain may receive no care or inadequate treatment early on, and their condition may progress to becoming chronic low back pain before they make an appointment with a local chiropractic clinic.
- Constipation
- Pelvic PainFor men, chronic pelvic pain syndrome (CPPS) is defined as ongoing or repetitive pain episodes in the pelvic region in the absence of urinary tract infection or other relevant pathology, such as prostatitis. Because the condition is complex and satisfactory results seldom occur from just one form of treatment, researchers have proposed tackling CPPS with [..]
- Pregnancy
- Internal MedicineHan B, Wilson M. Compton WM, Blanco C, Crane E, Lee J, Jones CM; Prescription Opioid Use, Misuse, and Use Disorders in U.S. Adults: 2015 National Survey on Drug Use and Health; Annals of Internal Medicine; September 2017; Vol. 167; No. 5; pp. 293-301.
- Kidney StonesWhen a patient seeks chiropractic care to address acute back pain, the cause is usually musculoskeletal in origin. However, if changing body positions (leaning forward or back or turning to the side, etc.) has no effect on pain levels, there’s a possibility the underlying cause of their sudden back pain may be a kidney stone. [..]
- Urinary Tract Infection
- NeurologyThe lead author, Scott Haldeman, is a historic and contemporary giant in the chiropractic profession. His list of accomplishments includes a chiropractic degree (DC), a medical degree (MD), a PhD, and a DSc. Dr. Haldeman is a clinical professor of neurology at the University of California, Irvine.
- Carpal Tunnel SyndromeCarpal tunnel syndrome (CTS) is a condition the occurs when mobility of the median nerve is restricted as it passes through the wrist, resulting in symptoms that extend into parts of the hand including pain, numbness, tingling, and weakness. Generally, symptoms come on gradually but worsen and become more frequent over time. While most often [..]
- Multiple SclerosisMultiple sclerosis (MS) is a chronic neurological autoimmune disease that affects an estimated 2.5 million people globally and accounts for about $85 billion a year in both direct and indirect healthcare costs in the United States alone. Typical MS symptoms and clinical presentations can include sensory loss affecting sight (optic nerve), weakness (motor nerves/brain), facial [..]
- Stress ManagementChiropractic care offers a unique opportunity for patients as the initial history typically includes a comprehensive review of systems including all aspects of health, both past and present. This approach often extends care well past the primary presenting complaint (hip pain, in this case) to include patient education regarding diet/nutrition, stress management, sleep quality enhancement, and more. Additionally, a doctor of chiropractic will assess related areas of the body to identify problems that can affect normal movement patterns (the foot, ankle, knee, pelvis, low back) as addressing these issues may be critical to help the patient achieve a satisfactory outcome.
- Depression
- Mental HealthStaying active may also benefit MS patients. One study found that using an activity tracker helped lower the risk for relapsing-remitting MS symptoms and improved the participants’ ability to maintain normal activities, including working. There’s also research to suggest the obesity, depression, and poor sleep can have a detrimental effect on MS patients, so maintaining a healthy weight and good mental health and sleep hygiene are also important.
- Insomnia
- Anxiety
- Diabetes Care
- UltrasoundIn a 2023 study, researcher utilized high-frequency, diagnostic ultrasound (HFDU) to specifically look at median nerve position changes and cross-sectional area of the nerve when the wrist is bent upward (dorsiflexion) and downward (palmar flexion) in 85 patients (110 affected hands) diagnosed with mild (n=38), moderate (n=30) and severe (n=42) CTS as well as 25 healthy control subjects (50 hands). Compared with the control wrists, the CTS-affected wrists exhibited much greater median nerve compression against the floor of the tunnel (the transverse carpal ligament) in both bent wrist positions. The researchers also used a diagnostic technology called nerve conduction velocity to confirm that this compression at the end-ranges of wrist flexion and extension are associated with dysfunction of the median nerve.
- MRIThe bulging disc and the protruded disc are the categories most often seen in chiropractic clinical practice. The category and magnitude of disc herniations can only be determined by advanced imaging, especially MRI and/or CT. Effectiveness There is a long and rich history showing the effectiveness of spinal manipulation for the management of low back [..]
- X-Rays
- OrthopedicsThe historic seminal book on orthopedics was written by Nicholas Andry in 1741 (1). The primary discussion of his book addressed the treatment of spinal distortions, beginning in childhood. Andry was a professor of medicine at the University of Paris. The word orthopedic is a composite of two Greek words: Ortho, meaning straight. Pedic, meaning [..]
- SciaticaProtopathic bias. They note that many patients present, in the early (prodromal) phase of lumbar disc herniation, with low back pain, which “then progresses to radicular leg pain with or without neurologic signs.” Individuals in the early prodromal phase of a symptomatic lumbar disc herniation often complain of back pain. As the condition progresses, most develop sciatica. The authors state...
- WhiplashWhiplash is a slang term for an injury that occurs to the neck after the head has been literally "whipped" either forwards and backwards or sideways after a sudden jar such as in a slip / trip and fall, a physical assault, or a motor vehicle collision. But what REALLY happens in a "whiplash" injury? [..]
- Pinched NerveCarpal tunnel syndrome (CTS) is the most common entrapment neuropathy, or pinched nerve, in the extremities. The condition is estimated to affect 3-6% of the population, often in both hands. Let’s discuss what causes CTS, its symptoms, how it’s diagnosed, and how it’s treated… Causation: Carpal tunnel syndrome occurs when pressure is placed on the [..]
- Cyst
- LesionsThe Potential Pitfalls Of Clinical Joint Immobilization Back in 1984, orthopedic surgeon Sir James Cyriax, MD, reviewed The Concept Of Motion in his Textbook of Orthopaedic Medicine, Diagnosis of Soft Tissue Lesions (1). In this text, Dr. Cyriax carefully noted that harmful infections create tissue destruction, resulting in inflammation. A current prevailing concept in explaining [..]
- Sports MedicineShoulder injuries are common in athletes, especially those requiring overhead repetitive movements at high velocity and extreme range of motion. For example, shoulder injuries account for 19% of injuries to baseball players and nearly 40% of injuries to swimmers. Because a shoulder injury can sideline an athlete and even prematurely end their season, a current trend in sports medicine is to find ways to prevent shoulder injuries in the first place.
- Physical TherapyAssociations Between Early Chiropractic Care and Physical Therapy on Subsequent Opioid Use Among Persons with Low Back Pain
- Tennis ElbowLateral epicondylitis—also known as tennis elbow—is a tendinopathy of the extensor forearm muscles, which are located on the back of the hand side of the forearm. It’s estimated the condition affects up to 3% of middle-aged adults. As with many musculoskeletal conditions, treatment guidelines emphasize exhausting non-surgical options before consulting with a surgeon. In a [..]
- Shoulder Pain
- Ankle SprainMost people have rolled an ankle in their lifetime. Usually, an ankle sprain heals without any consequence, but that isn’t always the case. According to the current research, a third or more of lateral ankle sprain patients may experience long-term problems like ankle instability that necessitates splinting or taping the ankle before engaging in sports [..]
- Neck Pain
- Back Pain
- Manual TherapyThe good news is that doctors of chiropractic are well equipped to not only determine if the SIJ can be a factor in a patient’s low back pain (or leg or groin pain) but also to manage SIJ dysfunction. Studies have shown that a combination of manual therapies (including spinal manipulative therapy) and stabilization exercises is effective for reducing pain and improving function in the SIJ, more so than corticosteroid injections or physiotherapy. While patients may experience immediate improvement after a single treatment, it may take several treatments to achieve a satisfactory and lasting result.
- Ankle Instability
- Ankle Sprain
- Allergies