tag:typepad.com,2003:weblog-1250480 %ISSUE_DATE%T09:25:32-07:00 Opinion, research and treatment methods. TypePad tag:mpamedia.com,2008:post-55723 2012-01-29T12:00:32-07:00 2012-01-29T12:00:07-07:00

The word sesamoid is Latin for "sesame seed." These small bones are located inside specific tendons, where they improve mechanical efficiency by pulling the tendon farther away from the joint's axis of motion. The classic example of a sesamoid is the patella, which improves mechanical efficiency of the quadriceps by more than 50 percent.

By Thomas Michaud, DC The word sesamoid is Latin for "sesame seed." These small bones are located inside specific tendons, where they improve mechanical efficiency by pulling the tendon farther away from the joint's axis of motion. The classic example of a sesamoid is the patella, which improves mechanical efficiency of the quadriceps by more than 50 percent. tag:mpamedia.com,2008:post-55718 2012-01-29T12:00:32-07:00 2012-01-29T12:00:07-07:00

I recall that as a kid, I participated in sports based on the season. In spring and summer, it was baseball and basketball; in fall, it was football; and in winter, it was ice hockey. Nowadays, an increasing number of kids focus on one sport at an early age and compete in it year-round. Some even attend special camps to pursue that single sport.

By Warren Hammer, MS, DC, DABCO I recall that as a kid, I participated in sports based on the season. In spring and summer, it was baseball and basketball; in fall, it was football; and in winter, it was ice hockey. Nowadays, an increasing number of kids focus on one sport at an early age and compete in it year-round. Some even attend special camps to pursue that single sport. tag:mpamedia.com,2008:post-55695 2012-01-01T12:00:32-07:00 2012-01-01T12:00:07-07:00

Research Abstracts From the Journal of Manipulative and Physiological Therapeutics. Nov-Dec 2011 Abstracts Volume 34, Issue 9.

Research Abstracts From the Journal of Manipulative and Physiological Therapeutics. Nov-Dec 2011 Abstracts Volume 34, Issue 9. tag:mpamedia.com,2008:post-55664 2011-12-16T12:00:32-07:00 2011-12-16T12:00:07-07:00

Overpronation, characterized by a flattened longitudinal arch and rear-foot pronation, is the most commonly detected defect in foot alignment. High-arched feet, referred to as excessively supinated feet, are not nearly as common as overpronated feet. The ratio of overpronation to excessive supination is about 9:1, according to research. Cases of excessive supination do, however, present regularly at chiropractic practices.

By Mark Charrette, DC Overpronation, characterized by a flattened longitudinal arch and rear-foot pronation, is the most commonly detected defect in foot alignment. High-arched feet, referred to as excessively supinated feet, are not nearly as common as overpronated feet. The ratio of overpronation to excessive supination is about 9:1, according to research. Cases of excessive supination do, however, present regularly at chiropractic practices. tag:mpamedia.com,2008:post-55643 2011-12-02T12:00:32-07:00 2011-12-02T12:00:07-07:00

According to an important study appearing in a recent issue of the European Journal of Nutrition, individuals who were taking antioxidant supplements at the start of the 11-year study period had a 48 percent reduction in the risk of cancer mortality. In addition, the risk of dying from all causes (all-cause mortality) was 42 percent lower among antioxidant supplement users. Of interest is the fact that taking only a basic multiple vitamin and mineral supplement (i.e., one not enriched with meaningful doses of antioxidants) did not confer any protection against cancer or all-cause mortality. These findings suggest that antioxidant supplements provide an important defense against cancer and death from other causes.

By James P. Meschino, DC, MS According to an important study appearing in a recent issue of the European Journal of Nutrition, individuals who were taking antioxidant supplements at the start of the 11-year study period had a 48 percent reduction in the risk of cancer mortality. In addition, the risk of dying from all causes (all-cause mortality) was 42 percent lower among antioxidant supplement users. Of interest is the fact that taking only a basic multiple vitamin and mineral supplement (i.e., one not enriched with meaningful doses of antioxidants) did not confer any protection against cancer or all-cause mortality. These findings suggest that antioxidant supplements provide an important defense against cancer and death from other causes. tag:mpamedia.com,2008:post-55616 2011-11-04T12:00:32-07:00 2011-11-04T12:00:07-07:00

Benign prostatic hyperplasia (BPH) is a progressive, benign growth of the prostate gland that gradually narrows the urethra. The clamping effect eventually obstructs the flow of urine. As a result, the bladder fails to empty completely. Urine remaining in the bladder stagnates, leaving the patient vulnerable to infections, bladder stones and kidney damage. The poor bladder capacity can cause frequent urination, especially at night. Therefore, associated with BPH is a set of lower urinary tract symptoms (LUTS). However, there is not always an exact correlation between the size of the prostate and the degree of LUTS, suggesting that other urodynamic factors are also involved.

By Kerry Bone, BSc (hons), Dipl. Phyto. Benign prostatic hyperplasia (BPH) is a progressive, benign growth of the prostate gland that gradually narrows the urethra. The clamping effect eventually obstructs the flow of urine. As a result, the bladder fails to empty completely. Urine remaining in the bladder stagnates, leaving the patient vulnerable to infections, bladder stones and kidney damage. The poor bladder capacity can cause frequent urination, especially at night. Therefore, associated with BPH is a set of lower urinary tract symptoms (LUTS). However, there is not always an exact correlation between the size of the prostate and the degree of LUTS, suggesting that other urodynamic factors are also involved. tag:mpamedia.com,2008:post-55585 2011-10-21T12:00:32-07:00 2011-10-21T12:00:07-07:00

With all the debates and foot-dragging on the order of Richard III as to where health care needs to go, I get the unmistakable impression that much of the true conscience of American medicine lies within recent reports from the Institute of Medicine.

By Anthony Rosner, PhD, LLD [Hon.], LLC With all the debates and foot-dragging on the order of Richard III as to where health care needs to go, I get the unmistakable impression that much of the true conscience of American medicine lies within recent reports from the Institute of Medicine. tag:mpamedia.com,2008:post-55577 2011-10-07T12:00:32-07:00 2011-10-07T12:00:07-07:00

Although most chiropractors treat patients who have scoliosis, few truly understand the forces that lock up these abnormal curves. This can make treating a scoliosis curvature feel like trying to treat a spine cast in bronze. The good news is it is not that rigid. The key to reshaping the spine toward a more normal, balanced position is to first understand the pathway it took to get so twisted.

By Brett Diaz, DC Although most chiropractors treat patients who have scoliosis, few truly understand the forces that lock up these abnormal curves. This can make treating a scoliosis curvature feel like trying to treat a spine cast in bronze. The good news is it is not that rigid. The key to reshaping the spine toward a more normal, balanced position is to first understand the pathway it took to get so twisted. tag:mpamedia.com,2008:post-55573 2011-10-07T12:00:32-07:00 2011-10-07T12:00:07-07:00

Unfortunately, diabetes is one of the fastest growing illnesses in America. That means if you don't currently have patients with diabetes (unlikely, but possible), you will soon. And that means you're going to be treating patients with diabetic neuropathy, particularly diabetic neuropathy affecting their feet.

By John Hayes Jr., DC, MS, DACBO Unfortunately, diabetes is one of the fastest growing illnesses in America. That means if you don't currently have patients with diabetes (unlikely, but possible), you will soon. And that means you're going to be treating patients with diabetic neuropathy, particularly diabetic neuropathy affecting their feet. tag:mpamedia.com,2008:post-55555 2011-09-23T12:00:32-07:00 2011-09-23T12:00:07-07:00

Kidney stones are one of the most common disorders of the urinary tract, reported to affect about 12 percent of men and 5 percent of women over their lifetime. Certain factors appear to increase the risk of kidney stones, such as a high-animal-fat diet with resulting increased urinary acidity; low fiber intake; low fluid intake; gout (high uric acid levels); high blood pressure, family history; being overweight; and inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. There is no conclusive evidence that calcium supplements or foods containing oxalates increase the risk of kidney stones. High doses of vitamin C may aggravate kidney stone development in susceptible individuals.

By James P. Meschino, DC, MS Kidney stones are one of the most common disorders of the urinary tract, reported to affect about 12 percent of men and 5 percent of women over their lifetime. Certain factors appear to increase the risk of kidney stones, such as a high-animal-fat diet with resulting increased urinary acidity; low fiber intake; low fluid intake; gout (high uric acid levels); high blood pressure, family history; being overweight; and inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. There is no conclusive evidence that calcium supplements or foods containing oxalates increase the risk of kidney stones. High doses of vitamin C may aggravate kidney stone development in susceptible individuals. tag:mpamedia.com,2008:post-55522 2011-12-16T12:00:32-07:00 2011-12-16T12:00:07-07:00

It's important for the practicing chiropractic clinician to understand the neuromuscular consequences experienced after an anterior cruciate ligament injury because these deficits play a crucial role in the patient's recovery. With an increase in the number of people experiencing traumatic ACL injuries and surgical repair, it is likely that you will be attending to the care of such individuals.

By Kevin Jardine, DC, Med. Ac., CSCS, ART It's important for the practicing chiropractic clinician to understand the neuromuscular consequences experienced after an anterior cruciate ligament injury because these deficits play a crucial role in the patient's recovery. With an increase in the number of people experiencing traumatic ACL injuries and surgical repair, it is likely that you will be attending to the care of such individuals. tag:mpamedia.com,2008:post-55501 2011-08-26T12:00:32-07:00 2011-08-26T12:00:07-07:00

In previous articles, I have highlighted evidence showing that eating foods high in saturated fat and/or cholesterol, as well as trans fats and deep-fried foods, are main culprits in promoting high blood cholesterol levels (total cholesterol and LDL cholesterol).

By James P. Meschino, DC, MS In previous articles, I have highlighted evidence showing that eating foods high in saturated fat and/or cholesterol, as well as trans fats and deep-fried foods, are main culprits in promoting high blood cholesterol levels (total cholesterol and LDL cholesterol). tag:mpamedia.com,2008:post-55494 2011-08-26T12:00:32-07:00 2011-08-26T12:00:07-07:00

Low back pain is a worldwide epidemic in human suffering and as a result, an economic burden to federal, state, public and self-insured risk-takers who insure the injured. In 2009, Russo, Weir and Elixhauser1 reported that 3.9 of every 1,000 people ages 55-64 years require a hospital stay for low back pain - the number-eight reason for hospital stays, closely behind cardiac conditions and degenerative arthritis. While low back pain has been well-chronicled, recurring low back pain and the necessity for chronic care is now beginning to realize results that necessitate the proper approach to mitigate its frequency, duration and economic impact.

By Mark Studin, DC, FASBE(C), DAAPM, DAAMLP Low back pain is a worldwide epidemic in human suffering and as a result, an economic burden to federal, state, public and self-insured risk-takers who insure the injured. In 2009, Russo, Weir and Elixhauser1 reported that 3.9 of every 1,000 people ages 55-64 years require a hospital stay for low back pain - the number-eight reason for hospital stays, closely behind cardiac conditions and degenerative arthritis. While low back pain has been well-chronicled, recurring low back pain and the necessity for chronic care is now beginning to realize results that necessitate the proper approach to mitigate its frequency, duration and economic impact. tag:mpamedia.com,2008:post-55483 2011-08-12T12:00:32-07:00 2011-08-12T12:00:07-07:00

Cancer is big business. It's one of the top causes of death in the United States, with more than 12 million diagnosed cancer patients living in America.1 That means big medical bills for chemotherapy, radiation, biopsies, drug therapy, office visits, etc. – and that's only half the story. Because cancer affects so many of us, cancer screenings and early detection tests have become a huge source of income for medical facilities around the world.

By Van Merkle, DC, CCN, DCBCN, DABCI Cancer is big business. It's one of the top causes of death in the United States, with more than 12 million diagnosed cancer patients living in America.1 That means big medical bills for chemotherapy, radiation, biopsies, drug therapy, office visits, etc. – and that's only half the story. Because cancer affects so many of us, cancer screenings and early detection tests have become a huge source of income for medical facilities around the world. tag:mpamedia.com,2008:post-55466 2011-07-29T12:00:32-07:00 2011-07-29T12:00:07-07:00

Chest Compression During Chiropractic Manipulation of the Thoracic Spine; Evidence-Based Guidelines for Chiropractic Treatment of Adult Headache; Headache: Placebo Effects in the Control Groups in Randomized Clinical Trials; Palpatory Accuracy of Lumbar Spinous Processes Using Multiple Bony Landmarks; Manipulation for Shoulder Pain and Disorders: Expansion of a Systematic Review.

Chest Compression During Chiropractic Manipulation of the Thoracic Spine; Evidence-Based Guidelines for Chiropractic Treatment of Adult Headache; Headache: Placebo Effects in the Control Groups in Randomized Clinical Trials; Palpatory Accuracy of Lumbar Spinous Processes Using Multiple Bony Landmarks; Manipulation for Shoulder Pain and Disorders: Expansion of a Systematic Review. tag:mpamedia.com,2008:post-55458 2011-07-29T12:00:32-07:00 2011-07-29T12:00:07-07:00

The patient is a 55-year-old right-handed female with a history of concussion and neck injury, sustained in a motor-vehicle accident when her stopped car was rear-ended by a two-door passenger vehicle. The offending vehicle was not drivable and required towing. The patient may have suffered a brief loss of consciousness following the collision, as she became disoriented to her surroundings.

By Nancy Martin-Molina, DC, QME, MBA The patient is a 55-year-old right-handed female with a history of concussion and neck injury, sustained in a motor-vehicle accident when her stopped car was rear-ended by a two-door passenger vehicle. The offending vehicle was not drivable and required towing. The patient may have suffered a brief loss of consciousness following the collision, as she became disoriented to her surroundings. tag:mpamedia.com,2008:post-55454 2011-07-29T12:00:32-07:00 2011-07-29T12:00:07-07:00

Osteoarthritis of the hip affects more than 4 million people in the U.S., and over 200,000 primary elective total hip replacements (THR) are performed per year. The number of revisions due to failure or just wearing out is estimated at 37,000, but there is no national total joint registry in the U.S. Therefore, there are no reliable estimates of the annual and cumulative rates and determinants of THR failure in the smaller hospitals that perform the vast majority of THR. (The lack of data on U.S. procedure volume and outcomes is not the topic for this article; it is just interesting to note that we rely on data from large referral-based hospitals and the national total joint registries developed in Scandinavian countries to monitor failure of THR for determining outcomes.)

By Deborah Pate, DC, DACBR Osteoarthritis of the hip affects more than 4 million people in the U.S., and over 200,000 primary elective total hip replacements (THR) are performed per year. The number of revisions due to failure or just wearing out is estimated at 37,000, but there is no national total joint registry in the U.S. Therefore, there are no reliable estimates of the annual and cumulative rates and determinants of THR failure in the smaller hospitals that perform the vast majority of THR. (The lack of data on U.S. procedure volume and outcomes is not the topic for this article; it is just interesting to note that we rely on data from large referral-based hospitals and the national total joint registries developed in Scandinavian countries to monitor failure of THR for determining outcomes.) tag:mpamedia.com,2008:post-55417 2011-07-01T12:00:32-07:00 2011-07-01T12:00:07-07:00

As insurance chair for two state associations, I often get calls regarding reimbursement and medical-necessity challenges. A good friend of mine and chiropractic colleague, Tim, called me last week and said, "These managed care plans are driving me nuts! I have chronic patients and all the insurance companies want to do is limit their visits to six and done. What do I do?"

By Jay Greenstein, DC, CCSP, CGFI-L1, CKTP As insurance chair for two state associations, I often get calls regarding reimbursement and medical-necessity challenges. A good friend of mine and chiropractic colleague, Tim, called me last week and said, "These managed care plans are driving me nuts! I have chronic patients and all the insurance companies want to do is limit their visits to six and done. What do I do?" tag:mpamedia.com,2008:post-55415 2011-07-01T12:00:32-07:00 2011-07-01T12:00:07-07:00

Dystonia is a movement disorder that causes the muscles to contract and spasm involuntarily. The neurological mechanism that makes muscles relax when they are not in use simply does not function properly. Opposing muscles often contract simultaneously as if they are "competing" for control of a body part. These involuntary muscle contractions force the body into repetitive, twisting movements and awkward, irregular postures.

By Nancy Martin-Molina, DC, QME, MBA Dystonia is a movement disorder that causes the muscles to contract and spasm involuntarily. The neurological mechanism that makes muscles relax when they are not in use simply does not function properly. Opposing muscles often contract simultaneously as if they are "competing" for control of a body part. These involuntary muscle contractions force the body into repetitive, twisting movements and awkward, irregular postures. tag:mpamedia.com,2008:post-55402 2011-07-01T12:00:32-07:00 2011-07-01T12:00:07-07:00

Evaluating your patient's gait can provide valuable information, especially in cases of slow response or other special situations. Many of the chronic or recurring cases of pelvic, hip or low back complaints are directly associated with gait imbalances. Take time to watch your patients walk around.

By Mark Charrette, DC Evaluating your patient's gait can provide valuable information, especially in cases of slow response or other special situations. Many of the chronic or recurring cases of pelvic, hip or low back complaints are directly associated with gait imbalances. Take time to watch your patients walk around. tag:mpamedia.com,2008:post-55398 2011-06-17T12:00:32-07:00 2011-06-17T12:00:07-07:00

One of the things that stands out for me in my experience teaching nutrition-related programs to individuals and groups is the underappreciation of the damaging effects saturated fat has in promoting heart and vascular diseases. Key aspects of saturated fat and lipoprotein physiology help clarify the matter, allowing you to share this important message with patients.

By James P. Meschino, DC, MS One of the things that stands out for me in my experience teaching nutrition-related programs to individuals and groups is the underappreciation of the damaging effects saturated fat has in promoting heart and vascular diseases. Key aspects of saturated fat and lipoprotein physiology help clarify the matter, allowing you to share this important message with patients. tag:mpamedia.com,2008:post-55389 2011-06-17T12:00:32-07:00 2011-06-17T12:00:07-07:00

D.D. Palmer correctly alerted us to identify and address the underlying causes of disease. He stated in 1910: "The symptoms of disease are the expressions of abnormal functional activity – pathological physiology ... Impingements, poisons and intense thinking, auto-suggestion, unrelieved change of thought, insufficient rest and sleep, increase or decrease the moment of impulses.

By David Seaman, DC, MS, DABCN D.D. Palmer correctly alerted us to identify and address the underlying causes of disease. He stated in 1910: "The symptoms of disease are the expressions of abnormal functional activity – pathological physiology ... Impingements, poisons and intense thinking, auto-suggestion, unrelieved change of thought, insufficient rest and sleep, increase or decrease the moment of impulses. tag:mpamedia.com,2008:post-55373 2011-06-03T12:00:32-07:00 2011-06-03T12:00:07-07:00

One common mistake I see many patients make is that they assume, "I take vitamins, therefore I am healthy." But there is a difference between taking vitamins and taking the right vitamins. One patient came to see me because her medical diagnoses kept getting worse. It started with morbid obesity (5'4" and 270 lbs) followed by high blood pressure, hypothyroidism, type 2 diabetes and osteoarthritis. Then she started having trouble with vaginal bleeding post-menopause. It took her medical doctors months to find the tumor, but eventually she was diagnosed with uterine and cervical cancer (grade 2 endometrioid adenocarcinoma) and had surgery to remove the tumor.

By Van Merkle, DC, CCN, DCBCN, DABCI One common mistake I see many patients make is that they assume, "I take vitamins, therefore I am healthy." But there is a difference between taking vitamins and taking the right vitamins. One patient came to see me because her medical diagnoses kept getting worse. It started with morbid obesity (5'4" and 270 lbs) followed by high blood pressure, hypothyroidism, type 2 diabetes and osteoarthritis. Then she started having trouble with vaginal bleeding post-menopause. It took her medical doctors months to find the tumor, but eventually she was diagnosed with uterine and cervical cancer (grade 2 endometrioid adenocarcinoma) and had surgery to remove the tumor. tag:mpamedia.com,2008:post-55348 2011-05-20T12:00:32-07:00 2011-05-20T12:00:07-07:00

Walk into your chiropractic office any day of the week and I could almost guarantee you this guy would be one of your patients: 50s or 60s, high cholesterol, high blood pressure – probably on medications for both; mild fatigue and overweight, with most of the excess around his midsection (which sticks even though he claims to "exercise"). Does this guy sound familiar? He should.

By Van Merkle, DC, CCN, DCBCN, DABCI Walk into your chiropractic office any day of the week and I could almost guarantee you this guy would be one of your patients: 50s or 60s, high cholesterol, high blood pressure – probably on medications for both; mild fatigue and overweight, with most of the excess around his midsection (which sticks even though he claims to "exercise"). Does this guy sound familiar? He should. tag:mpamedia.com,2008:post-55284 2011-04-22T12:00:32-07:00 2011-04-22T12:00:07-07:00

Diabetes mellitus (DM) is the most common acquired cause of peripheral neuropathy in developed Western countries. According to the WHO, it is the most common neuropathy worldwide, with 10 million cases in the U.S. alone. Approximately 45-60 percent of patients with diabetes will develop manifestations of peripheral neuropathy. More importantly, several studies document clinical and subclinical signs of diabetic neuropathy even before neurological impairment and symptom development). These cases substantiate the importance of early and intensive glycemic control as the most important preventable risk factor in the development of neuropathy. Prevention and early detection is crucial, especially in light of the estimated increase in worldwide diabetes to approximately 366 million by 2030.

By Marco Lopez, DC, CCEP Diabetes mellitus (DM) is the most common acquired cause of peripheral neuropathy in developed Western countries. According to the WHO, it is the most common neuropathy worldwide, with 10 million cases in the U.S. alone. Approximately 45-60 percent of patients with diabetes will develop manifestations of peripheral neuropathy. More importantly, several studies document clinical and subclinical signs of diabetic neuropathy even before neurological impairment and symptom development). These cases substantiate the importance of early and intensive glycemic control as the most important preventable risk factor in the development of neuropathy. Prevention and early detection is crucial, especially in light of the estimated increase in worldwide diabetes to approximately 366 million by 2030. tag:mpamedia.com,2008:post-55250 2011-04-09T12:00:32-07:00 2011-04-09T12:00:07-07:00

In the middle of my four-part series on subclinical iron deficiency [Part 4 appeared in the March 12 issue], a new patient came in; I will call her M. She was 22 years old and desperate. Her presenting complaints were: pain in her arms and legs, especially her left leg and right arm; burning pain in both feet; headaches, dizziness and loss of balance; and neck, upper, middle and lower back pain.

By G. Douglas Andersen, DC, DACBSP, CCN In the middle of my four-part series on subclinical iron deficiency [Part 4 appeared in the March 12 issue], a new patient came in; I will call her M. She was 22 years old and desperate. Her presenting complaints were: pain in her arms and legs, especially her left leg and right arm; burning pain in both feet; headaches, dizziness and loss of balance; and neck, upper, middle and lower back pain. tag:mpamedia.com,2008:post-55238 2011-03-26T12:00:32-07:00 2011-03-26T12:00:07-07:00

A recent article was brought to my attention that should send the medical profession (and its drug suppliers) seeking shelter. Titled "Why Almost Everything You Hear About Medicine Is Wrong," the article can be found on the Newsweek Web site. Perhaps the most powerful statement in the article comes from Dr. John P.A. Ioannidis, the new head of Stanford University's Prevention Research Center: "'People are being hurt and even dying' because of false medical claims, he says: not quackery, but errors in medical research."

By Donald M. Petersen Jr., BS, HCD(hc), FICC(h), Publisher A recent article was brought to my attention that should send the medical profession (and its drug suppliers) seeking shelter. Titled "Why Almost Everything You Hear About Medicine Is Wrong," the article can be found on the Newsweek Web site. Perhaps the most powerful statement in the article comes from Dr. John P.A. Ioannidis, the new head of Stanford University's Prevention Research Center: "'People are being hurt and even dying' because of false medical claims, he says: not quackery, but errors in medical research." tag:mpamedia.com,2008:post-55235 2011-03-26T12:00:32-07:00 2011-03-26T12:00:07-07:00

Although clinical trials published in peer-reviewed scientific journals are lacking, many holistic practitioners have documented improvement in patients who have a constellation of stress-related symptoms after providing them with oral agents that support thyroid and adrenal function. Dating back to the work of stress researcher Hans Selye, health practitioners have been aware that chronic stress often results in oversecretion of ACTH from the pituitary gland. In turn, this has been shown to cause a greater release of cortisol from the adrenal cortex, one aspect common to the alarm and adaptation stage of the stress response.

By James P. Meschino, DC, MS Although clinical trials published in peer-reviewed scientific journals are lacking, many holistic practitioners have documented improvement in patients who have a constellation of stress-related symptoms after providing them with oral agents that support thyroid and adrenal function. Dating back to the work of stress researcher Hans Selye, health practitioners have been aware that chronic stress often results in oversecretion of ACTH from the pituitary gland. In turn, this has been shown to cause a greater release of cortisol from the adrenal cortex, one aspect common to the alarm and adaptation stage of the stress response. tag:mpamedia.com,2008:post-55226 2011-03-26T12:00:32-07:00 2011-03-26T12:00:07-07:00

I often hear fellow practitioners brag about how they cured an adhesive capsulitis / frozen shoulder (ADC) in one or two visits. The shoulder they treated may have been stiff and painful, but it was not by definition a primary adhesive capsulitis. Based on the pathology of primary adhesive capsulitis, I am extremely doubtful that anyone has ever cured it in two visits using a non-operative method, as the results of even operative and manipulations under anesthesia are still questionable. At this stage of knowledge, not only is the cause of ADC unknown, but there is also no treatment that passes prospective and controlled investigations.

By Warren Hammer, MS, DC, DABCO I often hear fellow practitioners brag about how they cured an adhesive capsulitis / frozen shoulder (ADC) in one or two visits. The shoulder they treated may have been stiff and painful, but it was not by definition a primary adhesive capsulitis. Based on the pathology of primary adhesive capsulitis, I am extremely doubtful that anyone has ever cured it in two visits using a non-operative method, as the results of even operative and manipulations under anesthesia are still questionable. At this stage of knowledge, not only is the cause of ADC unknown, but there is also no treatment that passes prospective and controlled investigations.