tag:typepad.com,2003:weblog-1250480 %ISSUE_DATE%T09:25:32-07:00 Treatments, practice theory and how-to's. TypePad tag:mpamedia.com,2008:post-55795 2012-03-12T12:00:32-07:00 2012-03-12T12:00:07-07:00

There is a diagnostic procedure that can be used to measure motion of C-1 upon C-2 in relation to the rest of the cervical spine. It is a motion evaluation that can be performed in the supine position and is a "screening procedure," evaluating motion of C-1 during rotation bilaterally.

By Joseph D. Kurnik, DC There is a diagnostic procedure that can be used to measure motion of C-1 upon C-2 in relation to the rest of the cervical spine. It is a motion evaluation that can be performed in the supine position and is a "screening procedure," evaluating motion of C-1 during rotation bilaterally. tag:mpamedia.com,2008:post-55715 2012-02-12T12:00:32-07:00 2012-02-12T12:00:07-07:00

A study published in the Jan. 3, 2012 issue of the Annals of Internal Medicine and widely reported by mainstream media suggests conservative care consisting of either spinal manipulation or home exercise is more effective than over-the-counter and prescription medication for relieving acute and subacute neck pain. Spinal manipulative therapy was more effective than medication in both the short and long term, as was home exercise in the form of self-mobilization of the neck and shoulder joints - a point media outlets were quick to emphasize in a classic attempt to downplay the value of the chiropractic intervention.

By Peter W. Crownfield, Executive Editor A study published in the Jan. 3, 2012 issue of the Annals of Internal Medicine and widely reported by mainstream media suggests conservative care consisting of either spinal manipulation or home exercise is more effective than over-the-counter and prescription medication for relieving acute and subacute neck pain. Spinal manipulative therapy was more effective than medication in both the short and long term, as was home exercise in the form of self-mobilization of the neck and shoulder joints - a point media outlets were quick to emphasize in a classic attempt to downplay the value of the chiropractic intervention. tag:mpamedia.com,2008:post-55635 2011-12-02T12:00:32-07:00 2011-12-02T12:00:07-07:00

With the Department of Defense and Veterans Administration seemingly dragging their collective feet with respect to providing access to chiropractic health care services at more of its facilities, perhaps research can spur them to action. Consider findings from "Chiropractic Management for Veterans With Neck Pain: A Retrospective Study of Clinical Outcomes," which appears in the October 2011 issue of the Journal of Manipulative and Physiological Therapeutics.

By Editorial Staff With the Department of Defense and Veterans Administration seemingly dragging their collective feet with respect to providing access to chiropractic health care services at more of its facilities, perhaps research can spur them to action. Consider findings from "Chiropractic Management for Veterans With Neck Pain: A Retrospective Study of Clinical Outcomes," which appears in the October 2011 issue of the Journal of Manipulative and Physiological Therapeutics. tag:mpamedia.com,2008:post-55624 2011-11-18T12:00:32-07:00 2011-11-18T12:00:07-07:00

A recent publication in the Journal of Neurosurgery adds to the debate over the advisability of performing cervical manipulations, in that the procedure is reported to have led to the appearance and description of 13 cases of craniocervical artery dissections.

By Anthony Rosner, PhD, LLD [Hon.], LLC A recent publication in the Journal of Neurosurgery adds to the debate over the advisability of performing cervical manipulations, in that the procedure is reported to have led to the appearance and description of 13 cases of craniocervical artery dissections. tag:mpamedia.com,2008:post-55565 2011-10-07T12:00:32-07:00 2011-10-07T12:00:07-07:00

Established by the Lincoln Chiropractic College Education and Research Fund, the Florida Chiropractic Foundation for Education and Research, and the Florida Chiropractic Association, along with the Lincoln Endowed Research Chair at the University of South Florida, the Lincoln Research Prize for Chiropractic and Biomechanics is the largest research prize in the profession at $20,000.

By Editorial Staff Established by the Lincoln Chiropractic College Education and Research Fund, the Florida Chiropractic Foundation for Education and Research, and the Florida Chiropractic Association, along with the Lincoln Endowed Research Chair at the University of South Florida, the Lincoln Research Prize for Chiropractic and Biomechanics is the largest research prize in the profession at $20,000. tag:mpamedia.com,2008:post-55263 2011-04-09T12:00:32-07:00 2011-04-09T12:00:07-07:00

Research Abstracts From the Journal of Manipulative and Physiological Therapeutics. February Abstracts Volume 34, Issue 2.

Research Abstracts From the Journal of Manipulative and Physiological Therapeutics. February Abstracts Volume 34, Issue 2. tag:mpamedia.com,2008:post-55162 2011-02-12T12:00:32-07:00 2011-02-12T12:00:07-07:00

Another practice that has not received much scrutiny is spinal surgery. Who needs it? How effective is it? Which is the best procedure for disc herniation versus spondylolisthesis; versus severe spondylosis; versus spinal stenosis; versus AS; and so on? Should plates and screws be used? Are PEEK cages better than tricortical plugs or titanium cages? The state of this literature is surprisingly uncertain about nearly all of these questions. Even more important are questions of relative safety, and how surgery compares with non-surgical approaches.

By Arthur Croft, DC, MS, MPH, FACO Another practice that has not received much scrutiny is spinal surgery. Who needs it? How effective is it? Which is the best procedure for disc herniation versus spondylolisthesis; versus severe spondylosis; versus spinal stenosis; versus AS; and so on? Should plates and screws be used? Are PEEK cages better than tricortical plugs or titanium cages? The state of this literature is surprisingly uncertain about nearly all of these questions. Even more important are questions of relative safety, and how surgery compares with non-surgical approaches. tag:mpamedia.com,2008:post-55143 2011-01-29T12:00:32-07:00 2011-01-29T12:00:07-07:00

Written in the mid-19th century, the subject of this classic tale was the French revolution, which transpired over a turbulent decade: 1789-1799. Rush ahead some 150 years and the novel's introductory paragraph hauntingly describes the state of art in the treatment and management of motor vehicle trauma.

By Arthur Croft, DC, MS, MPH, FACO Written in the mid-19th century, the subject of this classic tale was the French revolution, which transpired over a turbulent decade: 1789-1799. Rush ahead some 150 years and the novel's introductory paragraph hauntingly describes the state of art in the treatment and management of motor vehicle trauma. tag:mpamedia.com,2008:post-55105 2011-01-15T12:00:32-07:00 2011-01-15T12:00:07-07:00

The 7th Interdisciplinary World Congress on Low Back and Pelvic Pain took place in Los Angeles, Nov. 9-12, 2010. This is a brief synopsis of some of the papers presented. There was a mix of scientific research and clinical research. I was particularly impressed by some of the clinicians who are doing scientific research. At the end of some sections, I make additional observations/comments in italics.

By Marc Heller, DC The 7th Interdisciplinary World Congress on Low Back and Pelvic Pain took place in Los Angeles, Nov. 9-12, 2010. This is a brief synopsis of some of the papers presented. There was a mix of scientific research and clinical research. I was particularly impressed by some of the clinicians who are doing scientific research. At the end of some sections, I make additional observations/comments in italics. tag:mpamedia.com,2008:post-54963 2010-10-21T12:00:32-07:00 2010-10-21T12:00:07-07:00

Complaints of strain, stiffness or discomfort in the lumbar spine area during forward flexion at the waist can be associated with dysfunction of the cervical spine. More specifically, the cervical dysfunction is noticed at the upper or lower cervical spine levels. To evaluate and determine the contribution of the cervical spine to lumbar strain, begin with the patient seated. There are two patterns to recognize, both of which can be observed during palpation of the posterior superior ilac spines (PSIS) with the patient in the seated position.

By Joseph D. Kurnik, DC Complaints of strain, stiffness or discomfort in the lumbar spine area during forward flexion at the waist can be associated with dysfunction of the cervical spine. More specifically, the cervical dysfunction is noticed at the upper or lower cervical spine levels. To evaluate and determine the contribution of the cervical spine to lumbar strain, begin with the patient seated. There are two patterns to recognize, both of which can be observed during palpation of the posterior superior ilac spines (PSIS) with the patient in the seated position. tag:mpamedia.com,2008:post-54925 2010-10-07T12:00:32-07:00 2010-10-07T12:00:07-07:00

As clinicians, we have all observed many neck pain patients respond well to chiropractic care. Pressing questions for the chiropractic profession include: How effective are chiropractic adjustments for neck pain? Does the addition of exercise improve the benefits of adjustments for neck pain? What is the evidence?

By Malik Slosberg, DC, MS As clinicians, we have all observed many neck pain patients respond well to chiropractic care. Pressing questions for the chiropractic profession include: How effective are chiropractic adjustments for neck pain? Does the addition of exercise improve the benefits of adjustments for neck pain? What is the evidence? tag:mpamedia.com,2008:post-54856 2010-09-09T12:00:32-07:00 2010-09-09T12:00:07-07:00

The nonprofit occupational health and safety research organization Institute for Work and Health, working with Canadian Memorial Chiropractic College, the Ontario Chiropractic Association and executive committee members of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders, has compiled the Neck Pain Evidence Summary, effectively a clinician's guide covering appropriate assessment and treatment of neck pain patients. The recommendations are based on research completed by the task force several years ago and published in a special edition of Spine (February 2008).

By Peter W. Crownfield, Executive Editor The nonprofit occupational health and safety research organization Institute for Work and Health, working with Canadian Memorial Chiropractic College, the Ontario Chiropractic Association and executive committee members of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders, has compiled the Neck Pain Evidence Summary, effectively a clinician's guide covering appropriate assessment and treatment of neck pain patients. The recommendations are based on research completed by the task force several years ago and published in a special edition of Spine (February 2008). tag:mpamedia.com,2008:post-54779 2010-07-15T12:00:32-07:00 2010-07-15T12:00:07-07:00

Motor vehicle collisions are the leading cause of injury during pregnancy. Consider a case in which a pregnant woman comes to your office following an MVC. After a careful consultation and review of the collision history, you expect a quick resolution of your patient's injuries. Perhaps the insurance company has stated that the injuries should resolve in 6-12 weeks. But will it be so?

By Garreth MacDonald, BSc, DC, CCST Motor vehicle collisions are the leading cause of injury during pregnancy. Consider a case in which a pregnant woman comes to your office following an MVC. After a careful consultation and review of the collision history, you expect a quick resolution of your patient's injuries. Perhaps the insurance company has stated that the injuries should resolve in 6-12 weeks. But will it be so? tag:mpamedia.com,2008:post-54419 2010-01-15T12:00:32-07:00 2010-01-15T12:00:07-07:00

The seemingly complex, or perhaps even inscrutable, calculus of what practitioners term personal injury is, in truth, deceptively simple. However, while it keeps getting simpler, many practitioners and lawyers feel hopelessly wrapped around the axle of this puzzling system. The net result is abandonment of needful patients and clients, with a corresponding loss of revenue stream. Consider just a few facts. Motor vehicle collisions are a leading cause of injury in the U.S. and constitute one of our most burdensome public health dilemmas. With 3 million such injuries each year, a total recovery proportion of only about 50 percent, a permanent disability proportion of 10-12 percent, coupled with the fact that many of the injured are young and have many quality life years to lose, the $43 billion annual price tag is hardly surprising.

By Arthur Croft, DC, MS, MPH, FACO The seemingly complex, or perhaps even inscrutable, calculus of what practitioners term personal injury is, in truth, deceptively simple. However, while it keeps getting simpler, many practitioners and lawyers feel hopelessly wrapped around the axle of this puzzling system. The net result is abandonment of needful patients and clients, with a corresponding loss of revenue stream. Consider just a few facts. Motor vehicle collisions are a leading cause of injury in the U.S. and constitute one of our most burdensome public health dilemmas. With 3 million such injuries each year, a total recovery proportion of only about 50 percent, a permanent disability proportion of 10-12 percent, coupled with the fact that many of the injured are young and have many quality life years to lose, the $43 billion annual price tag is hardly surprising. tag:mpamedia.com,2008:post-54328 2010-01-01T12:00:32-07:00 2010-01-01T12:00:07-07:00

Chiropractors commonly see patients with neck pain and headaches that can, at least in part, be blamed on the countless hours people spend sitting at computer work stations. As the work world has evolved (or devolved?) into primarily sedentary tasks, so has the educational environment for many adolescents, who are now also spending far too much time on computers (not to mention video games etc.). This age group was the focus of this study.

By Shawn Thistle, DC, BKin (hons), CSCS Chiropractors commonly see patients with neck pain and headaches that can, at least in part, be blamed on the countless hours people spend sitting at computer work stations. As the work world has evolved (or devolved?) into primarily sedentary tasks, so has the educational environment for many adolescents, who are now also spending far too much time on computers (not to mention video games etc.). This age group was the focus of this study. tag:mpamedia.com,2008:post-54275 2009-10-21T12:00:32-07:00 2009-10-21T12:00:07-07:00

I love when I get to see a familiar clinical situation with new eyes; when I can fill in the blanks and more fully understand the pattern. Let's talk about common patterns in the middle and lower cervical spine. Most of us are familiar with the head poke posture, in which the upper cervical goes too far into extension.

By Marc Heller, DC I love when I get to see a familiar clinical situation with new eyes; when I can fill in the blanks and more fully understand the pattern. Let's talk about common patterns in the middle and lower cervical spine. Most of us are familiar with the head poke posture, in which the upper cervical goes too far into extension. tag:mpamedia.com,2008:post-54044 2009-09-09T12:00:32-07:00 2009-09-09T12:00:07-07:00

When I was in chiropractic college more than 25 years ago, I was taught to use isometric exercises for whiplash trauma recovery. The technique was pretty simple: Place one hand on the back of your head and push the hand and the head against each other. Keep the neck in a neutral position and don't let the head move backward. Build up to tension in 2 seconds, hold the tension for 6 seconds and gradually relax over 2 seconds, and then repeat for 10 reps. The exercise was also performed in flexion, rotation and lateral bending.

By Jeffrey Tucker, DC, DACRB When I was in chiropractic college more than 25 years ago, I was taught to use isometric exercises for whiplash trauma recovery. The technique was pretty simple: Place one hand on the back of your head and push the hand and the head against each other. Keep the neck in a neutral position and don't let the head move backward. Build up to tension in 2 seconds, hold the tension for 6 seconds and gradually relax over 2 seconds, and then repeat for 10 reps. The exercise was also performed in flexion, rotation and lateral bending. tag:mpamedia.com,2008:post-54032 2009-09-09T12:00:32-07:00 2009-09-09T12:00:07-07:00

Counternutation is a sacroiliac mechanism described in Physiology of the Spine, Volume 3, by Kapandji, now out of print. The text was translated from French to English and contains detailed drawings and descriptions of spinal mechanics. A very important section deals with the topic of nutation and counternutation.

By Joseph D. Kurnik, DC Counternutation is a sacroiliac mechanism described in Physiology of the Spine, Volume 3, by Kapandji, now out of print. The text was translated from French to English and contains detailed drawings and descriptions of spinal mechanics. A very important section deals with the topic of nutation and counternutation. tag:mpamedia.com,2008:post-53894 2009-07-01T12:00:32-07:00 2009-07-01T12:00:07-07:00

A great deal of effort has been applied in chiropractic toward understanding and treating functional disturbances of the cervical spine, whether the cause of the dysfunction is trauma, as in whiplash dynamics, or of unknown etiology, as in many cervical-cranial syndromes. While considerable research has been conducted detailing the mechanical nature of the neck, the functional nature of cervical muscle action - responsible for the biomechanics and kinematics of the neck - is more limited.

By Scott Cuthbert, BA, DC, BCAO A great deal of effort has been applied in chiropractic toward understanding and treating functional disturbances of the cervical spine, whether the cause of the dysfunction is trauma, as in whiplash dynamics, or of unknown etiology, as in many cervical-cranial syndromes. While considerable research has been conducted detailing the mechanical nature of the neck, the functional nature of cervical muscle action - responsible for the biomechanics and kinematics of the neck - is more limited. tag:mpamedia.com,2008:post-53229 2008-05-20T12:00:32-07:00 2008-05-20T12:00:07-07:00

Dr. Scott Haldeman, DC, MD, PhD, recently shared the key points uncovered by his research with the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders in an April Webinar attended by health care professionals and the media.

By Kathryn Feather, Senior Associate Editor Dr. Scott Haldeman, DC, MD, PhD, recently shared the key points uncovered by his research with the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders in an April Webinar attended by health care professionals and the media. tag:mpamedia.com,2008:post-53212 2008-05-20T12:00:32-07:00 2008-05-20T12:00:07-07:00

Every once in a while, an ER patient makes chiropractic look like the best procedure a hospital could ever offer. I recently had the good fortune of treating just such a "gem." In fact, to protect her identity, I will call her Gem for the purpose of this account.

By John Cerf, DC Every once in a while, an ER patient makes chiropractic look like the best procedure a hospital could ever offer. I recently had the good fortune of treating just such a "gem." In fact, to protect her identity, I will call her Gem for the purpose of this account. tag:mpamedia.com,2008:post-53162 2008-04-08T12:00:32-07:00 2008-04-08T12:00:07-07:00

A recent study reveals that health care costs - particularly for prescription medication - for back and neck problems increased substantially over an eight-year span from 1997 to 2005,

By Editorial Staff A recent study reveals that health care costs - particularly for prescription medication - for back and neck problems increased substantially over an eight-year span from 1997 to 2005, tag:mpamedia.com,2008:post-53099 2008-02-26T12:00:32-07:00 2008-02-26T12:00:07-07:00

After six years and an exhaustive review of published neck pain research, including almost 32,000 research citations and more than 1,000 relevant studies, the Bone and Joint Decade 2000-2010 Task

By Kathryn Feather, Senior Associate Editor After six years and an exhaustive review of published neck pain research, including almost 32,000 research citations and more than 1,000 relevant studies, the Bone and Joint Decade 2000-2010 Task tag:mpamedia.com,2008:post-53033 2008-01-15T12:00:32-07:00 2008-01-15T12:00:07-07:00

By Charles Masarsky, DC, FICC tag:mpamedia.com,2008:post-52446 2007-12-03T12:00:32-07:00 2007-12-03T12:00:07-07:00

By Arthur Croft, DC, MS, MPH, FACO tag:mpamedia.com,2008:post-52407 2007-11-05T12:00:32-07:00 2007-11-05T12:00:07-07:00

By Michael Haneline, DC, FICR tag:mpamedia.com,2008:post-52371 2007-10-08T12:00:32-07:00 2007-10-08T12:00:07-07:00

By Arthur Croft, DC, MS, MPH, FACO tag:mpamedia.com,2008:post-52357 2007-09-24T12:00:32-07:00 2007-09-24T12:00:07-07:00

By Editorial Staff tag:mpamedia.com,2008:post-52344 2007-09-24T12:00:32-07:00 2007-09-24T12:00:07-07:00

By Editorial Staff