Archive for the 'Advanced' Category
More Evidence that Chiropractic Care Significantly Reduces the Use of Opioid Drugs
THE OPIATE/OPIOID PROBLEM
The government of the state of Oregon notes (1):
Opium is made from the poppy plant.
Opiates are compounds that can be purified directly from opium without modification. This includes morphine, codeine, methadone, and heroine.
Few people understand that dextromethorphan is an opiate. It is available in the [..]
The 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.
There is a long and rich history showing the effectiveness of spinal manipulation for the management of low back [..]
The “gold standard” for health care research is the randomized controlled trial, or RCT. A lay explanation for a typical RCT study is:
Researchers gather a group of individuals that have the same problem.
The problem is quantified, often by using standardized measurement outcomes.
The group is randomized to be treated differently. The quantification of the problem [..]
Architectural Mechanical History
For thousands of years, pyramids have been known around the globe: the Middle East, Asia, India, China, the Americas, etc. Also known for millennia are the architectural wonders of Greece, Rome, and the churches/cathedrals throughout Europe and Asia. When viewing these wonders, one questions, how was any of this possible? These marvels [..]
Alfred Bernhard Nobel was a Swedish chemist, engineer, inventor, and businessman. He was born in 1833 and died in 1896. He held 355 patents in his lifetime, the most notorious of which was for dynamite. Dynamite used the explosive power of nitroglycerin. Nobel patented dynamite in 1867.
Nobel amassed a fortune during his [..]
The low back is the most common body region to suffer from chronic pain (1).
Low back pain is the second most common reason for primary care physician visits, and it is the most costly medical condition in the United States (2).
The most common tissue source for low back pain is the intervertebral disc [..]
A Simple Model
Approximately half of the adults in America suffer from chronic pain (1). Chronic pain affects every region of the body. The most significantly affected region of the body is the low back (2).
The largest modern review of the chiropractic profession was published in the journal Spine on December 1, 2017, and [..]
The Anatomical, Clinical,and Management Distinctions
The Cervical Disc isNOT a Mini Lumbar Disc
Most of what is understood and taught about the intervertebral discs was ascertained by studying the lumbar discs. The “era of the intervertebral disc” began in 1934 when William Jason Mixter and Joseph Seaton Barr read their paper, Rupture of the Intervertebral [..]
Low back and/or pelvic pain in pregnancy is extremely common.
A study published in the journal Spine in 1996 indicated that 76% of women reported back pain at some time during pregnancy (1).
A study published in the Australian and New Zealand Journal of Obstetrics and Gynaecology in 2002 indicated that 35.5% of pregnant women [..]
Six years later, in 1986, prescribing opiates for chronic pain was further enhanced when physicians Russell Portenoy, MD, and Kathleen Foley, MD, published a small case series (38 subjects) that concluded that chronic opioid analgesic use was safe in patients with no history of drug abuse (5).
By 2017, America’s opioid crisis had escalated to [..]