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Low Back Pain Clinical Practice Guidelines: The Dangers with Non-Concordant Recommendations

Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. Clinical practice guidelines define the role of specific diagnostic and treatment modalities in the diagnosis and management of patients. Clinical practice guideline recommendations are based on evidence from rigorous systematic reviews and synthesis of [..]

Chiropractic and Migraine Headache

Approximately 36 million Americans suffer from migraine headaches. Current pharmacological treatments are not very effective and they may have dangerous side effects (1). Migraines are the second most prevalent neurologic disorder (after tension-type headaches), with a female-to-male ratio of 3:1 and an estimated 1-year prevalence of approximately 15% in the general population (2). The total [..]

Low Back Pain and Sciatica

The sciatic nerve is a nerve that begins in the lower back and travels through the buttock and into the leg and then into the foot. It is the longest and widest nerve in the human body. The sciatic nerve is made up of five lumbosacral nerve roots, L4, L5, S1, S2, and S3. When [..]

Integrating Chiropractic Care into the Military

Important Numbers Members of our military and military veterans are plagued with musculoskeletal pain problems: 2007 (1) - An analysis of United States Navy Physical Evaluation Board data between February 2005 and February 2006 indicated that musculoskeletal diagnoses were frequent (43%), with back pain (29%) being the most common musculoskeletal diagnosis. 2008 (2) - There [..]

Cost-Efficiency and Effectiveness of Chiropractic for Musculoskeletal Complaints

LEGITIMIZING BACKGROUND The United States National Library of Medicine (NLM) is operated by the United States federal government, and is the world’s largest medical library. It is located in Bethesda, Maryland. The NLM is part of the National Institutes of Health (NIH), U.S. Department of Health and Human Services. NLM started in 1836 as a small collection [..]

Low Back Pain and Neurological Balance

The Morning Shower The typical morning shower is neither 100% cold water nor 100% hot water, but rather a balance of the two. The perfect shower water temperature is a balance of hot and cold water. While enjoying the perfect shower, if suddenly the hot water is turned drastically higher, the brain perceives: Ouch! The [..]

Chiropractic Care for Present and Future Spine Pain

In 1976, the first issue of the journal Spine was published. In this inaugural issue was a pioneering article by low back pain specialist Alf Nachemson, MD, titled (1): The Lumbar Spine, An Orthopedic Challenge In this article, without credible evidence, Dr. Nachemson states: “Irrespective of treatment given, 70% of [back pain] patients get well [..]

Posture and Pain

Analogies that are often used by chiropractors include: If one walks on the edge of their shoe, the shoe sole will wear out at the weight-bearing portion quicker than other parts of the sole. If an automobile wheel alignment is not optimal, then the excessively stressed wheel will wear out quicker than the other wheels. [..]

Neck Manipulation Facts

In October 2016, a former model died from a stroke, and the media attributed her injury to neck manipulation. Rebuttals to this manipulation/stroke claim were a combination of both offense and defense. An edited version of one such rebuttal is presented here: Earlier this year the British Medical Journal published a study noting that medical [..]