Chiropractic spinal adjustments (specific line-of-drive manipulations) are quite effective for the management of spinal musculoskeletal complaints and injuries. This is not controversial. Studies documenting the clinical effectiveness of chiropractic and spinal manipulation for the management of spinal musculoskeletal complaints and injuries have appeared in the literature for more than half a century (1, 2, 3, [..]
The RAND corporation is a well-known independent research organization located in Santa Monica, CA. The September-October 2017 issue of the Rand Review has an article titled Well-Adjusted (1). The article states:“Researchers led by Paul Shekelle, co-director of the Southern California Evidence-Based Practice Center at RAND, aggregated the results of more than two dozen prior studies on spinal manipulation.”“The study [..]
Health, Productivity,Absenteeism, Injury PreventionIn 2003, an important study was published in the journal Spine, titled (1):Chronic Spinal Pain:A Randomized Clinical Trial Comparing Medication,Acupuncture, and Spinal ManipulationIn this study, researchers from the National Unit for Multidisciplinary Studies of Spinal Pain at the University of Queensland, Australia, randomly assigned 115 chronic spine pain subjects into three treatment options:Medication: [..]
The Evidence Continues to Grow
The American opiate crisis and its resulting heroin/fentanyl addiction epidemic began in 1980 when the prestigious medical journal, The New England Journal of Medicine, indicated that “less than one percent” of patients given opiate drugs for pain became addicted (1). Sadly, this statistic was not based on valid scientific data. It [..]
The Foot, The Leg, The Pelvis, And Back PainFoot problems are a common cause of low back pain.Inequality of the length of the legs is a common cause of low back pain.A pelvis that is not level is a common cause of low back pain.The biomechanics of the low back are intimately linked to the [..]
The total sum of suffering caused by migraine is higher than any other kind of headache (1). “Migraine is often incapacitating, with considerable impact on social activities and work, and may lead to significant consumption of drugs.” (1)The diagnosis of migraine is made clinically. There are no blood tests, imaging, or electro-physiologic tests to establish [..]
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 [..]
And Specific Spinal Manipulation Kim was 19 years old, athletic, physically fit, and had never suffered from a neck injury or an episode of prior neck pain; her past history was completely unremarkable.While showering earlier that morning, she turned to reach for a bar of soap. She immediately experienced a sharp zap of left–sided neck [..]
All healthcare disciplines are associated with risks of injury or death. Rare but sensational occurrences are often exploited by the media, leading the public to believe that rare events are commonplace. In contrast, common occurrences are often under reported, leading the public to have higher confidence in the safety of certain healthcare disciplines and procedures. [..]
The Posterior Cervical Sympathetic SyndromeThe Syndrome of Barre-LieouThe blood flows to the brain through two arterial systems:Anterior Circulation (branches from the internal carotid arteries)Posterior Circulation (branches from the vertebral arteries)The dividing line between the Anterior and Posterior circulation of the brain is the Posterior Communicating Arteries.The diameter of the blood vessels is controlled by post-ganglionic sympathetic efferent neurons (1). As [..]
