The Important Diagnostic Contributions of R. Glen Spurling, MD Default Thinking The 1989 movie “The War of the Roses” starred Kathleen Turner and Michael Douglas. In the movie, there is a scene at a restaurant where character Oliver Rose, played by actor Michael Douglas, has an episode of chest pain. The immediate suspicion by Mr. […]
Lifestyle Factors and Osteoporosis
Osteoporosis is characterized by the depletion of bone mineral mass combined with bone micro-architecture deterioration that results in greater bone fragility leading to increased fracture risk. It’s estimated that 10 million adults in the United States have osteoporosis and another 44 million are at serious risk for the condition. Incredibly, just a 10% loss of […]
Low Back Pain and Movement Quality
When patients present with low back pain (LBP), they usually move slowly, and they often can’t stand up straight. Even a simple task such as bending over may cause them to grimace and even require the use of their hands pushing on their thighs to return upright. These are classic signs of lumbar instability to […]
Wrist Treatment for Tennis Elbow?
Tennis elbow, or lateral epicondylitis, is a painful condition that occurs when tendons that attach to the elbow become overloaded. While tennis elbow can be caused by a known traumatic event, it’s more likely the result of microtraumas spread out over time that can be difficult to identify. Because of this, symptoms can come on […]
Knee Osteoarthritis and Fall Risk
The World Health Organization reports that falls are a significant global public health issue. In fact, each year 37.3 million falls are severe enough to require medical attention, and falls are the second leading cause of unintentional injury and deaths. For an older adult, a non-fatal fall can lead to serious injury that can result […]
When Neck Pain Suggests a More Serious Condition
Neck pain is among the most common reasons patients visit a doctor’s office. In nearly all cases, neck pain is not a sign of a potentially life-threatening issue and can improve over time with appropriate care, such as manual therapies provided by a doctor of chiropractic. However, there are some conditions in which neck pain […]
Can Whiplash Cause Persistent Dizziness?
It is estimated that up to 50% of whiplash associated disorders (WAD) patients will continue to experience persistent symptoms for a year or longer after their motor vehicle collision, sports collision, or slip and fall. One of the most frequent complaints—affecting nearly seven-in-ten chronic WAD patients—is dysregulation of balance or dizziness. Balance is complex and […]
The Safety of Spinal Adjusting (Manipulation)
A Review of the Largest Studies Published on the Topic Including the Years 2022 and 2023 INTRODUCTION Everyone will eventually die. Nearly everyone will have an ongoing relationship with a healthcare provider. Many will be actively under the care of a healthcare provider for their illness at the moment of their passing. As a rule, […]
When Is Low Back Surgery Appropriate?
Low back pain is the most common musculoskeletal complaint, and it is the leading cause of activity limitation and absenteeism from work. There are many treatment options available to the low back pain patient, including surgical procedures. But when is surgery appropriate and in what cases should it be avoided? Generally, clinical guidelines don’t recommend […]
Carpal Tunnel Syndrome and Hand Positions
The wrist is very flexible, and the reason the wrist is so supple is because it’s made up of eight small carpal bones that are lined up in two rows of four bones each. Along with the transverse carpal ligament, these rows of carpal bones form an actual tunnel in which nine muscle tendons (and […]
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