“Manipulation” and “Chiropractic” are not Synonyms Background Joint Manipulation Joint manipulation is the applying of a force to a joint that helps that joint move better. It is classically associated with an audible sound. All people, trained and untrained, are capable of manipulating joints and eliciting an audible sound. Manipulation is a lay term. It […]
The Chiropractic Management of Neuropathic Pain
C. Chan Gunn, MD, is a Clinical Professor at the Multidisciplinary Pain Center at the University of Washington Medical School, Seattle, Washington. Dr. Gunn describes three categories of pain, which are quite useful for the following discussion (1). These three categories are: 1) Nociception Pain In this category of pain, there is no tissue damage, […]
Neuropathic Pain vs. Soft Tissue Pain
All perceptions (e.g., hot, cold, loud, bright, smelly, hard, soft, sour, sweet, pain, etc.) are cortical, meaning perceived in the brain. All pain is perceived in the brain (1). Pain perception is brought to the brain by nerves. Structures that do not have a nerve supply (like articular hyaline cartilage, fingernail) cannot send the pain […]
Mechanical Pain and Chiropractic Care
The medical profession primarily views pain as a consequence of an inflammatory problem (1, 2, 3, 4). With the realization that inflammation, for the most part, is a chemical event, focus on the inflammatory chemistry of pain has become a priority of drug companies and for the physicians that prescribe their products. Often these efforts […]
Safety of Mechanical Care
People become healthcare providers because they are interested, often passionately, about helping others with their health. Most healthcare providers are horrified at the thought that anything they did or failed to do could end up harming a patient. Yet, every type of health care is associated with some risks of potential problems. These problems can […]
The Importance of the Initial Provider for Spine Care
Considerations for Costs, Outcomes, Surgery, Injections, and Imaging Introduction Healthcare providers of various disciplines tend to believe in and offer patients the intervention of their specialty: Medical doctors tend to prescribe medicines. Surgeons tend to offer surgery. Acupuncturists tend to offer needles. Massage therapists tend to offer massage. Physical therapists tend to offer physical therapy. […]
Upper Cervical Spine Chiropractic Care
The Vagus Nerve and Musculoskeletal Pain By a wide margin, people go to chiropractors for the management of musculoskeletal pain. Recent formal reviews of the chiropractic profession indicate that 93% of chiropractic patients initially seek chiropractic care for spinal pain complaints: 63% for low back pain and 30% for neck pain. Patient satisfaction with their […]
Thoracic Outlet Syndrome and Chiropractic Care
The Importance of Double Crush and Postural Distortions Background Nerves emanating from the neck (cervical spine) travel into the arm (shoulder, arm, forearm wrist, hand, fingers). When a patient presents with radiating symptoms (pain, tingling, numbness, etc.) into the arm, default thinking is that the patient has a neck problem. Therefore, the initial examination, imaging, […]
An Updated Look at Opioid Use for the Management of Spinal Pain and the Chiropractic Alternative
In 2018, Eduardo Hariton, MD, and Joseph Locascio, PhD, from Massachusetts General Hospital, published an article in the British Journal of Obstetrics and Gynaecology titled (1): Randomised Controlled Trials— The Gold Standard for Effectiveness Research As stated in the title, the authors reaffirm that the gold standard for healthcare scientific research is the Randomized Controlled […]
Chiropractic and the 2021 Nobel Prize in Medicine-Physiology
The Piezo1 Mechanoreceptor and Spinal Degenerative Disease Medicine is primarily about the use of medicines, or chemically based care. Chiropractic is primarily about the use of levers, or mechanically based care. Chiropractors primarily evaluate patients mechanically; they evaluate the manner in which patients stand or sit (posture) and/or move in our gravitational environment. Mechanical problems […]
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