The act of straightening the leg during walking, running, jumping, or standing is accomplished through a coordinated anatomical mechanism involving the quadriceps muscles that attach to the patella (kneecap), which is connected to the tibia (shin bone) via the patellar tendon. Repetitive and forceful knee-extension movements can overload this tendon, leading to injury or inflammation […]
Potential Causes of Post-Surgical Neck Pain
Assuming patients and healthcare providers follow clinical guidelines for managing neck pain, most neck pain sufferers can experience resolution of their pain and disability with the aid of a conservative, multimodal treatment approach, such as those provided by chiropractors. However, for a variety of reasons, some patients may still undergo surgical intervention, and it is […]
Chronic Whiplash and Neck Muscle Endurance
Whiplash-associated disorders (WAD) is an umbrella term used to characterize the myriad symptoms that can occur when soft tissues are injured during rapid acceleration and deceleration of the head and neck in a whiplash event, such as a rear-end automobile collision. Despite advances in the understanding and treatment of WAD, it is estimated that nearly […]
Excessive Smartphone Use Can Be a Pain in the Neck
Since their introduction and rapid adoption in the mid-2000s, smartphones have become an integral part of daily life—not only by consolidating multiple technologies into a single device, but also by helping us stay connected with family, friends, clients, and colleagues. However, alongside these benefits, a growing body of evidence points to significant downsides. Excessive smartphone […]
Opioid Use for Spinal Pain and Spinal Manipulation as an Alternative
The randomized controlled trial (RCT) is considered the highest level of evidence to establish causal associations and clinical benefits in clinical research (1, 2). Yet, the medical use of opioids in the Unites States for the treatment of pain has been based on very weak evidence, inflicting enormous harms on the US population (3). A […]
The Evidence Map of Low Back Pain Treatment Options
Low back pain is extremely common and remains one of the leading causes of disability worldwide, resulting in substantial healthcare utilization and cost. Because of this broad impact, identifying and implementing effective, safe, and cost-efficient strategies to diagnose, manage, and prevent low back pain is essential to improve patient outcomes and reduce overall healthcare burden. […]
Nocturnal Wrist Bracing for Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when pressure within the wrist restricts the function of the median nerve, leading to numbness, tingling, pain, and eventually weakness in the parts of the palm, thumb, index, middle and thumb-side of the ring finger. Management focuses on reducing pressure inside the carpal tunnel, which may include manual therapies, exercises, and […]
Conservative Treatment for Hip Bursitis
Hip bursitis most often refers to trochanteric bursitis, an inflammation of the trochanteric bursa, a small fluid-filled sac located on the outer side of the hip. The primary symptom is pain on the outside of the hip near the greater trochanter—the bony bump at the top of the femur. The pain may be sharp, dull, […]
The Neck and Low Back Connection
When a patient seeks chiropractic care for a condition like neck pain or low back pain, it’s natural to assume the underlying cause is located in the region where the patient feels symptoms. But this isn’t always the case. Sometimes, the primary or contributing factor to the patient’s chief complaint can be elsewhere in the […]
Whiplash and the Four Phases of Injury Potential
Because rear-end motor vehicle collisions are the most common cause of whiplash injury, researchers have continuously sought to better understand this unique injury process, not only to derive more effective treatment strategies, but also to implement safety mechanisms in automobiles to reduce the risk of injury in the event of a car accident. As such, […]