Why is Chronic Low Back Pain So Prevalent and Often so Treatment Resistant? The Concept of Hyper-innervation, Neoneuralisation, Receptive Field Enlargement Pain, like all perceptions, is a cortical event. Pain is experienced in the brain. Pain perception in the brain begins in a peripheral tissue and is transmitted to the brain via a nerve. Thus, […]
The Science of Cavitating a Joint AND Is Frequent Joint “Cracking” Harmful to Joints?
When a force is applied to a joint, increased motion and “joint separation” occur. This can be done without causing any injury to the joint tissues (bones, cartilage, ligaments, muscles, tendons, nerves, etc.). This increased motion has a number of proposed benefits, including (1): The disruption of intra-articular and peri-articular adhesions. The remodeling of peri-articular […]
Fibromyalgia: The Influence of Chiropractic Manipulation on Clinical Outcomes
Fibromyalgia is an incredibly complex, widespread, and disabling neuromusculoskeletal disorder. Fibromyalgia affects between 2-8% of the American population, somewhere between 6 million to 25 million individuals (1). A literature search of the National Library of Medicine of the United States using the key work “fibromyalgia” will locate 8,489 citations (May 8, 2015). Daniel Clauw, MD, […]
Using Measurement Outcomes
The escalation in health care spending in the United States has mandated an approach for cost containment. The contemporary approach in this effort is called “Evidenced-Based Medicine.” Proponents of Evidence Based Medicine have become increasingly organized, beginning in the 1990s. As an example, in 1996, the British Medical Journal published an editorial titled (1): Evidence […]
Low Back And Leg Pain
Spinal Manipulation for Lumbar Intervertebral Disc Syndrome with Radiculopathy For thirty years (since 1985), it has been acknowledged that spinal manipulation is successful in the treatment of the majority of patients with low back pain, and that “there is a scientific basis for the treatment of back pain by manipulation.” (1) However, the consensus pertaining […]
Low Back Pain, Mechanics, and Spinal Manipulation
Two Viable, Overlapping Models Anecdote Sports Team Doctor Calls the Shots Portola Valley Physician Aims for Zero Pain San Francisco Chronicle October 7, 2000 Friends of Dr. Mark Sontag of Portola Valley, CA, like to joke that he’s “a man for all seasons.” A specialist in sports medicine and rehabilitation, Sontag is a team doctor […]
Back Pain Surgery Avoidance and Chiropractic
America’s Pain Crisis Judy Foreman was educated at Harvard, and has been a Lecturer on Medicine at Harvard’s Medical School. In 2014, she published a book titled (1): A Nation in Pain Healing Our Biggest Health Problem Ms. Foreman notes that of the 238 million adults in America, approximately half of them have chronic daily […]
Neck Pain & Spinal Manipulation: An Update
Chronic pain in the United States is an overwhelming, epidemic, problem. Of the 238 million adults in the US, 116 million suffer from chronic pain (1, 2). Quantifying the anatomical regions for American’s chronic pain shows that the fourth most common region of the body afflicted with chronic pain is the neck (3): Hip Pain […]
Whiplash Injury, Neck Pain AND Spinal Manipulation
The understanding of whiplash biomechanics was forever changed in 1997. Researchers from Yale University School of Medicine performed a series of rear-end collisions on human cadavers while imaging their biomechanics with cineradiography (1). The results established that during the earliest phase of collision mechanics, the cervical spine forms an “S” shaped configuration, with flexion of […]
Arnold-Chiari Malformation and Chiropractic
Relevant Clinical Background A literature search of the United States National Library of Medicine using PubMed (www.pubmed.gov) with the words “Arnold Chiari Malformation” locates 2,995 citations (August 14, 1015). Chiropractic clinical practice involves the application of mechanical forces to a patient’s spinal column. Should the patient’s spinal column (spinal canal) have a space occupying entity, […]
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