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, […]
What Really Is A Chiropractic “Adjustment”?
The June 2015 issue of the journal Scientific American has an article by primary care physician Wajahat Z. Mehal, MD, from the Department of Veterans Affairs Medical Center in Connecticut, and Yale University, titled (1): Cells on Fire In this article, Dr. Mehal notes that inflammation is set in motion by cells of the immune […]
Safety Update: Spinal Manipulation and Injury Risk
Four Recent Studies, Using Unique Assessment Approaches, Assess the Safety of Spinal Manipulation for the Treatment of Musculoskeletal Conditions BACKGROUND William H. Kirkaldy-Willis, MD, (1914-2006) was a pioneer in the understanding and treatment of spinal problems. In his life, he published 73 articles that are in the United States National Library of Medicine, and he […]
How Much Treatment is Necessary? Understanding Measurement Outcomes
The cost of healthcare is extremely high in the United States. According to the California HealthCare Foundation, these are the most recent numbers (1): United States Health Care Spending 2012 2014 (projected) Total Health Spending $2.8 Trillion $3.1 Trillion Health Care as Share of GDP 17.2% 18.3% Per CapitaSpending $8,915 $9,697 Growth in Total Spending […]
Whiplash Injury, Neck Pain, and Chiropractic
The Importance of Understanding the Relationship Between Vehicle Crush and Patient Injury The headline and front-page photographs were stunning and unbelievable. On Saturday, November 22, 2014, the front page of the San Francisco Chronicle newspaper led with this headline (1): 11-Story Plummet: What Onlookers Saw “The first inkling that office workers scurrying along Montgomery Street […]
Lumbar Spine Degenerative Disc Disease and Chiropractic Spinal Adjusting Pathophysiology, Safety, Effectiveness
Introduction A pioneering study was published in The New England Journal of Medicine in 1994 (1). Researchers from Hoag Memorial Hospital in Newport Beach, California, performed magnetic resonance imaging (MRI) examinations on 98 people who did not have back pain. Sixty-four percent of the 98 asymptomatic subjects were found to have abnormal lumber spine discs. […]
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