Barbara is a 45-year old woman with two adult children. She is employed full-time as a sales clerk at the local mall. Her job is not physically demanding nor is it ergonomically challenging. Her job allows her to assume multiple physical positions throughout the day while she is assisting a variety of customers with a […]
Osteoarthritis
November 2, 2010, researchers from the Veterans Affairs Medical Center at the University of California, San Francisco, published a study in the Annals of Internal Medicine titled (1): The Epidemiology of Pain During the Last 2 Years of Life The study included 4,703 older adults with mean age of 75.7 years at the time of […]
Car Accidents, Chiropractic And Children
In the legal cases I have consulted in, often it is claimed that children cannot be injured in motor vehicle collisions, and therefore they do not require any treatment. To escalate this perspective, I have consulted in cases where the chiropractor treating such a child is accused of committing fraud, a crime. Occasionally, these cases […]
Soft Tissue Injury and Repair
HISTORY: Mandy, a 50-year-old female, was injured in a motor vehicle collision. Her stationary vehicle was struck from the rear by a vehicle of similar mass that was traveling at a speed of approximately 20 miles per hour at the time of collision. Damage to her vehicle was judged to be $6,600. The collision caught […]
Whiplash Update Two Important Studies And Their Clinical Applications
BACKGROUND INFORMATION FROM DAN MURPHY All pain has an inflammatory component. In his 2007 article, Omoigui, concludes: “The origin of all pain is inflammation and the inflammatory response.” “Irrespective of the type of pain, whether it is acute or chronic pain, peripheral or central pain, nociceptive or neuropathic pain, the underlying origin is inflammation […]
The Double Crush Nerve Syndrome Often Overlooked As A Possible Answer For Patients With Unyielding Upper Extremity Pain, Numbness Or Discomfort
In 1973, physicians Adrian Upton and Alan McComas introduced a concept suggesting that undiagnosed cervical spine problems could increase the incidence of extremity peripheral entrapment syndromes. They referred to this new concept as the: Double Crush in Nerve-Entrapment Syndromes Drs. Upton and McComas published their initial study on this Double Crush Nerve-Entrapment Syndrome in the […]
The Vertebral Artery
The brain is supplied by blood from two arterial sources: the paired internal carotid arteries and the paired vertebral arteries. The blood supply to brain from the carotid arteries is referred to as the anterior circulation to the brain. The blood supply to brain from the vertebral arteries is referred to as the posterior circulation […]
Chronic Pain Syndrome And Vitamin D
Humans evolved outdoors, in the sunshine. Exposure to the sun’s ultraviolet radiation produces a hormone known as “vitamin D”. Vitamin D is critical for human health. The nucleus of all of our cells have vitamin D receptors. There is evidence that vitamin D influences the expression of about 10% of human genes. With very rare […]
Whiplash Injury, Chronic Pain, Non-Pharmacologic Managements Adjuncts
Not everyone injured in a motor vehicle collision recovers completely. A percentage of those injured will suffer for years or sometimes even for decades. Documented examples of this chronic pain syndrome include: In 1964, the Journal of Bone and Joint Surgery (American) published a study where the author followed 145 whiplash-injured patients for more than […]
Cervical Spine Injury and Clinical Instability
Whiplash injury is an inertial mechanical injury. Consequently, chiropractors, as a consequence of the mechanical nature of their clinical practice, treat many whiplash-injured patients. Although chiropractors manage a wide range of clinical syndromes and findings, the emphasis of chiropractic clinical practice is to treat, primarily through spinal adjusting, regions of spinal hypomobility (less than normal […]
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