Chiropractic Blog

ChiroUp’s weekly chiropractic blog contains clinical information needed to stay up-to-date on the latest chiropractic research.

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Clinical Brandon Steele Clinical Brandon Steele

2 Potent (and Overlooked) Headaches Tools

A 2021 Delphi study of international experts identified two treatments with proven effectiveness for headaches and migraines. ChiroUp will show you how to perform these techniques and quickly distribute the essential information to your patients.The best treatments, every patient, every time!

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Clinical Tim Bertelsman Clinical Tim Bertelsman

10 Key Differences Between Trigger Points and Fibromyalgia

As any chiropractor can attest, muscular tenderness is likely the most common objective finding in clinical practice. Estimates suggest that more than 9 of 10 musculoskeletal presentations will harbor myofascial trigger points, aka myofascial pain syndrome. However, a small percentage of our patients experience more widespread palpatory tenderness, which can suggest fibromyalgia.

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Clinical Brandon Steele Clinical Brandon Steele

The 3 Most Important Clinical Questions in Practice

"If you can't explain it simply, then you don't understand it well enough"This statement exemplifies our primary challenge in knowledge translation for patient care. Patient compliance is directly related to the understanding and SIMPLICITY of the solution you provide. Check out this week’s blog for our three most potent questions that simplify patient education, in-office treatment, and at-home rehabilitation.

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Clinical Tim Bertelsman Clinical Tim Bertelsman

Top Tips for Meralgia Paresthetica

Meralgia paresthetica is a painful compressive neuropathy of the lateral femoral cutaneous nerve (LFCN), causing burning pain and paresthesia in the anterolateral thigh. This elusive diagnosis can cause significant frustration for patients and providers.Fortunately, the correct conservative care recipe can resolve more than 9 out of 10 cases. Check out this week’s blog for our top tips on differentiating meralgia paresthetica from L3-4 radiculopathy, plus video demonstrations of the essential treatments, exercises, and nerve glides.

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Clinical Tim Bertelsman Clinical Tim Bertelsman

3 Simple Nerve Flossing Exercises to Help Resolve Arm Pain

Last month, the ChiroUp blog detailed how adding one very simple nerve flossing maneuver could significantly decrease pain in shoulder impingement patients- by nearly two VAS points! In response to requests for additional neurodynamic tutorials, this week’s blog reviews the three most useful upper extremity neurodynamic assessment and management techniques.Implementing these quick and simple techniques can dramatically impact your clinical outcomes and patient satisfaction.

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Clinical Tim Bertelsman Clinical Tim Bertelsman

Top 10 Game-Changing Clinical Pearls From 2020

Clinical success requires staying on top of the latest research.Your ChiroUp research team has reviewed thousands of new articles in 2020, and today, our docs are highlighting the top 10 findings that you can apply. Use these findings to take your clinical outcomes and practice viability to the next level in 2021.

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Clinical Brandon Steele Clinical Brandon Steele

Chiropractors: What Would You Do? (Watch Video)

If you’ve ever worked with a personal injury case, you know that at times it can be... demanding… In this week’s blog, I want to lay out a scenario and ask you the question: what would you do?Read it to see my experience with navigating patient care, long term expectations, and lawyer expectations after a traumatic injury without structural abnormalities…

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Clinical Tim Bertelsman Clinical Tim Bertelsman

Chiropractic Evaluation: Carpal Tunnel vs. Pronator Teres

We recently reviewed a study that found that “paresthesia in a median nerve distribution with nocturnal awakening” was 77% sensitive for the diagnosis of CTS... So where do the other 23% of cases arise?This week’s chiropractic clinical blog supplies a quick yet potent review of the work-up for this other common presentation. Watch the blog for best practices that you can apply today.

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Clinical Tim Bertelsman Clinical Tim Bertelsman

Clinical Efficiency: Franciso Gonzolas Espinosa de los Monteros

Evidence-based chiropractors accurately and quickly diagnose patients. If the diagnosis is incorrect—clinical outcomes falter. If the examination is lengthy—practice growth stagnates. However, asking the ideal questions and performing the most sensitive tests improves diagnostic accuracy and speeds up your initial evaluation. These two components lead to greater patient satisfaction and practice growth. In this quick video with Brandon and Tim, learn how emerging research may speed up your initial evaluation and lead to the correct diagnosis in the case of lumbar radiculopathy.

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Clinical Brandon Steele Clinical Brandon Steele

Increasing Ankle Dorsiflexion is as easy as 1,2,3 (Watch Video)

Alright, I have a trivia question for you. Do you know the MOST common reason people suffer from limited ankle motion?Answer: Past surgery or injury.Simple inversion ankle sprains may result in a loss of ANKLE DORSIFLEXION. Which is exactly what we are diving into in this week’s blog. Give it a read for the two recommended exercises you can prescribe to help improve ankle ROM and limit future problems.

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Clinical Tim Bertelsman Clinical Tim Bertelsman

Top 5 Tips for Managing Chronic Pain (Watch Video)

How familiar are you with the differences of managing acute vs. chronic pain? Unless you said you’re 100% confident, check out this week’s blog to say ‘goodbye’ to uncertainty. This week’s blog covers a brief synopsis of new strategies for old complaints that can be accessed in ChiroUp’s 101st protocol: Chronic Pain.

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Clinical Tim Bertelsman Clinical Tim Bertelsman

Discs and Sciatica: When to Treat and When to Refer

A new study has identified four diagnostic clues that can help differentiate chemical/ inflammatory vs. mechanical/compressive pain for disc herniation and radiculopathy patients. Check out this blog to review those tips and a new clinical pearls video that you won’t want to miss.

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Clinical Brandon Steele Clinical Brandon Steele

Injections for Pain Relief: Pros vs. Cons

Injections for pain relief are growing in popularity. Traditionally, corticosteroid injections are used to alleviate symptoms. However, research has highlighted ongoing concerns about the use of corticosteroids increasing the rate of future joint degeneration. Some contemporary studies promote a new class of regenerative injections that have a much different effect—to stimulate inflammation. There is also new data showing that injections using placebo (saline) may provide equivocal results. In this blog, we will dive deeper into non-spinal injections, and possibly add another alternative to your toolbox.

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Clinical Tim Bertelsman Clinical Tim Bertelsman

Chiropractic SMT & Stroke Revisited...Again

Last month, like many other months, the medical community was mal-educated by a published case study regarding the threat of CAD following SMT. Cureus:…cases of spontaneous dissection of the vertebral artery do have a history of trivial or minor injury involving some degree of cervical distortion such as chiropractic neck manipulation, as the extreme hyperextension and/or rotation of the neck may create areas of stretch and lead to intimal or adventitial tears in the vertebral artery causing dissection. It is a relatively rare, potentially disabling and sometimes an under-diagnosed cause of stroke. It accounts for 2% of all ischemic strokes …This report demonstrates the potential hazards associated with neck trauma, including chiropractic manipulation, as it is under reported…” (Almuaigel et al.)Chiropractors armed with quality data can refute these inaccurate associations. Check out this blog, video, and new infographics for our compelling reply to this author’s opinion, including the current facts about the safety of SMT. Plus, three practical tools that you can employ today to change attitudes tomorrow.

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Clinical Brandon Steele Clinical Brandon Steele

Chiropractic: 5 Reasons Why It Is The Undeniable Best Choice

Chiropractic is a profession, not a treatment.As a profession, chiropractors are trained healthcare professionals with unique expertise in managing several common health conditions. Many chiropractors utilize procedures, including joint manipulation, therapy modalities, patient education, nutrition, and rehabilitation exercises, to address each patient’s unique presentation.As chronic pain continues to rise within the US healthcare system, chiropractors utilize proven methods to reduce pain and disability without medications and surgery.Here are five reasons people may choose to visit a chiropractor:

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Clinical, Uncategorized Tim Bertelsman Clinical, Uncategorized Tim Bertelsman

Levator Scapula Tightness: 2 Tools To Use In Practice

Mechanical neck pain is the second most common presentation in chiropractic offices worldwide. (1) Tightness in the levator scapula is a predictable finding in the majority of those cases. A new randomized clinical trial examined the efficacy of two proven therapies and concluded:“Application of both kinesiology tape and postural control exercise combined can significantly reduce neck pain and normalize levator scapula activities in patients with mechanical neck dysfunction more than the application of either intervention.” (2)Want to see that in action? We’ve got you covered. While we couldn’t track down a demonstration from the authors, we did find a widely-recognized expert on these two techniques.Check out this week’s Vlog to watch Dr. Todd Riddle, director of education for FAKTR and SE Sports seminars, demonstrate his practical application of cervical taping and exercise.

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Clinical Brandon Steele Clinical Brandon Steele

3 Concepts To Accelerate Shoulder Rehabilitation (Video)

ChiroUp’s earlier blog introduced a new test for the rotator cuff called the DIME test. The most common follow-up questions pertained to the rehab of a shoulder after a diagnosed rotator cuff tear. Successful rehabilitation of shoulder tendinopathy requires three concepts.1. Mirror rehab2. Create scapular stability3. Increase the capacity of the shoulder girdle musculature.Check out this week’s video blog to learn how to incorporate these concepts in your practice.

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