In chiropractic colleges, there are very few unchallenged theories. One exception is that most schools teach the well-established model of spinal degeneration as described by Kirkaldy-Willis. This model of repetitive motion explains how small sprains lead to disc pathology and eventually spondylosis. A new paper by Wang et al. provides an alternate explanation for the onset of spondylosis. This model explains why some patients experience significant degeneration without an active lifestyle.

Shoulder pain is one of the most common presentations in a chiropractic office. This malady is responsible for nearly 5 million physician visits each year. Contrary to public opinion, there is no rotator cuff fairy that randomly taps a patient on the shoulder with lasting gifts of dysfunction and pain. Check out this blog to review this one critical contributor to your patients’ shoulder pain.

Many chiropractors fit every patient with orthotics. The reason to great lengths that orthotics improve global proprioception and muscle activation. Therefore, all patients with diagnoses ranging from headaches to hip impingement can benefit from custom orthotics.

Quadrilateral Space Syndrome (QSS), aka Quadrangular Space Syndrome, an under-recognized condition that can test our diagnostic ability. QSS is frequently misdiagnosed as cervical radiculopathy or shoulder impingement. Check out the following video and blog for the current best practice evaluation, treatment, and management of QSS.

Rotator cuff injuries account for 4.5 million physician office visits per year. Management of this problem can range from frustrating to rewarding depending on the depth of the provider's training.  Check out the following video to learn the four essential components of successful rotator cuff management for evidence-based chiropractors.

To simplify your job of managing groin strains, the ChiroUp advisory board has scoured the evidence-based literature and collaborated to create another “best practice” chiropractic protocol. Here are our top ten clinical pearls for Adductor Strains, including a video demonstration of a useful orthopedic test to help localize the site of groin injury.

The significance of a confirmed labral tear is debatable since this finding is present in more than half of asymptomatic, middle-aged patients. (1) However, in the presence of any shoulder pathology, patients will often develop compensatory movement patterns in everyday life and athletic activity; sacrificing one injured tissue for another until performance decreases or pain increases to an unacceptable level.