5 Facts About Cervical Steroid Injections (ESI)
Despite the criticism and decline in utilization, there is an extensive and growing list of research demonstrating the clinical and cost-utility of epidural procedures in managing spinal pain. Literature in the form of randomized controlled trials (RCTs), systematic...
6 Solutions For Peripheral Pain
Chronic pain is an outward manifestation of inner adaptations to pain processing. The brain is responsible for pain perception and remembering pain patterns. However, in addition to the brain, the dorsal horn of the spinal cord and peripheral tissue can also LEARN to be in pain.
Learning is a physiologic process and not an intellectual feat, and it doesn’t happen only in the brain. Each site adapts physiologically in response to constant stimulation. Today’s blog will highlight six evidence-based treatment concepts to help stop peripheral nociception- the instigator of chronic pain.
June Research Update
This blog covers 12 practical research studies from the past few weeks. We reviewed hundreds and highlighted only those papers that can enrich our practice. We changed up this week’s blog to include both the research, as well as the associated ChiroUp resource. ...
Painful Memories
There is something about going to a beach that makes me happy. I can remember growing up in North Carolina and taking day trips to the ocean. I can visualize opening the car door, the salty air hitting my face, the sun’s heat, and the anticipation of a fun day...
Maigne Syndrome: The #1 Overlooked LBP Diagnosis?
Maigne syndrome and cluneal neuropathy are commonly overlooked causes of pain in the lumbosacral region, iliac crest, and buttock. (1-3) In fact, the pair are causative or contributory in up to 40% of LBP cases. (5,40,41) And that prospect increases as symptoms extend...
Vertebral Fractures: New Chiropractic Test
Effective and efficient chiropractors ask the right questions; allowing them to perform the most sensitive orthopedic testing to identify damaged tissue. A recent article by Jin et al. (2020) identified a new orthopedic test to do just that. The Back Pain-Inducing...
Chronic Pain Neuroscience
Traditional chiropractic training has primarily focused on the mechanical aspects of pathology. Evidence-based chiropractors routinely seek to answer questions like: Which anatomical tissue is irritated? What habits and postures caused or perpetuated the dysfunction?...
Separating Facts from Opinions
Identifying reliable sources of credible information is difficult. Harvesting new knowledge is necessary for evidence-based practice; however, it is becoming more difficult as the news and social media can sometimes polarize content to push an agenda. We understand...
Expert Advice: Top Chiropractic Management For Hip Pain
Evidence-based providers can tell you the exact tissue origin of pain via history, physical examination, and possible diagnostic imaging. Without an understanding of specific tissue injury, deciding on appropriate treatment is futile. While many hip pathologies...
Advice from Champions: 3 Essentials for Working with Pro Athletes
There is undeniable irony discussing professional sports in a week where most athletes have been sidelined. However, the fact remains that professional and Olympic athletes appreciate the value of peak performance more than almost any other patient population. At the...
How To Automate 95% of Your Patient’s Care
Recently, The Journal of Physiotherapy (2019) published a paper finding that patients have a desire for a specific diagnosis. From which, they want “clear, consistent and personalized information on prognosis, treatment options and self-management strategies,...
5 Tools for Treating Patients with Plantar Fasciitis
“The projected yearly costs of plantar fascia treatment could range from 192 to 376 million dollars in the United States, which are huge economic burdens for both the society and individuals.” (1) And almost half of plantar fasciitis sufferers will continue to report...
Scapular Retraction Test: 5 Reasons to Consider this Modified Version
The Scapular Retraction Test (SRT) is quite possibly the most critical component in my shoulder exam. It provides valuable information as to the etiology of shoulder dysfunction. Plus, the maneuver often provides instant pain reduction, and serves as a confidence...
February Chiropractic Research Roundup
This week’s blog covers 15 practical research studies from the past few weeks. We reviewed hundreds and highlighted only those papers that have the ability to enrich our practice, then summarized each with one or two sentences. We hope that you’ll enjoy this month’s...
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