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Injections for Pain Relief: Pros vs. Cons

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.

Chiropractic SMT & Stroke Revisited…Again

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.

Chiropractic: 5 Reasons Why It Is The Undeniable Best Choice

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:

Levator Scapula Tightness: 2 Tools To Use In Practice

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.

3 Concepts To Accelerate Shoulder Rehabilitation (Video)

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 rehab
2. Create scapular stability
3. 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.

7 Steps to Improve Exercise Compliance

7 Steps to Improve Exercise Compliance

Have you been doing your home exercises?

That routine question yields various amusing responses, most of which could be summed up with a simple “no.”

Somewhere between 1/3 and 2/3 of all home exercise recommendations are not implemented by patients. (1-4) Many well-developed plans end up sitting in a drawer because the patient did not understand the importance of rehab or was not sufficiently motivated. Here are seven proven ways to improve patient adherence to your exercise prescription.

NEW Shoulder Exam: D.I.M.E.

NEW Shoulder Exam: D.I.M.E.

There is one orthopedic test you must add to your physical exam this month. It’s called the Dynamic Isokinetic Manipulation Evaluation (DIME) of the shoulder.

Today’s blog will cover how to perform the test, how the DIME can be a valuable addition to your shoulder exam, and provide direction into how evidence-based chiropractors are using this test to confidently rule out the need for an MRI or surgical referral.

Top 10 Conservative Tools for Migraines

Top 10 Conservative Tools for Migraines

Original Post February 2017 | UPDATED JULY 26, 2020 Emerging best practice research never fails to teach us something new. And ChiroUp uses that data to keep each of your 100 management protocols up-to-date. In fact, in the past 24 months, your ChiroUp protocol for...
Cervicogenic Headache: Lasting Benefits of MSK Care

Cervicogenic Headache: Lasting Benefits of MSK Care

On July 4, 2020, the European Journal of Pain published a study that would pique the interest of most evidence-based chiropractors – Spinal manipulation for the management of cervicogenic headache: a systematic review and meta-analysis. While this review...
5 Facts About Cervical Steroid Injections (ESI)

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

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

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

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: 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

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...