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Chondroitin sulfate for knee OA?

Chondroitin sulfate for knee OA?

  “For the first time, chondroitin sulfate has been more successful than celecoxib in reducing the long-term progression of knee osteoarthritis (OA)”. (1) Pelletier followed 194 knee OA patients for two years. Participants were divided into two groups, receiving...
Doctor, How Should I Sit?

Doctor, How Should I Sit?

  Most of us cringe when asked to give advice on beds, pillows, chairs, and other assistive devices. Yet, these somewhat unpredictable variables often make or break our treatment outcomes.  An article by Castanharo (1) provides valuable insight for one common...
Helping your patients answer the QBQ

Helping your patients answer the QBQ

How often do we hear (or make) statements like “Why did this happen to me”, or “When is this problem going to improve”? John Miller, in his best-selling book “QBQ! – The Question Behind the Question”, describes a helpful thought process to address troubling questions....
Differentiating Local vs. Referred Shoulder Pain?

Differentiating Local vs. Referred Shoulder Pain?

  Shoulder pain often poses a challenge for clinicians to determine whether the symptoms are arising from local pathology vs. referral from the cervical spine…or both. The Arm Squeeze Test can help differentiate arm pain arising from cervical nerve root...
Hip Abductor Weakness

Hip Abductor Weakness

  Clinicians and researchers debate whether hip abductor weakness is a cause or a result of low back pain. Clinically, this point is irrelevant- the simple fact is that chiropractors need to address hip stability in anyone with LBP. A soon to be published paper...
Physiotherapy Modalities During Pregnancy?

Physiotherapy Modalities During Pregnancy?

  The ChiroUp protocol, “Pregnancy Related LBP” provides a concise summary on safely and effectively managing this problem. Here’s an excerpt that addresses employing physiotherapy modalities during pregnancy: “The use of continuous or pulsed ultrasound is...
Bear Gun

Bear Gun

  I was between appointments one day and overheard a man telling a story about his upcoming hike in Alaska. He said that he would be carrying a 22-caliber pistol “just in case a bear attacked”. I found it amusing that he thought a small pistol would stop a...
Hands-On and Minds-On

Hands-On and Minds-On

Clinical outcomes are often dependent upon how well patients understand their condition. For example, simply explaining the etiology of a lumbar disc lesion may yield better long-term results than any other treatment on the first visit. A recent review by...
Become A Value-Based Provider

Become A Value-Based Provider

  ChiroUp was created with an intense focus on the new definition of healthcare provider success- Patient Outcomes! Because, regardless of who’s paying the bill, they want results. The Harvard Business Review recently published an article about the importance of...
What’s the Best Shoe for Small Feet?

What’s the Best Shoe for Small Feet?

  Parents often seek to maximize the family budget. One common cost saving technique involves choosing shoes that toddlers and children “will grow into”. This week we will review a paper that examines this practice. Kobayashi (1) recently investigated: “How do...
How Do You Train Core Stability?

How Do You Train Core Stability?

  Lee & McGill recently published “Effect of Long-Term Isometric Training on Core/Torso Stiffness” in the Journal of Strength and Conditioning Research. (1) These findings should influence our decision making process when treating patients for “core...
Prepare to Surf the Wave

Prepare to Surf the Wave

  MD’s, PA’s and NP’s are still the gatekeepers of care for most patients. Establishing relationships with primary medical providers is more important than ever before. Relationships do necessarily come easy, but with a commitment to excellence and ongoing...
Shoulder Mobilization for Impingement Syndrome

Shoulder Mobilization for Impingement Syndrome

  “Patients with shoulder anterior impingement syndrome (SAIS) who received 4 sessions of mobilization with movement exhibited significantly better outcomes for pain during shoulder flexion, pain-free range of shoulder flexion, maximal shoulder flexion, and...