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Successfully Treating the What & Why

Successfully Treating the What & Why

  Our training has taught us how to diagnose many conditions. Those structural diagnoses are the “WHAT”- otherwise known as an ICD code. To be reimbursed by insurance, we need to know how to recognize what tissue is causing or contributing to the patient’s pain....
Chiropractic Results!

Chiropractic Results!

  In March 2016, the medical journal, Frontiers in Neurology, published a systematic review regarding the effectiveness of spinal manipulation for cervicogenic headache. The paper found 66 relevant studies and reviewed 10 randomized controlled clinical trials....
Habits and LBP Continuum

Habits and LBP Continuum

In the continuum of lower back pain, astute clinicians must address the root functional triggers for pain and dysfunction- not simply the structural consequences. Remember, disc lesions and degeneration are merely the result of cumulative insults to the associated...
Educate Your Patients

Educate Your Patients

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...
Be Leary of the “Easy” Diagnosis

Be Leary of the “Easy” Diagnosis

  We often jump to a familiar diagnosis within seconds of hearing a patient’s history. Unfortunately, sometimes patients have the exception to the rule. To illustrate, imagine a patient who presents with pain over their lateral epicondyle that intensifies with...
Protocol Update

Protocol Update

  Medline contains more than 24 million articles, with almost one million new citations added each year. Keeping up is tough, but ChiroUp make it easier for you to stay on top of the literature. Each week our team mines the most relevant “best practice” data to...
Spread Em’!

Spread Em’!

  A patient presents with pain on the inferior medial heel, worse when initiating activity with tenderness to palpation. Your first thought is plantar fasciitis, but have you ever considered Baxter’s Neuropathy? Baxter’s neuropathy results from compression of the...
What is the Role of the Diaphragm? Breathing—Right?

What is the Role of the Diaphragm? Breathing—Right?

  The diaphragm is obviously the primary muscle of respiration, however, it serves a secondary role as a core stabilizer. Dysfunction of the diaphragm is an important factor in back and sacroiliac joint pain. Patients who suffer from lumbosacral pain often...
VBAI Update

VBAI Update

  Earlier this year we posted a blog about spinal maniplulation and stroke. That discussion was based upon two excellent resources from Cassidy and Koslov (1,2) The consensus of the story was: These studies strengthen the premise that chiropractic manipulation...
RFN or Conservative Care?

RFN or Conservative Care?

  A prior ChiroUp blog discussed the benefits and limitations of Lumbar Medial Branch Radiofrequency Ablation (RFA), also termed Radiofrequency Neurotomy (RFN). The regularity of this procedure has escalated in recent years. While RFN can temporarily eliminate...
Radial Tunnel Syndrome

Radial Tunnel Syndrome

  Chiropractors are well suited to recognize and manage lateral epicondylopathy. In fact, we often jump to the diagnosis within seconds of hearing the patient’s history. Unfortunately, not all pain near the lateral epicondyle is simply tennis elbow. Radial tunnel...
What to Treat: Symptoms, Structure or Function

What to Treat: Symptoms, Structure or Function

In the new healthcare model, results rule! But what exactly constitutes results? The ubiquitous symptom of pain can be quite dynamic and often responds quickly to conservative treatment- and short-term goals of pain relief certainly yield positive outcome measures....