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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....
Which One Is Symptomatic?

Which One Is Symptomatic?

Q: Is There Concordance Between Hip Pain And Radiographic Hip Osteoarthritis? A: No! “In the Framingham study (n=946), only 15.6% of hips in patients with frequent hip pain showed radiographic evidence of hip osteoarthritis, and 20.7% of hips with radiographic hip...
The Small Stuff

The Small Stuff

  Jeff Olson, in his superb book, The Slight Edge, illustrates how slightly different actions lead to radically different outcomes. His story explains “why some people make dream after dream come true, while others just continue dreaming”. For example, most...
Rehabilitation of Tendinopathies

Rehabilitation of Tendinopathies

There are often multiple ways to successfully rehabilitate a given condition. However, concerning the rehabilitation of tendinopathies, there appears to be a clear winner. Unlike acute injuries that cause inflammation, tendinopathy is characterized by repeated...
Will I Need To Wear These Orthotics Forever?

Will I Need To Wear These Orthotics Forever?

  Q: Will I Need to Wear Orthotics Forever? A: Maybe not. In fact, some research points to just the opposite. There is no consensus on exactly how orthotics improve foot, knee, hip, or spinal biomechanics.  What we do know is that orthotics alter proprioception...
Pregnancy and Low Back Pain

Pregnancy and Low Back Pain

Researchers estimate that between 45-75% of pregnant women will experience low back pain at some stage of their pregnancy. (1-5) Here are 4 clinical pearls pertaining to this common malady: Pregnancy-related low back pain typically starts between the fifth and seventh...
Run Fast or Slow?

Run Fast or Slow?

Running injuries are as unique as the patient’s they affect… and as widespread. In fact, the leading cause of knee pain, patellofemoral pain syndrome, is called “Runners Knee”. One commonly overlooked consideration for managing anterior knee pain is the pace at which...
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...