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Pain & Differential Diagnosis of LBP

Pain & Differential Diagnosis of LBP

  While many causes of mechanical LBP present in a similar fashion, the physical location of the patient’s pain is still a major factor in establishing a diagnosis. Consider the following pain characteristics when differentiating the mechanical source of LBP....
Staying on Top of Your Game

Staying on Top of Your Game

  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...
Conservative Management of Rotator Cuff Injury

Conservative Management of Rotator Cuff Injury

  Rotator cuff injury is the most common problem to affect the shoulder; accounting for 4.5 million physician office visits per year.  (1) Injuries range from a mild strain of a single tendon to complete rupture of multiple tendons. One critical key to...
4 Prognosticators for Lumbar Stenosis

4 Prognosticators for Lumbar Stenosis

  The reported incidence of lumbar spinal stenosis (LSS) in patients with low back pain is 3-14%. As with many other structural diagnoses, patients with anatomic lumbar spine stenosis fall somewhat unpredictably on a spectrum between asymptomatic and severely...
SLAP Lesion

SLAP Lesion

  Identifying a shoulder SLAP lesion is similar to diagnosing a lumbar disc bulge.  Can it cause pain—yes. Does it always cause pain—no.  Does it matter—maybe. Clear as mud right? Disc lesions and SLAP tears are indicators of dysfunction but not always pain...
Vertigo Part II: BPPV

Vertigo Part II: BPPV

Last month we discussed two tests that help diagnose cervicogenic vertigo. In case you missed it, here’s a link to that earlier cervicogenic video blog. But what if the problem is not arising from the cervical spine. A sensation of “spinning” (i.e. true rotary...
A Commonly Overlooked Cause of Hip Pain

A Commonly Overlooked Cause of Hip Pain

  Illustration reprinted with permission from Kevin Neeld, Endeavor Sports Performance Watch Video Femoroacetabular impingement (FAI) is an anatomical mismatch between the head of the femur and the acetabulum, creating abnormal friction in the socket, causing...
Vertigo

Vertigo

Dizziness and vertigo account for over 8 million primary care visits in the US each year. Disequilibrium may arise from one or multiple anatomical structures. “Central” origins include the brain stem, cerebellum, or other supratentorial structures (or the vasculature...
Baxter’s Part II

Baxter’s Part II

  Earlier this year, we posted a blog about Baxter’s Neuropathy- a peripheral nerve entrapment that mimics plantar fasciitis. That post included a statistic suggesting that Baxter’s Neuropathy may be responsible for a significant portion of heel pain: “One of the...
4 Tips for Depositions

4 Tips for Depositions

  Two lawyers, a videographer, and transcriptionist are sitting in my office on a Friday afternoon. This is an uneasy feeling—like seeing a cop while driving 85 mph on the highway. My heart starts to race and I start to question every aspect of my documentation,...
Modic Changes

Modic Changes

          Often patients, arrive in our office with a diagnosis of “osteoarthritis”. Astute clinicians recognize there is little correlation between pain and OA of the spine. (1-3) However, this diagnosis places us in a tough...
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...