This week’s blog covers 15 practical research studies from the past few weeks. We reviewed hundreds and highlighted only those papers that have the ability to enrich our practice, then summarized each with one or two sentences. We hope that you’ll enjoy this month’s “quick hits.”
Lateral hip, lumbosacral, and groin pain are often due to lumbar spine or hip joint dysfunction. However, the next time you see these symptoms, be sure to assess the thoracolumbar junction (TLJ). TLJ dysfunction, often described as Mainge Syndrome, may result in nerve irritation with referral to the lumbopelvic region. Proper assessment and treatment results in highly satisfied patients. In the next ten minutes, you will learn five tips about why Mainge syndrome should be on your shortlist of differential diagnoses.
Headaches affect almost half of the population. Up to one-fourth of all headaches are referred from the cervical spine and are classified as “cervicogenic” (1,2). Cervicogenic headache can be as debilitating as migraine headaches, and a loss of cervical spine function compounds the problem.
Chiropractors generally enjoy treating cervicogenic headache patients. Our primary tool of cervical SMT is a highly effective treatment, as demonstrated by multiple studies. (3-16) However, the successful long-term resolution of CGH patients often requires a multifaceted approach, including more than isolated SMT.
This week’s blog provides three invaluable tools and a video tutorial to help you assess and manage this problem more quickly and thoroughly.
In 2019, male marathon runners recorded the five fastest times ever. Eliud Kipchogebroke broke the two-hour mark running the Vienna marathon in 1 hour 59 minutes 40 seconds. In the same weekend, Brigid Kosgei ran a 2:14 in the Chicago marathon. Two extraordinary feats, (pun intended), with one common denominator—the shoe. Shoe companies have been inserting (another pun… I know, the lowest form of humor) their technology into shoe construction for years. However, many health professionals and consumers do not understand the importance of these modifications. Chiropractors must be up-to-date on how shoe technology may affect athleticism, performance, and injury prevention.
Watch Dr. Steele explain shoe technology and how to choose the most appropriate style.
Repeatedly hearing familiar presentations for common diagnoses can lull clinicians into a false sense of security. Even astute clinicians develop a bias toward statically probable benign neuromusculoskeletal diagnoses. Unfortunately, this complacency can lead to disastrous outcomes when a more threatening problem masquerades as something less serious.
A recent American Journal of Medicine systematic review of 22 studies involving 41,320 patients concluded that up to 5% of LBP patients presenting to an emergency department have a serious underlying pathology (fracture, infection, cancer, cauda equina, etc.) (1) Prior studies have suggested that the same threatening diagnosis present to primary care offices at a rate of approximately 1%. (2)
Spinal compressive disorders rank high on the list of back pain emergencies due to the threat of cord ischemia and nerve cell death. This blog will cover the six most common spinal-compressive diagnoses and the clinical findings that can alert us to these ominous problems- including a video tutorial with at tip so that you’ll never forget what UMNL pathology looks like.
In today’s blog, Dr. Tyler White of Gestalt Performance provides three of the most common pitching mechanic flaws leading to elbow injury. In the next five minutes, you will learn how these three throwing patterns cause an elbow injury. The complete video interview is available in ChiroUp, and while you are there, check out the newly released LITTLE LEAGUE ELBOW protocol.
It’s that time again! Your ChiroUp research team has compiled clinical tips for 17 common conditions from this past month’s research. From whiplash to plantar fasciitis, we’ve got you covered on the latest news.
There are many discrepancies when describing the mechanics, benefits, and risks of spinal manipulative therapy (SMT). Chiropractic literature has a plethora of viewpoints regarding SMT, leaving too much room for other professions, personal opinions, and publications to define our primary tool. New studies are published monthly, outlining the BENEFITS of spinal manipulation. And it is our duty as evidence-based chiropractors to relay these facts for the advancement of our profession and the health of our patients.
Evidence-based chiropractors study new research with the intent to be empowered. So, this blog reviews some of the most significant studies from 2019 that you can use to relay the facts about SMT.
At ChiroUp, we know what makes a highly successful evidence-based practice. Why? Well, for starters, our advisory board has nearly 400 years of combined clinical and business expertise in our field, and each day we work with more than a thousand of the top providers in the world.
Our team has recognized ten common themes that almost all of these practices embrace. How many of these themes are you currently following? Find out in this week’s blog…and while you’re there, check out tip # 3 for an updated video demo of an essential skill for whiplash and cervicogenic headache patients.
There have been several recent papers supporting a TWIST (pun intended) on standard cervical range of motion testing. Spinal ROM testing identifies deficits in joint motion across multiple segments of the spine; however, the Cervical Flexion-Rotation Test (CFRT) isolates a specific location of dysfunction within the cervical spine—C1/C2. This blog will teach you how to perform the test, specific diagnoses associated with a positive test, and interventions to correct this dysfunction. Also, watch the video below as I will cover the treatment and patient education pieces to use with a positive test.
Outstanding clinicians ask outstanding questions – and lots of them. In most cases, asking the right questions is the difference between clinical success and failure. And repeating either pattern defines a business’ trajectory. This week’s blog uncovers a dozen commonly overlooked questions that have the ability to change the course of our care, and our ultimately practice.
Review our list along with a video tutorial on how to master the clinical “20 questions” game.
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. Some contemporary studies promote a new class of injection that have a much different effect—to stimulate inflammation. In this blog, we will dive deeper into non-spinal injections, and possibly add another alternative to your toolbox.
This week we’re hitting you with the most pertinent research gathered from last month’s published literature. Over 1,000 articles were scoured and summarized into the following 11 summaries — it doesn’t get easier to stay up-to-date than this.
✅ What’s in: Friction massage, dry cupping, swimming
❌ What’s out: Tylenol, measuring cervical curves, smoking
Check out what the research is saying.
As a parent, I appreciate this phrase – in a way that only a father of two young boys could. We’ve all stopped on the highway to rush little Johnny out of the car, run to the side of the road, and brace ourselves for the impending mayhem. You see, three-year old’s that “need to pee” can hit a target from ten feet away. But if you don’t give them a goal… lookout. And heaven forbid if the wind is blowing in the opposite direction! Simply telling little Johnny to let it rip can yield damp consequences reaching from the tire of your car to your shoes, and sometimes even the family dog. However, if you tell Johnny to hit the nearest pine tree, he will spell his name on the trunk.
Herein lies the difference between a chiropractor and an evidence-informed chiropractor. Providing the same unfocused treatment to every patient, for every condition isn’t acceptable. Research-driven diagnosis and treatment strategies allow evidence-based chiropractors to become the most clinically competent musculoskeletal providers. Today’s blog will explain how accurately identifying the source of tissue dysfunction will focus your management and prevent undesirable outcomes.
Watch Dr. Steele explain how to achieve better clinical results and increase patient satisfaction with this two-step process.
Evidence-based chiropractors employ data to establish treatment algorithms. But what happens when that data changes? While we may have performed due diligence to develop a management protocol, new research will likely change that protocol over time. The best example would be how, in the past decade(s), the management of chronic tendinopathy has flipped from suppressing inflammation (tendonitis), toward generating a controlled inflammatory response (tendinopathy).
Providing “best practices” requires continual testing and evolution. But when was the last time you questioned the utility of an everyday practice? For me, this occurred last week, when a long-time patient told me how much better she felt after her physiatrist prescribed a lumbar support belt. My long-held belief was that lumbosacral support belts had value in isolated instances… but I needed to know- was my belief still correct, or had new literature surpassed my understanding?
This week’s blog will highlight the most up-to-date evidence on four types of lumbosacral supports, then provide clinical pearls for indications, contraindications, and implementation -including a live video demonstration.
Treating elbow pain sounds simple, and with the correct information, it is. Evidence-based chiropractors DO NOT (and cannot) memorize every evaluation, treatment, patient education tip, ADL modification, and exercise for every condition; however, the most effective providers DO understand how to use clinical tools, prediction rules, and practice resources to remind them of everything necessary to make the most of each visit for both the patient and provider.
This week’s blog covers the top four tips (Including downloadable resources) to assess and treat lateral elbow pain effectively.
Watch Dr. Steele explain why the management of lateral elbow pain should be straightforward. The limiting factors are how well YOU and your PATIENT understand the condition.