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Understanding Chiropractic Care: Education, Accreditation, Practice, Science, Nobel Prize, Safety

Background According to the Centers for Disease Control and Prevention of the United States (CDC), the top ten causes of yearly death are (1): Number of deaths for leading causes of death Heart disease: 695,547 Cancer: 605,213 COVID-19: 416,893 Accidents (unintentional injuries): 224,935 Stroke (cerebrovascular diseases): 162,890 Chronic lower respiratory diseases: 142,342 Alzheimer’s disease: 119,399 Diabetes: [..]

Misuse of the Word “Chiropractic”

“Manipulation” and “Chiropractic” are not Synonyms Background Joint Manipulation Joint manipulation is the applying of a force to a joint that helps that joint move better. It is classically associated with an audible sound. All people, trained and untrained, are capable of manipulating joints and eliciting an audible sound. Manipulation is a lay term. It is often [..]

The Chiropractic Management of Neuropathic Pain

Chan Gunn, MD, is a Clinical Professor at the Multidisciplinary Pain Center at the University of Washington Medical School, Seattle, Washington. Dr. Gunn describes three categories of pain, which are quite useful for the following discussion (1). These three categories are: 1)Nociception Pain In this category of pain, there is no tissue damage, and therefore [..]

Neuropathic Pain vs. Soft Tissue Pain

All perceptions (e.g., hot, cold, loud, bright, smelly, hard, soft, sour, sweet, pain, etc.) are cortical, meaning perceived in the brain. All pain is perceived in the brain (1). Pain perception is brought to the brain by nerves. Structures that do not have a nerve supply (like articular hyaline cartilage, fingernail) cannot send the pain [..]

Mechanical Pain and Chiropractic Care

The medical profession primarily views pain as a consequence of an inflammatory problem (1, 2, 3, 4). With the realization that inflammation, for the most part, is a chemical event, focus on the inflammatory chemistry of pain has become a priority of drug companies and for the physicians that prescribe their products. Often these efforts target inflammatory [..]

Safety of Mechanical Care

People become healthcare providers because they are interested, often passionately, about helping others with their health. Most healthcare providers are horrified at the thought that anything they did or failed to do could end up harming a patient. Yet, every type of health care is associated with some risks of potential problems. These problems can [..]

The Importance of the Initial Provider for Spine Care

Considerations for Costs, Outcomes, Surgery, Injections, and Imaging Introduction Healthcare providers of various disciplines tend to believe in and offer patients the intervention of their specialty: Medical doctors tend to prescribe medicines. Surgeons tend to offer surgery. Acupuncturists tend to offer needles. Massage therapists tend to offer massage. Physical therapists tend to offer physical therapy. [..]

Upper Cervical Spine Chiropractic Care

The Vagus Nerve and Musculoskeletal Pain By a wide margin, people go to chiropractors for the management of musculoskeletal pain. Recent formal reviews of the chiropractic profession indicate that 93% of chiropractic patients initially seek chiropractic care for spinal pain complaints: 63% for low back pain and 30% for neck pain. Patient satisfaction with their [..]

Thoracic Outlet Syndrome and Chiropractic Care

The Importance of Double Crush and Postural Distortions Background Nerves emanating from the neck (cervical spine) travel into the arm (shoulder, arm, forearm wrist, hand, fingers). When a patient presents with radiating symptoms (pain, tingling, numbness, etc.) into the arm, default thinking is that the patient has a neck problem. Therefore, the initial examination, imaging, [..]

An Updated Look at Opioid Use for the Management of Spinal Pain and the Chiropractic Alternative

In 2018, Eduardo Hariton, MD, and Joseph Locascio, PhD, from Massachusetts General Hospital, published an article in the British Journal of Obstetrics and Gynaecology titled (1): Randomised Controlled Trials—The Gold Standard for Effectiveness Research As stated in the title, the authors reaffirm that the gold standard for healthcare scientific research is the Randomized Controlled Trial (RCT). In 2020, [..]