Archive for the 'Advanced' Category
Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.
Clinical practice guidelines define the role of specific diagnostic and treatment modalities in the diagnosis and management of patients.
Clinical practice guideline recommendations are based on evidence from rigorous systematic reviews and synthesis of [..]
And Specific Spinal Manipulation Kim was 19 years old, athletic, physically fit, and had never suffered from a neck injury or an episode of prior neck pain; her past history was completely unremarkable.While showering earlier that morning, she turned to reach for a bar of soap. She immediately experienced a sharp zap of left–sided neck [..]
All healthcare disciplines are associated with risks of injury or death. Rare but sensational occurrences are often exploited by the media, leading the public to believe that rare events are commonplace. In contrast, common occurrences are often under reported, leading the public to have higher confidence in the safety of certain healthcare disciplines and procedures. [..]
Pain is a big problem in America. Of the 238 million adults in America, approximately 116 million suffer from chronic pain (1, 2, 3). The majority of pain and its suffering are musculoskeletal, and is quantified by body region as follows (4):Lower-Back Pain 28.1%Knee Pain 19.5%Severe Headache 16.1%Neck Pain 15.1%Shoulder Pain 09.0%Finger Pain 07.6%Hip Pain 07.1%As noted, [..]
The Posterior Cervical Sympathetic SyndromeThe Syndrome of Barre-LieouThe blood flows to the brain through two arterial systems:Anterior Circulation (branches from the internal carotid arteries)Posterior Circulation (branches from the vertebral arteries)The dividing line between the Anterior and Posterior circulation of the brain is the Posterior Communicating Arteries.The diameter of the blood vessels is controlled by post-ganglionic sympathetic efferent neurons (1). As [..]
There are 18 chiropractic colleges in the United States:Cleveland Chiropractic College - Kansas City, KSD’Youville College - Buffalo, NYLife Chiropractic College West - Hayward, CALife University - Marietta, GALogan University - Chesterfield, MONational University of Health Sciences - Lombard, ILNew York Chiropractic College - Seneca Falls, NYNorthwestern Health Sciences University - Bloomington, MNPalmer College of [..]
Mild traumatic brain injuries are also known as concussions. It is estimated that these injuries have a prevalence of 3.8 million per year in theUnited States (1). Despite this high incidence, mild traumatic brain injuries and concussions are one of the least understood injuries facing the sports healthcare and the neuroscience communities today (2).In the [..]
Tissue injury/trauma results in an inflammatory cascade (1, 2). This inflammatory cascade alters the threshold of the tissue nociceptors, which is why tissue injury is usually painful (3). The resolution of this inflammatory cascade is fibrosis/scar, a fibrous tissue response (4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14). This tissue fibrosis/scar will [..]
Front End StoryJim McMahon was a great football quarterback. He was a two-time All-American at Brigham Young University. He was a first round National Football League (NFL) pick (number 5 overall). In the NFL he played for the Chicago Bears, San Diego Chargers, Philadelphia Eagles, Minnesota Vikings, Arizona Cardinals, Cleveland Browns, and Green Bay Packers, [..]
An Update on Healthcare RisksAn Update on Cervical Manipulation and Stroke Risk
The realization that trying to stay healthy can be risky became international headlines in 1994 when Harvard’s Lucian Leape, MD, indicated that medical error was responsible for 180,000 deaths per year (1, 2). Dr. Leape’s analogy was that this was “the equivalent of [..]
