Eric Chun Pu Chu
Degenerative disease of the lumbar spine is often ignored as a potential cause of testicular pain because the exact link between the two remains uncertain. This article reports the case of a 60-year-old man with a 3-year history of low back pain and unexplained right testicular pain for 2 years. Painful symptoms were negatively affecting his social, physical, and sexual functions. After failure to achieve pain relief through multiple types of therapy, the patient sought chiropractic treatment for his condition...
July 2020: American Journal of Men's Health
F M Conesa-Buendía, A Mediero, R Fujikawa, P Esbrit, F Mulero, I Mahillo-Fernández, Arantxa Ortega-De Mues
Osteoarthritis (OA) is a degenerative disease characterized by injury of all joint tissues. Our previous study showed that in experimental osteoporosis, chiropractic manipulation (CM) exerts protective effects on bone. We here assessed whether CM might ameliorate OA by improving subchondral bone sclerosis, cartilage integrity and synovitis. Male New-Zealand rabbits underwent knee surgery to induce OA by anterior cruciate ligament injury. CM was performed using the chiropractic instrument ActivatorV 3 times/week for 8 weeks as follows: force 2 setting was applied to the tibial tubercle of the rabbit right hind limb (TM-OA), whereas the corresponding left hind limb received a false manipulation (FM-OA) consisting of ActivatorV firing in the air and slightly touching the tibial tubercle...
August 6, 2020: Scientific Reports
James A Lipton, Jordann E Kokoski, Arianna T Lipton
The authors present the case of a 24-year-old man who sustained multiple injuries during a hard landing following a parachute jump. These injuries included a right sacral fracture, bilateral femoral fractures, a separated pubic symphysis, and compression fractures of the fifth and sixth thoracic vertebrae. He was treated with a right sacroiliac joint fixation, pubic symphysis fixation, open reduction internal fixation of his bilateral femurs, and fusion of the third through seventh thoracic vertebrae. The patient experienced back pain, bilateral hip pain, and bilateral knee pain resistant to chiropractic and medical treatments...
August 5, 2020: Journal of the American Osteopathic Association
Turgut Kültür, Aydın Çiftçi, Müyesser Okumuş, Murat Doğan, Şenay Arıkan Durmaz, Salim Neşelioğlu, Özcan Erel
Objectives: This study aims to investigate the effect of chiropractic manipulative treatment on sacroiliac joint dysfunction (SIJD) and its relationship to oxidative stress (OXS) parameters. Patients and methods: Thirty-three patients diagnosed with SIJD (20 males, 13 females; mean age 36.3±9.7 years; range, 18 to 60 years) and 30 healthy volunteers (20 males, 10 females; mean age 36.4±12.2 years; range, 20 to 57 years) were included in this cross-sectional, case-control study conducted between February 2017 and September 2017...
June 2020: Turkish journal of physical medicine and rehabilitation
Cheryl Hawk, Wayne Whalen, Ronald J Farabaugh, Clinton J Daniels, Amy L Minkalis, David N Taylor, Derek Anderson, Kristian Anderson, Louis S Crivelli, Morgan Cark, Elizabeth Barlow, David Paris, Richard Sarnat, John Weeks
Objective: To develop an evidence-based clinical practice guideline (CPG) through a broad-based consensus process on best practices for chiropractic management of patients with chronic musculoskeletal (MSK) pain. Design: CPG based on evidence-based recommendations of a panel of experts in chronic MSK pain management. Methods: Using systematic reviews identified in an initial literature search, a steering committee of experts in research and management of patients with chronic MSK pain drafted a set of recommendations...
July 30, 2020: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Lauren M Rosati, Alexandra Vezzetti, Kolby T Redd, Brittiny McMillian, Lauren Giamberardino, Nishanth Kodumuri, Ravish Kothari, Anil V Yallapragada, Souvik Sen
INTRODUCTION: Craniocervical artery dissection (CeAD) is a leading cause of stroke in the young patient population. Recent studies reported a low rate of major adverse cardiac events (MACEs) in patients with CeAD, with no significant difference between patients randomized to anticoagulation or antiplatelet therapy. OBJECTIVE: To compare the effectiveness of anticoagulation and antiplatelet therapy in patients with CeAD. METHODS: All CeAD patients from 2015 to 2017 were consecutively identified by an electronic medical record-based application and enrolled in this prospective longitudinal registry...
July 30, 2020: Cerebrovascular Diseases
Christopher J Colloca, Christina Cunliffe, Mostafa A Hegazy, Marisa Pinnock, Richard N Hinrichs
OBJECTIVE: The purpose of this study was to compare biomechanical measures of chiropractic adjustment performance of the McTimoney toggle-torque-recoil (MTTR) technique among students and chiropractors. METHODS: Fifty-three participants (15 year-3 [Y3] and 16 year-5 chiropractic students and 22 McTimoney chiropractors [DCs]) participated in this study. Each applied 10 MTTR thrusts to a dynamic load cell, 5 each with their left and right hands. Biomechanical variables including preload force, peak force, time to peak force, thrust duration, and total thrust time were computed from each of the force-time histories and compared within groups using a series of 2-way analysis of variance to evaluate the effects of sex and handedness, and between groups to determine the effect of experience using a series of 3-way analysis of variance...
July 21, 2020: Journal of Manipulative and Physiological Therapeutics
Sophia El Hamichi, Veronica Kon Graversen, Aaron S Gold, Azeema Latiff, Timothy G Murray
SIGNIFICANCE: The case report highlights the possible complications of undergoing neck manipulation within a critical time period after intravitreal injection. PURPOSE: This study aimed to describe a case of traumatic hemorrhagic choroidal detachment after cervical manipulation during a chiropractic treatment session. CASE REPORT: A 43-year-old male patient with a history of complex rhegmatogenous retinal detachment repair and recurrent cystoid macular edema presented with decreased vision and sudden pain in the right eye after chiropractic manipulation of the neck, status post-intravitreal injection of triamcinolone, which was performed earlier that day...
July 2020: Optometry and Vision Science: Official Publication of the American Academy of Optometry
Brian C Coleman, Samah Fodeh, Anthony J Lisi, Joseph L Goulet, Kelsey L Corcoran, Harini Bathulapalli, Cynthia A Brandt
BACKGROUND: Chronic spinal pain conditions affect millions of US adults and carry a high healthcare cost burden, both direct and indirect. Conservative interventions for spinal pain conditions, including chiropractic care, have been associated with lower healthcare costs and improvements in pain status in different clinical populations, including veterans. Little is currently known about predicting healthcare service utilization in the domain of conservative interventions for spinal pain conditions, including the frequency of use of chiropractic services...
July 17, 2020: Chiropractic & Manual Therapies
Rosemary Giuriato, Goran Štrkalj, Tania Prvan, Nalini Pather
BACKGROUND: Human anatomy education is compulsory in the undergraduate curriculum in all Australian chiropractic education programs. There is very little data on clinicians' perceptions of the adequacy of their anatomy training and its relevance to practice. The aims of this study were to evaluate Australian registered chiropractors' perceptions on the relevance and adequacy of anatomy training for clinical practice and analyse their opinion on the usefulness of the teaching resources utilized during their preprofessional training...
July 16, 2020: Chiropractic & Manual Therapies
Jeremy B Kent, Kawai O Tanabe, Arjun Muthusubramanian, Siobhan M Statuta, John M MacKnight
Context: The drive for a quick return to sport after injury can be great. Athletes look to their sports medicine provider for guidance on a speedy and effective recovery. The sports medicine physician has a number of different treatment options to consider when they turn to their medical armamentarium. One of those treatment choices is complementary and alternative medicine (CAM). Unfortunately, there is limited evidence for many of the CAM modalities. Furthermore, CAM prescribing practices among sports medicine physicians is unknown...
July 15, 2020: Alternative Therapies in Health and Medicine
Christian J Fludder, Braden G Keil
Context: Deformational plagiocephaly, a non-synostotic asymmetry of the occipital bone, is a frequent occurrence in infants, with a peak incidence of 19.7% at 4 months of age. One aetiology is hypothesized to be due to restriction in normal cervical spine motion. Objective: This study aimed to determine if an association exists between plagiocephaly and restrictions in the passive range of motion (PROM) of the cervical spine. Methods: A retrospective analysis of the clinical records of 150 consecutive cases was performed, with specific inclusion/exclusion criteria applied...
July 15, 2020: Alternative Therapies in Health and Medicine
Eric Chun Pu Chu, Divya Midhun Chakkaravarthy, Fa Sain Lo, Amiya Bhaumik
Atlantoaxial rotatory subluxation (AARS) is the loss of normal alignment and stability of the first (atlas) and second (axis) cervical vertebrae with respect to each other. We describe the clinical challenges of managing a 10-year-old boy who presented with repetitive episodes of torticollis. Open-mouth odontoid radiograph and computed tomographic (CT) scan gave a diagnosis in ARRS, based on its characteristic imaging findings. The child was admitted multiple times for continuous halter traction in the first 6 months after symptom onset...
2020: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
Melissa Corso, Carol Cancelliere, Silvano Mior, Varsha Kumar, Ali Smith, Pierre Côté
INTRODUCTION: When indicated by signs or symptoms of potentially serious underlying pathology (red flags), chiropractors can use radiographs to inform their diagnosis. In the absence of red flags, the clinical utility of routine or repeat radiographs to assess the structure and function of the spine is controversial. OBJECTIVES: To determine the diagnostic and therapeutic utility of routine or repeat radiographs (in the absence of red flags) of the cervical, thoracic or lumbar spine for the functional or structural evaluation of the spine...
July 9, 2020: Chiropractic & Manual Therapies
James M Whedon, Serena Bezdjian, Justin M Goehl, Louis A Kazal
Introduction: Complementary health care professionals deliver a substantial component of clinical services in the United States, but insurance coverage for many such services may be inadequate. The objective of this project was to follow up on an earlier single-year study with an evaluation of trends in reimbursement for complementary health care services over a 7-year period. Methods: The authors employed a retrospective serial cross-sectional design to analyze health insurance claims for services provided by licensed acupuncturists, chiropractors, and naturopaths in New Hampshire (NH) from 2011 to 2017...
July 7, 2020: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Shawn M Neff, Christopher B Roecker, Casey S Okamoto, Samuel L Holguin, Jason G Napuli, Ross Mattox, Nathan A Hinkeldey, David J Paris
INTRODUCTION: The COVID-19 pandemic led to unprecedented changes, as many state and local governments enacted stay-at-home orders and non-essential businesses were closed. State chiropractic licensing boards play an important role in protecting the public via regulation of licensure and provision of guidance regarding standards of practice, especially during times of change or uncertainty. OBJECTIVE: The purpose of this study was to summarize the guidance provided in each of the 50 United States, related to chiropractic practice during the COVID-19 pandemic...
July 6, 2020: Chiropractic & Manual Therapies
Safoora Ebadi, Nicholas Henschke, Bijan Forogh, Noureddin Nakhostin Ansari, Maurits W van Tulder, Arash Babaei-Ghazani, Ehsan Fallah
BACKGROUND: This is an update of a Cochrane Review published in 2014. Chronic non-specific low back pain (LBP) has become one of the main causes of disability in the adult population around the world. Although therapeutic ultrasound is not recommended in recent clinical guidelines, it is frequently used by physiotherapists in the treatment of chronic LBP. OBJECTIVES: The objective of this review was to determine the effectiveness of therapeutic ultrasound in the management of chronic non-specific LBP...
July 5, 2020: Cochrane Database of Systematic Reviews
Marie-Elaine Grant, Kathrin Steffen, Debbie Palmer
BACKGROUND: This observational research study analyses the uptake of physical therapies treatments in the Polyclinic during the Rio 2016 Olympic Games. OBJECTIVE: To describe the usage of physical therapies services - physical therapy, osteopath, chiropractic, and sports massage - by athletes and non-athletes and across different sports. METHODS: The multidisciplinary team of physical therapies recorded treatment modalities, information on provider discipline and reason for attendance, in an Electronic Medical Record system throughout the 32 days of operation of the Olympic Polyclinic...
June 15, 2020: Brazilian Journal of Physical Therapy
Hope Foley, Amie Steel, Jon Adams
The duration and complexity of chronic conditions leads patients to consult complementary medicine (CM) practitioners, yet such care-seeking by this clinical population has not been thoroughly examined. This study describes characteristics and reasons for consultation amongst those with chronic conditions who consult CM practitioners. A cross-sectional study surveyed patients in clinics of 39 CM practitioners from the five most accessed CM professions in Australia (chiropractic, massage, osteopathy, acupuncture, naturopathy)...
June 19, 2020: Health & Social Care in the Community
Clinton J Daniels, Jordan A Gliedt, Pradeep Suri, Edward M Bednarz, Anthony J Lisi
BACKGROUND: Little is known about the preferred treatment strategies of chiropractors in managing low back pain patients with prior lumbar fusions. There are several case reports which describe chiropractic care following surgical intervention, but there are no cohort or experimental studies published. Therefore, we sought to examine self-reported management approaches and practice patterns related to the management of patients with prior surgical lumbar fusion, among United States Veterans Affairs (VA) chiropractors...
June 19, 2020: Chiropractic & Manual Therapies
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