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Monthly Archives: April 2011

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Who’s Asleep Over at MedScape?

By |April 27, 2011|News, Stroke|

Who’s Asleep Over at MedScape?

The Chiro.Org Blog


In general, I find the reporting at MedScape to be top notch, but I have significant problems with their 4-20-11 essay titled: “The Potential Complications of Chiropractic Therapy”.

Answer this question:

If I sneeze, and there is a car accident across the street,
have we discovered the *cause* of car accidents?

The scientific method would propose that we sneeze a hundred times, and count the car accidents.

That’s how you begin to determine if there is an actual relationship between one event (like drinking milk) and it’s potential consequences (like developing cancer).

The Bone and Joint Decade Task Force was appointed by the World Health Organization (WHO) to look at the causes of, and treatments for neck pain, and after years of review, they published their results in the prestigious Spine Journal. One of the most relevant articles (to this conversation) was titled:

Risk of Vertebrobasilar Stroke and Chiropractic Care: Results of a Population-based Case-control and Case-crossover Study
Spine 2008 (Feb 15); 33 (4 Suppl): S176–183

CONCLUSION: VBA stroke is a very rare event in the population. The increased risks of VBA stroke associated with chiropractic and PCP visits is likely due to patients with headache and neck pain from VBA dissection seeking care before their stroke. We found no evidence of excess risk of VBA stroke associated chiropractic care compared to primary care.

There was an association between chiropractic services and subsequent vertebrobasilar artery stroke in persons under 45 years of age, but a similar association was also observed among patients receiving general practitioner services. This is likely explained by patients with vertebrobasilar artery dissection-related neck pain or headache seeking care before having their stroke.

This Blog (and our website in general) has published regularly on this topic:

WARNING: Conducting an Orchestra Can Cause Vertebral Artery Dissection and Stroke
http://chiro.org/wordpress/?p=5005 (more…)

The Evidence-based Rap, or
What’s Wrong With My Pain Meds?

By |April 23, 2011|Low Back Pain, Research, Safety|

The Evidence-based Rap, or
What’s Wrong With My Pain Meds?

The Chiro.Org Blog


SOURCE:   A Chiro.Org Editorial

Based on:
  A Systematic Review on the Effectiveness of Pharmacological Interventions for Chronic Non-specific Low-back Pain ~ FULL TEXT
Eur Spine J. 2011 (Jan); 20 (1): 40–50


OK, maybe this isn’t a genuine Rap, and I’m not rhyming-Simon, but somebody needs to bust-a-cap on the pain-med industry, because they hold themselves to a much lower standard than they expect my profession to maintain.

Fortunately (and, to the rescue) comes this study from the Dutch Institute for Health Care Improvement. They actually *busted a cap*, by deciding to explore “the effectiveness of pharmacological interventions [i.e., non-steroid anti-inflammatory drugs (NSAIDs), muscle relaxants, antidepressants, and opioids] for non-specific chronic low-back pain (LBP)”. This article is a real eye-opener!

I say Bravo, because these drugs are medicine’s sole conservative approach for managing LBP. This Blog has previously published numerous (and recent) studies suggesting that chiropractic management for low back pain is orders of magnitude more effective for pain relief, and is also significantly more cost-effective than standard medical management. [1-8] (more…)

Landmark Legislation Passes In The Texas Senate

By |April 21, 2011|News|

Landmark Legislation Passes In The Texas Senate

The Chiro.Org Blog


SOURCE:   Texas Journal of Chiropractic


The Texas Chiropractic Association reports that on Thursday, April 14, 2011, the Texas Senate passed Senate Bill 1001. Says the Texas Chiropractic Association:

“This landmark legislation is significant for two reasons: It allows chiropractors to form professional associations with medical doctors, and it ensures that chiropractors will be treated fairly by insurance companies that decide to cover services that can legally be provided by chiropractors and other types of practitioners. …We have been trying to pass this type of legislation for more than 20 years.”

The Senate Journal reflects that “Senator Carona offered the following amendment to the bill”: These amendments include:

“A COLLABORATION BETWEEN PHYSICIANS AND CHIROPRACTORS. a person licensed under Subtitle B, Title 3, and a person licensed under Chapter 201 are authorized to: (1) collaborate with each other in providing services to a client ….”

Title 3 is the Health Professions portion of the Occupations Code.

Subtitle B relates to Physicians.

Chapter 201 of Subtitle C relates to Chiropractors.

“ASSOCIATIONS.

(a) a person licensed under Subtitle B, Title 3, and a person licensed under Chapter 201 of this code may form a partnership, professional association, or professional limited liability company according to the requirements of this section and any other applicable law. (more…)

Danish vaccine scientist indicted in US

By |April 20, 2011|Vaccination|

Autism researcher accused of embezzling $1 million
Source Copenhagen Post

American prosecutors are seeking to extradite a Danish scientist who a federal grand jury in Atlanta has charged with 13 counts of wire fraud and nine counts of money laundering. They allege that Poul Thorsen, 49, stole over $1 million from autism research funding between February 2004 and June 2008, and used the proceeds to buy a home in Atlanta, two cars and a Harley Davidson.

Thorsen helped two Danish government agencies obtain research grants, which amounted to $11 million between 2000 and 2009, whilst he was working as a visiting scientist at the Atlanta-based Centers for Disease Control and Prevention (CDC) in the 1990s. He returned to Denmark as the ‘principal investigator’ for the programme, which studied the relationship between autism and exposure to vaccines, allegedly putting him in charge of the administration of the funding.

(more…)

Advising on Prevention in Chiropractic: A Look at Public Health Promotion

By |April 19, 2011|Chiropractic Technique, Education, Prevention|

Advising on Prevention in Chiropractic:
A Look at Public Health Promotion

The Chiro.Org Blog


SOURCE:   Topics in Integrative Health Care 2011: 2 (1)

Harrison Ndetan, M.Sc., MPH, DrPH, Michael Ramcharan, DC,
Marion Willard Evans, Jr., DC, PhD, MCHES, CWP


Chiropractic care is among the more commonly used Complementary and Alternative Medical (CAM) therapies. Spinal co-morbidities include many of the most common causes of premature death and disability. Health promotion and disease prevention have been used in the profession and taught in educational settings but not yet fully embraced in usual practice. This manuscript reviews areas in which health promotion has been emphasized in chiropractic education along with instances in which health behavior theories (HBTs) have been applied. Chiropractic clinical and educational programs should consider application of HBTs to move clinicians and interns forward regarding better advising roles with patients related to prevention and health promotion.


Introduction

The actual causes of death in the United States include many chronic diseases that are attributable to modifiable behavioral risk factors such as tobacco use, physical inactivity or sedentary lifestyle, alcohol consumption, poor nutrition or eating habits. [1]An increased emphasis on prevention, health promotion (HP), and education has been recommended for decades but has failed to reduce many of the threats related to premature morbidity and mortality. [2,3]Complementary and alternative medicine (CAM) use has also increased; in many cases aimed at chronic disease management. [4-7]

Chiropractic care is one of the most frequently used professional CAM health care systems in the U.S. [4,5,7]Musculoskeletal conditions such as low back and neck pain, which are among the most common reasons patients visit medical physicians in the U.S., [8]are also among the conditions most frequently treated with chiropractic care. [7-9]The relative efficacy and cost effectiveness of chiropractic and medical care have emerged as important issues in the broader debate on evidence-based healthcare. [10,11]

Chiropractors and health promotion

There are more articles like this at our:

Health Promotion & Wellness Page

(more…)