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Monthly Archives: July 2011

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Chiropractic Care for Spinal Whiplash Injuries

By |July 29, 2011|Whiplash|

Chiropractic Care for Spinal Whiplash Injuries

The Chiro.Org Blog


SOURCE:   J Orthopaedic Medicine 1999; 21 (1): 22–25

By David BenEliyahu, D.C.


Studies on the efficacy of chiropractic care for patients suffering with pain secondary to whiplash injury are appearing in the literature. In 1996, Woodward et al. published a study in Injury on the efficacy of chiropractic treatment of whiplash injuries. [1] The authors of this study were from the Department of Orthopedic Surgery in Bristol, England.

In 1994, Gargan and Bannister published a paper on the recovery rate of patients with whiplash injuries and found that if patients were still symptomatic after three months, there was almost a 90% chance they would remain so. [2] No conventional medical treatment has been shown to be effective in these established chronic whiplash injury patients. [3, 4] However, most DCs treating whiplash injury patients have empirically found high success rates in the recovery of these types of patients.

In the Woodward study, 93% of the 28 patients studied retrospectively were found to have a statistically significant improvement following chiropractic care. [1] Chiropractic care in this study consisted of spinal manipulation, PNF and cryotherapy. Most of the 28 patients had prior treatment with NSAIDs, soft collars and physiotherapy. The average length of time before the patients began chiropractic care was 15.5 months post-MVA (range of 3-44 months).

This study clearly documented what most DCs experience in clinical practice: that chiropractic care is an effective modality for patients injured in a motor vehicle accident. Symptoms ranging from headaches to neck pain, back pain, interscapular pain and related extremity pain with paresthesias all respond to quality chiropractic care.

There are more articles like this @ our:

The Whiplash Page

(more…)

Whiplash & Chiropractic

By |July 26, 2011|Whiplash|

Whiplash & Chiropractic

The Chiro.Org Blog


SOURCE:   The ACA News


Whiplash is an enigmatic injury. We spend billions of dollars each year to treat it. Yet many lawyers, legislators, and medical doctors deny its existence. It affects millions of people around the world, yet research is severely under-funded. It is a largely preventable injury, yet we do little to prevent it. Fortunately, times are changing as whiplash enters a new phase of research and understanding.

“We now have a completely new model of whiplash,” says Dr. Arthur Croft, researcher and co-author of the well-respected textbook, Whiplash Injuries: The Cervical Acceleration/Deceleration Syndrome. “Back in 1982, when I started practice, we had an extremely simplistic view of whiplash – you got hit from the rear; your head snapped back, which may have caused damage to ligaments, muscles, and tendons; your head snapped forward, which may have caused some additional damage; and then you had symptoms. We weren’t very sophisticated in terms of what we knew, because there hadn’t been much research.”

Researchers now believe that during a rear-end collision, the lower neck goes into hyperextension, while the upper goes into flexion. “That means the bottom and top parts of the neck are going in opposite directions during the initial phase of a whiplash, which forms the letter ‘S,'” explains ACA member Dan Murphy, DC, who teaches whiplash throughout the world, including a 120-hour certification course on spine trauma. “This sequence of events has been captured with cineradiography, which lets us look at the movement of each joint of the spine with motion x-ray. It’s remarkable what it shows-especially in the lower neck where people seem to have the most complaints and most findings on examination. In a 6.5g impact, for example, the motion between C7 and T1 is supposed to be about two degrees, but researchers are finding that the joint is moving about 20 degrees – or 10 times more than it is supposed to.”

There are many more articles like this @:

The Whiplash and Chiropractic Page

(more…)

Primary Spine Care Practitioners

By |July 22, 2011|Evidence-based Medicine|

Primary Spine Care Practitioners

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2011 (Jul 22); 19: 17 ~ FULL TEXT


The following is an interesting and well crafted article that posits yet another fanciful way to bring chiropractic “out of the closet”.   I do have some issues with a few of Dr. Murphy’s recommendations, however:

1. In the Necessary Skill Set section of the article under point#2, he states that the “primary spine care practitioner” would employ those methods shown to be evidence-based, minimally invasive and cost-effective…one of them being the prescription of non-steroidal anti-inflammatory and non-opioid analgesics to their patients.

Our Iatrogenic Injury Page contains numerous articles detailing how NSAIDs and other analgesics are associated with the death of tens of thousands of people every year, for solely relying on them for pain relief. I just don’t see me EVER recommending them.

This is a genuine scientific conundrum:
how can anything that kills that many people still be referred to as “evidence-based”?

UPDATE: (2-14-17) The Annals of Internal Medicine pre-published a new article titled:

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians

and in it the authors stated:

The American College of Physicians (ACP) released updated guidelines this week that recommend the use of noninvasive, non-drug treatments for low back pain before resorting to drug therapies, which were found to have limited benefits. One of the non-drug options cited by ACP is spinal manipulation.


2. In the Obstacles To The Implementation section under point#5, Dr. Murphy states that “For whatever profession or professions that respond to the need for a primary spine care practitioner, this will be a significant disruption to the traditional practice patterns or self-image of these professions. As a result, the role that we are introducing here will be actively resisted”. Oh how true!

When you look closely at the “expanded practice” movement, the first thing I noticed was that this movement is being promoted by the chiropractic schools that have the lowest enrollment of students.

I suspect that they are hoping to (or already have) developed an “expanded practice” program that will attract more students, and that’s understandable, if expanding your income is your primary objective.


3. Finally, there is the subtle hint that becoming an “expanded practice chiropractor” (or “medi-practor”) will increase the doctor’s “market share”. That may even be true. But, if that also means embracing the kind of evidence-based care that kills thousands every year, I say “No thank you, sir”.

Please don’t get me wrong: I have tremendous respect for Dr. Murphy and the other authors of the following article.

This article is very well written and logical… up to a point. I am posting it on our blog because I agree that our profession needs to review this material and see if and how it can be tweaked. Most of their suggestions are valid. I just don’t see the need to grab for prescription rights….not when there’s such considerable scientific evidence for recommending Omega-3 fatty acids for pain relief.


I hope you will enjoy the following new article:


The Establishment of a Primary Spine Care Practitioner and its Benefits to Health Care Reform in the United States (more…)

Certified Nurse-midwives Give Chiropractic The Thumbs-Up

By |July 21, 2011|Pediatrics, Research|

Certified Nurse-midwives Give Chiropractic The Thumbs-Up

The Chiro.Org Blog


SOURCE:   Comp Therapies In Clinical Practice 2011 (Aug); 17 (3): 135–140

Linda Mullin, Joel Alcantara, Derek Bartonad, Lydia Deverae

Life University, College of Chiropractic, 1269 Barclay Circle, Marietta, GA 30060, USA.


187 certified nurse-midwives filled out an on-line, self-administered survey designed to gather their opinions on the safety of chiropractic, and the scope of chiropractic practice. It also captured demographic information relating to their professional training and their personal and professional clinical experiences with chiropractors.

The results were most revealing:

  • Responders were aware that chiropractors worked with “birthing professionals”
  • They were aware that DCs attended to patients for both musculoskeletal and non-musculoskeletal disorders
  • The vast majority indicated a positive personal and clinical experience with chiropractic
  • They also believed that chiropractic was safe for pregnant patients and for children

We want to thank the researchers at Life University and at the ICPA for their continued efforts to explain how (and why) chiropractic care is beneficial for pregnant mothers, as well as for their children. There has been a smattering of negative articles over the years trying to paint chiropractic as an unsupported “fringe” therapy, so articles like this help to set the record straight.

You may also enjoy reviewing these other relevant pages:

The Chiropractic Pediatrics Page

The “Kids Need Chiropractic, Too!” Page

The ADD/ADHD Page (more…)

Why Chiropractic Care Reduces Blood Pressure

By |July 17, 2011|Blood Pressure, Chiropractic Technique|

Why Chiropractic Care Reduces Blood Pressure

The Chiro.Org Blog


Several news stories reported on a study performed at the University of Leeds in England, and published in the August 1, 2007 issue of the Journal of Neuroscience [1], that showed links between neck muscles and the brain and that this link plays a crucial role in controlling blood pressure.

One report by UPI on August 2, 2007 starts off by stating:

A University of Leeds chance discovery in a British laboratory shows why a chiropractic adjustment for a pain in the neck may do wonders for blood pressure.

This article quotes study leader Professor Jim Deuchars, who notes that his finding found pathways between the neck and the brain and shows how the neck muscles could play an important role in controlling blood pressure, and why chiropractic care works so well with blood pressure.

He states, “By identifying the pathways we can see why these treatments might work and it could also explain why some people suffering whiplash injuries may experience a change in their blood pressure.”

As he mentions in the article, Professor Deuchars notes that the Leeds study further corroborates the work done at the Hypertension Center at the University of Chicago Medical Center and published in the March 2, 2007 issue of the Journal of Human Hypertension. In that previous study 25 people in the study group receiving the chiropractic adjustments all showed a significant reduction in blood pressure compared with groups in the study that did not get chiropractic adjustments. (more…)

Fundamentals of Initial Case Management Following Trauma

By |July 15, 2011|Education|

Fundamentals of Initial Case Management Following Trauma

The Chiro.Org Blog


By Richard C. Schafer, DC, PhD, FICC

The following materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


Without a doubt, no other health-care approach equals the efficacy of chiropractic in the general field of conservative neuromusculoskeletal rehabilitation.

For many centuries, therapeutic rehabilitation was a product of personal experience passed on from clinician to clinician. In the last 20 years, however, it has become an applied science. In its application, of course, much empiricism remains that can be called an intuitive art –and this is true for all forms of professional health care.

INTRODUCTION

The word trauma means more than the injuries so common with falls, accidents, and contact sports. Taber1 defines it as “A physical injury or wound often caused by an external force or violence” or “an emotional or psychologic shock that may produce disordered feelings or behavior.” This is an extremely narrow definition for trauma can also be caused by intrinsic forces as seen in common strain. In addition to its cause being extrinsic or intrinsic, with a physical and emotional aspect, it also can be the result of either a strong overt force or repetitive microforces. This latter factor, so important in treating a unique patient’s specific pathophysiology, is too often neglected outside the chiropractic profession.

Taber1 states rehabilitation is “The process of treatment and education that lead the disabled individual to attainment of maximum function, a sense of well being, and a personally satisfying level of independence. The person requiring rehabilitation may be disabled from a birth defect or from an illness. The combined effects of the individual, family, friends, medical, nursing, allied health personnel, and community resources make rehabilitation possible.” It is surprising that Taber excludes trauma as a prerequisite for rehabilitation for it is the most common factor involved.

Other authors define rehabilitation strictly in terms of exercise and restorative therapeutic modalities and regimens. Some limit the term to preventing or reversing the noxious effects of the inactivity or lessened activity associated with the healing process. While it is true that these definitions hold significant components of clinical reconditioning and restoration, the scope of rehabilitation means much more to the chiropractic physician. (more…)