February 2015
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Identification of Internal Carotid Artery Dissection

Chiro.Org Blog: The problem any chiropractic physician faces in identifying ICAD patients is that the condition may present without any symptoms or the symptoms may appear benign (e.g., headache, neck pain or cervicogenic dizziness). Consequently, it may be impossible to identify some ICAD patients, especially in the early stages of the pathology. As the ICAD progresses and neural blood flow is compromised, the symptom picture typically manifests more completely. The chiropractic physician must be alert to characteristic findings of a progressing ICAD, since an immediate referral to a medical specialist may be required. […]

The Etiology of Cervical Artery Dissection

Chiro.Org Blog: The etiology of cervical artery dissection (CAD) is unclear, although a number of risk factors have been reported to be associated with the condition. On rare occasions, patients experience CAD after cervical spine manipulation, making knowledge about the cervical arteries, the predisposing factors, and the pathogenesis of the condition of interest to chiropractors. This commentary reports on the relevant anatomy of the cervical arteries, developmental features of CAD, epidemiology of the condition, and mechanisms of dissection. […]

Recognition of Spontaneous Vertebral Artery Dissection

Chiro.Org Blog: This case highlights the potential for patients with vertebral artery dissection to present with nonspecific musculoskeletal complaints. Neurological symptoms may not manifest initially, but their sudden onset indicates the possibility of an ischemic cerebrovascular event. We suggest that early recognition and emergent referral for this patient avoided potential exacerbation of an evolving pre-existing condition and resulted in timely anticoagulation treatment. […]

Elongated Styloid Processes and Calcified Stylohyoid Ligaments in a Patient With Neck Pain: Implications for Manual Therapy Practice

Chiro.Org Blog: Neck pain in the presence of elongated styloid processes (ESPs) and calcified stylohyoid ligaments (CSLs) can be associated with Eagle syndrome, which can include ipsilateral head and neck pain, odynophagia, dysphagia, and cerebrovascular symptoms. This case, initially thought to be Eagle syndrome, highlights proper diagnostic workup for this condition and presents potential contraindications to consider with regard to cervical spine manipulation in such patients. Manual therapy precautions pertaining to cervical spine manipulation may be appropriate in cases involving ESPs and calcified stylohyoid ligaments. […]

Chiropractic Management of an 81-Year-Old ManWith Parkinson Disease Signs and Symptoms

Chiro.Org Blog: This case report describes the responses of a patient with PD who was treated with blue-lensed glasses, vibration stimulation therapy, spinal manipulation, and eye-movement exercises. No definitive conclusions can be drawn from this case; however, it does suggest that the use of chiropractic care may benefit a patient with PD. […]

Chiropractic identity, role and future: a survey of North American chiropractic students

Source Chiropractic and Manual Therapies

Jordan A Gliedt, Cheryl Hawk, Michelle Anderson, Kashif Ahmad, Dinah Bunn,Jerrilyn Cambron, Brian Gleberzon, John Hart, Anupama Kizhakkeveettil, Stephen M Perle, Michael Ramcharan, Stephanie Sullivan and Liang Zhang

Abstract Background

The literature pertaining to chiropractic students’ opinions with respect to the desired future status of the chiropractic physician is limited […]

Spinal Pain in Adolescents

Chiro.Org Blog: Neck, mid back, and low back pain are common at the age of 11–15 years. For the majority of the participants, the pain seems to be mild in nature, relatively infrequent and of low intensity. A group of 14-20% was more severely affected with frequent pain which was also more intense. The two-year course showed a progressive development in pain, and that pain was likely to spread to more locations over a two-year period, regardless of initial pain location. […]

A Randomized Controlled Trial Comparing a Multimodal Intervention and Standard Obstetrics Care for Low Back and Pelvic Pain in Pregnancy

Chiro.Org Blog: We have shown that a combination of manual therapy, exercise, and patient education reduces pain and disability when applied at 24-33 weeks’ gestation. The benefits derived are both subjective and objective. Patients perceived less pain and disability and an overall global improvement in daily activities. Their physical examinations revealed improved range of motion, stability, and less irritation at the lumbar and pelvic joints. Notably, no adverse events were reported in either group. We conclude that a multimodal approach to musculoskeletal LBP/PP that is instituted in the late second and early third trimesters of pregnancy benefits patients above and beyond standard obstetrics provider care. […]