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Monthly Archives: May 2015

DCs Treating the Multiple Sclerosis Patient

By |May 29, 2015|Chiropractic Care, Multiple Sclerosis|

DCs Treating the Multiple Sclerosis Patient

The Chiro.Org Blog


SOURCE:   ACA News ~ May 2015 ~ FULL TEXT

By Lori A. Burkhart


Multiple Sclerosis (MS) is the most common disabling neurological disease of young adults, according to the National Institutes of Health (NIH), most often appearing when people are between 20 and 40 years old. However, it can also affect children and adults over 40. The U.S. National Library of Medicine defines MS as an autoimmune disease that affects the central nervous system (brain and spinal cord). The myelin sheath, a protective membrane that wraps around the axon of a nerve cell, is destroyed in a patient with MS; this is caused by inflammation. That damage causes nerve signals to slow down or stop. MS affects women more than men.

Since doctors of chiropractic are recognized as primary contact neuromusculoskeletal specialists, most will have patients with undiagnosed MS come into their practices. The DC will diagnose the patient, treat certain symptoms and make the appropriate referrals.


Diagnosis

Diagnosis of MS is complicated in that it can be severe or mild and can go into remission. NIH points out that initial symptoms often are double or blurred vision, red-green color distortion or blindness in one eye. Most MS patients experience muscle weakness in their extremities and difficulty with coordination and balance.

According to Larry Wyatt, DC, DACBR, FICC, professor and senior faculty, division of clinical sciences at Texas Chiropractic College, MS is diagnosed in a number of ways, as its clinical course is distinctive in each patient and there are different types of MS. Some patients with obvious MS are diagnosed by clinical signs and symptoms (i.e., attacks) alone. These patients will have MS attacks that often relapse for months or even years. In other patients further testing is necessary. Magnetic resonance imaging (MRI), often with gadolinium enhancement, is the mainstay of diagnosis in most cases. “Patients with MS will very often have multiple high-signal intensity lesions in the brain and/or spinal cord on T2-weighted images,” Dr. Wyatt says. “In addition, cerebrospinal fluid analysis for immunoglobulin content can be quite helpful. There is a specific set of criteria, called the McDonald Criteria, which outline the findings necessary for the diagnosis of the different forms of MS.”

Jason West, DC, DCBCN, a fourth-generation DC who operates a clinic in Pocatello, Idaho, says the majority of the diagnosis comes from the patient history, but he points out that usually when patients with MS come in, they already are diagnosed and they are unhappy with their medical treatment options. “If they weren’t diagnosed, one of the standards is to do an MRI and look for white lesions, and there is also a spinal tap to look for antibodies,” Dr. West says. “Usually these patients have a history of peripheral neuropathy or neurological disease or processes occurring.”


Symptom Management

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Case Report of a Patient Presenting With Post-concussion Syndrome and Post-traumatic Stress Disorder

By |May 22, 2015|Concussion, Post-traumatic Stress Disorder, Upper Cervical Adjusting|

A Case Report on the Management of a Patient Presenting With Post-concussion Syndrome and Post-traumatic Stress Disorder, Using the Upper Cervical Chiropractic Technique

The Chiro.Org Blog


SOURCE:   Topics in Integrative Health Care 2015 (Mar 31);   6 (1)

Scott Bales, DC

180 Parsons Rd #11
Alliston, Ontario,
Canada L9R1E8


Introduction:   This case report describes the chiropractic management of a patient with a history of multiple mild traumatic brain injuries, using Upper Cervical manipulative technique.

Clinical Features:   A 42 year old man presenting with symptoms of post-concussion syndrome, and diagnosed with post-traumatic stress disorder and depression.

Intervention and Outcome:   The Kale Upper Cervical Procedure was utilized to assess, monitor, and correct the effects of an upper cervical subluxation in a patient over an 8 week period. The patient reported significant improvement in symptoms of post- concussion syndrome, and small positive improvements in PTSD symptoms. Follow up at 11 months showed continued improvement in most symptoms.

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The Alamo, Part 2: The Texas Medical AssociationContinues to Suppress Chiropractic

By |May 19, 2015|Announcement|

The Alamo, Part 2: The Texas Medical Association
Continues to Suppress Chiropractic

The Chiro.Org Blog


SOURCE:   Texas Medicine ~ May 2015

By Kara Nuzback


Edited from their article:

The Affordable Care Act promotes collaboration and team treatment of patients. The Texas Medical Association agrees collaborative care is crucial, but the association wants to ensure physicians remain the head of the team. With the Texas Legislature in full swing, physicians face several bills that would challenge that leadership and expand the scope of practice for nurses, chiropractors, and other health professionals without a license to practice medicine.

Fort Worth pediatrician Gary Floyd, MD, says he started testifying before the legislature in defense of patients in the 1990s. Every session, a similar onslaught of bills arises from nonphysician practitioners aiming to expand their scope of practice.

“A lot of them are reaching beyond what they’ve been educated and trained to do, and beyond what their skill sets allow them to do,” he said. “That puts patients in danger.”

These medical professionals also put their own licenses at risk, he says. “When you over-reach, you get in trouble,” he added.

Dr. Floyd does not downplay the need for nurses and other midlevel professionals, but he emphasizes the importance of physician supervision. “They are part of a physician-led health care team,” he said. “We strongly believe that is the best model for delivering care.”


That roughly translates into: They can only do what WE permit, and no more!


This section is quite revealing:

Chiropractors:

TMA has gone up to bat against the Texas Board of Chiropractic Examiners (TBCE) in the past to fight rule changes that would expand chiropractors’ scope.

In 2006, TMA took TBCE to court to invalidate the board’s adoption of rules that would have allowed chiropractors to make diagnoses and perform needle electromyography (EMG) and spinal manipulation under anesthesia (MUA). In 2012, an appellate court invalidated TBCE’s rules allowing EMG and MUA, but it said it had no jurisdiction to consider the diagnosis rule. TMA appealed the diagnosis decision to the Texas Supreme Court the same year, but in 2013, the high court decided not to hear the case. The issue of chiropractors diagnosing medical conditions is not yet resolved.

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