January 2018
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Provider and Patient Perspectives on Opioids and Alternative Treatments for Managing Chronic Pain

Chiro.Org Blog: These results suggest that education about realistic expectations for chronic pain management and therapy options, as well as making acupuncture and chiropractic (A/C) care more easily accessible, might lead to more satisfaction for patients and providers, and provide important input to policy makers. […]

Chronic Neck Pain Patients With Traumatic or Non-traumatic Onset: Differences in Characteristics

Chiro.Org Blog: This study found that patients with chronic neck pain with atraumatic onset in general were worse than those with pain from a non-traumatic origin on both the physical tests and self-reported health characteristics. There were no exclusive characteristics foreither group, and both groups presented a large variety of signs and symptoms. […]

Short Term Treatment Versus Long Term Management of Neck and Back Disability in Older Adults Utilizing Spinal Manipulative Therapy and Supervised Exercise

Chiro.Org Blog: Self-report questionnaires administered at 2 baseline visits and 4, 12, 24, 36, 52, and 78 weeks post-randomization. Primary outcomes include back and neck disability, measured by the Oswestry Disability Index and Neck Disability Index. Secondary outcomes include pain, general health status, improvement, self-efficacy, kinesiophobia, satisfaction, and medication use. Functional outcome assessment occurs at baseline and week 37 for hand grip strength, short physical performance battery, and accelerometry. Individual qualitative interviews are conducted when treatment ends. Data on expectations, falls, side effects, and adverse events are systematically collected. […]

Exploring the Definition of «Acute» Neck Pain

Chiro.Org Blog: The time period with 0–4 weeks of symptoms as the definition of “acute” neck pain should be maintained. Patients with a shorter period (0–2 weeks) of symptoms recover faster than patients with a longer period of symptoms (2–4 weeks) but this difference is only statistically significant at the 1 week and 1 month time periods. These results for neck pain patients are different from those obtained in the similar study investigating acute low back pain patients where the 0–2 weeks time period as the definition of ‘acute’ was recommended. Medium-term and long-term outcome is favourable for acute as well as subacute neck pain patients, independent of the exact duration of symptoms. […]

Elevated Production of Inflammatory Mediators Including Nociceptive Chemokines in Patients With Neck Pain: A Cross-Sectional Evaluation

Chiro.Org Blog: The role of inflammatory mediators in the genesis of persistent pain and hyperalgesia has been recently explored in different clinical and experimental models. [1, 2] In certain clinical conditions associated with chronic pain, proinflammatory cytokine levels appear to correlate with pain intensity. [3] However, the involvement of chemical mediators of inflammation in the pathology of chronic and/or acute spinal pain remains unclear despite localization of inflammatory cytokines such as tumor necrosis factor α (TNF-α), interleukin (IL)- 1β, and IL-6 both in intervertebral disc specimens [4-6] and in facet joint tissues of degenerating lumbar spine. [7, 8] […]

Mild Traumatic Brain Injury After Motor Vehicle Collisions:
What Are the Symptoms and Who Treats Them?

Chiro.Org Blog: A total of 1716 adults suffered MTBI after a motor vehicle collision over the 2-year inception period. Six weeks after the collision, 75% reported having more than 3 symptoms and 30% had clinically significant pain in more than 3 body sites. Over time, the prevalence of symptoms and pain decreased but they were still common after 1 year. Almost all participants sought care for their symptoms at all time points, most commonly from a physician. Care-seeking from physiotherapists, chiropractors, and massage therapists was also very common, and most participants sought care from 2 or 3 providers at all follow-up points. […]

Variations in Patterns of Utilization and Charges for the Care of Neck Pain in North Carolina, 2000 to 2009: A Statewide Claims’ Data Analysis

Chiro.Org Blog: Care patterns with single-provider types and no referrals incurred the least average charges for both uncomplicated neck pain (UNP) and complicated neck pain (CNP). When care did not include referral providers or services, for either UNP or CNP, MD care with PT was generally less expensive than MD care with DC care. However, when care involved referral providers or services, MD and PT care was on average more expensive than MD and DC care for either UNP or CNP. […]

Vertical Posture and Head Stability in Patients With Chronic Neck Pain

Chiro.Org Blog: Patients with chronic neck pain, in particular those with whiplash-associated disorders, showed larger sway areas and reduced ability to successfully execute more challenging balance tasks. They also displayed larger sway areas and reduced head stability during perturbations. The results show that disturbances of postural control in chronic neck pain are dependent on the etiology, and that it is possible to quantify characteristic postural disturbances in different neck pain conditions. […]