December 2017
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Chiropractic Management of a Patient With Neck-Tongue Syndrome

Chiro.Org Blog: Neck-tongue syndrome (NTS) presents with unilateral upper neck or occipital pain and altered sensation in the ipsilateral half of the tongue that is aggravated by neck movement. [1] The prevalence of NTS in adults is estimated to be 2.2 individuals out of 1,000. [2] The paper that reported this figure was based on examination of 1,838 individuals aged 18–64 and not on individuals who sought care. The number of patients seeking care for NTS is likely to be lower than 2.2 out of 1,000. The low number of case studies reported in the literature (approximately 50 cases involving individuals aged 6–65 years have been described in the literature [3]) and the lack of mention of the syndrome in common orthopedic texts attest to this. […]

Neck Pain In Children

Chiro.Org Blog: Spinal pain is common amongst the paediatric population (including children and adolescents). It is a significant health issue [1, 2] where 52% of paediatric patients report musculoskeletal (MSK) symptoms over a one-year period. [3] Neck pain is the most common spinal pain in paediatric patients [3, 4] with 60% reporting neck pain persisting at two years after this study began. […]

Management of Neck Pain and Associated Disorders

Chiro.Org Blog: This guideline is based on recent systematic reviews of high-quality studies. A multidisciplinary expert panel considered the evidence of effectiveness, safety, cost-effectiveness, societal and ethical values, and patient experiences (obtained from qualitative research) when formulating recommendations. Target audience includes clinicians; target population is adults with grades I-III NAD <6 months duration. […]

Where the United States Spends its Spine Dollars

Chiro.Org Blog: Between 1999 and 2008, the mean inflation-adjusted annual expenditures on medical care for these patients increased by 95% (from $487 to $950); most of the increase was accounted for by increased costs for medical specialists, as opposed to primary care physicians. During the study period, the mean inflation-adjusted annual expenditures on chiropractic care were relatively stable; although physical therapy was the most costly service overall, in recent years those costs have contracted. […]

Prognostic Factors for Recurrences in Neck Pain Patients Up to 1 Year After Chiropractic Care

Chiro.Org Blog: The results of this study suggest that recurrence of neck pain within 1 year after chiropractic intervention in Swiss chiropractic patients presenting from varied onsets is low. This study found preliminary findings that older age and a previous episode of neck may be useful predictors of neck pain recurrence within 1 year. […]

Spinal Manipulative Therapy and Exercise For Seniors with Chronic Neck Pain

Chiro.Org Blog: Spinal manipulative therapy (SMT) with home exercise resulted in greater pain reduction after 12 weeks of treatment compared with both supervised home exercise (HE) and HE alone. Supervised exercise sessions added little benefit to the HE-alone program. […]

Treatment Preferences Amongst Physical Therapists and Chiropractors for the Management of Neck Pain: Results of an International Survey

Chiro.Org Blog: This survey indicates that exercise and manual therapy are core treatments provided by chiropractors and non-American physical therapists. […]

Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Neck Pain

Chiro.Org Blog: The annual prevalence of nonspecific neck pain is estimated to range between 30% and 50%. [1] Persistent or recurrent neck pain continues to be reported by 50% to 85% of patients 1 to 5 years after initial onset. [2] Its course is usually episodic, and complete recovery is uncommon for most patients. [3] Twenty-seven percent of patients seeking chiropractic treatment report neck or cervical problems. [4] Thus, treatment of neck pain is an integral part of chiropractic practice. […]

The Prevalence and Progression of Neck and Back Pain in Children Over Time

Chiro.Org Blog: It is well known that back pain (BP) is a common and costly problem in the general population. Previously, BP in children was considered rare and a sign of a potentially serious disorder [1,2]. Today, according to a recent systematic review, the general opinion would be that BP, including low back pain (LBP), mid back pain (MBP) and neck pain (NP), starts already early in life to accelerate during the early teens up till early adulthood [3] and that its presence in young age is a precursor for BP also in adulthood [4]. […]

Predictors of Outcome in Neck Pain Patients Undergoing Chiropractic Care: Comparison of Acute and Chronic Patients

Chiro.Org Blog: For the most part, baseline variables were not predictive of outcome in neck pain patients and as a consequence prediction of outcome at 1 week was not possible using the potential predictors measured in this study. Instead, the most consistent predictor of improvement at both 1 and 3 months for both acute and chronic neck pain patients undergoing chiropractic treatment is significant self-reported improvement early on. Importantly, the co-existence of cervical radiculopathy or dizziness in addition to neck pain was not associated with a negative outcome for either acute or chronic patients. […]

Neck and Back Pain in Children: Prevalence and Progression Over Time

Neck and Back Pain in Children: Prevalence and Progression Over Time

The Chiro.Org Blog

SOURCE:   BMC Musculoskelet Disord. 2011 (May 16); 12: 98 ~ FULL TEXT Per Kjaer, Niels Wedderkopp, Lars Korsholm, and Charlotte Leboeuf-Yde

Institute of Sports Science and Clinical Biomechanics, Part of Clinical Locomotion Network, University of Southern Denmark, Campusvej 55, DK-5230, […]

Upper Back and Thoracic Spine Trauma

Chiro.Org Blog: Upper-thoracic spasms and trigger points are common within the milder complaints heard in a chiropractic office. Typical posttraumatic injuries of the posterior thorax involve the large posterior musculature, thoracic spine, spinocostal joints, and tissues supporting and mobilizing the scapula (especially the rhomboids). Upper right abdominal quadrant ailments (eg, gallbladder, liver) commonly refer pain and sometimes tenderness to the right scapular area. […]

For Neck Pain, Chiropractic and Exercise Are Better Than Drugs

Chiro.Org Blog: Seeing a chiropractor or engaging in light exercise relieves neck pain more effectively than relying on pain medication, new research shows. […]

A Systematic Review and Meta-analysis of Efficacy, Cost-effectiveness, and Safety of Selected Complementary and Alternative Medicine for Neck and Low-back Pain

Chiro.Org Blog: CAM treatments were significantly more efficacious than no treatment, placebo, physical therapy, or usual care in reducing pain immediately or at short-term after treatment. CAM therapies did not significantly reduce disability compared to sham. None of the CAM treatments was shown systematically as superior to one another. More efforts are needed to improve the conduct and reporting of studies of CAM treatments. […]

Application of a Diagnosis-Based Clinical Decision Guide in Patients with Neck Pain

Chiro.Org Blog: Neck pain (NP), along with related disorders such as cervical radiculopathy and headache, is very common. It is estimated that 30-50% of adults will experience some form of significant NP in any given year.. Further, work limitation due to NP occurs in 11-14% of individuals each year. The recent Bone and Joint Decade Neck Pain Task Force identified the need for research that examines the clinical criteria for diagnosis as well as the best forms of treatment for patients with NP and related disorders. Also recognized by the Neck Pain Task Force is the importance of applying a patient-focused approach that considers the biopsychosocial nature of NP. […]