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Chiropractor

Page history last edited by Students 6 years ago

The following are peer review journals/articles that given information about Chiropractic's and how they can help prevent and treat pain.

 

Articles 

 

Manipulation and exercise are recommended by chiroproctors for treatment and prevention of low back problems. Many patients stop their exercise program with improvement in their symptoms. The success of exercises for the prevention of low back pain is dependent on several factors, one being continued compliance to the program. Only a small percentage of the general population do regular exercise; therefore, it is essential that patients recognize the importance of regular exercise in reducing the recurrence of their low back pain. This case study shows how the use of a gym ball appears to have improved compliance and reduced the incidence of low back pain for one patient with a history of re-occuring low back pain and a poor record of exercise compliance. The question must be asked, in this an case incident or is use of the gym ball an appropriate treatment for low back pain?

 

Merritt, L. G. (2001). Exercise compliance and the gym ball: a case study. Journal Of The Canadian Chiropractic Association, 45(4), 221.

 

 

http://eds.b.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=8277b71b-8456-46db-a003-76ee75c81837%40sessionmgr114&;vid=8&;hid=106

 

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Objectives: The purpose of this article is to report the case of a patient who had low-back pain, leg pain, and idiopathic chronic testicular pain and who sought chiropractic care for his low-back and leg pain and received pain relief including his testicular pain. Subject: A 36-year-old male patient had low-back pain, right leg pain, and testicular pain that was worsening. All had been present for 5 years. He had been seen by several medical physicians and had lumbar magnetic resonance imaging and x-rays performed. All were read as normal. Examination revealed tenderness of the testicles bilaterally with no masses or other abnormality of the testicles or scrotum. Orthopedic and neurological testing was unremarkable. Tenderness rated 8 out of 10 was noted at the L4 spinous process. Intervention: The patient was treated with Cox Technic (flexion-distraction) of the lumbar spine, receiving a total of 19 treatments over an 8-week time period. Results: After 4 weeks, the patient's low-back pain was decreased and his leg pain was gone. The testicular pain was improved after the first treatment and gone after 3 weeks of care. The patient was followed up by telephone at 3 and 6 months after discharge to find out if the testicle pain had returned, which it had not. Conclusions: This case was one of chronic idiopathic testicular pain. The patient was treated with the Cox Technic, and his low-back pain improved with complete remission of his leg and testicular pain. The testicular pain had not returned 6 months following his discharge from care.

 

Rowell, R. M., & Rylander, S. J. (2012). Low-Back Pain, Leg Pain, and Chronic Idiopathic Testicular Pain Treated with Chiropractic Care. Journal Of Alternative & Complementary Medicine, 18(4), 420-422. doi:10.1089/acm.2010.0698 

 

http://eds.b.ebscohost.com/ehost/detail?vid=9&sid=8277b71b-8456-46db-a003-76ee75c81837%40sessionmgr114&hid=106&bdata=JmxvZ2luLmFzcCZzaXRlPWVob3N0LWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=a9h&AN=74434699

 

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Summary: Objective: To describe the case of a patient with depressive symptoms which improved while under chiropractic care for low back pain, and to discuss the clinical features of depression, including screening. Clinical features: A 71-year-old female with low back pain sought chiropractic care. Her initial score on the Beck Depression Inventory (BDI) was 8. Intervention and outcome: The patient was treated with flexion-distraction chiropractic technique, moist hot packs, and interferential current to the lumbar spine a total of 11 times over 11 weeks. The BDI was administered at baseline and again three times during care. Her scores went from 8 (indicated moderate depression) to 4 (indicating no or minimal depression) to 0 during her care. Conclusion: While non-musculoskeletal complaints as a chief complaint make up a small percentage of chiropractic practice, chiropractors see large numbers of patients with low back pain and depression. There is scant literature about the effect of chiropractic care as a treatment for depression. There are reports of other complementary and alternative medicine CAM treatments for patients with depression as well as reports of depression screening and awareness in chiropractic practice. This patient''s depression improved while under chiropractic care for her low back pain. This may have been due to a variety of factors, such as natural progression, therapeutic effect of touch, patient–doctor interaction, or improvement secondary to the improvement of her back pain.

 

Rowell, R. M., Lawrence, D. J., & Hawk, C. (2006). Relief of depressive symptoms in an elderly patient with low back pain. Clinical Chiropractic, 9(1), 34-38. doi:10.1016/j.clch.2005.09.001

 

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Summary: A case of a middle-aged, long-term insulin-dependent diabetic gentleman with an acute onset of hip and thigh pain and quadriceps weakness after sneezing is presented. Following an initial differential diagnosis of nerve root and/or femoral nerve compression, magnetic resonance imaging (MRI) failed to reveal any evidence of nerve root compression or intrapelvic pathology. On this basis, the diagnosis was subsequently modified to femoral mononeuropathy. As his symptoms were relieved by iliopsoas stretching, the possibility exists that he was suffering primarily from proximal femoral nerve entrapment by iliacus, and a post-mortem example of this anatomical variant is shown. Gentle stretching of hip flexors, especially if it alleviates symptoms, might therefore be considered amongst other conservative measures, where proximal femoral nerve entrapment is suspected.

 

Johnson, I. (2007). Iliacus stretching for symptomatic relief of femoral mononeuropathy. Clinical Chiropractic, 10(2), 97-100. doi:10.1016/j.clch.2006.11.001

 

http://eds.b.ebscohost.com/ehost/detail?vid=10&sid=8277b71b-8456-46db-a003-76ee75c81837%40sessionmgr114&hid=106&bdata=JmxvZ2luLmFzcCZzaXRlPWVob3N0LWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=a9h&AN=25034278  

 

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Background: Sixty percent (60%) to 80% of patients who visit chiropractic, osteopathic, or Chinese medicine practitioners are seeking pain relief. Objectives: This article aimed to identify the amount, quality, and type of complementary and alternative medicine (CAM) pain research in Australia by systematically and critically reviewing the literature. Methods: PubMed, Scopus, Australasian Medical Index, and Cochrane library were searched from their inception to July 2009. Australian and New Zealand Clinical Trial Registration and National Health and Medical Research Council databases were searched for human studies yet to be completed. Predefined search terms and selection criteria were used for data identification. Results: Of 204 studies selected, 54% were on chiropractic, 27% on Chinese medicine, 15% about multitherapy, and 4% on osteopathy. Chronic spinal pain was the most studied condition, with visceral pain being the least studied. Half of the articles in Chinese medicine or multitherapy were systematic reviews or randomized control trials. In comparison, only 5% of chiropractic and none of osteopathy studies were in these categories. Government funding was rare, and most studies were self-funded or internally funded. All chiropractic, osteopathic, and Chinese herbal medicine studies were conducted by the researchers of the professions. In contrast, half of the acupuncture studies and all t'ai chi studies were conducted by medical doctors or physiotherapists. Multidisciplinary collaboration was uncommon. Conclusions: The quantity and the quality of CAM pain research in Australia are inconsistent with the high utilization of the relevant CAM therapies by Australians. A substantial increase in government funding is required. Collaborative research examining the multimodality or multidisciplinary approach is needed.

 

Zheng, Z., & Xue, C. l. (2013). Pain Research in Complementary and Alternative Medicine in Australia: A Critical Review. Journal Of Alternative & Complementary Medicine, 19(2), 81-91. doi:10.1089/acm.2011.0233

 

http://eds.b.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=8277b71b-8456-46db-a003-76ee75c81837%40sessionmgr114&vid=11&hid=106

 

 

 

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