The Elephant in the Room: Too Much Medicine in Musculoskeletal Practice Too much medicine burdens health care systems and deprives societies of resources. Overcoming too much medicine requires stakeholders (patients, clinicians, educators, health care funders, media, policy makers, industry, insurers,…
Current Evidence for Diagnosis of Common Conditions Causing Low Back Pain: Systematic Review and Standardized Terminology Recommendations. The absence of high-quality, objective, gold-standard diagnostic methods limits the accuracy of current evidence-based criteria and results in few high-quality studies with a…
Discovery of a new ligament of the lumbar spine: the midline interlaminar ligament Based on our findings, a distinct MIL was identified in the lumbar spine at the majority of lumbar levels. #science #chiropractor #chiropractic #research #education #evidence based #patient…
Patient Information Leaflets for LumbarSpine Surgery: A Missed Opportunity The rationale for needing high-quality preoperative patient information is well-documented; however, there is considerable variation in the quality of the leaflets provided ahead of lumbar spine surgery. Particular areas that were…
Fighting Injustice: A Historical Review of the National Chiropractic Antitrust Committee. The NCAC was successful in its mission to raise funds to support the 2 trials of the Wilk et al v AMA et al lawsuit, multiple appeals, and post-trial distribution of…
Addition of blood flow restriction to passive mobilization reduces the rate of muscle wasting in elderly patients in the intensive care unit: a within-patient randomized trial The use of blood flow restriction did not present adverse effects and seems to…
Cost-Efficiency and Effectiveness of Including Doctors of Chiropractic to Offer Treatment Under Medicaid: A Critical Appraisal of Missouri Inclusion of Chiropractic Under Missouri Medicaid. Policymakers may unintentionally rely on flawed assumptions and methodologies such as static scoring, which we propose…
Opioids for chronic osteoarthritis pain: An updated systematic review and meta‐analysis of efficacy, tolerability and safety in randomized placebo‐controlled studies of at least 4 weeks double‐blind duration Tolerability of opioids is low and efficacy is not clinically relevant in controlled…
Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining Exercise-associated muscle cramp is a relatively common occurrence in a range of sport and exercise activities. Onset is generally unpredictable, and the intensity and duration of muscle spasms are highly variable.…
Cervico-ocular reflex upregulation in dizzy patients with asymmetric neck pathology Patients with asymmetric restriction in neck rotation and increased neck muscle tension reveal the tendency to have an increased response of the vestibular system, along with co-existing COR upregulation. Further…