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Thoracic Outlet Syndrome: Therapy Requires registration

Thoracic Outlet Syndrome: Therapy


As discussed in the thoracic outlet syndrome (TOS) prevention and diagnosis monographs, TOS is a very controversial topic in the medical literature. Disagreements over methods to arrive at a diagnosis, whether it is under-diagnosed or over-diagnosed or even exists at all have resulted in a gross lack of evidence related to treatment. A recent Cochrane Review could only locate 1 randomized clinical trial (RCT) on treatment.
Parker College of Chiropractic Research Institute | 8/25/2010
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High School Athletic Injuries: What the Epidemiology Studies Currently Show

ChiroACCESS Editorial Staff

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Over 7 million participate in interscholastic high school sports in the United States in a single year. This number does not include athletic participation in non-scholastic and other competitive sport activities. Participation in formal interscholastic programs has increased over 16% during the last decade and, despite improvement in both equipment and training techniques, sports injuries continue to be a serious issue.

ChiroACCESS | 

August 30, 2010
When Anomalies Contraindicate Spinal Manipulation

ChiroACCESS Editorial Staff

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Osseous manipulation is an extremely safe procedure if administered properly but there are circumstances where potential risks could be involved. A study of 3519 spine films identified numerous congenital anomalies that were worth noting and may represent contraindications to spinal manipulative therapy. In the cervical spine films alone (n=2814) 21.3% had posterior ponticles and a total of 28.5% of the cervical films demonstrated some kind of anomalous bone formation. In keeping with the chiropractic profession’s standards for patient safety, these anomalies should be considered carefully.

ChiroACCESS | 

August 25, 2010
Diagnostic Imaging Case Report: A 49-year-old male reports with chronic low back and hip pain

Jack Henry, DC, DACBR

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A 49-year-old African American male reports with chronic low back and hip pain. No history of trauma was reported. Physical exam findings were not provided.

Radiology Diagnostics, LLC | 

August 23, 2010
Premenstrual Syndrome and St. John's Wort

ChiroACCESS Editorial Staff

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St. John’s Wort (Hypericum perforatum) shows promise in aiding those suffering from premenstrual syndrome. In a recent study from the University of Leeds researchers found that St John’s Wort was “statistically superior to placebo in improving physical and behavioral symptoms of PMS (p<0.05).” Other outcomes of the study including hormonal assessments, anxiety, depression, and other variables did not improve significantly.

ChiroACCESS | 

August 17, 2010
Oversupply of Chiropractors and Reduced Income Impact California

ChiroACCESS Editorial Staff

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Based upon an August 2010 study of California chiropractors, 20 to 25% are leaving practice within ten years of graduation. The authors believe that an oversupply of chiropractors and decreased income are two of the many factors that contribute to the exodus. From 1970 to 1998 there was an increase in the number of active California licenses from 4,274 to 11,637. Supporting the oversupply issue the authors note that “The 170% growth rate in chiropractors during the study far exceeds the 65.1% increase in residential population.”

ChiroACCESS | 

August 16, 2010
"Death After Chiropractic": Support for the Safety of Cervical Manipulation

ChiroACCESS Editorial Staff

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A recent study (July 2010) published in Chiropractic and Osteopathy provides additional support for the safety of cervical manipulation. The authors evaluated spinal manipulation, spinal mobilization and instrument assisted manipulation using an Activator instrument. They concluded that although the sample was small “it appears that all three methods of treating mechanical neck pain had a long-term benefit for subacute neck pain, without moderate or serious adverse events associated with any of the treatment methods”.

ChiroACCESS | 

August 4, 2010
Diagnostic Imaging Case Report: A 29-year-old male reports low back pain

Jack Henry, DC, DACBR

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A 29-year-old male reports low back pain with an occasional right lower extremity radicular component. No history of recent trauma was reported. Physical exam findings were not provided.

Radiology Diagnostics, LLC | 

July 30, 2010
Prevention and Treatment of Common Conditions with the Mediterranean Diet

ChiroACCESS Editorial Staff

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A review of the scientific literature since January 2010 reveals a contribution of over 100 new studies supporting the value of the Mediterranean Diet (MD). The evidence is so compelling for the primary and secondary prevention of a host of common conditions that recommending MD or a similar diet should be considered with all patients as part of a chiropractic “wellness” program.

ChiroACCESS | 

July 29, 2010
Death by Chiropractic: Another Misbegotten Review

Anthony L. Rosner, Ph.D., LL.D.[Hon.]

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The title of one of Edzard Ernst’s most recent articles, “Deaths after chiropractic: A review of published cases”, seems to have wasted no time in creating a worst-case scenario, frightening the reader from a profession which has successfully treated patients for 115 years and for which evidence supporting its effectiveness and safety is abundant.

ChiroACCESS | 

July 27, 2010
Exercise and Fitness Linked to Healthy Peripheral Nervous System

ChiroACCESS Editorial Staff

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Research demonstrates that obesity is related to the health of the peripheral nervous system. In the July issue of Medicine and Science in Sports and Exercise a study documents the positive effects that exercise can make in peripheral nerve function of obese adults.

ChiroACCESS | 

July 26, 2010
Linking Occupational Lifting, Carrying, Twisting, Sitting, Standing and Posture to Low Back Pain

ChiroACCESS Editorial Staff

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A series of systematic reviews were published this year in the Spine Journal that address multiple possible causes of occupational low back pain. The reviews were conducted by the same Canadian group which used a rigorous standard developed by the epidemiologist Sir Bradford Hill. The conclusions of these reviews may surprise most clinicians.

ChiroACCESS | 

July 23, 2010
Diagnostic Imaging Case Report: A 41-year-old male reports with cervical spine pain and stiffness

Jack Henry, DC, DACBR

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A 41-year-old male reports with cervical spine pain and stiffness after recent flexion extension injury. The patient’s clinical findings and past medical history were not provided.

Radiology Diagnostics, LLC | 

July 23, 2010
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