High School Athletic Injuries: What the Epidemiology Studies Currently Show ChiroACCESS Editorial Staff    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    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    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    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    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    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    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    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.]    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    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    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    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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ChiroACCESS Editorial Staff

The article was written by the combined efforts of the ChiroACCESS editorial staff.

Jack Henry, DC, DACBR

Jack Henry DC, DACBR is a residency-trained radiologist with over 20 years experience interpreting diagnostic images for chiropractors and medical doctors across the country. Dr. Henry has lectured on topics of radiology for state and local chiropractic societies. At present, Dr. Henry makes his home in Massachusetts with his wife Lisa. Together, they have three adult children all of whom currently serve in the Armed Forces: Captain Claire Henry, USMC, 2005 graduate of the US Naval Academy, Lieutenant Sean Teresa Henry, 2008 graduate of the US Air Force Academy, and Cadet 4th Class Conor Henry, US Air Force Academy, Class of 2013.

Dr. Henry is Radiologist-in-Chief of Radiology Diagnostics, LLC. If you would like to contact Dr. Henry you can e-mail him at xray92@radiologydiagnostics.com.

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

Anthony Rosner became Research Director of the International College of Applied Kinesiology in September 2009.  From 1992-2007, he had been a Director of Research and Education at the Foundation for Chiropractic Education and Research and Director of Research Initiatives at the Parker College of Chiropractic from 2007-2009.

After obtaining his Ph.D. in Medical Sciences at Harvard in 1972 and conducting postdoctoral research at the NIH in Bethesda and at the CNRS in Gif-sur-Yvette, France, in 1973 and 1974, he directed research and clinical chemistry laboratories at Boston's Beth Israel Hospital and at an affiliate of the Mayo Clinic, then taught chemistry and served as Department Administrator in Chemistry at Brandeis University and managed research operations in neonatology at Children's Hospital in Boston until he joined FCER in 1992.  He chaired one of six charter committees at the inception of the National Center for Complementary and Alternative Medicine in 1992 and has served on the editorial board of three peer-reviewed journals, authoring papers reviewing manual medicine, critiquing recent publications of questionable research design, and exploring the role of homocysteine in provoking spontaneous vertebral artery dissection.