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Papaya Leaf Tea and Fighting Cancer ChiroACCESS Editorial Staff   
Natural products sometimes have profound properties that are capable of not only treating challenging human ailments but preventing them as well.
ChiroACCESS |  March 11, 2010

Healthcare "Beyond Category": Sic Transit Chiropractic Silos Anthony L. Rosner, Ph.D., LL.D.[Hon.]   
But what distinguishes AK is its emphasis upon proprioceptive responses of the muscle rather than the facilitation of the muscle itself. It essentially sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons, summing all excitatory and inhibitory inputs.6 In other words, the locus of dysfunction ultimately rests with the nervous system.
ChiroACCESS |  March 10, 2010

More Evidence Supporting the Effectiveness of Chiropractic Spinal Manipulation for Cervicogenic Headache ChiroACCESS Editorial Staff   
A study published in the February 2010 issue of The Spine Journal added additional evidence supporting the effectiveness of chiropractic spinal manipulation (SMT) for cervicogenic headache (CGH).
ChiroACCESS |  March 5, 2010

Leg Length and Osteoarthritis ChiroACCESS Editorial Staff   
Two recent publications examining the possible relationship between leg length inequality and osteoarthritis have resulted from the Multicenter Osteoarthritis Study (MOST).
ChiroACCESS |  March 3, 2010

Comparative Effectiveness Research: No Longer Stuck in Neutral Anthony L. Rosner, Ph.D., LL.D.[Hon.]   
Until a serious effort is made to crank up our efforts at CER, the United States will remain very much third world in its attempts to deliver efficient and equitable healthcare.
ChiroACCESS |  March 1, 2010

Diagnostic Imaging Case Report: A 17-year-old male reports status post trauma Jack Henry, DC, DACBR   
A 17-year-old male reports status post trauma secondary to "mild" flexion/extension type injury. ROM was somewhat limited. Neurological and orthopedic evaluations were unremarkable.
Radiology Diagnostics, LLC |  February 24, 2010

Pedometers: A Small Thing With a Big Impact ChiroACCESS Editorial Staff   
In a review of past research published in JAMA, the authors concluded that "In the RCTs, pedometer users significantly increased their physical activity by 2491 steps per day more than control participants (95% confidence interval [CI], 1098-3885 steps per day, P < .001). Among the observational studies, pedometer users significantly increased their physical activity by 2183 steps per day over baseline (95% CI, 1571-2796 steps per day, P < .0001)..."
ChiroACCESS |  February 22, 2010

Animals and Chiropractic ChiroACCESS Editorial Staff   
There have been many favorable articles in the lay literature describing the value of chiropractic care for animals but scientific publications have been sparse. The first article indexed by the National Library of Medicine appeared in the early 1960s and many years passed before the next indexed entry. During the last decade the quantity and quality of the research supporting the value of chiropractic care for animals has improved.
ChiroACCESS |  February 17, 2010

The Calcium-Obesity Connection ChiroACCESS Editorial Staff   
Calcium and dairy foods specifically are being studied for their importance in preventing obesity. They also appear to assists in weight loss for those that are obese.
ChiroACCESS |  February 16, 2010

Medical Physicians Ignore Low Back Pain Guidelines ChiroACCESS Editorial Staff   
A February 2010 study of 3,533 general practice low back pain patients found that many providers are not following their own evidence based guidelines. Guidelines do provide the overall best evidence but are not meant to be a cookbook approach to care. There is also a need for flexibility so the physician can deviate from guidelines when the specific needs and desires of the patient dictate. In addition, the clinical judgment of the physician may override the guidelines when in a particular patient’s case they are inappropriate.
ChiroACCESS |  February 10, 2010

Diagnostic Imaging Case Report: A 14-year-old male reports with chronic headaches Jack Henry, DC, DACBR   
A 14-year-old male reports with chronic headaches, particularly at night. No history of recent or past significant trauma was reported. Neurological and orthopedic exams were essentially unremarkable.
Radiology Diagnostics, LLC |  February 9, 2010

Technique Summary: Gonstead Technique Gonstead Clinical Studies Society   
The Gonstead Technique was originated by Clarence Selmer Gonstead (1898-1978). Dr. Gonstead encountered chiropractic care when severe leg and foot pains, which were resistant to conventional medical care, responded to chiropractic adjustments. This event prompted Dr. Gonstead to seek a chiropractic education.
ChiroACCESS |  February 8, 2010

Revisiting the S-Word: A Fresh Look at the Subluxation Anthony L. Rosner, Ph.D., LL.D.[Hon.]   
Now that the second decade of the second millennium is upon us, together with the prospect of Spring Cleaning, it seems entirely appropriate to consider that perhaps the time has arrived to update both our conceptualization and exposition of the subluxation. In terms of how frequently one performs these updates compared to Microsoft, for instance, this shouldn’t be too much of a stretch. Think of it as Subluxation 2.0, 2.2, 2.7, 4.2…or whatever. But the larger picture is that better accessibility of the s-word by various healthcare professions in addition to chiropractic is clearly a necessity.
ChiroACCESS |  February 4, 2010

Obesity and Preventing Colorectal Cancer ChiroACCESS Editorial Staff   
According to recent research, obesity has a direct association with the risk of colorectal cancer. A recent study stresses the need for screening and patient education for the modifiable risk factors that can prevent this condition. Other studies have demonstrated a direct relationship between colorectal cancer and obesity.
ChiroACCESS |  February 2, 2010

Children, Backpacks and Back Pain ChiroACCESS Editorial Staff   
Over a third of the children in the United States have back pain they associate with wearing backpacks. Recently several studies were published that provide a better picture of the risks associated with the ergonomic loading of backpacks. From this research there is additional information that each chiropractor should be aware of in order to prevent unnecessary backpack related injuries to children.
ChiroACCESS |  January 20, 2010

Autism, Asthma and Tylenol ChiroACCESS Editorial Staff   
In the January 2010 issue of Medical Hypothesis, Becker and Schultz suggest that Tylenol may be implicated in both autism and asthma. The rate of these conditions has risen sharply in recent years but there continues to be controversy over the etiology. Little hard evidence exists but one study describes the significant increase in autism that began at the same time acetaminophen was recommended to take the place of aspirin.
ChiroACCESS |  January 18, 2010

Diagnostic Imaging Case Report: A 65-year-old male reports neck pain and stiffness two weeks after MVA Jack Henry, DC, DACBR   
A 65-year-old male reports continued neck pain and stiffness two weeks after MVA. The patient was imaged and treated status post trauma at an emergency room facility. All exams were read as normal and the patient was released. The patient subsequently sought out a local chiropractor for pain relief. The attending was unable to obtain the original ER images. Additional images were taken and sent for formal radiological interpretation. Neurological exam was unremarkable.
Radiology Diagnostics, LLC |  January 14, 2010

Technique Summary: Activator Method Dr. Arlan W. Fuhr   
The Activator Method is part of the tradition of instrument adjusting in chiropractic dating to the first decade of the profession, and even farther back into antiquity. Credit for the origin of the Activator adjusting instrument rests with two rural Minnesota practitioners (Arlan W. Fuhr and Warren C. Lee). Activator Method assessment procedures have multiple conceptual roots, all of which are anchored in various subluxation theories.
ChiroACCESS |  January 12, 2010

Osteoarthritic Treatment with Magnetic Bracelets ChiroACCESS Editorial Staff   
This new randomized controlled clinical trial, conducted in Great Britain, examined the possible benefits of magnetic and copper bracelets on multiple symptoms associated with osteoarthritis. The strong research design used a wrist worn device resembling a wrist watch, where the internal contents were not visible to the research subjects.
ChiroACCESS |  January 11, 2010

Medical Training Related to Musculoskeletal Conditions is Inadequate ChiroACCESS Editorial Staff   
From Harvard Medical School in the U.S. to medical schools in Europe, medical education related to musculoskeletal conditions is inadequate. A 2009 survey tested physician’s knowledge related to simple low back pain management. The average survey score of family practitioners was 69.7 and the average score of orthopedists was far less at 44.3. Orthopedists were less likely to make the proper radiological referral and appropriate pharmacological prescription based upon the literature.
ChiroACCESS |  January 6, 2010

Diagnostic Imaging Case Report: A 26-year-old male complains of low back pain and stiffness Jack Henry, DC, DACBR   
A 26-year-old male complains of low back pain and stiffness after physical activities such as running. Rest alleviates the symptoms. No radicular component was reported. Orthopedic and neurological exams were unremarkable.
Radiology Diagnostics, LLC |  January 5, 2010

Sports Injuries and Stretching ChiroACCESS Editorial Staff   
Watching the Olympic Games and other international sports venues demonstrates the global use of pre-competition warm-up and stretching exercises by athletes. Athletic trainers often assist athletes in their stretching routines. The expected benefits of stretching include increased flexibility and injury prevention. Often common beliefs and practices conflict with the scientific evidence and this is true to some extent with stretching. Although the use of stretching does provide some temporary increase in flexibility, the literature suggests that overall it does not help prevent sports injuries. As stated in a 2008 systematic review of the literature, “There is moderate to strong evidence that routine application of static stretching does not reduce overall injury rates.”
ChiroACCESS |  January 4, 2010

Death Doesn’t Take a Holiday ChiroACCESS Editorial Staff   
The literature continues to draw a strong association with increased mortality and the Holiday Season. A significant association exists for cardiac deaths and both Christmas and New Years day. In the United States, the days of the year with the highest rate of noncardiac deaths are December 26th with the highest rate, the next highest death rate falls on December 25th, and the third, January 1st.
ChiroACCESS |  December 28, 2009

Mistletoe: Holiday Friend or Foe? ChiroACCESS Editorial Staff   
There are many health and other myths surrounding the popular Holiday use of mistletoe. It has been associated with anything from a romantic unexpected kiss to a dangerous poisonous substance to avoid. The ancient Celts believed mistletoe held the soul of the host tree. However, there is another side to mistletoe. It is a very well established aid to improve the immune system and is used for the care of many forms of cancer. The 2009 scientific publications supporting the clinical use of mistletoe have been numerous.
ChiroACCESS |  December 16, 2009

Infant Feeding and the Relationship to Asthma, Allergic Reactions and Allergic Sensitization in Children ChiroACCESS Editorial Staff   
There is a great deal of consistency in the recommendations to provide only breast milk during the first four to six months of infant feeding. There has been some controversy regarding when to introduce solid food and what foods are appropriate to minimize allergies later in life. There have been several studies published this year that provide more evidence to guide feeding recommendations.
ChiroACCESS |  December 10, 2009

Recommending Physical Activity as Prevention Will Evans, DC, PhD, CHES   
Physical activity (PA) is critical for the health of humans. The lack of PA leads to increased risks for a variety of diseases and is associated with overall premature mortality as well. As of 2009, rates of obesity in the United States (US) have increased 129% since 1990. This is partially due to lack of PA by many Americans. Unfortunately, the US is in the middle of an escalating pandemic of obesity and sedentary lifestyle leading to unprecedented challenges for health care providers who want to see patients they treat reach a stable level of better health. All health care professionals should do what they can to encourage regular PA in all of the patients they treat and when possible, directly cue those patients to take action. They must not only recognize those at high risk for disease related to little or no PA but must also prepare to assess and recommend regular PA to all patients whether they look like they need activity or not.
Parker College of Chiropractic Research Institute |  December 1, 2009

Government Support and the Research Challenges of Chiropractic Pediatrics ChiroACCESS Editorial Staff   
Dr. Dennis Leduc, a McGill University pediatrician recently stated that “There are no physical ailments in childhood, whether they be ear infections, asthma, or other physical problems, that have ever been shown to be amenable to chiropractic manipulation or therapy.” The story released Friday by The StarPhoenix reports that the concern is over 5,297 chiropractic pediatric treatments at the cost of $80,921 paid in Saskatchewan this last year. The Health Ministry is considering if it will continue to subsidize chiropractic pediatric care in Saskatchewan.
ChiroACCESS |  November 30, 2009

An Evidenced-Based Intervention for Osteoarthritis: Avocado-soybean Unsaponifiables ChiroACCESS Editorial Staff   
Avocado soybean unsaponifiables (ASU) is a largely ignored supplement in the popular media and in doctor’s offices. In spite of a lack of recognition it has possibly the highest level of evidence supporting its effectiveness of all the herbal or nutritional supplements.
ChiroACCESS |  November 23, 2009

The Attitude of Orthopedic Surgeons toward Chiropractors ChiroACCESS Editorial Staff   
Several surveys of the medical community suggest that collegial interaction and education of other health providers can translate into an effective means of ethically building your practice. The results of a survey of orthopedic surgeons, published and released today by Spine, indicate that opinions about chiropractic vary significantly.
ChiroACCESS |  November 17, 2009

Preventing the Common Cold ChiroACCESS Editorial Staff   
Cold prevention research was the emphasis of several studies in 2009. This work included both new clinical trials and additional reviews of past literature. The status of Vitamin C remains the same. It may decrease the duration of common colds but the evidence does not support a role in prevention.
ChiroACCESS |  November 17, 2009

Practice Economics: How Much Do Chiropractors Make? ChiroACCESS Editorial Staff   
The average income of chiropractors is difficult to identify precisely but several sources give at least a ballpark estimation. One important factor to keep in mind with most of these surveys is that they do not take into account the fact that many doctors do not work full time. This is especially true of doctors in their later years of practice. The primary sources of information about income, like the U.S. Department of Labor, don’t take these part time numbers into consideration. This could have the effect of underestimating the earning potential of those in full time practice.
ChiroACCESS |  November 11, 2009

Cell Phones, Brain Tumors and Sperm DNA Damage ChiroACCESS Editorial Staff   
During the past year numerous epidemiological studies have increased the concern over cell phone use. Although some researchers suggest that it could be a number of years before we know the full extent of the problem. The early research was equivocal and the majority concluded that cell phones could be a concern but there was not enough evidence. The recent studies seem to be painting a more reliable picture with strong evidence of male sperm DNA damage and growing confirmation that cell phones contribute to ipsilateral brain tumors. Some researchers note that some of tumors are slow developing and for this reason it could be a decade or more before we know the full risks associated with cell phone use.
ChiroACCESS |  October 21, 2009

The Implications of Vitamin D Insufficiency in a Chiropractic and Wellness Practice Dwain M. Daniel, D.C.   
As the chiropractic profession moves into the 21st century a renewed emphasis is being placed on the concept of the wellness practice. This paper addresses the evidence relating to vitamin D (ViD) in the prevention of many serious health conditions as well as its role in conditions which confront the chiropractic physician on a daily basis.
Parker College of Chiropractic Research Institute |  October 12, 2009

Methicillin-Resistant Staphylococcus aureus (MRSA) and Chiropractic: What you need to know Will Evans, DC, PhD, CHES    Michael Ramcharan, DC   
Methicillin-Resistant Staphylococcus aureus (MRSA) is a type of Staph bacteria that resists an entire family of antibiotic therapies. Infection with MRSA is becoming more and more prevalent and is also surfacing more outside of a health care or hospital environments. Two categories are noted with one being community-associated MRSA (CA-MRSA) and the other hospital-associated MRSA (HA-MRSA). MRSA can be isolated from the surfaces of various treatment equipment and instruments including stethoscopes and otoscopes, clothing or gowns, gym training surfaces, and recently, chiropractic treatment tables.
ChiroACCESS |  September 14, 2009

Diagnostic Imaging Case Report: A 37-year-old female reports with low back pain Jack Henry, DC, DACBR   
A 37-year-old female reports with low back pain. No history of trauma was reported. Physical exam was equivocal.
Radiology Diagnostics, LLC |  September 8, 2009

Sciatica: A Look at Recent Research ChiroACCESS Editorial Staff   
Orthopedic testing plays an important role in physical diagnosis yet little research has been conducted to establish the reliability and validity of these tests. For the majority of tests we still have no support for their sensitivity or specificity and many are being evaluated for the very first time. When research is conducted, many tests are being shown to be useless or at least not useful unless if used in conjunction with other tests. The following is a brief update of some of the research from the last year related to the diagnosis of sciatica.
ChiroACCESS |  August 12, 2009

Communicating with Your Patient 101: What does the evidence say?