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Chiropractors and X-Rays

Decision Making Standards of Care Considering Trauma, Disease, Degenerative Changes, Anomalies, and Biomechanics Weighing Risks Associated with Ionizing Radiation History has recorded chiropractic-like providers for millennia. In his 1992 book (1), Scott Haldeman, DC, PhD, MD (neurologist, University of California, Irvine), includes a chapter titled “Spinal Manipulation Before Chiropractic.” Written by anthropologist Robert Anderson, MD, [..]

Chiropractic Care for Present and Future Spine Pain

In 1976, the first issue of the journal Spine was published. In this inaugural issue was a pioneering article by low back pain specialist Alf Nachemson, MD, titled (1): The Lumbar Spine, An Orthopedic Challenge In this article, without credible evidence, Dr. Nachemson states: “Irrespective of treatment given, 70% of [back pain] patients get well [..]

Posture and Pain

Analogies that are often used by chiropractors include: If one walks on the edge of their shoe, the shoe sole will wear out at the weight-bearing portion quicker than other parts of the sole. If an automobile wheel alignment is not optimal, then the excessively stressed wheel will wear out quicker than the other wheels. [..]

Why Some Patients Take Longer to Recover from Whiplash Injuries

Pain and the treatment of pain is the biggest health problem in America. In her book, A Nation in Pain, Healing Our Biggest Health Problem, Judy Foreman documents that approximately 50% of American adults suffer from chronic pain (1). A conservative estimate of the direct costs and lost productivity resulting from this pain is up [..]

Sleep, Awareness, Motor Vehicle Collisions, and Chiropractic Care 

In the October 31, 2019 issue of the financial-political magazine Forbes, there is a brief article recommending the reading of a book on sleep by Dr. Matthew Walker. The author of the article is John Doerr, a venture capitalist with Kleiner Perkins. Mr. Doerr prefaces his review by noting that “Leaders from the worlds of [..]

The Biomechanics of the Spine in the Treatment of Spine Pain Syndromes

The Management of Spine Pain Syndromes Through the Understanding and Treatment of the Spine as a Single Functioning Unit It is convenient to divide and discuss the human spinal column into four regions: Cervical spine (neck) Thoracic spine (middle back) Lumbar spine (low back) Pelvis (the base of the spinal column) Although this classification is [..]

Neck Manipulation Facts

In October 2016, a former model died from a stroke, and the media attributed her injury to neck manipulation. Rebuttals to this manipulation/stroke claim were a combination of both offense and defense. An edited version of one such rebuttal is presented here: Earlier this year the British Medical Journal published a study noting that medical [..]

Chiropractic and Sagittal Posture

Chiropractors are primary health care providers. This means that patients who seek chiropractic care do not need a referral from another health care provider. Patients may self-refer themselves for chiropractic assessment and treatment. The large majority (93%) of patients who initially present themselves for chiropractic care do so for the complaints of spinal pain (1). [..]

Motor Vehicle Crashes and Low Back Pain

Physical events in a gravity environment have always caused injuries. The mathematics and physics of these injuries were not formalized until the year 1687 when Sir Isaac Newton wrote the book Mathematical Principles of Natural Philosophy (1). In this publication, Newton details the principles of inertia. Inertia is the resistance of a physical object to [..]