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Frank M. Painter

About Frank M. Painter

I was introduced to Chiro.Org in early 1996, where my friend Joe Garolis helped me learn HTML, the "mark-up language" for websites. We have been fortunate that journals like JMPT have given us permission to reproduce some early important articles in Full-Text format. Maintaining the Org website has been, and remains, my favorite hobby.
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Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors,
and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021

By |May 24, 2023|Global Burden of Disease, Global Spine Care Initiative, Low Back Pain|

Global, Regional, and National Burden of Low Back Pain, 1990–2020, Its Attributable Risk Factors, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021

The Chiro.Org Blog

SOURCE:   Lancet Rheumatology 2023 (May 23); 5 (6): E316-E329
Manuela L Ferreira, Katie de Luca, Lydia M Haile, Jaimie D Steinmetz, Garland T Culbreth, et al.

Faculty of Medicine and Health,
Institute of Bone and Joint Research,
The Kolling Institute, Northern Clinical School,
University of Sydney,
Sydney, NSW 2064, Australia.

Background   Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021.

Methods   Population-based studies from 1980 to 2019 identified in a systematic review, international surveys, US medical claims data, and dataset contributions by collaborators were used to estimate the prevalence and YLDs for low back pain from 1990 to 2020, for 204 countries and territories. Low back pain was defined as pain between the 12th ribs and the gluteal folds that lasted a day or more; input data using alternative definitions were adjusted in a network meta-regression analysis. Nested Bayesian meta-regression models were used to estimate prevalence and YLDs by age, sex, year, and location. Prevalence was projected to 2050 by running a regression on prevalence rates using Socio-demographic Index as a predictor, then multiplying them by projected population estimates.

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LOW BACK PAIN Section and the:

GLOBAL BURDEN OF DISEASE Section

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An Adult Patient With Acute Ischemic Stroke and Carotid Stenosis Presenting to a Chiropractor: A Case Report

By |May 10, 2023|Chiropractic Management, Ischemic Stroke, Stroke and Chiropractic|

An Adult Patient With Acute Ischemic Stroke and Carotid Stenosis Presenting to a Chiropractor: A Case Report

The Chiro.Org Blog

SOURCE:   Cureus 2023 (Apr 6); 15 (4): e37209

  OPEN ACCESS   

Neal B deBuhr, Robert J Trager, Cliff Tao

Chiropractic Private Practice,
Thrive Chiropractic,
Cedar Falls, USA.

Chiropractic, Connor Whole Health,
University Hospitals Cleveland Medical Center,
Cleveland, USA.

FROM:   MedicalNewsToday 2022

A 59-year-old male, with a recent history of acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia, presented to a chiropractor with a one-week history of numbness in the right upper and lower extremity that was triggered by neck movement, and lightheadedness/dizziness.

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STROKE AND CHIROPRACTIC Section

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A Case of Eagle Syndrome in a Chiropractic Patient

By |May 8, 2023|Case Studies, Chiropractic Management|

A Case of Eagle Syndrome in a Chiropractic Patient

The Chiro.Org Blog

SOURCE:   Cureus 2023 (May 2); 15 (5): e38426

  OPEN ACCESS   

Leonard F Vernon

Clinical Sciences,
Sherman College of Chiropractic,
Spartanburg, South Carolina, USA.

Eagle syndrome is a rare condition that is characterized by, among other things, pain in the face and neck, with the majority of cases being unilateral and isolated to the lower jaw. It is not uncommon for the pain to radiate to the ear. Symptoms can be constant or intermittent and may increase with yawning or rotation of the head, causing Eagle syndrome to be frequently misdiagnosed. The objective of this report is to summarize the symptoms, diagnostic workup, necessary imaging, and management of Eagle syndrome.

Keywords:   advanced imaging; chiropractic; eagle syndrome; non-specific neck pain; trauma.

From the FULL TEXT Article:

Introduction

The styloid process attaches the temporal bone of the skull and abuts to the styloid foramen, where it has numerous attachments, including the stylohyoid and stylomandibular ligaments and styloglossus and stylopharyngeus muscles. Derived from the Greek word “stylos”, which implies the pillar in Greek. The length of the styloid process has been reported by some authors to range between 15.2 mm and 47.7 mm [1, 2], with various authors labeling an elongated styloid process as anything >30 mm while Wat W. Eagle, an otolaryngologist, whom the syndrome is named after, believed that a length >25 mm is considered elongated. [3] A radiographic study by Dayal et al. seems to confirm Eagle’s assertion. [4] Watt found the incidence of elongated styloid process is 4% in the general population, of which only 4%-10% are reported to be symptomatic, with a female-to-male ratio of 3:1. It is usually reported in adults after the third decade of life. [5, 6]

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Chiropractic Care of a Female Veteran After Cervical Total Disk Replacement: A Case Report

By |May 7, 2023|Chiropractic Care, Chronic Neck Pain, Radiculopathy, Veterans|

Chiropractic Care of a Female Veteran After Cervical Total Disk Replacement: A Case Report

The Chiro.Org Blog

SOURCE:   J Chiropractic Medicine 2022 (Mar); 21 (1): 60–65

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Michael Mortenson DC, Anna Montgomery MPH, Glenn Buttermann MD

Whole Health Department,
Fargo VA Healthcare System,
Fargo, North Dakota.

Objective:   The purpose of this case study is to describe chiropractic care of the cervical spine for a patient who previously underwent cervical total disk replacement (CTDR) of the C5–6 and C6–7 disks.

Clinical features:   A 42–year-old female veteran of the U.S. Army presented to a Veterans Affairs chiropractic clinic with chronic cervical pain and radiculopathy. She had previously undergone CTDR surgery of the C5–6 disk 9 years earlier, but the pain had become severe and radicular symptoms had returned in the upper left extremity. Imaging taken before the chiropractic referral demonstrated significant joint space narrowing and disk herniation of the C6–7 disk with protrusion to the left side.

Intervention and outcome:   The patient received spinal manipulative therapy, trigger-point therapy, and manual traction to the cervical spine. However, these treatments were not effective in reducing her cervical pain and radiculopathy. She then opted for CTDR of the C6–7 disk. After surgery, the patient reported that radicular symptoms were mostly relieved and cervical pain had decreased by 50%. After 6 additional spinal manipulative therapy treatments, she reported having no neurologic symptoms and that her pain had decreased more than 70% from presurgery levels.

Conclusion:   This case report is the first reported example of chiropractic care after cervical total disk replacement (CTDR) within an integrated health care environment. The patient’s cervical pain and radiculopathy improved with CTDR along with postsurgical chiropractic care.

There is more like this @ our:

CHRONIC NECK PAIN Section and the:

NON-PHARMACOLOGIC THERAPY Section and the:

CHIROPRACTIC CARE FOR VETERANS Section

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Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

By |May 6, 2023|Chiropractic Care, Chiropractic Management, Veterans|

Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

The Chiro.Org Blog

SOURCE:   J Chiropractic Medicine 2022 (Jun); 21 (2): 77–82

  OPEN ACCESS   

Brian A. Davis DC, Andrew S. Dunn DC, MS, MEd, Derek J. Golley DC, MS, Dave R. Chicoine DC, MS

Chiropractic Department,
VA Western New York Healthcare System,
Buffalo, New York


FROM:   Military.com 2019

Objective:   The purpose of this study was to determine whether a sample of older adult male U.S. veterans demonstrated clinically and statistically significant improvement in chronic lower back pain on validated outcome measures after a short course of chiropractic care.

Methods:   We performed a retrospective review of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 89 years, who had chronic low back pain, defined as pain in the lower back region present for at least 3 months before evaluation. We included those who received chiropractic management from January 1, 2010, to December 31, 2018. Paired t tests were used to compare outcomes after 4 treatments on both a numeric rating scale (NRS) and the Back Bournemouth Questionnaire (BBQ). The minimum clinically important difference (MCID) was set at 30% change from baseline.

Results:   There were 217 individuals who met the inclusion criteria. The mean NRS score change from baseline was 2.2 points, representing a 34.1% reduction (t = 13.5, P < .001). The mean score change for BBQ was 14.7 points, representing a 35.9% reduction (t = 16.7, P < .001). The percentage of participants reaching the MCID for the NRS was 57% (n = 124) and for the BBQ was 59% (n = 126), with 41% (n = 90) of the sample reaching the MCID for both the NRS and BBQ.

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NON-PHARMACOLOGIC THERAPY Section and the:

CHIROPRACTIC CARE FOR VETERANS Section

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Three Patterns of Spinal Manipulative Therapy for Back Pain and Their Association With Imaging Studies, Injection Procedures, and Surgery: A Cohort Study of Insurance Claims

By |April 29, 2023|Chiropractic Management, Initial Provider, Low Back Pain|

Three Patterns of Spinal Manipulative Therapy for Back Pain and Their Association With Imaging Studies, Injection Procedures, and Surgery: A Cohort Study of Insurance Claims

The Chiro.Org Blog

SOURCE:   J Manipulative Physiol Ther 2021 (Nov); 44 (9): 683–689
Brian R. Anderson, DC, MPH, MS, PhD, Steve W. McClellan, MS

Palmer Center for Chiropractic Research,
Palmer College of Chiropractic,
Davenport, IA.


FROM:  
Houweling, JMPT 2015    Liliedahl, JMPT 2010

Objective:   The purpose of this study was to evaluate the relationship between procedures and care patterns in back pain episodes by analyzing health insurance claims.

Methods:   We performed a retrospective cohort study of insurance claims data from a single Fortune 500 company. The 3 care patterns we analyzed were initial spinal manipulative therapy, delayed spinal manipulative therapy, and no spinal manipulative therapy. The 3 procedures analyzed were imaging studies, injection procedures, and back surgery. We considered “escalated care” to be any claims with diagnostic imaging, injection procedures, or back surgery. Modified-Poisson regression modeling was used to determine relative risk of escalated care.

Results:   There were 83,025 claims that were categorized into 10 372 unique patient first episodes. Spinal manipulative therapy was present in 2,943 episodes (28%). Initial spinal manipulation was present in 2,519 episodes (24%), delayed spinal manipulation was present in 424 episodes (4%), and 7,429 (72%) had no evidence of spinal manipulative therapy. The estimated relative risk, adjusted for age, sex, and risk score, for care escalation (eg, imaging, injections, or surgery) was 0.70 (95% confidence interval 0.65–0.75, P < .001) for initial spinal manipulation and 1.22 (95% confidence interval 1.10–1.35, P < .001) for delayed spinal manipulation with no spinal manipulation used as the reference group.

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LOW BACK PAIN Section and the:

INITIAL PROVIDER/FIRST CONTACT Section

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