Frank M. Painter

Breast Cancer and Chiropractic

By Frank M. Painter|November 20, 2015|Cancer|

Breast Cancer and Chiropractic

SOURCE: ACANews ~ October 2015

By Jeffrey Sklar, DC

Regional Director of Chiropractic for the
Cancer Treatment Centers of America

Well known celebrities discussing their personal challenges with breast cancer has led to frequent media coverage. Primarily, the focus is on the oncological decisions regarding treatment: whether to have radical surgery along with chemo and radiation, just radiation or take a holistic approach. However, there isn’t much attention drawn to Quality of Life (QoL) factors that parallel the breast cancer patient experience.

In other words, treatment decisions and outcomes often seem to shadow the collateral damage experienced by patients who undergo conventional breast cancer treatment. Many premenopausal women face the inevitable decision to take the drug tamoxifen to help prevent recurrence of the disease at the risk of having menopausal-like symptoms. Also, reconstructive post-mastectomies can lead to complications during the healing process and beyond. These complications may include poor wound healing at the site of reconstruction, as well as the tissue donor site. Frozen shoulder is a common occurrence for post-mastectomy, breast reconstruction patients. Many breast cancer patients are forced to look outside their core oncology team to find services that will help with QoL.

It was reported in the Journal of Clinical Oncology that among 453 cancer patients surveyed, 83.3 percent had used at least one complementary alternative medicine (CAM) therapy concurrent with conventional treatment. Another discovery was that 24.7 percent of participants used seven or more CAM therapies. [1]

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Resolution of Recurrent Acute Otitis Media in a Child Undergoing Chiropractic Care

By Frank M. Painter|November 19, 2015|Otitis Media|

Resolution of Recurrent Acute Otitis Media in a Child Undergoing Chiropractic Care: A Case Report

The Chiro.Org Blog

SOURCE: Journal of Clinical Chiropractic Pediatrics 2015; 15 (1) ~ FULL TEXT

Karine Dunn-Sigouin, DC

Private practice,
Saint-Zotique, Quebec, Canada

Objective: Discuss the chiropractic management of a pediatric patient suffering from recurrent acute otitis media.

Clinical features: 23-month-old female presenting with 6 acute otitis media episodes since the age of 6 months. Parents are alerted to otitis media symptoms when the child pulls on the ear and cries. Current allopathic treatment consists of antibiotic therapy but episodes of otitis media are still recurrent.

Intervention and outcomes: The patient received 6 full spine diversified chiropractic adjustments with myofascial release of cervical muscles and effleurage of the frontal and maxillary sinuses over the course of one month. Treatment protocol was then changed to 1 visit per 2 weeks, 1 visit per month and lastly, prevention visits at 1 visit per 2 months or whenever the patient presented with cold symptoms. During the year following the first chiropractic treatment, the patient continued chiropractic care every two months and has had no reoccurrence of AOM.

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Developmental Advancements Following Chiropractic Care in a Four-year-old Child

By Frank M. Painter|November 18, 2015|Developmental Delay, Dyspraxia, Pediatrics|

Developmental Advancements Following Chiropractic Care in a Four-year-old Child With Dyspraxia and Associated Developmental Delays: A Case Report

The Chiro.Org Blog

SOURCE: Journal of Clinical Chiropractic Pediatrics 2015; 15 (1) ~ FULL TEXT

Jordenne Troy 1, Tara Dennis 1 and Alice Cade 2 BSc, B Chiro, DICCP

1. Senior Intern,
New Zealand College of Chiropractic,
Auckland, New Zealand

2. Lecturer and Intern Mentor,
New Zealand College of Chiropractic,
Auckland, New Zealand

Objective: To present the chiropractic management of a 4-year-old child diagnosed with dyspraxia and concomitant vertebral subluxations.

Clinical Features: A four-year-old boy with a history of developmental motor delays was presented by his mother for chiropractic evaluation. The child was previously diagnosed with dyspraxia at one year of age, based on a delay in developmental milestones being met; specifically of speech and fine motor control. The patient was 1.25-years-old before starting to walk and 3-years-old before being able to produce any basic sounds such as “Ma” or “Da”.

At the commencement of chiropractic care the child was undergoing concomitant speech therapy; six weeks of intensive repetitive therapy was the average amount of time required for the patient to learn and retain one new sound or word.

Intervention: Modified Diversifed (Touch-and-hold) and Sacro-Occipital Techniques were utilized to reduce subluxation indicators through the cranium, upper cervical and lumbopelvic spine. Fifteen adjustments were administered over a 4-month period.

Outcome: The child experienced a number of developmental advancements over the duration of chiropractic care, specifically in speech, fine motor control and coordination. After 8 visits the patient learned 20 new words in one week, after 12 visits all primitive reflexes were tested to be within normal limits and after 15 visits their vocabulary consisted of hundreds of words and continued to expand.

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Immediate Effects on Pressure Pain Threshold Following a Single Cervical Spine Manipulation in Healthy Subjects

By Frank M. Painter|November 17, 2015|Pain Relief|

Immediate Effects on Pressure Pain Threshold Following a Single Cervical Spine Manipulation in Healthy Subjects

The Chiro.Org Blog

SOURCE: J Orthop Sports Phys Ther. 2007 (Jun); 37 (6): 325

CéSar Fernández-De-Las-Peñas, PT, PhD, Marta Pérez-De-Heredia, OT

Department of Physical Therapy,
Occupational Therapy,
Physical Medicine and Rehabilitation,
Universidad Rey Juan Carlos,
Alcorcön, Spain

DESIGN: A placebo, control, repeated-measures, single-blinded randomized study.

OBJECTIVES: To compare the immediate effects on pressure pain threshold (PPT) tested over the lateral elbow region following a single cervical high-velocity low-amplitude (HVLA) thrust manipulation, a sham-manual application (placebo), or a control condition; and to analyze if a different effect was evident on the side ipsilateral to, compared to the side contralateral to, the intervention.

BACKGROUND: Previous studies investigating the effects of spinal manual therapy used passive mobilization procedures. There is a lack of studies exploring the effect of cervical manipulative interventions.

METHODS: Fifteen asymptomatic volunteers (7 male, 8 female; aged 19-25 years) participated in this study. Each subject attended 3 experimental sessions on 3 separate days, at least 48 hours apart. At each session, subjects received either the manipulation, placebo, or control intervention provided by an experienced therapist. The manipulative intervention was directed at the posterior joint of the C5-6 vertebral level. PPT over the lateral epicondyle of both elbows was assessed preintervention and 5 minutes postintervention by an examiner blinded to the treatment allocation of the subject. A 3-way analysis of covariance (ANCOVA) with intervention, side, and time as factors, and gender as covariate, was used to evaluate changes in PPT.

RESULTS: The analysis of variance detected a significant effect for intervention (F = 31.46, P < .001) and for time (F = 33.81, P < .001), but not for side (F = 0.303, P > .5). A significant interaction between intervention and time (F = 15.74, P < .001) was also found. Gender did not influence the comparative analysis (F = 0.252, P > .6). Post hoc analysis revealed that the application of a HVLA thrust manipulation produced a greater increase of PPT in both elbows, as compared to placebo or control interventions (P < .001). No significant changes in PPT levels were found after the placebo and control interventions (P > .6). Within-group effect sizes were large for PPT levels in both elbows after the manipulative procedure (d > 1.0), but small after placebo or control intervention (d < 0.1).

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Wellness-related Use of Common Complementary Health Approaches Among Adults

By Frank M. Painter|November 16, 2015|Chiropractic Care, Complementary Medicine|

Wellness-related Use of Common Complementary Health Approaches Among Adults: United States, 2012

The Chiro.Org Blog

SOURCE: Natl Health Stat Report. 2015 (Nov 4); (85): 1–12 ~ FULL TEXT

Barbara J. Stussman, B.A., Lindsey I. Black, M.P.H.,
Patricia M. Barnes, M.A., and Tainya C. Clarke, Ph.D., M.P.H.,
and Richard L. Nahin, Ph.D., M.P.H.

National Institutes of Health
National Center for Health Statistics

Objective This 12 page National Institutes of Health report presents national estimates of selected wellness-related reasons for the use of natural product supplements, yoga, and spinal manipulation among U.S. adults in 2012. Self-reported perceived health outcomes were also examined.

Methods Data from 34,525 adults aged 18 and over collected as part of the 2012 National Health Interview Survey were analyzed for this report. In particular, whether adults who used selected complementary health approaches did so to treat a specific health condition or for any of five wellness-related reasons was examined, as well as whether these adults perceived that this use led to any of nine health-related outcomes. Sampling weights were used to produce national estimates that are representative of the civilian noninstitutionalized U.S. adult population.

Results Users of natural product supplements and yoga were more likely to have reported using the approach for a wellness reason than for treatment of a specific health condition, whereas more spinal manipulation users reported using it for treatment rather than for wellness. The most common wellness-related reason reported by users of each of the three approaches was for ‘‘general wellness or disease prevention.’’ The majority of users of all three health approaches reported that they perceived this use improved their overall health and made them feel better. Yoga users perceived higher rates of all of the self-reported wellness-related health outcomes than users of natural product supplements or spinal manipulation.

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Immediate Effects of Spinal Manipulative Therapy on Regional Antinociceptive Effects in Myofascial Tissues in Healthy Young Adults

By Frank M. Painter|November 14, 2015|Chiropractic Care, Myofascial Disorder|

Immediate Effects of Spinal Manipulative Therapy on Regional Antinociceptive Effects in Myofascial Tissues in Healthy Young Adults

The Chiro.Org Blog

SOURCE: J Manipulative Physiol Ther. 2013 (Jul); 36 (6): 333–341 ~ FULL TEXT

John Z. Srbely, DC PhD, Howard Vernon, DC, PhD,
David Lee, DC, Miranda Polgar, BSc

Department of Human Health and Nutritional Science,
University of Guelph, Guelph,
Ontario, Canada

OBJECTIVE: The purpose of this study was to investigate if spinal manipulative therapy (SMT) can evoke immediate regional antinociceptive effects in myofascial tissues by increasing pressure pain thresholds (PPTs) over myofascial trigger points in healthy young adults.

METHODS: A total of 36 participants (19 men, 17 women; age, 28.0 [5.3] years; body mass index, 26.5 [5.7] kg/m(2)) with clinically identifiable myofascial trigger points in the infraspinatus and gluteus medius muscles were recruited from the University of Guelph, Ontario, Canada. Participants were randomly allocated to 2 groups. Participants in the test group received chiropractic SMT targeted to the C5-C6 spinal segment. Participants in the control group received sham SMT. The PPT was recorded from the right infraspinatus and gluteus medius muscles at baseline (preintervention) and 1, 5, 10, and 15 minutes postintervention.

RESULTS: Three participants were disqualified, resulting in a total of 33 participants analyzed. Significant increases in the pressure pain thresholds (PPT) [decreased pain sensitivity] were observed in the test infraspinatus group when compared with test gluteus medius, control infraspinatus, and control gluteus medius groups (P < .05). No significant differences in PPT were observed at any time point when comparing test gluteus medius, control infraspinatus, and control gluteus medius groups (P > .05).

CONCLUSIONS: This study showed that SMT evokes short-term regional increases in PPT within myofascial tissues in healthy young adults.

Key Indexing Terms: Manipulation, Myofascial Pain Syndrome, Myofascial Trigger Point, Pain Threshold, Chiropractic

From the Full-Text Article:

Introduction

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About Frank M. Painter

Breast Cancer and Chiropractic

Breast Cancer and Chiropractic

Resolution of Recurrent Acute Otitis Media in a Child Undergoing Chiropractic Care

Resolution of Recurrent Acute Otitis Media in a Child Undergoing Chiropractic Care: A Case Report

Developmental Advancements Following Chiropractic Care in a Four-year-old Child

Developmental Advancements Following Chiropractic Care in a Four-year-old Child With Dyspraxia and Associated Developmental Delays: A Case Report

Immediate Effects on Pressure Pain Threshold Following a Single Cervical Spine Manipulation in Healthy Subjects

Immediate Effects on Pressure Pain Threshold Following a Single Cervical Spine Manipulation in Healthy Subjects

Wellness-related Use of Common Complementary Health Approaches Among Adults

Wellness-related Use of Common Complementary Health Approaches Among Adults: United States, 2012

Immediate Effects of Spinal Manipulative Therapy on Regional Antinociceptive Effects in Myofascial Tissues in Healthy Young Adults

Immediate Effects of Spinal Manipulative Therapy on Regional Antinociceptive Effects in Myofascial Tissues in Healthy Young Adults