Frank M. Painter

The Impact of Chiropractic Care On Health ~ Why Maintenance Care Makes Sense

By Frank M. Painter|March 10, 2013|Maintenance Care, Prevention, Wellness Care|

The Impact of Chiropractic Care On Health
Why Maintenance Care Makes Sense

Coulter and researchers at the RAND Corporation [1] performed an analysis of an insurance database, comparing persons receiving chiropractic care with non-chiropractic patients. The study consisted of senior citizens >75 years of age.

Recipients of chiropractic care reported better overall health, spent fewer days in hospitals and nursing homes, used fewer prescription drugs, and were more active than the non-chiropractic patients.

As part of a comprehensive geriatric assessment program, the RAND Corporation studied a subpopulation of patients who were under chiropractic care compared to those who were not and found that the individuals under continuing chiropractic care were:

Free from the use of a nursing home [95.7% vs 80.8%];
Free from hospitalizations for the past 23 years [73.9% vs 52.4%];
More likely to report a better health status;
More likely to exercise vigorously;
More likely to be mobile in the community [69.6% vs 46.8%].

Although it is impossible to clearly establish causality, it is also reasonably clear that continuing chiropractic care is among the attributes of the cohort of patients experiencing substantially fewer costly healthcare interventions.

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In another study, Van Breda et al [2] interviewed 200 pediatricians and 200 chiropractors, to determine what, if any, differences were to be found in the health status of their respective children, since their families were being raised under 2 very different health care models.

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The Nordic Maintenance Care Program: The Clinical Use of Identified Indications for Preventive Care

By Frank M. Painter|March 7, 2013|Chiropractic Care, Guidelines, Low Back Pain, Maintenance Care|

The Nordic Maintenance Care Program: The Clinical Use of Identified Indications for Preventive Care

The Chiro.Org Blog

Chiropractic & Manual Therapies 2013 (Mar 6); 21: 10

Iben Axén and Lennart Bodin

Intervention & Implementation Research, Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, Stockholm 171 77, Sweden

Background Low back pain (LBP) is a prevalent condition and has been found to be recurrent and persistent in a majority of cases. Chiropractors have a preventive strategy, maintenance care (MC), aimed towards minimizing recurrence and progression of such conditions. The indications for recommending MC have been identified in the Nordic countries from hypothetical cases. This study aims to investigate whether these indications are indeed used in the clinical encounter.

Methods Data were collected in a multi-center observational study in which patients consulted a chiropractor for their non-specific LBP. Patient baseline information was a) previous duration of the LBP, b) the presence of previous episodes of LBP and c) early improvement with treatment. The chiropractors were asked if they deemed each individual patient an MC candidate. Logistic regression analyses (uni– and multi-level) were used to investigate the association of the patient variables with the chiropractor’s decision.

Results The results showed that “previous episodes” with LBP was the strongest predictor for recommending MC, and that the presence of all predictors strengthens the frequency of this recommendation. However, there was considerable heterogeneity among the participating chiropractors concerning the recommendation of MC.

Conclusions The study largely confirms the clinical use of the previously identified indications for recommending MC for recurrent and persistent LBP. Previous episodes of LBP was the strongest indicator.

There are many similar studies in our new

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From the Full-Text Article:

Background

In the past few decades, the prevalence of low back pain, LBP, has been found to be extremely high [1] and the resulting costs of the condition are substantial [2] . Upon further scrutiny, the condition has been found to be recurrent in most cases and persistent in some [3-5] . These facts invite preventive approaches, both from a personal and societal perspective. Secondary prevention, to minimize the recurrences or the impact of episodic LBP, and tertiary prevention, to minimize the effects of persistent LBP, seem warranted.

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Combination of Acupuncture and Spinal Manipulative Therapy: Management of a 32-year-old Patient With Chronic Tension-type Headache and Migraine

By Frank M. Painter|March 6, 2013|Chiropractic Care, Headache, Migraine, Spinal Manipulation|

Combination of Acupuncture and Spinal Manipulative Therapy: Management of a 32-year-old Patient With Chronic Tension-type Headache and Migraine

The Chiro.Org Blog

J Chiropr Med. 2012 (Sep); 11 (3): 192–201

Bahia A. Ohlsen

Chiropractic, Acupuncture and Yoga Center,
Buffalo Grove, IL.

OBJECTIVE: The purpose of this case study is to describe the treatment using acupuncture and spinal manipulation for a patient with a chronic tension-type headache and episodic migraines.

CLINICAL FEATURES: A 32-year-old woman presented with headaches of 5 months’ duration. She had a history of episodic migraine that began in her teens and had been controlled with medication. She had stopped taking the prescription medications because of gastrointestinal symptoms. A neurologist diagnosed her with mixed headaches, some migrainous and some tension type. Her headaches were chronic, were daily, and fit the International Classification of Headache Disorders criteria of a chronic tension-type headache superimposed with migraine.

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ECG for Eyes Sorts Strokes from Vertigo

By Frank M. Painter|March 6, 2013|Stroke, Vertigo|

ECG for Eyes Sorts Strokes from Vertigo

The Chiro.Org Blog

SOURCE: MedPage Today ~ March 05, 2013

By Crystal Phend, Senior Staff Writer, MedPage Today

Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner

A new device, described as an ECG for the eye, appears to accurately distinguish stroke from other causes of dizziness in the emergency department.

Note that the bedside device feeds webcam video from goggles mounted with an accelerometer to computer software that looks for abnormal corrective eye movements when the head turns.

A device described as an ECG for the eye accurately distinguishes stroke from other causes of dizziness in the emergency department (ED), a small proof-of-concept study showed.

When tested on 12 patients in the ED for acute vestibular symptoms, the device picked out all six vertebrobasilar strokes that were subsequently diagnosed with MRI, David Newman-Toker, MD, PhD, of the Johns Hopkins Hospital, and colleagues reported online in Stroke.

The bedside device feeds webcam video from goggles mounted with an accelerometer to computer software that looks for abnormal corrective eye movements when the head turns. (more…)

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Posturing for Wellness: Good Health Begins with Good Posture

By Frank M. Painter|February 13, 2013|Backpacks, Chiropractic Care, Posture|

Posturing for Wellness: Good Health Begins with Good Posture

The Chiro.Org Blog

SOURCE: The ACA

Doctors of chiropractic have long emphasized the importance of posture and other lifestyle factors in the body’s ability to function optimally. In a broad sense, good posture can be considered an ongoing battle against bad habits. “The body endures hundreds of insults each day,” says Scott W. Donkin, DC, DACBOH, “but we have the choice of controlling how they affect us. Once destructive habits are identified, people can change, prevent, and relieve both present and future physical problems. The quality of our later years can be enhanced and many physical problems prevented if we understand and deal early on with the underlying issues.” Dr. Donkin is the author of Sitting on the Job. [1]

Lifetime Regimen

What most people don’t know is that the following should be a lifetime regimen-for everyone-and not just when the back hurts. ACA Council on Chiropractic Orthopedics vice president Gary L. Carver, DC, DABCO, says that when they first get up in the morning, “People should use their hands and arms for support to get into a seated position. Next, they should swing their legs to the floor and stand up-using the hinge of the hips, rather than the back.”

But once the body is upright, is it up right? In other words, are the muscles, joints, and skeleton in a balanced posture? Too often, the answer is “no.” “As long as our body is performing, we take it for granted. We don’t concentrate on what we need to do to maintain good posture habits,” says Leo Bronston, DC, DABCO, DACAN, CCSP, and secretary of the ACA Council on Chiropractic Orthopedics. “Generally, we tend to hunch forward when we should be rolling our shoulders back and opening up the chest wall. That is something we need to practice-activating the proper postural muscles. We see many patients who simply don’t know how to achieve a more balanced trunk and neutral spine. Just as we learned to eat with a fork and that became automatic, we can train our muscles for good posture and balance, whether we’re standing, rising from a seated position, or getting out of bed.”

There are many more articles like this in our:

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There Will Never Be Enough Research To Satisfy Our Critics

By Frank M. Painter|January 24, 2013|Chiropractic Care, Evidence-based Medicine, Health Care Reform, Patient Satisfaction, Spinal Manipulation|

There Will Never Be Enough Research To Satisfy Our Critics

The Chiro.Org Blog

A Chiro.Org Editorial

For some, there will never be enough research to support the use of chiropractic. These people will forever hide behind the claim that they wish to protect patients from quackish practices.

For those who may have forgotten, or for those who never knew, organized medicine spent decades and tens of millions of dollars trying to discredit and destroy chiropractic. Today, the vestiges of that oppression is still found on fringe web sites that ignore the body of peer-reviewed research supporting chiropractic care.

The Wilk anti-trust case against the AMA and 20 other named medical groups revealed that the AMA Plan was to:

Undermine Chiropractic schools
Undercut insurance programs for Chiropractic patients
Conceal evidence of the effectiveness of Chiropractic care
Subvert government inquires into the effectiveness of Chiropractic, and
Promote other activities that would control the monopoly that the AMA had on health care
They even threatened their own ranks: any MD who taught in our schools, performed research with chiropractors, or accepted a referral from, or made a referral to a chiropractor, would lose their hospital privileges, leaving them unable to treat patients.

while, all along, they knew that:<

There also was some evidence before the Committee that chiropractic was effective – more effective than the medical profession in treating certain kinds of problems such as workmen’s back injuries.

The Committee on Quackery was also aware that some medical physicians believed chiropractic to be effective and that chiropractors were better trained to deal with musculoskeletal problems than most medical physicians.
(Opinion pp. 7)

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About Frank M. Painter

The Impact of Chiropractic Care On Health ~ Why Maintenance Care Makes Sense

The Impact of Chiropractic Care On Health Why Maintenance Care Makes Sense

The Nordic Maintenance Care Program: The Clinical Use of Identified Indications for Preventive Care

The Nordic Maintenance Care Program: The Clinical Use of Identified Indications for Preventive Care

Combination of Acupuncture and Spinal Manipulative Therapy: Management of a 32-year-old Patient With Chronic Tension-type Headache and Migraine

Combination of Acupuncture and Spinal Manipulative Therapy: Management of a 32-year-old Patient With Chronic Tension-type Headache and Migraine

ECG for Eyes Sorts Strokes from Vertigo

ECG for Eyes Sorts Strokes from Vertigo

Posturing for Wellness: Good Health Begins with Good Posture

Posturing for Wellness: Good Health Begins with Good Posture

There Will Never Be Enough Research To Satisfy Our Critics

There Will Never Be Enough Research To Satisfy Our Critics

The Impact of Chiropractic Care On Health
Why Maintenance Care Makes Sense