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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.

UPDATE: Texas Judge Finally Rules on Diagnosis Issue

By |September 17, 2010|Diagnosis, News|

UPDATE: Texas Judge Finally Rules on Diagnosis Issue

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic ~ 9-17-2010


Put yourself in the position of a practicing doctor of chiropractic in Texas right about now (if you are one, this is easy).   With the Texas Medical Board and Texas Medical Association breathing down your neck, threatening to take away your right to diagnose (or even use the word diagnosis in your scope-of-practice act, claiming that by medical definition, the word is reserved for medical doctors and doctors of osteopathy), a Texas judge has ruled in your favor – depending on your perspective.

While Judge Stephen Yelenosky rejected the TMB/TMA reasoning that diagnosis does not apply to non-MD/DO providers, he did render the chiropractic scope-of-practice act null and void as currently written.   By all accounts, any rewrite will need to update the current language in the act, which does not include the word diagnosis (but according to the Texas Chiropractic Association and others, clearly implies it by stating that DCs can “analyze, examine and evaluate”).   It is unclear whether the revised scope will need to satisfy Judge Yelenosky’s prior suggestion that chiropractic diagnosis should be limited to “the biomechanical condition of the spine and the musculoskeletal system.” (more…)

Study of Spinal Manipulative Therapy for Neck-Related Headaches

By |September 4, 2010|Headache, Research|

Study of Spinal Manipulative Therapy for Neck-Related Headaches

The Chiro.Org Blog


SOURCE:   National Center for Complementary and Alternative Medicine


Previous research suggests that spinal manipulative therapy (SMT) may be helpful for various types of chronic headaches, including cervicogenic headache (CGH), which is associated with neck pain and dysfunction. In a recent randomized controlled trial, NCCAM-funded researchers from Western States Chiropractic College and other institutions evaluated the dose (number of treatments) and relative efficacy of SMT in a group of 80 patients with chronic CGH. (more…)

Neck Pain Commentaries: Part 4

By |September 3, 2010|Editorial|

Neck Pain Commentaries: Part 4

The Chiro.Org Blog


We conclude this series by reviewing a brilliant group of 3 consecutive studies comparing popular forms of treatment for chronic spinal pain (NSAID use, acupuncture, and spinal adjusting).

Editorial Commentary:
Lynton G.F. Giles, DC, PhD, a researcher at the National Unit for Multidisciplinary Studies of Spinal Pain at the University of Queensland, published the first of 3 studies in 1999. This pilot study involved 77 patients who reported to the Townsville General Hospital, Queensland, Australia with complaints of chronic spinal pain (either neck, mid back or low back). These patients were randomized to receive either NSAIDs, acupuncture, or spinal adjusting as the active form of treatment. [1]

Care was provided for 4 weeks, followed by assessment of improvement. The outcome measures included:

(1) Oswestry Back Pain Disability Index,
(2) Neck Disability Index, and
(3) three visual analogue scales of local pain intensity.
After the period of 30 days, the spinal manipulation group was the only intervention that achieved statistically significant improvements. (more…)

Neck Pain Commentaries: Part 3

By |September 2, 2010|Editorial, Research, Safety|

Neck Pain Commentaries: Part 3

The Chiro.Org Blog


Today we will review a trial that Kaiser’s reviewers obviously ignored so that they could deny benefits for cervical adjusting.

Editorial Commentary:


First off, this article should have been very easy for their reviewers to find. Look at the title:

“The Benefits Outweigh the Risks for Patients Undergoing Chiropractic Care for Neck Pain”

This study was a prospective, multicenter, observational cohort study. Patients with neck pain of any duration, who fulfilled the inclusion criteria, were recruited in a practice-based study. Data were collected on the patients and from the chiropractors at baseline, the first 3 visits, and at 3 and 12 months.

Clinical outcome measures included

(1) neck pain in the 24 hours preceding the visit,
(2) neck disability,
(3) treatment satisfaction,
(4) global assessment, and
(5) adverse events.
(more…)

Neck Pain Commentaries: Part 2

By |September 1, 2010|Editorial|

Neck Pain Commentaries: Part 2

The Chiro.Org Blog


Our ongoing series of Editorials continues by reviewing what’s known about neck pain, and the success or failure of specific treatment approaches.

Editorial Commentary:


Today we will answer the question:

“Is Patient Advice Adequate for the Management of Neck Pain?”

The first article we will discuss is a Cochrane Database review [1] to assess whether patient education strategies, either alone or in combination with other treatments, are of benefit for pain, function, global perceived effect, quality of life, or patient satisfaction, in adults with neck pain with and without radiculopathy. (more…)

Neck Pain Commentaries: Part 1

By |August 31, 2010|Editorial|

Neck Pain Commentaries: Part 1

The Chiro.Org Blog


As a response to the actions of Kaiser, we will be publishing a series of editorials to review the alternatives, if chiropractic is eliminated from coverage. Informed Consent includes the process of reviewing the safety and efficacy of alternative forms of treatment. So let’s compare medicine’s success with resolving neck pain with chiropractic’s. I hope you will find these reviews of interest.

Editorial Commentary:


A recent balanced article in the Feb 13, 2008 issue of JAMA (Journal of the American Medical Association) revealed that between 1997 and 2005, the costs for “standard medical management” of spinal pain syndromes (both neck and back) increased by an inflation-adjusted 63%, while measurable outcomes for physical functioning, work or school limitations, and social limitations among adults actually declined. During this same period, there was also an overall increase in the number of individuals who experienced neck or back pain (from 20.7% to 24.7%). (more…)