Frank M. Painter

Pediatric Patients in Swiss Chiropractic Clinics

By Frank M. Painter|November 10, 2017|Pediatrics|

Pediatric Patients in Swiss Chiropractic Clinics:
A Questionnaire Survey

SOURCE: J Manipulative Physiol Ther. 2017 (Oct 24) [Epub]

Mette Hobaek Siegenthaler, DC, MSc

Holbeinpraxis,
Swiss Academy for Chiropractic,
Berne, Switzerland

OBJECTIVES: The purpose of this study was to investigate practice characteristics of chiropractors who treat pediatric patients in Swiss chiropractic clinics.

METHODS: An online survey questionnaire was created and tested for face and content validity. Participation by Swiss chiropractors was voluntary and anonymous and completed November to December 2015. The data were analyzed using SPSS. The analysis consisted of descriptive statistics.

RESULTS: The sample consisted of 144 chiropractors, which represented a 53% response rate, and 98% of the responding practitioners treated patients younger than age 18. The proportion of pediatric patients treated was 8.7%. The most common pediatric age groups were schoolchildren and adolescents, with infants younger than 6 months being the third most common. Musculoskeletal complaints were the most common conditions treated in all age groups. In children younger than 2 years old, nonmusculoskeletal conditions were well represented. Prophylactic examination was common among children 6 years and younger.

A total of 61% of responding chiropractors received direct referrals from medical doctors and 56% received direct referrals from pediatricians. The most common age groups for referrals from pediatricians were schoolchildren and adolescents. Only 15% of the chiropractors wrote reports about their pediatric patients to their pediatrician often or regularly; 90% of the responding chiropractors stated they rarely or never refer to a pediatric specialist, and 80% of the chiropractors have never or have rarely been invited to attend medical congresses or to teach the pediatric health care community about chiropractic care for children.

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Conservative Care of Pediatric Acquired Torticollis

By Frank M. Painter|November 9, 2017|Acquired Torticollis, Chiropractic Care|

Conservative Care of Pediatric Acquired Torticollis:
A Report of 2 Cases

The Chiro.Org Blog

SOURCE: J Chiropr Med. 2017 (Sep); 16 (3): 252-256

Morgan D. Young, DC, Jessie L. Young, DC

Research Department,
Palmer College of Chiropractic West,
San Jose, California.

OBJECTIVE: The purpose of this case report is to describe the conservative management of 2 cases of acquired torticollis in children under 3 years of age.

CLINICAL FEATURES: Both patients awoke with painful, stiff, twisted necks the day after play in a bouncy house. Range of motion was limited, and hypertonic muscles were palpated. Their neurologic and physical evaluation was consistent with a diagnosis of acquired torticollis of musculoskeletal origin.

INTERVENTION AND OUTCOMES: Both children were treated with chiropractic care that consisted of light myofascial release, use of an Activator instrument, and home stretching. Patients improved in pain and range of motion immediately posttreatment and returned to normal ranges in 1 or 2 visits.

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Unresolved Congenital Torticollis and Its Consequences

By Frank M. Painter|November 7, 2017|Congenital Torticollis|

Unresolved Congenital Torticollis and Its Consequences: A Report of 2 Cases

The Chiro.Org Blog

SOURCE: J Chiropr Med. 2017 (Sep); 16 (3): 257-261

Mette Hobaek Siegenthaler, DC, MSc

Holbeinpraxis,
Swiss Academy for Chiropractic,
Berne, Switzerland.

OBJECTIVE: The purpose of this report was to describe the clinical presentation and case management of 2 children with congenital torticollis.

CLINICAL FEATURES: Two male children (ages 6 and 10 years) presented to a chiropractic clinic with a history of congenital torticollis. They showed signs and symptoms of postural deficiency and developmental delay: posterior plagiocephaly, facial scoliosis, head tilt, compensatory thoracic scoliosis, decreased range of motion in the cervical spine, palpable decreased segmental motion of the upper cervical spine, and an age-related delay in throwing and catching a ball and in one-leg standing.

INTERVENTION AND OUTCOME: Both children received chiropractic care (spinal manipulative therapy) and physical therapy (therapeutic exercises, including neck, back, and coordination exercises). Each patient responded favorably with improvement in both structural (posture) and functional (range of motion of the spine and coordination) deficits.

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Military Report More CAM Use Than Civilians

By Frank M. Painter|November 1, 2017|Complementary and Alternative Medicine, Veterans|

Military Report More Complementary and Alternative Medicine Use Than Civilians

The Chiro.Org Blog

SOURCE: J Altern Complement Med. 2013 (Jun); 19 (6): 509–517

Christine Goertz, DC, PhD, Bernadette P. Marriott, PhD,
Michael D. Finch, PhD, Robert M. Bray, PhD,
Thomas V. Williams, PhD, Laurel L. Hourani, PhD,
Louise S. Hadden, BA, Heather L. Colleran, PhD,
and Wayne B. Jonas, MD

Palmer College of Chiropractic,
Davenport, IA 52803, USA.

OBJECTIVES: The study objective was to estimate complementary and alternative medicine (CAM) use among active duty military and compare data with civilian use.

DESIGN: A global survey on CAM use in the 12 previous months was conducted. Final participants (16,146) were stratified by gender, service, region, and pay grade. Analysis included prevalence of CAM use, demographic and lifestyle characteristics.

RESULTS: Approximately 45% of respondents reported using at least one type of CAM therapy. Most commonly used therapies were as follows: prayer for one’s own health (24.4%), massage therapy (14.1%), and relaxation techniques (10.8%). After exclusion of prayer for one’s own health, adjusting to the 2000 U.S. census, overall CAM use in the military (44.5%) was higher than that in comparable civilian surveys (36.0% and 38.3%).

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Use of Integrative Medicine in the United States Military

By Frank M. Painter|October 29, 2017|Chiropractic Care, Integrative Medicine|

Use of Integrative Medicine in the
United States Military Health System

The Chiro.Org Blog

SOURCE: Evid Based Comp Alternat Med. 2017 (Jun 13)

Cathaleen Madsen, Megan Vaughan, and
Tracey Pérez Koehlmoos

Uniformed Services University of the Health Sciences,
Bethesda, MD, USA.

Integrative medicine (IM) is a model of care which uses both conventional and nonconventional therapies in a “whole person” approach to achieve optimum mental, physical, emotional, spiritual, and environmental health, and is increasingly popular among patients and providers seeking to relieve chronic or multifactorial conditions. The US Department of Defense (DoD) shows particular interest in and usage of IM for managing chronic conditions including the signature “polytrauma triad” of chronic pain, traumatic brain injury (TBI), and posttraumatic stress disorder (PTSD) among its beneficiaries in the Military Health System (MHS).

These modalities range from conventional nondrug, nonsurgical options such as cognitive-behavioral therapy to nonconventional options such as acupuncture, chiropractic, and mind-body techniques. These are of particular interest for their potential to relieve symptoms without relying on opiates, which impair performance and show high potential for abuse while often failing to provide full relief.

This review describes the use of IM in the MHS, including definitions of the model, common therapies and potential for use, and controversy surrounding the practice. More research is needed to build a comprehensive usage analysis, which in turn will inform sound clinical and financial practice for the MHS and its beneficiaries.

From the FULL TEXT Article:

Introduction

Integrative medicine (IM) is a current healthcare paradigm which promotes a “whole person” approach to health through coordinated use of appropriate therapies originating both inside and outside of conventional medicine. Though often conflated with complementary and alternative medicine (CAM), changes in the definition of these terms make this conflation technically inaccurate.

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Provider and Patient Perspectives on Opioids

By Frank M. Painter|October 28, 2017|Chronic Low Back Pain, Chronic Neck Pain, Chronic Pain|

Provider and Patient Perspectives on Opioids and Alternative Treatments for Managing Chronic Pain:
A Qualitative Study

The Chiro.Org Blog

SOURCE: BMC Fam Pract. 2017 (Mar 24); 17 (1): 164

Lauren S. Penney, Cheryl Ritenbaugh, Lynn L. DeBar,
Charles Elder and Richard A. Deyo

South Texas Veterans Health Care System,
7400 Merton Minter Blvd,
San Antonio, TX, 78229, USA

BACKGROUND: Current literature describes the limits and pitfalls of using opioid pharmacotherapy for chronic pain and the importance of identifying alternatives. The objective of this study was to identify the practical issues patients and providers face when accessing alternatives to opioids, and how multiple parties view these issues.

METHODS: Qualitative data were gathered to evaluate the outcomes of acupuncture and chiropractic (A/C) services for chronic musculoskeletal pain (CMP) using structured interview guides among patients with CMP (n = 90) and primary care providers (PCPs) (n = 25) purposively sampled from a managed care health care system as well as from contracted community A/C providers (n = 14). Focus groups and interviews were conducted patients with CMP with varying histories of A/C use. Plan PCPs and contracted A/C providers took part in individual interviews. All participants were asked about their experiences managing chronic pain and experience with and/or attitudes about A/C treatment. Audio recordings were transcribed and thematically coded. A summarized version of the focus group/interview guides is included in the Additional file 1.

RESULTS: We identified four themes around opioid use:

(1) attitudes toward use of opioids to manage chronic pain;

(2) the limited alternative options for chronic pain management;

(3) the potential of acupuncture and chiropractic (A/C) care as a tool to help manage pain; and

(4) the complex system around chronic pain management.

Despite widespread dissatisfaction with opioid medications for pain management, many practical barriers challenged access to other options. Most of the participants’ perceived A/C care as helpful for short term pain relief. We identified that problems with timing, expectations, and plan coverage limited A/C care potential for pain relief treatment.

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About Frank M. Painter

Pediatric Patients in Swiss Chiropractic Clinics

Pediatric Patients in Swiss Chiropractic Clinics: A Questionnaire Survey

Conservative Care of Pediatric Acquired Torticollis

Conservative Care of Pediatric Acquired Torticollis: A Report of 2 Cases

Unresolved Congenital Torticollis and Its Consequences

Unresolved Congenital Torticollis and Its Consequences: A Report of 2 Cases

Military Report More CAM Use Than Civilians

Military Report More Complementary and Alternative Medicine Use Than Civilians

Use of Integrative Medicine in the United States Military

Use of Integrative Medicine in the United States Military Health System

Provider and Patient Perspectives on Opioids

Provider and Patient Perspectives on Opioids and Alternative Treatments for Managing Chronic Pain: A Qualitative Study

Pediatric Patients in Swiss Chiropractic Clinics:
A Questionnaire Survey

Conservative Care of Pediatric Acquired Torticollis:
A Report of 2 Cases

Use of Integrative Medicine in the
United States Military Health System

Provider and Patient Perspectives on Opioids and Alternative Treatments for Managing Chronic Pain:
A Qualitative Study