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Pregnancy and Chiropractic: A Narrative Review of the Literature

By |February 3, 2016|Pediatrics|

Pregnancy and Chiropractic: A Narrative Review of the Literature

The Chiro.Org Blog

SOURCE:   J Chiropractic Med 2007 (Jun); 6 (2): 70–74

Cara L. Borggren

Chiropractic Clinical Resident,
Northwestern Health Sciences University,
College of Chiropractic,
Bloomington, MN.

 

OBJECTIVE:   The purpose of this article is to review the literature on the topic of chiropractic care during pregnancy.

METHODS:   A PubMed search was performed using the terms pregnancy and chiropractic. Sources were cross-referenced to obtain further articles and research information after reviewing the articles obtained through the search.

RESULTS:   Thirty-three references were used for this review. The current literature reports favorable results on the use of chiropractic care throughout pregnancy.

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Recognition of Perinatal Stroke in a Chiropractic Practice

By |February 2, 2016|Pediatrics, Stroke|

Recognition of Perinatal Stroke in a Chiropractic Practice: Case Report and Clinical Challenges Related to a Late Diagnosis

The Chiro.Org Blog

J Clin Chiro Peds 2012 (Jun); 13 (1): 958–967 ~ FULL TEXT

Lise Hestbaek, PhD, Annette Jørgensen, DC, and
Jan Hartvigsen, PhD

Nordic Institute of Chiropractic and Clinical Biomechanics,
Odense, Denmark

Introduction:   In recent years, improvements in medical techniques and technology have enabled primary health care practitioners to diagnose perinatal strokes in infants far earlier than ever before. This new technology can also support chiropractors, especially those working with pediatric patients, in order to validate their diagnosis when they recognize these initial symptoms.

Objective:   The aim of this paper is to raise awareness and assist doctors of chiropractic in recognizing the physical and behavioral signs of perinatal stroke as they present in a chiropractic office for assessment and treatment. The paper will relate the case of a 7-month-old infant who, after visiting a chiropractic office with apparent hemiparesis and delayed developmental milestones, was post-medically diagnosed as having suffered a presumed perinatal stroke.

Discussion:   Early recognition of perinatal stroke is vital since late diagnosis can lead to a lifetime of debilitating neurological conditions as well as potential increased direct and indirect costs to society. For those who receive a late diagnosis, a chiropractor, as a member of a multidisciplinary team, can play a major role in rehabilitation by supporting the function of the nervous system,
reducing muscle and joint rigidity and optimizing neuronal plasticity.

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Deconstructing Chronic Low Back Pain in the Older Adult – Part V: Maladaptive Coping

By |February 1, 2016|Low Back Pain|

Deconstructing Chronic Low Back Pain in the Older Adult – Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment.
Part V: Maladaptive Coping

The Chiro.Org Blog

SOURCE:   Pain Medicine 2016 (Jan); 17 (1): 64-73 ~ FULL TEXT

Elizabeth A. DiNapoli, Michael Craine, Paul Dougherty,
Angela Gentili, Gary Kochersberger, Natalia E. Morone,
Jennifer L. Murphy, Juleen Rodakowski, Eric Rodriguez,
Stephen Thielke, Debra K. Weiner

Mental Illness Research, Education & Clinical Center,
VA Pittsburgh Healthcare System, Pittsburgh,
Pennsylvania Geriatric Research,
Education & Clinical Center,
VA Pittsburgh Healthcare System, Pittsburgh, PA


This is just one from a series of 10 articles titled:

Deconstructing Chronic Low Back Pain in the Older Adult

OBJECTIVE:   As part of a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults, this article focuses on maladaptive coping – a significant contributor of psychological distress, increased pain, and heightened disability in older adults with CLBP.

METHODS:   A modified Delphi technique was used to develop a maladaptive coping algorithm and table providing the rationale for the various components of the algorithm. A seven-member content expert panel and a nine-member primary care panel were involved in the iterative development of the materials. While the algorithm was developed keeping in mind resources available within the Veterans Health Administration (VHA) facilities, panelists were not exclusive to the VHA, and therefore, materials can be applied in both VHA and civilian settings. The illustrative clinical case was taken from one of the contributors’ clinical practice.

RESULTS:   We present a treatment algorithm and supporting table to be used by providers treating older adults who have CLBP and engage in maladaptive coping strategies. A case of an older adult with CLBP and maladaptive coping is provided to illustrate the approach to management.

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Deconstructing Chronic Low Back Pain in the Older Adult – Part IV: Depression

By |January 31, 2016|Depression Screening, Low Back Pain|

Deconstructing Chronic Low Back Pain in the Older Adult – Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment.
Part IV: Depression

The Chiro.Org Blog

SOURCE: Pain Medicine 2015 (Nov); 16 (11): 2098-2108 ~ FULL TEXT

Joseph A. Carley, Jordan F. Karp, Angela Gentili,
Zachary A. Marcum, M. Carrington Reid, Eric Rodriguez,
Michelle I. Rossi, Joseph Shega, Stephen Thielke,
Debra K. Weiner

Departments of Psychiatry,
University of Pittsburgh,
Pittsburgh, PA, USA


This is just one from a series of 10 articles titled:

Deconstructing Chronic Low Back Pain in the Older Adult

OBJECTIVE:   To present the fourth in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. The series presents CLBP as a syndrome, a final common pathway for the expression of multiple contributors rather than a disease localized exclusively to the lumbosacral spine. Each article addresses one of twelve important contributors to pain and disability in older adults with CLBP. This article focuses on depression.

METHODS:   The evaluation and treatment algorithm, a table articulating the rationale for the individual algorithm components, and stepped-care drug recommendations were developed using a modified Delphi approach. The Principal Investigator, a three-member content expert panel, and a nine-member primary care panel were involved in the iterative development of these materials. The algorithm was developed keeping in mind medications and other resources available within Veterans Health Administration (VHA) facilities. As panelists were not exclusive to the VHA, the materials can be applied in both VHA and civilian settings. The illustrative clinical case was taken from one of the contributor’s clinical practice.

RESULTS:   We present an algorithm and supportive materials to help guide the care of older adults with depression, an important contributor to CLBP. The case illustrates an example of a complex clinical presentation in which depression was an important contributor to symptoms and disability in an older adult with CLBP.

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Deconstructing Chronic Low Back Pain in the Older Adult – Part III: Fibromyalgia Syndrome

By |January 30, 2016|Low Back Pain|

Deconstructing Chronic Low Back Pain in the Older Adult – Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment. Part III: Fibromyalgia Syndrome

The Chiro.Org Blog

SOURCE:   Pain Medicine 2015 (Sep); 16 (9): 1709-1719 ~ FULL TEXT

Gita Fatemi, Meika A. Fang, Paula Breuer, Paul E. Cherniak,
Angela Gentili, Joseph T. Hanlon, Jordan F. Karp,
Natalia E. Morone, Eric Rodriguez, Michelle I. Rossi,
Kenneth Schmader, Debra K. Weiner

VA Greater Los Angeles Healthcare System,
Los Angeles, California


This is just one from a series of 10 articles titled:

Deconstructing Chronic Low Back Pain in the Older Adult

OBJECTIVE:   To present the third in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. The series presents CLBP as a syndrome, a final common pathway for the expression of multiple contributors rather than a disease localized exclusively to the lumbosacral spine. Each article addresses one of 12 important contributors to pain and disability in older adults with CLBP. This article focuses on fibromyalgia syndrome (FMS).

METHODS:   A modified Delphi approach was used to create the evaluation and treatment algorithm, the table discussing the rationale behind each of the algorithm components, and the stepped-care drug recommendations. The team involved in the creation of these materials consisted of a principal investigator, a 5-member content expert panel, and a 9-member primary care panel. The evaluation and treatment recommendations were based on availability of medications and other resources within the Veterans Health Administration (VHA) facilities. However, non-VHA panelists were also involved in the development of these materials, which can be applied to both VA and civilian settings. The illustrative clinical case was taken from the clinical practice of the principal investigator.

RESULTS:   Following expert consultations and a review of the literature, we developed an evaluation and treatment algorithm with supporting materials to aid in the care of older adults with CLBP who have concomitant FMS. A case is presented that demonstrates the complexity of pain evaluation and management in older patients with CLBP and concomitant FMS.

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Deconstructing Chronic Low Back Pain in the Older Adult – Part II: Myofascial

By |January 27, 2016|Low Back Pain|

Deconstructing Chronic Low Back Pain in the Older Adult – Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment.
Part II: Myofascial Pain

The Chiro.Org Blog

SOURCE:   Pain Medicine 2015 (Jul); 16 (7): 1282-1289 ~ FULL TEXT

Anthony J. Lisi, Paula Breuer, Rollin M. Gallagher,
Eric Rodriguez, Michelle I. Rossi, Kenneth Schmader,
Joel D. Scholten, Debra K. Weiner

VA Connecticut Healthcare System
2Rehabilitation and Prosthetics Services,
Veterans Health Administration.
3University of Bridgeport College of Chiropractic


This is just one from a series of 10 articles titled:

Deconstructing Chronic Low Back Pain in the Older Adult

OBJECTIVE:   To present an algorithm of sequential treatment options for managing myofascial pain (MP) in older adults, along with a representative clinical case.

METHODS:   A modified Delphi process was used to synthesize evidence-based recommendations. A multidisciplinary expert panel developed the algorithm, which was subsequently refined through an iterative process of input from a primary care physician panel.

RESULTS:   We present an algorithm and supportive materials to help guide the care of older adults with MP, an important contributor to chronic low back pain (CLBP). Addressing any perpetuating factors should be the first step of managing myofascial pain (MP). Patients should be educated on self-care approaches, home exercise, and the use of safe analgesics when indicated. Trigger point deactivation can be accomplished by manual therapy, injection therapy, dry needling, and/or acupuncture.

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