Chiropractic Management

The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

By Frank M. Painter|December 27, 2023|Chiropractic Management, Chiropractic Research, Headache, Migraine|

The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

SOURCE: Health SA 2023 (Oct 25): 28: 2283

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Ashalya Pirthiraj and Raisuyah Bhagwan

Department of Chiropractic,
Faculty of Health Sciences,
Durban University of Technology,
Durban, South Africa.

Background: Migraines are highly prevalent among the female population and have a significant burden on one’s quality of life and physical functioning.

Aim: The study explored the physical impact and contributory factors of migraines on women and their experience of chiropractic treatment for migraine pain management.

Setting: The study was conducted in the eThekwini region of KwaZulu-Natal, South Africa.

Methods: The study used a qualitative descriptive design and adopted purposive sampling. The data were collected through 12 semi-structured interviews, between March and September 2021, and analysed using thematic analysis.

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An Adult Patient With Acute Ischemic Stroke and Carotid Stenosis Presenting to a Chiropractor: A Case Report

By Frank M. Painter|May 10, 2023|Chiropractic Management, Ischemic Stroke, Stroke and Chiropractic|

An Adult Patient With Acute Ischemic Stroke and Carotid Stenosis Presenting to a Chiropractor: A Case Report

The Chiro.Org Blog

SOURCE: Cureus 2023 (Apr 6); 15 (4): e37209

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Neal B deBuhr, Robert J Trager, Cliff Tao

Chiropractic Private Practice,
Thrive Chiropractic,
Cedar Falls, USA.

Chiropractic, Connor Whole Health,
University Hospitals Cleveland Medical Center,
Cleveland, USA.

FROM: MedicalNewsToday 2022

A 59-year-old male, with a recent history of acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia, presented to a chiropractor with a one-week history of numbness in the right upper and lower extremity that was triggered by neck movement, and lightheadedness/dizziness.

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A Case of Eagle Syndrome in a Chiropractic Patient

By Frank M. Painter|May 8, 2023|Case Studies, Chiropractic Management|

A Case of Eagle Syndrome in a Chiropractic Patient

The Chiro.Org Blog

SOURCE: Cureus 2023 (May 2); 15 (5): e38426

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Leonard F Vernon

Clinical Sciences,
Sherman College of Chiropractic,
Spartanburg, South Carolina, USA.

Eagle syndrome is a rare condition that is characterized by, among other things, pain in the face and neck, with the majority of cases being unilateral and isolated to the lower jaw. It is not uncommon for the pain to radiate to the ear. Symptoms can be constant or intermittent and may increase with yawning or rotation of the head, causing Eagle syndrome to be frequently misdiagnosed. The objective of this report is to summarize the symptoms, diagnostic workup, necessary imaging, and management of Eagle syndrome.

Keywords: advanced imaging; chiropractic; eagle syndrome; non-specific neck pain; trauma.

From the FULL TEXT Article:

Introduction

The styloid process attaches the temporal bone of the skull and abuts to the styloid foramen, where it has numerous attachments, including the stylohyoid and stylomandibular ligaments and styloglossus and stylopharyngeus muscles. Derived from the Greek word “stylos”, which implies the pillar in Greek. The length of the styloid process has been reported by some authors to range between 15.2 mm and 47.7 mm [1, 2], with various authors labeling an elongated styloid process as anything >30 mm while Wat W. Eagle, an otolaryngologist, whom the syndrome is named after, believed that a length >25 mm is considered elongated. [3] A radiographic study by Dayal et al. seems to confirm Eagle’s assertion. [4] Watt found the incidence of elongated styloid process is 4% in the general population, of which only 4%-10% are reported to be symptomatic, with a female-to-male ratio of 3:1. It is usually reported in adults after the third decade of life. [5, 6]

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Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

By Frank M. Painter|May 6, 2023|Chiropractic Care, Chiropractic Management, Veterans|

Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

The Chiro.Org Blog

SOURCE: J Chiropractic Medicine 2022 (Jun); 21 (2): 77–82

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Brian A. Davis DC, Andrew S. Dunn DC, MS, MEd, Derek J. Golley DC, MS, Dave R. Chicoine DC, MS

Chiropractic Department,
VA Western New York Healthcare System,
Buffalo, New York

FROM: Military.com 2019

Objective: The purpose of this study was to determine whether a sample of older adult male U.S. veterans demonstrated clinically and statistically significant improvement in chronic lower back pain on validated outcome measures after a short course of chiropractic care.

Methods: We performed a retrospective review of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 89 years, who had chronic low back pain, defined as pain in the lower back region present for at least 3 months before evaluation. We included those who received chiropractic management from January 1, 2010, to December 31, 2018. Paired t tests were used to compare outcomes after 4 treatments on both a numeric rating scale (NRS) and the Back Bournemouth Questionnaire (BBQ). The minimum clinically important difference (MCID) was set at 30% change from baseline.

Results: There were 217 individuals who met the inclusion criteria. The mean NRS score change from baseline was 2.2 points, representing a 34.1% reduction (t = 13.5, P < .001). The mean score change for BBQ was 14.7 points, representing a 35.9% reduction (t = 16.7, P < .001). The percentage of participants reaching the MCID for the NRS was 57% (n = 124) and for the BBQ was 59% (n = 126), with 41% (n = 90) of the sample reaching the MCID for both the NRS and BBQ.

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Three Patterns of Spinal Manipulative Therapy for Back Pain and Their Association With Imaging Studies, Injection Procedures, and Surgery: A Cohort Study of Insurance Claims

By Frank M. Painter|April 29, 2023|Chiropractic Management, Initial Provider, Low Back Pain|

Three Patterns of Spinal Manipulative Therapy for Back Pain and Their Association With Imaging Studies, Injection Procedures, and Surgery: A Cohort Study of Insurance Claims

The Chiro.Org Blog

SOURCE: J Manipulative Physiol Ther 2021 (Nov); 44 (9): 683–689
Brian R. Anderson, DC, MPH, MS, PhD, Steve W. McClellan, MS

Palmer Center for Chiropractic Research,
Palmer College of Chiropractic,
Davenport, IA.

FROM:
Houweling, JMPT 2015 Liliedahl, JMPT 2010

Objective: The purpose of this study was to evaluate the relationship between procedures and care patterns in back pain episodes by analyzing health insurance claims.

Methods: We performed a retrospective cohort study of insurance claims data from a single Fortune 500 company. The 3 care patterns we analyzed were initial spinal manipulative therapy, delayed spinal manipulative therapy, and no spinal manipulative therapy. The 3 procedures analyzed were imaging studies, injection procedures, and back surgery. We considered “escalated care” to be any claims with diagnostic imaging, injection procedures, or back surgery. Modified-Poisson regression modeling was used to determine relative risk of escalated care.

Results: There were 83,025 claims that were categorized into 10 372 unique patient first episodes. Spinal manipulative therapy was present in 2,943 episodes (28%). Initial spinal manipulation was present in 2,519 episodes (24%), delayed spinal manipulation was present in 424 episodes (4%), and 7,429 (72%) had no evidence of spinal manipulative therapy. The estimated relative risk, adjusted for age, sex, and risk score, for care escalation (eg, imaging, injections, or surgery) was 0.70 (95% confidence interval 0.65–0.75, P < .001) for initial spinal manipulation and 1.22 (95% confidence interval 1.10–1.35, P < .001) for delayed spinal manipulation with no spinal manipulation used as the reference group.

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The Perceived Barriers and Facilitators for Chiropractic Care in Older Adults with Low Back Pain; Insights from a Qualitative Exploration in a Dutch Context

By Frank M. Painter|April 13, 2023|Chiropractic Management, Low Back Pain, Medicare|

The Perceived Barriers and Facilitators for Chiropractic Care in Older Adults with Low Back Pain; Insights from a Qualitative Exploration in a Dutch Context

The Chiro.Org Blog

SOURCE: PLoS One 2023 (Apr 12); 18 (4): e0283661

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Lobke P. De la Ruelle, Annemarie de Zoete, Cornelius Myburgh, Hella E. Brandt, Sidney M. Rubinstein

Department of Health Sciences,
Faculty of Science,
Amsterdam Movement Sciences,
Vrije Universiteit Amsterdam,
Amsterdam, The Netherlands.

Background: Understanding care seeking behaviour is vital to enabling access to care. In the context of low back pain (LBP), chiropractors offer services to patients of all ages. Currently, geriatric sub-populations tend to be under-investigated, despite the disproportionate effects of LBP on older adults. In the Netherlands, the chiropractic profession is relatively unknown and therefore, generally speaking, is not considered as the first choice for conservative musculoskeletal primary health care. The aim of this paper was to explore the experiences of older adults with LBP, seeking chiropracic care for the first time, in order to identify perceived barriers and facilitators in this process.

Methods: Stage 1: Participants 56 years of age and older with chronic LBP who either sought or did not seek chiropractic care were interviewed to provide detailed information on the factors that promoted or impeded care-seeking behaviour. A purposive sampling strategy was used to recruit participants through a network of researchers, chiropractors and other healthcare professionals offering musculoskeletal health care services. Individuals with underlying pathology, previous surgery for LBP, or insufficient mastery of the Dutch language were excluded. Data were collected until saturation was reached and thematically analysed. Stage 2: To further explore the themes, a focus group interview was conducted with a provider stakeholder group consisting of:two physiotherapists, a nurse practitioner, a geriatrician, and a chiropractor. All interviews were conducted online, voice recorded, and transcribed verbatim.

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