Author: Gregory Markley, DC, DACO

Cervical Artery Dissection

Posted by Gregory Markley, DC, DACO | Jun 20, 2019 | Clinical, zall | 0 |

In this meta-analysis, the authors (who are neurosurgeons) attempt to determine if there is a causal relationship between chiropractic care (manipulation) and cervical artery dissection (CAD). Carotid artery dissection has an estimate of 2.5-3 per 100,000 and vertebral artery dissection is estimated to occur at 1-1.5 per 100,000. As you know, CAD is rare, but there have been numerous articles that have created the impression of an association between spinal manipulation and CAD.

Shoulder Disorders and Spinal Adjustments

Posted by Gregory Markley, DC, DACO | Jun 18, 2019 | Clinical, zall | 0 |

One of the most valuable clinical insights that I have received since starting practice is to evaluate the cervical and thoracic spine with patients who have shoulder pain. Dependent upon my evaluation, I will decide to incorporate or not incorporate the spine in the treatment of shoulder disorders. In the literature, you will find articles (like one of the ones below) that attempt to quantify the biomechanical and neurophysiologic mechanisms of the shoulder after thoracic spinal manipulation.

Centralization Is Key

Posted by Gregory Markley, DC, DACO | Feb 1, 2016 | Clinical, zall | 0 |

Centralization is one of the greatest signs we as medicine practitioners can use to identify patients whom we will or will not be successful in treating.

Thoracic Kyphosis and Forward Head Posture

Posted by Gregory Markley, DC, DACO | Jul 31, 2015 | Clinical, zall | 0 |

The Effects of Thoracic Kyphosis and Forward Head Posture on Cervical Range of Motion in Older Adults from the Manual Therapy Journal.

Occupational Back Injury

Posted by Gregory Markley, DC, DACO | Apr 8, 2015 | Clinical, Work Comp and PI, zall | 0 |

The cost of occupational back pain has increased by 65% from 1996 to 2002, with spine surgical procedures representing nearly 21% of these costs.

Low Back and Pelvic Pain in Pregnancy

Posted by Gregory Markley, DC, DACO | Mar 19, 2015 | Diagnosis, zall | 0 |

This article regards chiropractic care for LBP and PP in pregnancy, as well as issuing a challenge for the upcoming year.

Diagnosis Based Clinical Decisions

Posted by Gregory Markley, DC, DACO | Dec 1, 2014 | Clinical, Diagnosis, zall | 0 |

Back pain care is actually worsening. Chiropractic physicians have the knowledge and resources to address the complicated world of back pain.

Diagnosis of Sacroiliac Joint (SIJ) Pain

Posted by Gregory Markley, DC, DACO | Jun 18, 2014 | Clinical, Diagnosis, zall | 0 |

Chiropractic Physicians are the answer to the rising cost in back pain care. In the past several issues, I have attempted to present data that helps confirm this proposition. One of the many reasons we are the answer is our ability to use our diagnostic skills and perform a thorough examination to make an accurate diagnosis based on the information obtained. If we need advanced imaging, we can order it, but the vast majority of the time we can accurately diagnose without the need for costly tests by using clinical guidelines.