Fibromyalgia: Current Evidence-based Management
e American College of Rheumatology defines fibromyalgia as chronic widespread pain and reduced pain thresholds to palpation.
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Posted by Tim Bertelsman, DC, DACO | Jan 23, 2019 | Clinical, zall | 0 |
e American College of Rheumatology defines fibromyalgia as chronic widespread pain and reduced pain thresholds to palpation.
Read MorePosted by Tim Bertelsman, DC, DACO | Nov 14, 2018 | Clinical, Diagnosis, zall | 0 |
The term “spondylolisthesis” is derived from the Greek roots, “spondylo-,” meaning spine, and “listhesis,” meaning to slide. Spondylolisthesis describes a forward slip of a vertebral body with respect to the vertebra below, and is classified by distinct origin
Read MorePosted by Tim Bertelsman, DC, DACO | Oct 2, 2018 | ICS Message, Legislative, Practice Management, zall | 0 |
When riding over rough terrain, mountain bikers use clips to help keep their shoes connected to the pedals. When approaching a particularly steep or rugged incline, riders must choose whether they will stay clipped in and pedal up or unclip and walk their bike up the hill.
Read MorePosted by Tim Bertelsman, DC, DACO | Sep 26, 2018 | Clinical, Diagnosis, zall | 0 |
Autumn means that youth overuse injuries increase as school sports resume, and lower extremity stress is particularly amplified when athletes move indoors onto hard floors. Medial tibial stress syndrome (MTSS), aka Medial Tibial Traction Periostitis, is a common result of this increased load. The diagnosis of MTSS describes exercise-induced pain along the posteromedial border of the tibia. The condition is commonly referred to as “shin splints” and is a familiar malady in athletes and soldiers where it affects up to 1/3 of those populations. (1-4) MTSS is responsible for approximately 15% of all running injuries. (1)
Read MorePosted by Tim Bertelsman, DC, DACO | Sep 12, 2018 | Clinical, Frequently Asked Questions, zall | 0 |
The cost of the opioid crisis is staggering and increasing at alarming rates. From 2007-2014, opioid dependence rose by 3,203% among patients with private insurance. (1) Expenses to the patient and the insurers are equally impressive. From 2011-2015, opioid abuse or dependence charges rose from $72 million to $722 million for privately insured patients. (2) The US prescribes 50 times more opioids than the rest of the world combined. (3)
Read MorePosted by Tim Bertelsman, DC, DACO | Jul 18, 2018 | Clinical, zall | 0 |
A new study in Archives of Physical Medicine and Rehabilitation concluded: “For patients with neurogenic claudication due to lumbar spine stenosis (LSS), a comprehensive conservative program demonstrated superior, large and sustained improvements in walking ability and can be a safe non-surgical treatment option.”(53)
Read MorePosted by Tim Bertelsman, DC, DACO | May 30, 2018 | Clinical, Orthopedic, zall | 0 |
Carpal tunnel syndrome (CTS) is caused by mechanical compression of the median nerve within the carpal tunnel. This compression causes local ischemia and results in sensory and/or motor deficits in the distribution of the median nerve.
Read MorePosted by Tim Bertelsman, DC, DACO | May 23, 2018 | Clinical, zall | 0 |
A new study reported in the May 2018 issue of JAMA Network Open (study) of 750 active duty US military personnel with acute low back pain (LBP) compared the effectiveness of standard care alone (medication, physical therapy, pain management) vs. a collaborative care plan that included chiropractic manipulation.
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