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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MRI Appearance of Rotator Cuff Tears
The assessment of the rotator cuff tendon is one of the most common reasons for MR imaging of the shoulder. Most frequently, the study is ordered to rule out a tear. If a tear is present, it is important to define the type of tear and quantify any defects. This information may be useful in determining if conservative care is warranted, or surgery is indicated.
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Isthmic Lumbar Spondylolisthesis
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
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The One “Drug” You Need to Prescribe to Every Patient (Part 2)
Part 2 will discuss simple recommendations to implement exercise/physical activity guidelines within the chiropractic office setting. We will also demonstrate select exercises.
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Medial Tibial Stress Syndrome
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)
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Current Best Practices for Assessing and Managing Lumbar Spine Stenosis
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)
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Carpal Tunnel Syndrome
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.
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The One “Drug” You Need to Prescribe to Every Patient (Part 1)
The chiropractic profession by choice has excluded aggressive interventions, such as prescription medication and surgery, from its treatment methodology. The Illinois Medical Practice Act specifically prohibits the use of prescription medication and surgery for chiropractic physicians. Of course, even though both prescription medications and conservative interventions can be used in diagnosis, treatment, prevention of disease that can affect the structure or function of the body, there is a big difference between the two.
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