Featured Blogs

A patient receiving a neck treatment in a chiropractor's office

Cervical Artery Dissection and Neck Manipulation (new big data study!)

Cervical artery dissection (CeAD) is the most serious safety concern related to the provision of high-velocity, low-amplitude cervical spinal manipulation (SMT) and can involve the carotid or vertebral arteries. The [...] [...]

20
Sep

Woman suffering from stress or a headache grimacing in pain.

Phenotyping Nociceptive, Neuropathic & Nociplastic Pain

There is a clear global shift towards precision medicine in treating various conditions. The International Association for the Study of Pain (IASP) has thus outlined terms and decision criteria for [...] [...]

14
Sep

Stressed mature woman massaging her neck.

Cervical Disc Degeneration – Clinical Considerations

Cervical disc degeneration (CDD) is an age-related condition occurring commonly in patients greater than 45 years of age and is characterized by its progressive nature and radicular symptoms. Like lumbar [...] [...]

07
Sep

Exercise vs. NSAIDs/Tylenol for Hip or Knee Osteoarthritis

Osteoarthritis (OA) is the most common form of joint disease and the leading cause of pain in older adults. Oral non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol (or acetaminophen/Tylenol) are the [...] [...]

30
Aug

Doctor pointing to an x-ray image of a lumbar spine with a patient

Association Between Clinical Findings and Lumbar Spine Osteoarthritis Imaging Features

Association Between Clinical Findings and Lumbar Spine Osteoarthritis Imaging Features Low back pain is frequently labelled as ‘nonspecific’ in nature, which is diagnosed by the exclusion of specific underlying causes [...] [...]

24
Aug

Rehabilitation After Anterior Cruciate Ligament Reconstruction

Rehabilitation After Anterior Cruciate Ligament Reconstruction Successful recovery following anterior cruciate ligament reconstruction (ACLR) hinges largely on the rehabilitation program. Given that most ACL injuries are sports-related, the goal of rehabilitation [...] [...]

20
Jul

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Cervical Artery Dissection and Neck Manipulation (new big data study!)

20
Sep

Phenotyping Nociceptive, Neuropathic & Nociplastic Pain

14
Sep

Cervical Disc Degeneration – Clinical Considerations

07
Sep

Exercise vs. NSAIDs/Tylenol for Hip or Knee Osteoarthritis

30
Aug

Association Between Clinical Findings and Lumbar Spine Osteoarthritis Imaging Features

24
Aug

Rehabilitation After Anterior Cruciate Ligament Reconstruction

20
Jul

Neural Mobilization in Low Back & Radicular Pain

Neural Mobilization in Low Back & Radicular Pain Low Back and Radicular Pain (LBRP) is a common type of low back pain which is caused by compression, irritation, or other [...] [...]

13
Jul

Manual Therapy Dosing & Outcomes in Hip Osteoarthritis

Manual Therapy Dosing & Outcomes in Hip Osteoarthritis Hip osteoarthritis (OA) is often managed by conservative treatments, one of the most important being manual therapy (MT), which aims to relieve [...] [...]

06
Jul

Peripheral Neuropathy Bedside Examination – Clinical Challenges

Peripheral Neuropathy Bedside Examination – Clinical Challenges The bedside neurological examination is an important clinical tool to assist in the diagnosis of suspected peripheral neuropathies such as radiculopathy, carpal tunnel [...] [...]

28
Jun

Management of Cervicogenic Dizziness

Management of Cervicogenic Dizziness Cervicogenic Dizziness has a lifetime prevalence of 15-35% in the general population and has many causes, including vestibular, cardiorespiratory, neurological, mental/psychiatric, and cervical/musculoskeletal. Cervical-related dizziness can [...] [...]

19
Jun

Prolonged Slumped Sitting Causes Neck Pain & Increased Axioscapular Muscle Activity in Healthy Subjects

Prolonged Slumped Sitting Causes Neck Pain & Increased Axioscapular Muscle Activity in Healthy Subjects I’m sure you’ve seen a 3-year (!) spike in the number of your patients slumped over [...] [...]

15
Jun

Can seeing a chiropractor reduce the need for lumbar discectomy?

Can seeing a chiropractor reduce the need for lumbar discectomy? Lumbar disc herniations (LDH) are relatively common and certainly something you will encounter in practice. These patients require a comprehensive [...] [...]

08
Jun

Diagnostic Accuracy of Rules to Exclude Fractures in Acute Adult Ankle Injuries

Diagnostic Accuracy of the Ottawa Ankle Rules to Exclude Fractures in Acute Ankle Injuries in Adults

Diagnostic Accuracy of the Ottawa Ankle Rules to Exclude Fractures in Acute Ankle Injuries in Adults Ankle trauma is a common reason for individuals to visit the emergency department or [...] [...]

01
Jun

Patient Characteristics Associated with Non-Serious Adverse Events After Cervical Manual Therapy

Patient Characteristics Associated with Non-Serious Adverse Events After Cervical Manual Therapy Cervical spine manipulation and mobilization are commonly used for the treatment of patients with neck pain, with 6% to [...] [...]

25
May

Diagnosing Low Back Pain of Disc, Sacroiliac Joint or Facet Joint Origin

Diagnosing Low Back Pain of Disc, Sacroiliac Joint or Facet Joint Origin Most clinical practice guidelines recommend general treatment approaches for low back pain, including exercise, medication or manual therapy. [...] [...]

20
May

Tensile Force in the Vertebral Arteries During Cervical Spine Manipulation Applied to Human Cadavers

Tensile Force in the Vertebral Arteries During Cervical Spine Manipulation Applied to Human Cadavers This week, we discuss an update to ground breaking cadaveric research conducted nearly 20 years ago [...] [...]

12
May

Relationship Between Physical Activity & Pain in American Adults

Relationship Between Physical Activity & Pain in American Adults “Motion is lotion, rest is rust” As chiropractors, one of our primary roles should be to promote and facilitate physical activity [...] [...]

04
May

Clinical Instrument to Identify Appropriate Patients for Low Back Pain Maintenance Care

Clinical Instrument to Identify Appropriate Patients for Low Back Pain Maintenance Care Low back pain (LBP) affects a large portion of the adult population worldwide. In about 80-85% of individuals, [...] [...]

27
Apr

Prognosis of a New Episode of Low Back Pain in a Community Inception Cohort

Prognosis of a New Episode of Low Back Pain in a Community Inception Cohort Previous studies have shown that the natural course of low back pain is typically favorable, with [...] [...]

23
Apr

Shoulder Injury Prevention, Rehabilitation & Return to Sport

Shoulder Injury Prevention, Rehabilitation & Return to Sport Shoulder injuries commonly impact athletes at amateur and professional levels and can impact performance, training and activities of daily living. Despite the [...] [...]

13
Apr

Effect of Diagnostic Labelling on Patients’ Perceived Need for Imaging for Low Back Pain

Lumbar Spinal Stenosis Treatment Algorithm – Delphi Consensus

Lumbar Spinal Stenosis Treatment Algorithm – Delphi Consensus Lumbar spinal stenosis (LSS) is a common condition affecting older adults, which is treated with a variety of non-surgical and surgical interventions. [...] [...]

04
Apr

Treatments for Temporomandibular Disorder (TMD)

Dry Needling & Upper Cervical Manipulation for Temporomandibular Disorder – RCT

Dry Needling & Upper Cervical Manipulation for Temporomandibular Disorder – RCT Temporomandibular disorder (TMD) is a very common condition which affects 16% to 59% of the global population and has [...] [...]

27
Mar

Manual Therapy with Rehabilitation of Cervical Sensorimotor Control for Neck Pain

Manual Therapy with Rehabilitation of Cervical Sensorimotor Control for Neck Pain Between 50% and 85% of persons with neck pain do not attain complete resolution of their symptoms, possibly due [...] [...]

21
Mar

Effect of Diagnostic Labelling on Patients’ Perceived Need for Imaging for Low Back Pain

Effect of Diagnostic Labelling on Patients’ Perceived Need for Imaging for Low Back Pain Within many chiropractic offices and existing clinical guidelines, non-specific low back pain (NS-LBP) is diagnosed when [...] [...]

14
Mar

Psychosocial Factors Related to Severe Pain & Functional Limitation in LBP

Psychosocial Factors Related to Severe Pain & Functional Limitation in LBP Low back pain is the leading cause of disability worldwide. Psychosocial factors are known to negatively influence clinical outcomes [...] [...]

13
Mar

Surgery vs. Rehabilitation for Anterior Cruciate Ligament Injuries

Surgery vs. Rehabilitation for Anterior Cruciate Ligament Injuries Anterior cruciate ligament (ACL) injuries are one of the most common and serious knee injuries. There is an ongoing clinical and scientific [...] [...]

06
Mar

Inguinal-Related Groin Pain in Athletes

Inguinal-Related Groin Pain in Athletes Athletes with groin pain in the inguinal canal region with no palpable hernia present a challenge for clinicians. Pain within this region can be a [...] [...]

28
Feb

Clinical Relevance of Pressure Pain Thresholds in Real‑World Chiropractic Practice

Clinical Relevance of Pressure Pain Thresholds in Real‑World Chiropractic Practice This Resrach Review contains a guest commentary from the study’s lead author and one of our professions rising research stars [...] [...]

18
Feb

Association Between Cervical Artery Dissection & Spinal Manipulation in Older Patients

Association Between Cervical Artery Dissection & Spinal Manipulation in Older Patients Patients with cervical artery dissection (CeAD) involving the carotid or vertebral arteries may be asymptomatic, although they frequently experience [...] [...]

07
Feb

Identifying Peripheral Arterial Diseases or Flow Limitations of the Lower Limb

Identifying Peripheral Arterial Diseases or Flow Limitations of the Lower Limb Pain into the lower limbs can be caused by many conditions including peripheral arterial disease (PAD), which is a [...] [...]

31
Jan

Rehabilitation After Anterior Cruciate Ligament & Meniscal Injuries

Rehabilitation After Anterior Cruciate Ligament & Meniscal Injuries The paper we Reviewed for you this week is one of several systematic reviews contributing to the development of evidence-based consensus recommendations [...] [...]

23
Jan

Chiropractic Care Reduces Opioid Prescriptions, AGAIN!

Chiropractic Care Reduces Opioid Prescriptions, AGAIN! Many recent studies have shown that seeing a chiropractor can reduce one’s risk of being prescribed opioid medications for spinal pain. This week, we [...] [...]

15
Jan

Reducing Sitting Time in the Workplace – Cluster Randomized Trial

Reducing Sitting Time in the Workplace – Cluster Randomized Trial Many adults (and younger people!) spend a large portion of their day sedentary. In particular, office-based workers have been found [...] [...]

09
Jan

Hypermobility & Related Disorders – Masterclass Review Paper

Hypermobility & Related Disorders – Masterclass Review Paper Joint hypermobility refers to the ability of a joint to move beyond a “normal” range of motion after considering age, gender and [...] [...]

11
Dec

Effectiveness of Manual Therapy for Cervicogenic Headache

Effectiveness of Manual Therapy for Cervicogenic Headache Patients often consult chiropractors with headaches and in many cases, a reasonable trial of chiropractic care is warranted once red flags have been [...] [...]

05
Dec

SMT effective for older adults with chronic LBP – new, supportive high-level evidence!

SMT effective for older adults with chronic LBP – new, supportive high-level evidence! Spinal manipulation is an effective option for older patients with low back pain! Combine SMT with patient-centred [...] [...]

28
Nov

Exercise Therapy vs. NSAIDs or Opioids for Knee Osteoarthritis Pain

Exercise Therapy vs. NSAIDs or Opioids for Knee Osteoarthritis Pain Exercise for the win, again! Opioids are commonly used in the management of chronic musculoskeletal (MSK) conditions, however, the appropriateness [...] [...]

21
Nov

How do we define ‘growing pains’?

How do we define ‘growing pains’? “Doc, my 5 year old wakes up sometimes with really sore legs, what’s happening?” This is a question we often hear in practice (or [...] [...]

14
Nov

Does the popping sound with SMT matter for pain outcomes?

Does the popping sound with SMT matter for pain outcomes? When you adjust a patient, do you think the popping sound is necessary to achieve a desired clinical outcome regarding [...] [...]

08
Nov

The Science of MD Referrals

The Science of MD Referrals Why do MD’s refer (or not refer) patients to chiropractors. This week, a study on chiropractor characteristics that can drive referrals…there are some important lessons [...] [...]

31
Oct

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