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The Scapula’s Role in Shoulder Function

The Scapula’s Role in Shoulder Function

When a patient seeks care for shoulder pain, they usually point to the ball and socket glenohumeral joint as the source of their problem. However, a contributing cause of the patient’s shoulder pain and disability may actually be the scapula or shoulder blade and if scapular dyskinesis is present and untreated, the patient may not [..]

Carpal Tunnel Syndrome and the Patient-Doctor Team

Carpal Tunnel Syndrome and the Patient-Doctor Team

Carpal tunnel syndrome (CTS) is a condition that occurs when the median nerve is compressed or restricted as it passes through the wrist, resulting in sensory and motor symptoms, which include numbness, pain, paresthesia and sometimes weakness that can radiate from the wrist into the thumb and index, middle, and half of the ring finger. [..]

Vitamin D Status and Lumbar Spinal Stenosis

Vitamin D Status and Lumbar Spinal Stenosis

Vitamin D is an essential nutrient associated with numerous bodily functions, but perhaps vitamin D’s most widely known benefits are those it provides to the musculoskeletal system, namely its roles in bone mineralization and muscle function, both of which are important for reducing the risk for serious fall-related fractures in the elderly. However, there’s another [..]

Managing Migraine Headaches

Managing Migraine Headaches

Migraine headaches are classified as a primary headache disorder. Migraines are three times more common among women, especially in their premenopausal years. While migraines are still not fully understood (meaning they are likely underdiagnosed and undertreated), the available data show they are the most debilitating type of headache and rank seventh among health conditions with [..]

Safety of Mechanical Care

Safety of Mechanical Care

People become healthcare providers because they are interested, often passionately, about helping others with their health. Most healthcare providers are horrified at the thought that anything they did or failed to do could end up harming a patient. Yet, every type of health care is associated with some risks of potential problems. These problems can [..]

Common Wrist and Elbow Complaints

Common Wrist and Elbow Complaints

Because of the close anatomical relationship between the wrist and elbow, it’s not uncommon for patients to present for care with symptoms that affect both regions. In some cases, they may have two distinct musculoskeletal conditions that need simultaneous treatment. But in other cases, the pain in one area may be referred by a musculoskeletal [..]

Whiplash and Upper Cervical Instability

Whiplash and Upper Cervical Instability

The rapid flexion/extension, compression, and rotation of the cervical spine that commonly occurs in motor vehicle collisions can result in trauma that includes facet derangement, disk injury, and ligament sprain or rupture, frequently occurring in the upper cervical region. When the upper cervical spine exhibits excessive motion in combination with pain and other neurological symptoms, [..]

The Noisy Knee Joint

The Noisy Knee Joint

It’s common for the knee joint to be very noisy, especially when performing activities such as squatting, climbing steps, or repetitive knee extensions. Patients frequently present to their chiropractor and ask, “Is that noise normal and should I be concerned?” In most cases, crepitus (noise) emitted from the knee—which can include clicking, cracking, catching, snapping, [..]

Walking Speed May Aid in Diabetes Prevention

Walking Speed May Aid in Diabetes Prevention

Type 2 diabetes is a gradual, progressive chronic disease that is recognized as being one of the most common metabolic disorders as it currently affects 537 million adults worldwide and is predicted to rise to 783 million by 2045. Because increased blood sugar thickens the circulating blood, people with type 2 diabetes are at greater [..]

The Five Types of Spondylolisthesis

The Five Types of Spondylolisthesis

If you consider a vertebral segment as consisting of three legs like a tripod, the front of the vertebrae is the large vertebral body and the two legs in the back are the articular facets. The spinal cord passes between these three legs as it travels its course from the brainstem down to the tail [..]

The Relationship Between Migraines and the Neck

The Relationship Between Migraines and the Neck

Migraine is a neurovascular brain disorder that affects about 15% of the population and is the number one cause of disability in adults under the age of 50.  Neck pain has been estimated to be twelve times more likely to occur in migraine patients than in healthy subjects.  Similarly, migraineurs with neck pain report more [..]

The Importance of the Initial Provider for Spine Care

The Importance of the Initial Provider for Spine Care

Considerations for Costs, Outcomes, Surgery, Injections, and Imaging Introduction Healthcare providers of various disciplines tend to believe in and offer patients the intervention of their specialty: Medical doctors tend to prescribe medicines. Surgeons tend to offer surgery. Acupuncturists tend to offer needles. Massage therapists tend to offer massage. Physical therapists tend to offer physical therapy. [..]