News & Information
Ankle Sprains A to Z
Written by Editor   
Wednesday, April 30, 2014 07:49 AM

Ankle sprains are one of the most common ankle injuries. In fact, “in the United States alone, 23,000 people sprain their ankles each day."

Athletes, in particular, are susceptible to ankle sprains. A 2007 study published in the Journal of Sports Medicine looked at 43 different sports and found that the ankle sprain was the most frequent injury in 33 of those sports. Additionally, Tom Hyde, DC, DACBSP, CCSP, notes that the anterior talofibular ligament (in the ankle) is the most commonly torn ligament in the body.

Sprains occur when a ligament is stretched or torn. Eighty-five percent of all ankle sprains involve ligaments of the lateral ankle, according to John Stites, DC, DACBR, FACO, director of community clinics at Palmer College of Chiropractic.  Dr. Stites explains that sprains can range from mild to severe depending on the damage to the ligaments and how many ligaments are involved.

Outcomes of Acute and Chronic Patients With Magnetic Resonance Imaging...
Written by Editor   
Wednesday, April 30, 2014 07:43 AM

The purposes of this study were to evaluate patients with low-back pain (LBP) and leg pain due to magnetic resonance imaging–confirmed disc herniation who are treated with high-velocity, low-amplitude spinal manipulation in terms of their short-, medium-, and long-term outcomes of self-reported global impression of change and pain levels at various time points up to 1 year and to determine if outcomes differ between acute and chronic patients using a prospective, cohort design. 

A large percentage of acute and importantly chronic lumbar disc herniation patients treated with chiropractic spinal manipulation reported clinically relevant improvement.  Significant improvement for all outcomes at all time points was reported. At 3 months, 90.5% of patients were “improved” with 88.0% “improved” at 1 year. Although acute patients improved faster by 3 months, 81.8% of chronic patients reported “improvement” with 89.2% “improved” at 1 year. There were no adverse events reported.

The Comparative Effect of Episodes of Chiropractic and Medical Treatment on the Health of Older Adults
Written by Editor   
Wednesday, April 30, 2014 07:37 AM

The purpose of this study is to examine how chiropractic compares to medical treatment in episodes of care for uncomplicated back conditions. Episodes of care patterns between treatment groups are described, and effects on health outcomes among an older group of Medicare beneficiaries over a 2-year period are estimated.  The findings from this study suggest that chiropractic use in episodes of care for uncomplicated back conditions has protective effects against declines in ADLs, instrumental ADLs, and self-rated health for older Medicare beneficiaries over a 2-year period.

Cervical Connective Tissue Injury
Written by Editor   
Wednesday, April 30, 2014 07:25 AM

(a.k.a. “Whiplash,” “Cervical Soft Tissue Injury,” and “Cervical Strain and/or Sprain”)

Cervical Connective Tissue Injury," "Cervical Soft Tissue Injury," "Cervical Strain," and "Cervical Sprain" are among the common names used to label specific injuries to the muscles, tendons, and ligaments of the cervical spine resulting from trauma. Proving the presence of such injuries in litigation is particularly challenging for a number of reasons. First, there is no imaging study or medical test that can definitively reveal these types of injuries as they typically exist, with the exception of an invasive biopsy of the affected tissues.

Health care providers typically make the diagnosis based upon a number of factors--primarily upon the appearance of symptoms soon after a related traumatic event as well as at least partial relief of symptoms following specialized therapies.

it is important to combat the voodoo and skepticism associated with the term "whiplash" and explain the well-founded science associated with the injuries and how they result from the trauma of a particular event. Illustrations explaining the related anatomy, the mechanism of injury, and the injury itself can be very valuable tools in that process.

No Annual Exams?
Written by Editor   
Wednesday, April 30, 2014 07:11 AM

A recommendation from the Society of General Internal Medicine to do away with annual checkups for asymptomatic adults evoked strong emotions.  SGIM was asked by the American Board of Internal Medicine (ABIM) Foundation to make recommendations for its Choosing Wisely campaign. The initiative involves 47 medical groups and societies that were asked to identify five tests or procedures commonly used in their fields in an effort to "spur conversation about what is appropriate and necessary treatment" between patients and clinicians, according to the foundation.

One of the SGIM recommendations -- "Don't perform routine general health checks for asymptomatic adults" -- upset a large number of SGIM members.  "The lack of evidence [for annual checkups] is obviously not evidence of the lack of benefit," one member said. "I don't agree with the recommendation."   Many members pointed out a distinct difference between annual screenings and tests, and the human interaction involved with an annual checkup.  "Routine use of several testing methodologies that had been part of the routine physical exam has very little value. But to conclude that the visit doesn't have value is a stretch," one member said.

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