Discover More About Custom Flip-Flops By: Dr. Mark Charrette Warm weather has arrived, and more patients and more patients are coming into offices wearing sandals and flip-flops. This time of year presents both a challenge and opportunity for Chiropractors: patients’ shoes can either contribute to their health and whole body wellness, or to greater pain
William M. Austin, DC, CCSP, CCRD Most chronic low back pain is the result of some form of structural weakness or failure.1–2 The cause of chronic lumbar spine breakdown is microtrauma, which is produced by biomechanical errors, structural asymmetries, tissue weaknesses and excessive external loads. The source of these conditions must be recognized and addressed
Your window of opportunity to a successful practice By Monte H. Greenawalt, DC, DABCO Want to grow a stable, thriving practice? Well I’m here to tell you one thing: you’re in the people business, doctor, and convincing patients to “buy in” to your treatment plan requires more than “wowing” them with clinical knowledge. It requires
John K. Hyland, DC, MPH, DACBR, DABCO, CSCS Women differ from men in structure and biomechanics, and their feet are among the most different of the structures. In spite of this, we often tend to treat female patients who have foot imbalance and lower extremity dysfunction in the same way that we treat our male
Foot Levelers, Inc. sponsored two research studies on the effectiveness of functional orthotics. These studies verified that orthotics are considered very effective by a large percentage of wearers, and appear to have a positive effect on the lower body-half injury profile of college football players. Custom-Made Orthotics as an Adjunct to Chiropractic Care: The Patient’s Perspective
By: Susan Hoy, CA If you always do what you always did, then you’ll always have what you always had. “Insanity” is doing the same thing over and over again, but expecting a different result. I don’t know if it happens in your practice, but it kept happening over and over again in ours. Just
By: Monte H. Greenawalt, DC, DABCO Doctor, it is your ATTITUDE that will take you to whatever ALTITUDE you want. Think about the fact that your patient is a person who acts and reacts in much the same manner as you react. Your patient has come to you for help. Their problem is of sufficient
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History What is this unusual lesion of the ischium? Does this patient need to be referred Figure 1 Diagnosis: Rider’s bone (avulsion of the secondary growth center for the ischial tuberosity). Discussion This type of fracture represents an avulsion of the
By: William M. Austin, DC, CCSP, CCRD The Baby Boomer generation is that group of individuals born between 1946 and 1964. There are approximately 76 million baby boomers and this group comprises the largest single segment of the American population. So, if you’ve noticed the median age of your patients has changed, it could be
By: Jeffrey D. Olsen, DC Activator Methods Chiropractic Technique (AMCT) suggests that, before proceeding to the pelvis or any portion of the axial skeleton, doctors must first clear the subluxations and remove any instability from the lower extremity.1 The Activator Adjusting Instrument, with the proper line of drive, is your tool for removing subluxations. Furthermore,
By: John Palo, BS, DC, DABCO The Collapsed Longitudinal Arch Hyperpronation, the collapse of the longitudinal arch of the foot, has received the greatest attention in the field of foot orthotics. And justly so. It has been of particular concern to the Chiropractic physician. Why? The collapsed longitudinal arch lowers the sacral table on the
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History A 10-year-old male gymnast presents with post-traumatic ankle pain following a fall from the platform bar. Radiographic examination reveals: Figure 1. Diagnosis: Nonossifying fibroma (fibrous xanthoma) of the distal tibial metaphysis with a spiral pathological fracture. Fibrous Xanthoma of Bone—Nonossifying
By: Mark N. Charrette, DC (See all of the figures at the bottom) The following is a checklist/protocol that I follow to adjust the typical shoulder (Fig. 1). Depending on what research you read and what your definition of “joint” is, the Chiropractor will come up with a differing number of shoulder joints. I adjust
By: Jeffrey D. Olsen, DC Among the options available, my low-force procedure of choice is Activator Methods Chiropractic Technique (AMCT). From my earliest exposure to AMCT, while taking the elective as a student at Palmer College, I had the impression that this is the most systematic approach to Chiropractic care. In our training and too
By: Terry Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This young adult male patient was in a motor vehicle accident, where he received a severe hyperextension-hyperflexion injury. A complete set of conventional radiographs was performed and an abnormality was detected on the lateral projection. Can you identify the pathology? Figure
By: Wayne Henry Zemelka, DC The Thompson Technique The existence of the Negative Derifield is determined by the Leg Length Insufficiency (LLI) associated with the finding of the short leg in extension that stays short upon flexion. Confirmation is determined by the finding of two or more of the four trigger points located at the
By: Mark N. Charrette, DC The Q-angle is a very important indicator of biomechanical function in the lower extremity. This measurement reflects the effect of the quadriceps mechanism on the knee (hence the “Q” angle). When assessed correctly, it supplies very useful information concerning the alignment of the pelvis, leg, and foot. Determination of the
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History A 50-year-old male patient presents with pain affecting his first metatarsal and interphalangeal articulation of the great toe. What is your diagnosis? Figure 1. Diagnosis: Gout. Observe the tophaceous marginal erosions on the lateral aspect of the distal phalanx of
By: Wayne Henry Zemelka, DC Positive Derifield (+D) analysis is derived from observing the Leg Length Inequality (LLI) (Fig. 1), in that the short leg in extension comes even or crosses over to become longer when placed into flexion (Fig. 2). A +D indicates that the rotation of the ilium occurs at the acetabulum, therefore
By: Mark N. Charrette, DC How often has the Chiropractor heard from his or her patient that the area being adjusted “doesn’t hurt”? On the other hand, how often has a patient told us that an area doesn’t hurt, or feels good—so we as Chiropractors decide not to examine it? Painless Problems There is a
