By: Monte H. Greenawalt, DC, DABCO The well-disciplined Doctor of Chiropractic has learned to look at the patient as a whole person. Humans are inseparable, and each part is dependent upon the related parts. We are a group of integrated and interrelated components. In Chiropractic college we concentrated on the spine and justly so. We
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: 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: 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: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry., DC, DACBR A Potentially Life-Threatening Circumstance History This 75-year-old female patient tripped going down her basement stairs and heard a “snap.” This resulted in osseous injury. Can you tell the location and the extent of the injury? Figure 1 Diagnosis: There is
By: Jeffrey D. Olsen, DC We see them every day. Patients, with chronic headaches that have not responded to traditional treatment, present with a feeble hope that “maybe a Chiropractor can help.” How I wish we were given the opportunity, earlier in the development of the condition, to restore normal relationships of the spine and
By Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This 35-year-old female patient presents with a history of severe “whiplash” and cervicodorsal pain. An abnormality of T2 is identified. Is this a fracture? Is additional imaging necessary to confirm this? Figure 1 Diagnosis: The abnormality at the T2 vertebral segments
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This young female patient presents with a history of trauma to the cervicothoracic junction. What is your diagnosis? Figure 1 Diagnosis: Bilateral cervical ribs. Note that the ribs extending from the C-7 transverse processes project caudally. The transverse processes of
By: Wayne Henry Zemelka, DC Adjusting Procedures of the Thompson Technique Analysis To detect a Bilateral Cervical problem, place the patient in the prone position on the table and check the leg length in extension. They will appear even in the extended position and when flexed will remain even. Lower the legs to the
By: Mark N. Charrette, DC Stress fractures are a common cause of foot pain, especially in the active population.1 Patients will report a dull, aching pain sensation in the foot that is often poorly localized (Fig. 1). The nagging pain increases during weightbearing and gait, and often remains for a while after use. It commonly subsides
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This adult male patient reports with a history of trauma to the upper lumbar spine and lumbosacral junction after a severe fall. Can you find any fractures? If so, where are they? (See next page.) Diagnosis Fractures of the left first,
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This adult female patient fell on a hyperextended elbow and wrist while jogging. There is considerable restriction in range of motion of the elbow with localized elbow pain. What do you see? Diagnosis There is a vertical fracture line extending through
By: Terrence J. Dini, DC Introduction Pes anserine bursitis is the result of inflammation of the same bursal sac at the medial aspect of the knee. It is a fairly common finding, but often overlooked and not very prevalent in the literature. There are many causes of this type of bursitis, but pronation of the
By: Wayne Henry Zemelka, DC Analysis A ‘High Shoulder’ is easily detected by comparing one shoulder with the other, especially in the standing position (Fig. 1). Keep in mind that previous injury or broken bones may be considered contraindications when conducting your examination. With palpation you will find a tender nodule or trigger point at
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Chad J. Maola, DC Case History This 10-year-old male soccer player complaining of knee pain and shin splints was taken to his family medical doctor by his mother. She was told he needed no X-rays (since there had been no trauma) and was diagnosed with “growing
By: William M. Austin, DC, CCSP, CCRD During standing, walking, and running the lumbar spine and pelvis balance on the lower extremities. As shown in Fig. 1, leg or foot asymmetries send abnormal forces along the closed Kinetic/Kinematic Chain, interfering with spinal function.1 And interfering with spinal function can result in a number of bodily malfunctions.
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History This young adult presents with pain in the hip after suffering trauma. Is there a fracture? DIAGNOSIS Monostotic Fibrous Dysplasia. Observe the geographic radiolucency just below the lesser trochanter. There is a “ground glass” matrix and a sclerotic border.
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History This adult male patient presents with pain in the wrist. Observe the widened scapholunate space. What may this be indicative of? Diagnosis The widening of the scapholunate space is characteristic of scapholunate disassociation creating the classic “Terry Thomas Sign.” This
By: John Zhang, Ph.D., M.D. Chiropractic Adjustments Plus Orthotics Reduced Symptoms for Workers Standing Six Hours Daily Download PDF Now
By: Terry R. Yochum, D.C., DACBR, and Michael S. Barry, D.C., DACBR Bone Marrow Edema Caused by Altered Pedal Biomechanics Download PDF Now
