Patient Education or Patient Teaching?

By: William D. Esteb It’s generally accepted that one of the most essential nonclinical responsibilities of today’s Chiropractic office is a firm commitment to patient education. Few doctors enjoy the often tedious and repetitious nature of patient education, but most offices like the effect of patient education: better patient follow-through, more kept appointments, more referrals, 

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Nonossifying Fibroma

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 

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Activator Methods Chiropractic Technique (AMCT)

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 

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Hangman’s Fracture

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 

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Diagnosis and Adjustment of the Positive Derifield

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 

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Pedal Stress Fractures and Orthotic Support

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 

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Radiology Corner – What Are These Peculiar Calcifications?

By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History This eight-year-old patient presents with a history of scoliosis and back pain. Where and what are the peculiar calcifications? Are these symptom-producing lesions? (See next page.) Diagnosis Childhood idiopathic intervertebral disc calcification. Discussion There are two forms of disc calcification, apparently 

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