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
By: Susan Hoy Several months ago, I invited a friend, who is a Chiropractic consultant, to come into our office and evaluate our patient procedures. Of course, I wanted to show off to my friend and I also wanted her to come on a busy day so she could help us tune up our systems.
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,
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: 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: 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: 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: 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: Kurt Vreeland, DC, DICAK, DABCN, DACAN, FACCN Throughout the history of Chiropractic, a common theme in trying to alleviate patient suffering has been the correction of posture. Regardless of the particular technique practiced, there always seems to be a common denominator in the restoration of “normal” posture. Sometimes the problem is that we can’t
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: 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 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
By: Tim Maggs, DC As my plane touched down at Chicago’s O’Hare Airport in April, 1999, I felt a sense of excitement. I was scheduled to spend the next three days in the Chicago Bulls’ locker room with Coach Al Vermeil, the head strength and conditioning coach for the Bulls. Coach Vermeil had helped take
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 Two adult patients present with a long-standing history of shoulder pain. The diagnosis in Figures 1 and 2 is the same. What’s your diagnosis? Diagnosis Degenerative joint disease (osteoarthritis) of the glenohumeral articulation. In Fig. 2, there is an associated
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
