By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, Michael S. Barry, DC, DACBR, and Chad J. Maola, DC The Ischial Tuberosity: Normal Variant or Pathology? History This young female presents with pain in the area of the ischial tuberosity following running hurdles for her track team. There is an unusual appearance of the ischial tuberosity.
By: Tim Maggs, DC Many Chiropractors would love to become more involved with both industry and sports teams in their area. These same Chiropractors know they could provide tremendous benefits if given the opportunity. The problem arises when they attempt to become involved, as politics and mis-education usually barricades the entry. The Medical Model Chiropractors
By: Wayne Henry Zemelka, DC Keeping the record straight: The anterior thoracic is the loss of curvature in the dorsal region which gives the appearance that the vertebrae have moved anterior-ward, which in turn gives the appearance of flattening of the kyphotic curvature of the Dorsal vertebrae (Fig. 1). Therefore the name, ‘Anterior Thoracic.’ Analysis
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: 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: Wayne Henry Zemelka, DC Needless to say, the pelvis is one of the main areas that we need to be cognizant about. Throughout you will find references made by Drs. Barge, Gonstead, Logan, and others concerning the proper alignment of the pelvic girdle to restore or hold the integrity of the spinal column (Fig.
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC CASE HISTORY A young male patient injures his hand in a traumatic event. Do you see the fracture? (See next page for Diagnosis.) DIAGNOSIS Barroom fracture of the 5th metacarpal with palmer displacement of the 5th metacarpal head. GENERAL CONSIDERATIONS The phalanges
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History This young adult male patient falls on a hyperextended elbow and has immediate pain on the lateral aspect of the elbow. X-rays were taken at the emergency room to rule out fracture. What do you see? Diagnosis There is an
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History These two young athletes had a severe inversion strain of their ankles playing soccer and could barely bear weight. (Figures 1 & 2) Note the oblique radiolucent fracture line through the distal fibula of both patients. Discussion The routine radiographic
By: Tim Maggs, DC In athletes, shin splints and stress fractures are typically a result of repetitive motion injury in one or more supportive muscles in the lower leg. Very often these muscles work without ever fully recovering before being asked to perform again. All athletes use similar muscles as they participate in sport specific
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History This 50-year-old female patient presents with localized lumbosacral pain of six months’ duration. Radiographs of the lumbar spine reveal a striking abnormality. What is it? Diagnosis Note the extensive reactive sclerosis affecting the facet structures bilaterally at the L5/S1 level.
By: Kevin Wapelhorst, DC and Wayne Henry Zemelka, DC [ed.] The “Overcompensated Cervical Syndrome” or “Rotated Cervical Syndrome” is a condition that is not all that common in our patient population, and to the average doctor it is a challenge to manage. The Thompson Technique, however, provides the doctor of Chiropractic a procedure to manage
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History This adult male patient complains of chronic shoulder pain. He had multiple shoulder dislocations when he was younger playing football. Do you see something unusual here? Diagnosis Severe glenohumeral degenerative joint disease (DJD) with superior displacement of the humerus as
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC CASE HISTORY This 25-year-old male patient had low back trauma. The femoral lesion was asymptomatic and discovered by chance. What’s the diagnosis? DIAGNOSIS This geographic radiolucency with a “ground glass” appearance is characteristic of monostotic fibrous dysplasia (Figs. 1 & 2). DISCUSSION
By: Wayne Henry Zemelka, DC One of the really neat things to do is to work on a table that is equipped with the elevation feature and pedal- or switch-controlled cocking mechanism. How we apply the Thompson Technique is very important in the makeup of things in rendering classic drop table adjusting on your patients.
Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC CASE HISTORY This 18-year-old male patient complains of neck pain. What’s your diagnosis? Diagnosis Neurofibromatosis. Observe the posterior vertebral body scalloping at C4–C7 and kyphotic curve which is typical of neurofibromatosis. GENERAL CONSIDERATIONS Neurofibromatosis is classified into two clinical forms: neurofibromatosis 1 (von
Before you read… Watch Our Video on the Q-Angle by Tim Maggs, DC. ___ This paper targets one specific knee condition (patellofemoral pain syndrome), offers a possible indicator for predicting patients at risk (Q-angle measurement) and suggests adjunctive treatment options (rehab exercises and flexible custom orthotics). Knee pain, in its most generalized definition, is experienced
Before you read… Watch Our Video on Shin Splints by Tim Maggs, DC. ___ By: Mark Charrette, D.C. Lower leg pain associated with overuse typical of runners and other athletes is broadly defined as “shin splints.” Numerous conditions fall within this category of injuries, and various theories exist for their causes. Understanding the role of
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
Detect, Correct, and Prevent Conditions Caused by Leg Length Discrepancies By: John Palo, BS, DC, CCSP, DABCO “Doctors, teachers, and those who nurse the sick should be aware what sort of thing is man, what is life, what is health, and in what manner a parity and concordance of the elements maintains it; while a discordance of these