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The Benefits of Spinal Manipulation in 2025: Why HVLA Still Matters

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Defined by a rapid, controlled thrust that moves a joint just beyond its normal physiological range (without exceeding anatomical integrity), HVLA provides a host of therapeutic benefits. 2) Reduction of spinal fixation: The thrust can break adhesions in the joint capsule and surrounding connective tissue, restoring normal motion.

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Meralgia Paresthetica: A Commonly Overlooked Cause of Thigh Pain

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1-3) The LFCN originates from L2-L3 spinal roots, courses through the lumbar plexus, and exits the pelvis just medial to the ASIS beneath the inguinal ligament - a frequent site of entrapment. (4) Tinel's Sign Over the Inguinal Ligament Sensitivity: 85.1% | Specificity: 87.5% 2008 Apr 1;6(2):164-8. Obesity Reviews.

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Mastering the Hip Exam: Top Tests for Hip Pain

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13) MRI Considerations Magnetic resonance imaging (MRI) is more sensitive to detect joint effusion/synovitis, cartilage, labral, and bone marrow lesions. (15) Structural [hip] joint changes are frequent in asymptomatic population and neither radiographs nor MRI have shown a good correlation with pain and functional impairment.” (15)

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Managing Patellofemoral Pain Syndrome: New Research Insights and Treatment Strategies

ChiroUp

Additionally, running with a rear-foot strike imposes higher loads on the knee and patellofemoral joints. In contrast, a forefoot strike transitions the load toward the ankle joint and Achilles tendon. (27) 32) Patellar grind This PFPS test begins by applying a compressive downward force to the supine patient’s patellofemoral joint.