ChiroOrg

NOVEMBER 7, 2024

Chiro.Org Blog: On Dec. 7, 2023, the World Health Organization (WHO) released its “Guideline for Non-Surgical Management of Chronic Primary Low Back Pain in Adults in Primary and Community Care Settings.” [1] The purpose of the 244-page document is to “provide evidence-based recommendations on nonsurgical interventions for chronic primary LBP in adults” that will improve outcomes.

Spinal Manipulation

ChiroOrg

JULY 27, 2025

This study identified barriers and facilitators to engaging in self-management for participants in a pragmatic, randomized clinical trial. A rigorous systematic intervention mapping process utilizing a theory-informed behavior change approach, Michie et al.’s BCW was used for describing what participants need and how their needs may be met [21]; providing insight into the role back pain providers had in facilitating self-management.

Clinic

ChiroOrg

DECEMBER 8, 2024

Chiro.Org Blog: Our findings reveal a significant reduction in likelihood of both butalbital prescription and, tentatively, medication overuse headache (MOH), through 2years' follow-up among adults with tension-type headache (TTH) receiving spinal manipulative therapy (SMT) compared to matched controls. These findings reinforce clinical practice guidelines already recommending SMT for TTH.

Spinal Manipulation

ChiroOrg

NOVEMBER 25, 2024

Chiro.Org Blog: Although the effects of autonomic system activity on musculoskeletal function have been studied extensively, [10] little research supports the idea that the autonomic nervous system is intimately responsive to changes in the afferent articular input due to joint dysfunction. [11] The assumption that restoring normal posture and cervical spine alignment is necessary for a better afferentation process has preliminary supporting evidence. [12, 13] Nevertheless, the quantity and qual

Musculoskeletal

ChiroOrg

DECEMBER 9, 2024

Chiro.Org Blog: The present case highlights a 27year-old woman with cervicogenic dizziness (CGD) and associated underlying lateral upper cervical instability (UCI) and postural orthostatic tachycardia syndrome (POTS) whose dizziness improved with conservative care including manual therapy, exercises, and increased salt intake. Although the exact mechanisms and interrelationships among lateral UCI, CGD, and POTS remain unclear, the present case highlights a conservative, multimodal approach that

Posture

ChiroOrg

MARCH 21, 2025

Joshua Haldeman was just one of thousands of Saskatchewan farmers who lost their land in the drought of the Dirty '30s. While that trauma shaped the lives of everyone who went through it, the crisis affected Haldeman in an exceptional way he never stopped raging at what he perceived were the causes of the [.

Chiropractor

ChiroOrg

OCTOBER 27, 2024

Chiro.Org Blog: This work details preliminary descriptive information on the current state of US-based PTOs for chiropractors. As of May 2023, a total of 49 PTOs for chiropractors exist in the US and are readily accessible online. However, many lack verification of quality and standards by external accrediting bodies. In addition, the profession currently lacks a consolidated resource of applicable training programs, potentially precluding many eligible applicants.

Chiropractor

ChiroOrg

OCTOBER 16, 2024

Chiro.Org Blog: US military members likely experience some improvement in low back pain interference and intensity when chiropractic care is added to usual medical care due to biopsychosocial mechanisms. Improvements in physical function and social activity appeared to be the largest contributors. Significant natural direct effects remained in both interference and intensity models, indicating that additional factors, such as patient beliefs, may be important mechanisms needing further evaluatio

Chiropractic Care

ChiroOrg

SEPTEMBER 17, 2024

Chiro.Org Blog: Every Blog post is an announcement of new material that was just added to one of our many Sections. I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have thousands of Abstracts, and many hundreds of Full-Text articles on a wide variety of subjects. When enough material, relating to a particular topic, was collected, it was then gathered into a new Topical Page in one of our many Sections.

ChiroOrg

SEPTEMBER 14, 2024

Chiro.Org Blog: Although this review is primarily valuable to researchers, clinicians should also benefit from our findings. It is a common clinical observation that patients can experience sudden relief immediately after SM. In our experience, when this happens, they may ask: “What exactly happened when you cracked my back?” As this review describes, there is no easy answer because of the many theories and few facts.

Spinal Manipulation

ChiroOrg

SEPTEMBER 7, 2024

Chiro.Org Blog: Musculoskeletal (MSK) conditions are the leading cause of disability, resulting in up to 40% of visits to family physicians. Current primary care workforce shortages in Canada require other providers to maximize scopes of practice. Few MSK providers have been trained in team-based primary care settings. Study objectives included: (1) educating participating primary care teams through synchronous education, (2) educating Canadian primary care providers through asynchronous educati

Musculoskeletal

ChiroOrg

SEPTEMBER 1, 2024

Chiro.Org Blog: This paper may be the first report to chiropractors of the finding that the idea of subluxation is traced to Egyptian medical writings from about 1,600 BC but believed to be drawn from much earlier writings, perhaps as early as the Imhotep (Pyramid Age about 8000 to 2500 BC).

Chiropractor

ChiroOrg

AUGUST 18, 2024

Chiro.Org Blog: The suggested standards of pain trajectory definitions are well-defined, which makes it possible to implement them in a pattern detection algorithm, as was done in TAMS. However, this could also be done for pain trajectories of other chronic diseases, if the definitions are well-defined. TAMS is written with maximum flexibility, making it relatively easy to alter the algorithms for use in other chronic healthcare conditions.

Neck Pain

ChiroOrg

JULY 3, 2024

Chiro.Org Blog: Every Blog post is an announcement of new material that was just added to one of our many Sections. I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have thousands of Abstracts, and many hundreds of Full-Text articles on a wide variety of subjects. When enough material, relating to a particular topic, was collected, it was then gathered into a new Topical Page in one of our many Sections.

ChiroOrg

JUNE 26, 2024

Chiro.Org Blog: This meta-analysis of epidemiologic studies demonstrates that MR imaging evidence of disc bulge, disc degeneration, disc extrusions and protrusions, Modic 1 changes, and spondylolysis had significant associations with low back pain in adult patients 50 years of age or younger. The association between these degenerative findings and pain should not be interpreted as causation.

Treatment

ChiroOrg

MAY 24, 2024

Memorial Day: In Memory of Those Who Have Fallen The Chiro.Org Blog The Bivouac of the Dead The muffled drum’s sad roll has beat The soldier’s last tattoo’ No more on life’s parade shall meet That brave and fallen few; On Fame’s eternal camping ground Their silent tents are spread; But Glory guards with solemn [.

ChiroOrg

APRIL 29, 2023

Chiro.Org Blog: We performed a retrospective cohort study of insurance claims data from a single Fortune 500 company. The 3 care patterns we analyzed were initial spinal manipulative therapy, delayed spinal manipulative therapy, and no spinal manipulative therapy. The 3 procedures analyzed were imaging studies, injection procedures, and back surgery.

Spinal Manipulation

ChiroOrg

MAY 6, 2023

Chiro.Org Blog: This retrospective review of a quality-assurance data set revealed clinically and statistically significant improvement in chronic LBP in terms of both numeric rating scale (NRS) and Back Bournemouth Questionnaire (BBQ) scores for this sample of older male U.S. veterans under chiropractic care.

Lower Back Pain

ChiroOrg

MAY 7, 2023

Chiro.Org Blog: This is the first instance, to our knowledge, of a published case of chiropractic manipulation after CTDR. Before this case report, there was no available literature to guide chiropractic care after CTDR. This will hopefully serve as a call for future research to guide clinicians in the management of patients after CTDR. Evidence-based guidelines for chiropractic care after CTDR would be of value for chiropractors and other health care practitioners in guiding optimal patient car

Chiropractic Care

ChiroOrg

MAY 8, 2023

Chiro.Org Blog: The mere presence of an elongated styloid process does not automatically confirm a case of Eagle syndrome; however, as in the above case, the elongated styloid process that was accompanied by autonomic symptoms (syncope), as well as facial and cervical spine symptoms, confirmed the case. While the pathophysiological mechanism of symptoms is still debated, it is clear that the elongated styloid pro­cess can cause compression or irritation of one or more of the various anatomical s

Neck Pain

ChiroOrg

MAY 10, 2023

Chiro.Org Blog: This report described a case of an adult man who presented to a chiropractor with neurological signs and symptoms suggestive of stroke and was appropriately referred to the emergency department, subsequently receiving medical treatment and carotid endarterectomy with a positive outcome. As stroke symptoms vary, patients may present to chiropractors unaware that they have a serious vascular disorder.

Chiropractor

ChiroOrg

MAY 24, 2023

Chiro.Org Blog: Low back pain remains the leading cause of YLDs globally, and in 2020, there were more than half a billion prevalent cases of low back pain worldwide. While age-standardised rates have decreased modestly over the past three decades, it is projected that globally in 2050, more than 800 million people will have low back pain. Challenges persist in obtaining primary country-level data on low back pain, and there is an urgent need for more high-quality, primary, country-level data on

Spine

ChiroOrg

JULY 8, 2023

Chiro.Org Blog: Patients who are at high risk of pain chronicity may require additional care, including second-line options such as physical (eg, spinal manipulation) and/or psychological therapies (eg, psychologically informed physiotherapy). [6] However, most trials that have evaluated adding second-line treatment options to standard guideline care for patients with acute low back pain have failed to demonstrate effectiveness compared with placebo (eg, addition of spinal manipulation, nonstero

Spinal Manipulation

ChiroOrg

OCTOBER 12, 2023

Chiro.Org Blog: Overall, very few studies have investigated the association between cervical degenerative MRI findings and clinical symptoms. A systematic review from 2019 [13] investigated the presence of cervical MRI findings in patients with NP compared to pain-free controls and found, based on two studies, no differences in terms of disc degeneration between people with chronic non-specific NP and pain-free controls. [10, 27] One of the studies [10] also examined disc contour changes and fou

Neck Pain

ChiroOrg

NOVEMBER 12, 2023

Chiro.Org Blog: Doctors of chiropractic are portals of entry to the health care system for many patients seeking health care services. As such, they must maintain broad and thorough assessment/diagnostic skills. Before employing any therapy, a clinician must first determine if there is a need for treatment. Therefore, the clinical information that any primary contact provider would want, including a case history, physical examination, clinical laboratory findings, radiographic findings, and any

Joints

ChiroOrg

DECEMBER 27, 2023

Chiro.Org Blog: The majority of the participants experienced moderate to severe chronic migraines and migraines without aura. During their migraine attacks, the participants experienced debilitating effects, felt mentally or physically incapacitated, described that their life came to a standstill, were unable to complete daily activities and had a resultant decreased quality of life.

Migraine

ChiroOrg

DECEMBER 28, 2023

Chiro.Org Blog: This study presents a systematic framework, developed using published literature, for assessing LBP care quality in VHA chiropractic index visits using EHR data and preliminary results from our testing of that framework. Developing a uniform, scalable method of assessing care quality can have important policy and practice implications.

Chiropractic

ChiroOrg

DECEMBER 29, 2023

Chiro.Org Blog: These forms represent a more comprehensive musculoskeletal assessment of pediatric patients from infancy through adolescence with a goal to ensure safe and effective management. The implementation of these forms should not only raise competence of practitioners, but with widespread use, enable data collection on a large scale for future research.

Musculoskeletal

ChiroOrg

DECEMBER 31, 2023

Chiro.Org Blog: The Workers Compensation Research Institute (WCRI) is an independent, not-for-profit research organization based in Cambridge, MA. Organized in late 1983, the Institute does not take positions on the issues it researches; rather, it provides information obtained through studies and data collection efforts, which conform to recognized scientific methods.

Chiropractic Care

ChiroOrg

JANUARY 1, 2024

Chiro.Org Blog: The clinical indicators for recommending continued care to patients with neck pain in chiropractic practice differ from those used when recommending MC to patients with low back pain. We found that the strongest clinical indicator for the chiropractor to recommend continued care was a long duration of neck pain. None of the included chiropractor characteristics had a significant impact on this recommendation.

Neck Pain

ChiroOrg

JANUARY 29, 2024

Chiro.Org Blog: This randomized controlled trial was the first to investigate the immediate changes in response to an HVLA thrust site selection in the cervical spine using a neurophysiological EEG outcome measure and found evidence that HVLA thrust directed at a cervical site considered as dysfunctional significantly reduces N30 amplitude immediately after such intervention.

Spine

ChiroOrg

FEBRUARY 18, 2024

Chiro.Org Blog: This study found that adults receiving SMT for LSR at least one year after lumbar discectomy were less likely to undergo lumbar spine reoperation compared to those receiving usual care without SMT, a difference which persisted over two years’ follow-up. These findings highlight the potential role of SMT in reducing the likelihood of additional surgery in this patient population.

Spinal Manipulation

ChiroOrg

FEBRUARY 19, 2024

Chiro.Org Blog: Every Blog post is an announcement of new material that was just added to one of our many Sections. I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have thousands of Abstracts, and many hundreds of Full-Text articles on a wide variety of subjects. When enough material, relating to a particular topic, was collected, it was then gathered into a new Topical Page in one of our many Sections.

ChiroOrg

MARCH 17, 2024

Chiro.Org Blog: The present study involving over 130,000 propensity-matched patients found that chiropractic spinal manipulation (CSM) is not a risk factor for cauda equina syndrome (CES). The incidence of CES in both CSM and PT evaluation cohorts aligns with previous estimates of CES incidence among patients with LBP, indicating a heightened risk of CES compared to asymptomatic individuals regardless of intervention.

Spinal Manipulation

ChiroOrg

APRIL 24, 2024

Chiro.Org Blog: In this paper we synthesize an expansive body of literature examining the multifaceted influence of chiropractic care on processes within and modulators of the neuroendocrine-immune (NEI) system, for the purpose of generating an inductive hypothesis regarding the potential impacts of chiropractic care on integrated physiology. Taking a broad, interdisciplinary, and integrative view of two decades of research-documented outcomes of chiropractic care, inclusive of reports ranging f

Chiropractic Care

ChiroOrg

MAY 8, 2024

Chiro.Org Blog: Patients with spine-related musculoskeletal pain who consulted a chiropractor as their initial provider incurred substantially decreased downstream healthcare services and associated costs, resulting in lower overall healthcare costs compared with medical management. A primary limitation was related to the heterogeneity and sample sizes of the populations and retrospective data sets.

Musculoskeletal

ChiroOrg

MARCH 30, 2025

Chiro.Org Blog: LBP is a prevalent and complex condition commonly seen in primary care clinics. Although many evidence-based guidelines [68] 69 recommend conservative, non-pharmacological first-line treatments, implementing these interventions has lagged. [15, 16] New data support that DC and PT treatments are effective, especially when delivered early in the patient care-seeking process. [1821, 24] Challenges around guideline concordant care for LBP have increased the emphasis on pragmatic tria

Treatment