• Chiropractic News

    A National Health Systems Strategy in Malta

    Securing our health system for our future generations, was the subheading of this document, first published in 2014, by the Ministry for Energy and Health. This 96 page elegant paper outline the importance of building bridges and recreate connection between primary and secondary care with the unique goal to build and sustain an environment that supports people and their families to lead to healthier lifestyles by supplying access to fair health which is continuously maintained and improved. The full document may be found here.

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  • Chiropractic Articles

    Paracetamol ‘does not work for lower back pain or osteoarthritis’

    Acetaminophen – also known as paracetamol and marketed under brand names such as Mapap, Panadol and Tylenol – is not effective for the treatment of lower back pain and offers little value for osteoarthritis of the hip or knee, according to a study published in The BMJ. The systematic review and meta-analysis is a synthesis of the research evidence from 13 randomized controlled trials designed to investigate the safety and efficacy of acetaminophen in the management of spinal pain – lower back or neck – and osteoarthritis. The paper concludes that the widely used painkiller is ineffective against lower back pain and offers only “minimal short-term benefit” for people with…

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  • Chiropractic Articles

    Why knuckle cracking makes a popping sound, and why it might be beneficial

    When muscle joints are pulled apart there forms a tiny cavity filled with gas which then collapses, creating a popping noise. The wince-inducing sound of knuckles cracking is caused by a small bubble building up in the fluid of the fingers then ‘popping ‘, scientists believe, and it could even be beneficial to health. For decades researchers have debated what causes the unpleasant sound and argued about whether knuckle cracking could cause joint problems like arthritis. Now a new study from the University of Alberta suggests that when muscle joints are pulled apart there forms a tiny cavity filled with gas which then collapses, creating a popping noise. It takes…

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  • Chiropractic Articles

    Low Back Pain: Do Steroid Injections Really Help?

    More often than not, patients presents to a chiropractic clinic as a last resort for their lower back pain. Even more frequent, are the revelations of patients being advised to opt for a corticosteroids injection directly on to the painful area, the so called ‘epidural injection’. However, when asked about its effectiveness, doubts start to raise as the medical and scientific evidence on this topic is shockingly poor considering the frequency with which this procedure take place in modern practice. Lower back pain is a condition that is often encountered and treated by doctors of chiropractic, so it is necessary to take a critical look at this procedure. Looking in…

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  • Chiropractic Articles

    “Unnecessary” Spinal Surgery: A Review With Commentary

    SOURCE:   Surgical Neurology Internat 2011; 2: 83 Nancy E Epstein, Donald C Hood Department of Neurological Surgery, The Albert Einstein College of Medicine, Bronx, NY, USA INTRODUCTION:   Although one spine surgeon may decide that a patient needs surgery, another surgeon [e.g. a second opinion] might decide that surgery is “unnecessary”. Here we define “unnecessary surgery” as spinal surgery based upon “pain alone”. That is, the patient has no neurological deficit and no significant abnormal radiographic findings on dynamic X-rays, MR, and/or CT. Surgeons can, and do, debate whether it is appropriate to operate on patients with pain alone. To put this debate in context, however, we need to better understand the…

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  • Chiropractic Articles

    Integration: A Conversation with the Neuroscience Institute

    Integration: A Conversation with the Neuroscience Institute It’s happening! More and more we see examples of outreach from the medical community to doctors of chiropractic (DCs). In February 2013, the physicians and staff of the Neuroscience Institute and Comprehensive Spine Center at Advocate Illinois Masonic Medical Center invited all local DCs to a dinner and case presentation by Stephen Troyanovich, DC.The physicians who attended the presentation were seeking information and evidence on the proven health benefits of chiropractic. As someone who spends her days educating and assisting DCs with how to become more integrated, I am always intrigued as to what the mechanisms are behind this phenomenon. I asked for an interview, and, in keeping with its friendly…

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  • Chiropractic News

    Chiropractic; first to obtain CEN standard

    19 Apr 2012 What is CEN? You have probably seen the key mark “CEN” on a product you bought in the shop, but never found out what the meaning of the abbreviation meant. The CEN (European Committee for Standardization) is an organization whose mission is to foster the European economy in global trading, the welfare of European citizens and the environment by providing an efficient infrastructure for the development, maintenance and distribution of coherent sets of standards and specifications. The key mark “CEN” is a voluntary European certification mark demonstrating compliance with the European Standard. The European Union (EU) officially recognizes CEN as a European standards body. I am happy…

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  • Chiropractic Articles

    Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society

    In 2007, the American College of Physicians and the American Pain Society listed a number of recommendations for the diagnosis and treatment of Low Back Pain. it included the following: for patients who do not improve with self care options, clinicians should consider the addition of non pharmacologic therapy with proven benefits—for acute low back pain, spinal manipulation; for chronic or sub acute low back pain, intensive interdisciplinary rehabilitation, exercise therapy, acupuncture, massage therapy, spinal manipulation.Read the full article.

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  • Chiropractic Articles

    European Guidelines for the Management of Chronic Non-specific Low Back Pain

    In 2004, European Guidelines for the Management of Chronic Non-specific Low Back Pain (CLBP) were released. They recommend spinal manipulation as an effective conservative treatment. They further state that: Surgery for non-specific CLBP cannot be recommended unless 2 years of all other recommended conservative treatments — including multidisciplinary approaches with combined programs of cognitive intervention and exercises — have failed. Read the full article. Additionally, these list a series of NOT RECOMMENDED treatment options which, nowadays, seem to be a fairly common medical advise – Bed rest – Acupuncture – Epidural corticosteroids – Intradiscal injections – Intra-articular (facet) steroid injections – Local facet nerve blocks – Trigger point injections – Prolotherapy – Botulinum toxin…

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  • Chiropractic News

    Global Burden of Disease Study, 2012, on Musculoskeletal Conditions as the Second Greatest Cuase of Disability, Globally

    The Global Burden of Disease, GBD, Study 2010 is the largest ever study to describe the global distribution and causes of a wide array of major disease, injuries and health risk factors. Musculoskeletal conditions were shown to be the second greatest cause of disability globally, affecting over 1.7 billion people worldwide and have the fourth greatest impact on the overall health of the world population, considering both death and disability. GBD 2010 showed that that low back pain is the leading cause of disability and that osteoarthritis is one of the fastest growing conditions. The GBD has released a press note on the 15th of December 2012 calling on governments…

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