See Before You Adjust
Diagnosis & Diagnostic Equip

See Before You Adjust

Every chiropractor who has practiced long enough has encountered a patient whose radiographs revealed findings that were completely unexpected. Some patients present with minimal discomfort. Others arrive for routine maintenance care. Still others report only mild stiffness or intermittent pain. Yet imaging may reveal significant structural compromise capable of altering treatment decisions immediately. Perhaps no condition illustrates this reality better than the vertebral compression fracture.

Steven Kraus, DC, DIBCN, CCSP, FASA, FICC
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Education & Seminars  |  DIGITAL EXCLUSIVE
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation

Like education itself, accreditation continues to evolve. Proposed requirements from the U.S. Department of Education (USDE), which recognizes accrediting agencies, are accelerating that change and creating uncertainty. After careful consideration, CCE concluded that these requirements would impose substantial burdens while providing limited to no additional benefit to chiropractic programs, students or the public; and has voted to begin the necessary steps for withdrawing from the USDE recognition process.

Craig S. Little, EdD
Chronic / Acute Conditions
Treating Fascia, Relieving Severe Musculoskeletal Problems
Treating Fascia, Relieving Severe Musculoskeletal Problems

Fascia is a collagen‑ and elastin‑rich tissue that combines tensile strength with elasticity and possesses its own contractile behavior. When muscle activity begins, mechanoreceptors such as muscle spindles relay rapid feedback to the central nervous system, and this requires fascia with healthy viscosity so that spindle cells, Pacini, and Ruffini receptors can deform and glide normally.

Jeffrey Tucker, DC, DACRB
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Diagnosis & Diagnostic Equip
When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 4)
Supscapularis Syndrome
Supscapularis Syndrome: The Upper-Extremity Analog to Piriformis Syndrome

Subscapularis syndrome is introduced here as a clinically relevant and underrecognized source of upper-extremity pseudo-radiculopathy. Similar to piriformis syndrome, it reflects a functional disorder in which deep stabilizing muscle dysfunction – rather than primary nerve-root compression – drives symptoms that mimic radiculopathy.

Ken Kaufman, DC
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Featured

Where Were You When the World Stopped Turning?

On the 10-year anniversary of the World Trade Center disaster, Richard Gorgo Jr., DC, recalls his volunteer experience at Ground Zero.

More than 100 doctors of chiropractic participated in relief efforts following the Sept. 11, 2001 terrorist attacks that left 2,753 dead and far more than the New York City skyline forever altered. Dr. Richard Gorgo Jr. was one of those DCs who selflessly donated his time, skill and compassion during that surreal, yet all-too-real moment in history. This is his remarkable story, originally published on the 10-year anniversary in 2011. Where were you when the world stopped turning? For Dr. Gorgo, the answer is Ground Zero.

Richard Gorgo Jr., DC
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Your Practice / Business  |  DIGITAL EXCLUSIVE
Branding: Is It Necessary for Your Chiropractic Practice?
Branding: Is It Necessary for Your Chiropractic Practice?

Branding is crucial for attracting new patients as a chiropractor because it establishes a strong and memorable identity that builds trust and resonates with potential patients. According to a study by Nielsen, 59% of consumers prefer to buy products and services from familiar brands they trust.

Carolyn KreuzKamp, BS, MBA
Chronic / Acute Conditions
An Unrecognized Cause of Toe Pain
An Unrecognized Cause of Toe Pain
Flexor Hallucis Longus Entrapment: Diagnosis, Correction

While excessive pronation is almost always blamed for the development of functional hallux limitus, a frequently overlooked cause of this condition occurs when the flexor hallucis longus tendon gets trapped in the retrotalar pulley located behind the medial malleolus. This condition is particularly common in classical ballet dancers, gymnasts, figure skaters, and soccer players.

Thomas Michaud, DC
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Headaches & Migraines
Theater Headaches: A Surprising Cause
Theater Headaches: A Surprising Cause

As you know, chiropractic physicians are trained to evaluate and manage patients with cervicogenic headaches. Yet we may become overconfident with our diagnosis and misdiagnose the condition if we are not inquisitive during our initial patient interview. This putative case report should be most interesting to our chiropractic specialists, especially those who have earned a DABCI.

James Lehman, DC, DIANM
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Your Practice / Business
Patient Safety: Facing the Facts
Patient Safety: Facing the Facts

Clinical errors are a significant challenge, and nearly every person will experience a diagnostic error in their lifetime. As health care providers, we take an oath to “first do no harm” to our patients. And since it is never our intention to do harm to our patients, it is time the health care industry in general faced the facts of how our actions or inactions are putting our patients in harm’s way.

Scott Munsterman, DC, FICC, CPCO
Carpal Tunnel / Extremities / Neuropathy
Unlock Relief: Nerve Flossing for CTS
Unlock Relief: Nerve Flossing for CTS

It is estimated that 61% of patients with CTS avoid taking surgical options due to postoperative complications and costly surgical procedures. Chiropractic care offers a comprehensive and effective treatment for carpal tunnel syndrome, addressing the condition from multiple angles. Recent studies also have unveiled a game-changing adjunct to chiropractic treatments for CTS: nerve flossing.

Charles Annunziata, DC, CFMP