'When you're lying awake with a dismal headache ...' Sir William Gilbert, "Iolanthe," 1882.
While the health care world is still assimilating the acute low back pain guidelines released at the end of 1994 by the Agency for Health Care Policy and Research (AHCPR), a new panel to establish clinical guidelines for the diagnosis and treatment of chronic headaches has been formed.
The headache panel will be co-chaired by MDs David Matchar and Douglas McCrory, both on the faculty of Duke University's Center for Health Policy Research and Education. Dr. Matchar is the director of the Center. Duke University has been chosen as the contractor to perform the administrative, panel support, and literature reviews.
The 18-member panel includes: three neurologists; three internists; two family medicine MDs; a pharmacist; an emergency medicine MD; a dentist; a psychologist; a psychiatrist; a radiologist (MD); a nurse; a social worker; a consumer; and a chiropractor.
The sole chiropractor in residence will be John Triano, DC, MA. Dr. Triano's experience goes back to establishing a quality assurance program at National College of Chiropractic. He was a member of the steering committee for the Mercy Guidelines conference, a member of the first RAND panel, and a member of the AHCPR's low back pain panel. Dr. Triano is a staff physician at the Texas Back Institute (TBI), in Plano, Texas; a clinical scientist at the Institute's research foundation, and is on the board of the Institute of Spine and Biomedical Research, which is affiliated with TBI.
The AHCPR has made an attempt to keep the panel isolated from the potential influence of headache pain drug manufacturers. Each panel member has agreed to abstain from any activities funded by pharmaceutical companies that sell headache drugs.
The panel's work will take approximately 18 months, time enough to examine all available research on headaches and to make their recommendations. It is hoped that enough viable chiropractic research on headaches has been produced to give the panel members a clear understanding of chiropractic's role in the treatment of headache.
Continuing to impress the advertising and marketing world, The Foundation for Chiropractic Progress (F4CP) has again been recognized by industry organizations for its excellence in educating consumers on the benefits of chiropractic, this time through social media, newsletters, and demonstrating thought leadership by promoting holistic well-being.
Dr. Louis Sportelli received the Lee-Homewood Chiropractic Heritage Award during the annual conference of the Association for the History of Chiropractic (AHC). During his nearly 60-year career, Dr. Sportelli has embodied the spirit of the award, given to “living individuals who have made outstanding contributions to the chiropractic profession.”
Presently there is no consensus on the best treatment for Achilles tendon rupture; and its management is still controversial. The treatment options are conservative treatment and surgical repair. With either treatment, be it conservative or surgical, Achilles tendon tears necessitate prolonged recovery and rehabilitative management.
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