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Some consequences of disc degeneration

May 11, 2015
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I’ve heard doctors say that the presence or absence of lumbar disc degeneration (LDD) is unimportant when it comes to clinically evaluating patients with low back pain (LBP). This sentiment likely comes from knowledge that many patients with LDD do not experience LBP. However, just because LDD doesn’t correspond well with pain may not...
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Lumbar degenerative spondylolisthesis

April 27, 2015
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A recently published study conducted at our research center reported the prevalence of radiographic findings in individuals with chronic low back pain presenting for a clinical trial . There were several interesting findings, but here I will mention only a few regarding lumbar degenerative spondylolisthesis. First, a brief review; degenerative spondylolisthesis occurs when a...
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So much information, so little time: tips on efficiently reading a scientific article

April 13, 2015
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I suspect that I am not alone in experiencing frustration from spending more time than I want reading a scientific article. I’ve also had the displeasure of gaining little knowledge despite spending time I could have used for something else. So, I thought I’d try to turn my displeasure into something positive and provide...
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Another reason to quit smoking

March 30, 2015
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It is generally known that smokers are more likely to experience low back pain (LBP) than non-smokers. However, research has not yet revealed if smoking plays a direct role in causing LBP. Two reasons why smoking might contribute to LBP include an increase in circulating pro-inflammatory cytokines and vasoconstriction, which might reduce intervertebral disc...
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Ankle sprains and syndesmosis injury

March 16, 2015
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I recently read an article in the Open Access Journal of Sports Medicine discussing ankle syndesmosis injuries, which can result in ankle instability and persistent dysfunction. Because of the common occurrence of ankle sprains and because these injuries can appear as a somewhat typical lateral ankle sprain, I thought the topic might be worth...
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Fall prevention and some tools to help

February 16, 2015
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Approximately 1/3 of people over age 65 fall at least once each year sometimes resulting in substantial injury and even death. If that wasn’t bad enough, fear of falling can lead to loss of confidence, self-restricted activity, and subsequent functional loss. Falling, of course, can be caused by multiple factors, some of which are...
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A few words about touch

February 3, 2015
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When I was a college student, I received a short neck examination by someone whose touch clearly communicated expertise and efficiency. The exam was so impressive, that I have remembered it for more than 25 years. It helped me become aware of some of the communicative value of touch. Of course, that single experience...
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Benign Paroxysmal Positional Vertigo: is there evidence for the Epley maneuver?

December 22, 2014
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It is fairly well accepted that Epley’s maneuver (Epley 1992) is an effective in-office treatment for Benign Paroxysmal Positional Vertigo (BPPV), at least in the short-term. 1 But before I get ahead of myself, here is a brief overview of BPPV. Estimates are that between 11 and 64 people per 100,000 in the United...
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Is acupuncture beneficial for patients with osteoarthritis pain?

December 8, 2014
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Many studies have investigated acupuncture treatment for a variety of conditions. My perspective, without being very familiar with the acupuncture literature, is that results have been mixed. Nevertheless, acupuncture is widely used by many types of practitioners. Though I do not practice acupuncture myself, I think it is important to have a working knowledge...
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Why write a case report?

November 10, 2014
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I have the opportunity to talk with DCs who often ask questions about how to conduct research in their practice. These questions are often generated from the desire to communicate successful clinical experiences. However, conducting ethical and quality research in any setting requires someone skilled and trained in research study design, research methods, ethics,...
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