Chiro.Org Blog:

This chapter is an overview of the clinical aspects of autonomic dysfunction that emphasizes the clinical aspects of sympathetic and parasympathetic disorders. Such topics as stress and the neurodystrophies, the evaluation of visceral function, and reflexology are described. A review of the section titled “The Visceral System” within Chapter 3 will be beneficial to the reader of this chapter.

Chiro.Org Blog:

Such clinical features as fatigue, weakness, nervousness, pain, tenderness, paralysis, sensory loss, paresthesia, and abnormalities of muscle mass or tone are the most common signs and symptoms noted in neural disorders. Fatigue, weakness, and nervousness are frequently presented together. This triune can usually be attributed to a functional disorder or appear as a complication in organic disease.

Chiro.Org Blog:

Although adjunctive procedures have been recommended in this text, it should always be remembered that the articular adjustment is the core of chiropractic therapy. Ancillary procedures can condition tissues to receive and respond to articular therapy and enhance physiologic mechanisms, but, with rare exceptions, they should not be considered substitutes. The sincere student of this manual will readily recognize that this author acknowledges the value of reflexology and numerous physiotherapeutic applications along with nutritional supplementation, counseling, “bloodless surgery,” and stardardized rehabilitative procedures. Yet, as explained previously, they all stand in the shadow of the basis for and the proper administration of the chiropractic adjustment. This chapter focuses on the need for the development of our unique art.

Chiro.Org Blog:

The objective of this chapter is to focus attention on disorders witnessed in practice by those dealing with the geriatric patient. Following neurologic disorders, heart, vascular, and blood disorders are discussed. Digestive and gastroenterologic disturbances are then followed by disorders of the urinary system, skin, endocrines, and reproductive system. Next, eye, ear, and throat conditions are followed by orthopedic and respiratory considerations. The chapter concludes with information about the sexual aspects of aging, common complaints and symptoms, and other pertinent considerations. The topics described in this chapter are not to be considered a complete reference for all geriatric conditions seen in practice. They have been chosen as those most likely to be encountered or because they present a unique situation necessary for differentiation and/or case management.

One man’s long, noisy, asymmetrical adventure gets him a high five. Source Scientific American By Steve Mirsky The latest physical anthropology research indicates that the human evolutionary line never went through a knuckle-walking phase. Be that as it may, we definitely entered, and have yet to exit, a knuckle-cracking phase. I would run out of [...]

Chiro.Org Blog:

The nervous and endocrine systems work hand in hand. The nervous system is design to operate body functions when rapid response is necessary. For long-term duty, the endocrines take over and simulate neural activity. These two systems can be compared to an athlete who sprints in a 100-yard dash and another who runs a marathon. They have two different roles but are not entirely independent in either role. They are integrated, synergistic, and facilitating.

Chiro.Org Blog:

Clinically, the most important articulation in the elbow is formed by the proximal ulna and the distal radius forms the most important articulation in the wrist. The carpals articulate with the ulna only during extreme wrist adduction. The distal row of carpals forms a complex joint with the proximal row. Because they are loosely connected, the navicular and trapezium spread during wrist abduction and approximate during adduction. The proximal carpals rock and glide toward the ulna during wrist abduction and toward the radius during adduction. Adduction is slightly greater in pronation because the styloid pro cess of the ulna restricts motion when the hand is supinated. During adduc tion, the styloid swings backward out of the way. As the A-P curve of the proximal carpals is more acute than the transverse curve, greater excursion is allowed in wrist flexion and extension than in lateral motion. The more deli cate the patient’s bone structure, the greater the mobility.

Chiro.Org Blog:

Shoulder pain can be deceiving. As in so many musculoskeletal disorders, consideration of pain in the shoulder should not give priority to sudden trauma whether it be of intrinsic or extrinsic origin. Thorough investigation of the history may reveal that trauma did not initiate the first attack or that an injury was just a precipitating event that revealed an underlying degenerative disorder. Besides trauma, shoulder pain may have an inflammatory, a neurologic, a psychologic, a vascular, a metabolic, a neoplastic, a degenerative, a congenital, an autoimmune, or a toxic origin. See Table 7.1.

Chiro.Org Blog:

The arm and forearm are joined by a joint that serves as both a hinge and a pivot. The semilunar notch of the ulna is hinged with the hyperboloid trochlea of the humerus. The proximal head of the radius pivots with the spherical capitulum of the humerus and glides against both the proximal and distal ends of the ulna.

Chiro.Org Blog:

Several general factors are involved in vitamin and mineral deficiencies. For example, abnormal loss and utilization or subnormal absorption, intake, storage, or transport, singularly or in combination, may readily lead to symptoms of nutritional deficiency. Drugs and nutrients often have adverse interactions. Drugs usually interfere with normal cellular nutrition by: (1) depressing the central appetite center, (2) decreasing normal blood levels (eg, excessive excretion),
(3) interfering with the nutrient’s storage or metabolism, (4) developing a chemical antagonism (eg, inactivate), (5) increasing the action of ingested antivitamins or antiminerals, or (6) destroying intestinal bacteria necessary to synthesize the nutrient.

Chiro.Org Blog:

With the important exception of neurologic and vertebral artery syndromes, most of the disorders witnessed in the osterior aspect of the neck are musculoskeletal conditions. Of particular significance are the symptom complexes of cervical arthritis, deformities, disorders of muscle tone, IVD syndromes, spondylosis, vertebral subluxation, tumors, and the effects of trauma. It is helpful to keep in mind that tumors of the cervical spine are usually secondary and that chronic degenerative disc disease and congenital anomalies may be asymptomatic for many years.

Nowhere in the spine is the relationship between the osseous structures and the surrounding neurologic and vascular beds as intimate or subject to disturbance as it is in the neck. Many peripheral nerve symptoms in the shoulder, arm, and hand will find their origin in the brachial plexus and cervical spine.

Chronically and Seriously Ill U.S. Adults Stand Out for Skipping Needed Care Due to Costs and Struggling with Medical Debt Source Commonwealth Fund New York, NY, November 9, 2011—Chronically and seriously ill adults who received care from a medical home—an accessible primary care practice that helps coordinate care—were less likely to report medical errors, test [...]

Source Enhanced Online News The Federal government has awarded the University of South Florida (USF), School of Physical Therapy & Rehabilitation Sciences $1.42 million to research the effectiveness of specific exercise interventions for reducing the risk of back injuries amongst some of the nation’s most vulnerable — firefighters and military personnel. “Back injury is a [...]