Functional scores and subjective responses of injured workers with back or neck pain treated with chiropractic care in an integrative program: a retrospective analysis of 100 cases.

Objective: The purpose of this study is to report on integrative care for the treatment of injured workers with neck or back pain referred to a doctor of chiropractic from a medical or osteopathic provider.

Methods: This retrospective case series study evaluated data on 100 patients referred for chiropractic care of work-related spinal injuries involving workers' compensation claims. Deidentified data included age, sex, visual analog scale scores for pain, pre- and posttreatment Functional Rating Index (FRI) scores, and subjective response to chiropractic care.

Conservative treatment of a female collegiate volleyball player with costochondritis.

Objective: This study was conducted to discuss the conservative care used to treat a female collegiate volleyball player with acute costochondritis.

Clinical Features: A 21-year-old collegiate volleyball player had right anterior chest pain and midthoracic stiffness of 8 months duration.

Intervention And Outcome: High-velocity, low-amplitude manipulation was performed to the associated hypokinetic costovertebral, costotransverse, and intervertebral zygapophyseal thoracic joints.

Manipulation under epidural anesthesia with corticosteroid injection: two case reports.

Objective: To discuss the combined use of selective epidural steroid injection (ESI) and spinal manipulative therapy (SMT) in treating recalcitrant lumbar radiculopathy.

Clinical Features: In a first case, a patient suffered from numbness and pain in an S1 dermatome distribution 6 months after undergoing lumbar discectomy. Clinical correlation with advanced imaging led to the diagnosis of L5 intervertebral disc (IVD) syndrome with peridural scar formation.

The use of epidural steroid injection and manipulation on patients with chronic low back pain.

Objectives: To document the efficacy of combined epidural steroid injection (ESI) and manipulation to the lumbar spine in patients suffering from chronic low back pain (LBP).

Summary Of Background Data: The use of ESI in conjunction with lumbar manipulation has seldom been reported in the literature but has offered promising results when studied.

Study Design: Retrospective repeated-measures analysis of patients with chronic LBP who received ESIs combined with spinal manipulation.

A study of postspinal surgery cases in chiropractic offices.

Objective: To determine the prevalence of the postsurgical back cases in established chiropractic offices.

Design: A random sample was obtained from each practice for the 30-d duration of the study. Consecutive patients were identified as being postspinal surgical or not.

Myositis ossificans traumatica.

Objective: To present a case of myositis ossificans traumatica (MOT) in a hockey player. Serial X-ray studies allow the reader an opportunity to observe MOT in its earliest through fulminated stages.

Clinical Features: A 20-yr-old hockey player was subjected to an acute blow to the lateral thigh.

Facet tropism: comparison of plain film and computed tomography examinations.

This study compares the findings of plain film X-ray and computed CT examination in the diagnosis of facet orientation and the presence of tropism. Twenty consecutive patients having lumbar disc disease with sciatica were studied utilizing plain X-ray as well as CT scanning. A chiropractic radiologist read the films to determine if facet facings were sagittally, semi-sagittally or coronally oriented on both CT and plain X-ray study.

Brucellosis: a rare cause of the unstable spine.

Brucellosis infection in humans is very rare in the United States. Occasional cases are identified primarily in individuals who have been exposed to an animal's raw dairy products. Presented is a rare case of human brucellosis involving the cervical spine.

Detection of stress fractures in athletes and nonathletes.

Stress fractures are considered a relatively common athletic injury. Some authors also feel this disorder may be overlooked in many nonathletic patients. Three cases of stress fractures are presented.

Degenerative spondylolisthesis of C7 and L4 in same patient.

The incidence of a C7 spondylolisthesis has never been reported, and this paper shows the presence of C7 and L4 degenerative spondylolisthesis in a 66-yr-old female. No report of this combined problem has been reported. The clinical findings of the patient are given as well as treatment protocol.

A hypothesis introducing a new calculation for discal reduction: emphasis on stenotic factors and manipulative treatment.

A literature review of the incidence and effects of manipulation on intervertebral disc protrusion is given. A case presented had a 14% reduction of the disc bulge following manipulative care with complete relief of sciatic and low back pain. A system to evaluate the size of disc herniation in computed tomography scans performed before and after manipulative treatment of disc protrusions is offered.

Short leg correction: a clinical trial of radiographic vs. non-radiographic procedures.

Visual leg length insufficiency detection and correction is compared with established radiographic procedures on 41 consecutive patients presenting to a chiropractic clinic with low back pain. It is commonly accepted that the most accurate procedure of short leg demonstration is the standing X ray. Visual correction, as described by Rene Cailliet, uses three anatomical points of reference: a) iliac crest levelness, b) vertical appraisal of the spine from the sacral base (the spine should be perpendicular to the sacral base) and c) levelness of the posterosuperior iliac spine (PSIS) dimples.

Correction of progressive idiopathic scoliosis utilizing neuromuscular stimulation and manipulation: a case report.

Presented is a case report of chiropractic manipulative therapy and transcutaneous neuromuscular stimulation utilized in the treatment of progressive adolescent idiopathic scoliosis. The curvature was shown to be progressing at the rate of 1.0 degrees/month for the 9 previous months.