Musculo-Skeletal Care

/Musculo-Skeletal Care

Adjusting the Occiput on the Atlas

Marc’s article published in Dynamic Chiropractic magazine starts by reminding doctors why low force non thrust techniques are useful. He then go over specific assessment methods for the occiput, and muscle energy mobilization for this joint. He also utilizes the Upper Cervical Side Bend exercise.

April 27th, 2015|

Flexion-intolerant lower back pain (Pt.3): Mobilization and soft-tissue treatment

This is the last of our three-part series on the flexion-intolerant lower back. In this article, we explore in depth, hands-on therapy with mobilization and soft tissue that can help the disc patient. We emphasize the area above and below the disc that can be fixated, including the hips and the thoracolumbar junction. We talk […]

May 10th, 2014|

Back Pain and Invasive Treatment Procedures

Yesterday, one of my patients, who has similar challenges to the ones I face with my back, asked me to write a blog about my own back pain issues.  I thought; really, I obsessed about my friend who recently died 5 years after a failed back surgery. One of my back surgeon friends has said, […]

March 18th, 2014|

Cortisone Injections May Not Be the Answer

This is a very important article about cortisone injections and I don’t know why it took me two years to find it.
What it says is that cortisone shots are overused, and they often slow healing. Yes, the cortisone can give quick relief, but over several months, the patient who get the cortisone injections, especially if […]

January 24th, 2013|

Discography viability discussion

This article from Orthopaedic Today Europe, Issue 5  is a discussion of the viability of discography. The missing piece of the discussion, in my view, is factoring in the research that shows that discography damages discs. Unfortunately, we still do not have a definitive non-invasive way to test for discogenic pain.
I prefer looking at the sum […]

October 26th, 2012|

How to Optimize Musculoskeletal Care

We could do better. We meaning all of the therapists trying to help all of our patients. The world of hands on care is very subjective, and we are the seven blind men looking at the elephant. We tend to see and touch through our own limited training, and our current passions. I would like to see us have a bigger view, and see the patterns more clearly. I would like us to engage our patients, and teach each of them what they can do to help themselves.
March 8th, 2012|