Archive for the 'Patient Help' Category

Abdominal Aortic Aneurysm (AAA): Evaluation and Management by a Doctor of Chiropractic

Journal of the American Chiropractic Association, May 2008 by Paul R. Sherman, James J. Lehman

Objective: To discuss the diagnosis, treatment, and co-management of a patient who presented in a chiropractic office with posttraumatic lower-back pain and an incidental finding of an abdominal aortic aneurysm (AAA). Clinical Features: A 56-year-old male patient presented with pain and spasm in his lower back. Plain film radiographs revealed loss of the normal lumbar lordosis with mild degenerative spondylosis of the lumbar spine. Also noted was the presence of a large calcific abdominal aortic aneurysm measuring approximately 6 cm, along with calcification of the common iliac arteries. Intervention and Outcome: Successful endovascular repair of the patient’s abdominal aortic aneurysm and conservative chiropractic management provided resolution of his lower back pain and prevented a possible hemorrhagic event. Conclusion: We discuss in this case study the importance of accurate clinical diagnosis of abdominal aortic aneurysm, appropriate referral to a surgeon, medically necessary co-management with a chiropractic intervention, and the resolution of a painful lower-back disorder.

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Dizziness and Vertigo


It is not unusual for a chiropractic physician to evaluate a patient following a whiplash type injury, blow to head, or a fall, which caused injury to the neck and/or head. These patients frequently complain of headaches, neck pain, and dizziness. It is safest to visit the emergency room immediately following any injury that causes headaches, neck pain, or dizziness. If you are suffering with recurring dizziness or vertigo, you might best visit a chiropractic neurologist or chiropractic orthopedist for evaluation of the upper neck and inner ear.

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Low Back Pain and Chiropractic Treatment


The U.S. Department of Health and Human Services published a document Acute Low Back Problems in Adults: Assessment and Treatment, which states that “Low back problems affect virtually everyone at some time during their life.” While this document published by the Agency for Health Care Policy and Research, claims that low back pain is the most common cause of disability for persons under age 45, it also recognizes the value of spinal manipulation as a safe and effective treatment for individual suffering with acute low back pain. The American Chiropractic Association has stated that about 40% of this same population has visited a chiropractic physician for health care services. In spite of managed care regulations, which have made it more difficult for many of their subscribers to access chiropractic benefits, more and more Americans seek chiropractic health services as an alternative to drugs and surgery for relief of their low back pain problems.

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Why Should You See a Chiropractor?

As a practicing chiropractor with over 33 years of clinical experience, I have treated many patients who have said, “If I knew that I was going to feel this good, I would have come for treatment years ago.” I have wondered why this is so common? I think frequently people with chronic pain in the spine have been advised not to seek out chiropractic services. Some neurologists advise patients and primary care physicians that cervical (neck) manipulations are dangerous. I have heard some of my patients report strange beliefs regarding chiropractic care. They have stated that they were told that if they went to a chiropractor, they would have to keep coming forever. That one just makes me scratch my head and wonder where such myths about chiropractic treatment originate.

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Childhood Ear Infections (Otitis Media)


Pediatricians commonly see children for colds and middle ear infections (otitis media). In fact, the National Center of Health Statistics claimed that during 1975 – 1990 otitis media was the most common diagnosis for physician office visits by children under age 15. It is also one of the leading reasons for a child’s visit to the chiropractic physician. Otitis media may be a new (acute) condition or a recurring (chronic) problem. There may be swelling in the middle ear. The child with Otitis media may be in pain or pain-free. There is a tremendous amount of uncertainty regarding the causes, diagnosis, and appropriate treatment of otitis media in the United States.

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Headache Treatment

One of the top ten reasons for visiting a primary care physician is headache pain. Frequently, when the headache involves nausea, vomiting, visual auras, disabling pain, and blind spots, the diagnosis is migraine headache. Chronic severe tension-type headaches may accompany or even be confused with migraine headaches. Often times, these headaches cause an individual to give up exercise or interfere with activities of daily living. Normally the medical profession offers medication, which masks the pain but does not resolve the causes of the headaches. Chiropractic physicians are familiar with the numerous causes of headaches and attempt to correct them. The most frequent headache condition treated by chiropractors is the cervicogenic headache.

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Neck Pain and Chiropractic Treatment

Have you ever woke with a “crick in the neck” and wondered what happened to cause the severe, sharp pain? I have heard many a patient relate the cause to “I must have slept wrong.” This is one of the more common neck problems that convince many to seek chiropractic treatment. Normally, the cause of this type of neck pain is related to the pinching of a small joint nerve in the neck. If this is the cause of your neck pain, it is not unusual for complete relief of the neck pain with only one or two chiropractic treatments. So what is causing the “crick in the neck”?

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