Archive for May, 2011

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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Patient Perceptions About Chiropractors and Primary Care

Patient perceptions in New Mexico about doctors of chiropractic functioning as primary care providers with limited prescriptive authority.

Abstract available at:

Back Pain and Chronic Dehydration

This article describes some observations about a possible connection between not drinking enough water and suffering from back pain. The guest author is James Lehman, DC, who is a professor of orthopedics and neurology at the University of Bridgeport College of Chiropractic.  Read on…

Founding Integrative Medicine Centers of Excellence: One Strategy for Chiropractic Medicine to Build Higher Cultural Authority

Chiropractic physicians are seeking a higher level of cultural authority within their communities and the United States health care system. This commentary suggests an innovative strategy that might expedite the attainment of professional authority while improving the training of chiropractic students and faculty. The authors propose the founding of integrative medicine centers of excellence by colleges of chiropractic that will employ clinical faculties comprised of allopathic, chiropractic, osteopathic, and naturopathic physicians. Initially, the health care facilities should offer primary care through an integrative medicine model. It is anticipated that these centers of excellence will require both government and private funding in order to develop research programs, provide high-quality patient care, and improve the medical training for students with residents programs.

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Obamacare: Threats, Options, and Opportunities

The ‘‘Patient Protection and Affordable Care Act” or PUBLIC LAW 111–148 was enacted by the Senate and House of Representatives of the United States of America in Congress  on March 23, 2010.  The comprehensive reform law was enacted in two parts. The “Patient Protection and Affordable Care Act” signed into law on March 23, 2010 and then amended by the Health Care and Education Reconciliation Act on March 30, 2010.  The name “Affordable Care Act” is the final amended version of the law.  Read on…