Last month, a rather elderly woman presented with a bad case of low back pain.
The last time you went to see a doctor, it was probably because you were in pain – it’s by far the main reason people access the health service. And if you did go because of pain, your doctor probably asked you to rate it on a scale from zero to ten. Zero being no pain and ten being the worst pain you can imagine. This pain scale is so simple and intuitive, that it’s hard to imagine a time when doctors didn’t have it.
Broken bones are a bigger deal the older you are: even after they've healed, the bones of older people are weaker and more likely to re-fracture. And since more than 6 million Americans break a bone each year, figuring out how to help people heal better would make a big difference.
Most patients are incompliant when it comes to following prescription exercises unless you can provide compelling reasons to do so.  As an example of incompliance, while most of us recognize that flossing will counteract and prevent gingivitis, those who are more concerned about the more immediate and potentially pressing issue of halitosis may floss more regularly.
Since I started in chiropractic about 40 years ago, I have been troubled by the vertebral subluxation. It's not that I question whether subluxations exist.  The problem is that I can feel subluxations, but I don't understand what is going on and why they happen.
In the first article of this series, a detailed discussion of the number one contributor to a pain syndrome was provided (the activity of local nociceptors with receptor fields on relevant dermatomal, myotomal and sclerotomal tissues) (April 2019).
It was never my intention to learn everything I could about Lyme disease, but a tick no bigger than a poppy seed made that a necessity for me. My Lyme disease journey began with a trip to a retreat centre set in the beautiful Berkshire mountains of Massachusetts in 2011. 
Chiropractors, our physiotherapy colleagues, massage therapists, and collaborative physicians have a unique opportunity to make a difference in the aging population.
With the advancement of technology and medicine, G. Michael Deeb, M.D., a cardiac surgeon at Michigan Medicine, says society is used to, and expects, instant solutions to their pain after medical procedures. This has resulted in an increased demand for narcotics, as well as their over usage.
Throughout many years as a practising chiropractor, I have found myself frustrated with patients who have experienced long term back and leg pain, with no relief from my approach. I utilize various chiropractic techniques and include many mechanical and PEMF physical therapies that seemed to be beneficial in most spinal conditions, but not with the treatment of lumbar spinal stenosis.
I was young and spring had sprung. Our back lane was finally clear of snow. It was time for a very first ride on my new birthday bike.
If you ask an aging adult what one of their greatest fears is for their years ahead, the common answer is dementia.
While you sleep, cerebrospinal fluid flows through your brain in rhythmic, pulsing waves, researchers report.
A total of 63 observational studies with a total of 10,726 participants were included.
Low back pain remains a significant healthcare problem, one that challenges patients, clinicians and policymakers alike.
Research published in Cell has demonstrated that diet can alter the effectiveness of a type-2 diabetes drug via its action on gut bacteria.
Researchers from Japan's Osaka University have made an important leap in our understanding of how chronic pain conditions develop. In a study published on July 25 in Journal of Neuroscience, the team explains how a protein previously implicated in neuron growth and cell adhesion is also critical for the development of pain sensitization.
The cervical spine is a critical contributor to the overall sensorimotor system that governs movement and balance.
A researcher from the University of Houston has found that adults who take prescription opioids for severe pain are more likely to have increased anxiety, depression and substance abuse issues if they also use marijuana.
Could large TV monitors in waiting rooms, informing visitors about current local medical research, be a good idea? A study shows that people provided with news in this way are more interested in medical research than those randomly excluded from the news flow.
Hip fractures in older adults can be extremely serious, and often result in chronic illness, death, and increased health care costs. Experts estimate that some 18 to 33 percent of all older adults who have suffered hip fractures will die within a year, with even higher rates of death among people who have dementia or who live in a nursing home.
Approximately 38 million adults in the United States are reported to suffer from migraine headaches, of which 91% experience migraine-associated disability.
In a new study conducted in rats, researchers found a four-week period of rest was nearly as effective as an experimental drug at reducing discomfort and regaining function after an injury from repeated moderate-strain activity. 
Authors: Kelly Buettner-Schmidt, Brody Maack, Mary Larson, Megan Orr, Donald R. Miller and Katelyn Mills
We've all heard the saying 'don't put all of your eggs in one basket.' That's something I tell parents when it comes to their kids and sports. Because sports are competitive in nature, it's logical to think that the more time a person spends at a particular sport, the better they will perform. But with kids, especially those whose bodies are still developing, focusing on one sport can actually cause harm in the form of an overuse injury.
Most people want to eat healthier, but efforts to encourage healthy eating by providing nutrition information have not drastically changed habits. A new study suggests that labels emphasizing taste and positive experience could help.
The historical practice of mindfulness is a burgeoning integrated medicine field associated with benefits for people with issues ranging from insomnia to chronic pain and fueled by more than $550 million in federal funding over the past 20 years.
In the early 1900s, diseases such as pneumonia and influenza were the top killers in North America. Today, healthcare has advanced so we can more easily treat these illnesses. Unfortunately, there have been new killers introduced – heart disease and cancer.
Protein shakes have long been touted as a gym bag essential, consumed by gym-goers in an effort to boost muscle recovery and minimise post-workout muscle soreness, but they may not be the most effective way to relieve aching muscles, according to a new study.
Physical inactivity, smoking, high blood pressure, diabetes, and high cholesterol play a greater role than genetics in many young patients with heart disease, according to new research. The findings show that healthy behaviours should be a top priority for reducing heart disease even in those with a family history of early onset.
It's well known that keeping blood glucose levels in check can help individuals avoid or manage diabetes, but new research led by biologists at The University of Texas at Dallas suggests that restricting blood glucose levels might also keep certain cancers at bay.
Nutrition goes hand in hand with pain management and acts as one of the most powerful adjunctive complements to chiropractic.
The link between obesity and cardiovascular disease is well-known but in what is believed to be the first study of its kind, an international team has found even restricting calorie intake moderately, by people only marginally overweight, can significantly reduce the risk of heart attack.
Poorer overall diet quality was linked with an increased risk of becoming frail in a study of U.S. community-dwelling older adults, published in the Journal of the American Geriatric Society. The quality of the overall diet appeared to be more important than protein intake for a lower risk of frailty.
The foods and nutrients a woman consumes while pregnant have important health implications for her and her baby. Nutrition 2019, the annual meeting of the American Society for Nutrition, will feature new research on prenatal vitamins, infant supplements and the impacts of a mother's diet during pregnancy and after the baby is born. 
"Five things to know about ... melanoma" in CMAJ (Canadian Medical Association Journal) provides a brief overview of this malignant skin cancer for physicians and patients.
Franchising as a chiropractor is beginning to make more and more sense every year. Franchise models have exploded in the United States (the Joint, 1000+ units; Healthsource 250+ units) and are emerging in Canada as a model to consider.
In a time where technology, internet, and social media dominate our lives, there is one interpersonal action that still lives on in business: The handshake.
Five young business students (John Collins, Nick DeLuca, Abigail McManus, Olivia Missios, and Yue Wu) from the McMaster University Business School approached me this past winter.
You know who they are – they’re your “regulars.” They come in like clock-work, marking the passage of the months of the year, year after year. They love you because you “get them.” You understand what makes them tick, and you know just what to do to help them be healthier and happier. These patients love you, and you love them right back, maybe because it’s all so easy? You make some quick adjustments, and they positively glow.
Associate doctors have to realize that if they are not committed to learning the system and are not focused on growing their patient base, their future will essentially be uncertain. When you are focused and committed to the job, you will be successful. But hard work and sacrifice are non-negotiable ingredients in the recipe for rewards.
The government enacted a number of new tax changes last year that could dramatically impact the bottom line of many Canadian businesses, including incorporated professionals – chiropractors, doctors, lawyers and accountants. In this article, we will examine an area that has received considerable attention from small businesses and industry groups: the potential loss of some (or all) of the small business deduction (SBD).  
Investing in the greater good is becoming less of a niche, “feel-good add on,” and is more of a necessity in this ever-changing business environment.  The Millennial factor, which initially made Boomers and Gen X’ers scratch their heads, is now entering the executive-suite, and is demanding that day-to-day operations not only be about balance sheets and profit, but also about bringing greater change to our landscape. Purpose and credibility is no longer mutually exclusive.
Two months ago I decided to purchase an Apple watch to help with front-end communication and patient flow in my practice – whenever I need a patient in a room I can easily tap my watch to send a canned message to my front desk indicating which room I’d like to see the next patient. This has totally eliminated my need to use my smartphone to text the same request.
Scientists at the Stanford University School of Medicine and their collaborators followed a cohort of more than 100 people over several years, tracking the biology of what makes them them.
As The Lease Coach since 1993 and co-authors of Negotiating Commercial Leases & Renewals FOR DUMMIES, we have found that chiropractic tenants often leave a lot on the table when negotiating a commercial lease renewal. One of the biggest mistakes is assuming that everything will go smoothly.
I don’t have to tell you that money is a big part of our lives. But in case you doubted it, a study by the American Psychological Association says that money issues outweigh other sources of tension, including work, family and personal health concerns.
Although we all want new patients signing up for care, it can be frustrating when you invest so much time and money into your marketing efforts to bring in consults, and then in the end, they don’t sign up for care. To add insult to injury, you may even be charging fees much lower than you’re comfortable with.
Dr. Holtom was already sitting outside with a friend when I went to pick him up at his retirement residence. It was a nicely appointed place with lots of people, a change from the quiet independent life in his home clinic, in Stittsville, Ontario.
The College of Chiropractors of British Columbia (CCBC) has concluded their review of the use of spinal manipulative therapy (SMT) in children under the age of 10.
Although we can’t by any means extrapolate these survey results from the couple hundred responses we obtained to the entirety of the profession, survey results like these can help facilitate discussion, moving chiropractic forward.
Charles Moreau didn’t lack for chiropractic influences in his life. His dad is a chiropractor, and his uncle was one as well. Growing up with natural health and spine health was part of the fabric of the family’s life growing up, Moreau says, who is the second oldest of seven children.
This immortal phrase was popularized by President Harry S. Truman who had it written on a plaque on his desk in the Oval Office of the White House.
A team at the University of Cambridge has shown how, in osteoarthritis patients, the viscous lubricant that ordinarily allows our joints to move smoothly triggers a pain response from nerve cells similar that caused by chilli peppers.
Over the past few decades it’s become common practice for drug companies and drug regulators, such as Health Canada, to sit down together at what are called pre-submission meetings.
The World Federation of Chiropractic’s Disability and Rehabilitation Committee (WFC-DRC) has produced a new Rehabilitation Competency Framework in response to a call from the World Health Organization (WHO).
In March, a task force was assembled to advise Health Canada on how to best prevent and manage chronic pain.
American Chiropractic Association: A bill that would update Medicare by increasing its coverage of services provided by doctors of chiropractic within the full extent of their licensure was introduced yesterday in the U.S. House of Representatives.
The World Health Organization has published a paper in its Bulletin that warns of the risks of over-medicalizing the management of low back pain, instead advocating care that chiropractors are highly qualified to provide.
Brightday has launched on crowd-funding site Kickstarter.
Desperate for relief after years of agony, Jim Taft listened intently as his pain management doctor described a medical device that could change his life.
Apple is slowly evolving its smartwatch into a medical device.
This app was designed by Chiropractor-Physiotherapist (and programmer) Dr. Nima Pardisnia.
An overwhelming majority of Americans who have received electrostimulation therapy as a drug-free alternative to treat pain have become firm believers, according to new research.
This series on the neurofunctional operating system has looked at the fundamental challenges faced by practitioners dealing with pain with movement disorders in their quest to answer the two main questions surrounding these conditions: what do we treat, and how?
New York, NY—Spine deformities, such as idiopathic scoliosis and kyphosis (also known as "hunchback"), are characterized by an abnormal curvature in the spine. The children with these spinal deformities are typically advised to wear a brace that fits around the torso and hips to correct the abnormal curve. Bracing has been shown to prevent progression of the abnormal curve and avoid surgery. The underlying technology for bracing has not fundamentally changed in the last 50 years.
Back Mechanic guides you through a self-assessment of your pain triggers, then shows you how to avoid these roadblocks to recovery.
Data from a recent University of Toronto study has found that MuscleCare all-natural topical product is as effective as those containing non-steroidal anti-inflammatory drug (NSAIDs). A recent double-blind study also revealed that all- natural Professional Therapy MuscleCare is marginally more effective than Voltaren, which contains Diclofenac NSAID.
Spenco has introduced its new Professional Collection, attractive footwear ideal for people whose professions require long hours of standing or walking.
The new Biofreeze Professional is based on the original Biofreeze formula and has optimized key ingredients based on scientific research to provide a longer-lasting experience, according to the brand's proponent, Performance Health. It also has a smoother application with fast absorption for relief from backaches, arthritis, sore muscles and joints, sprains, strains and bruises.
EmoBridge has introduced what it claims is the world's first smart wristband for accurately tracking and analyzing daily stress levels and sleep patterns to help people live a more well-balanced, peaceful life. The new Sensmi is built with patented, hospital-grade GSR-PRO bio-sensing technology that tracks brainwave activity through galvanic skin response (GSR) and a proprietary algorithm that disperses data that is easily understandable. Sensmi provides users with straightforward results and easy-to-follow instructions on how to confront lifestyle stressors.
I am a proud chiropractor – it is part of who I am. Most days, I adjust patients and work on reports. I take the time to learn and be better at what I do.
On occasion, I have observed the indignation of detractors when a chiropractor is identified as Dr. X. There is usually a short and concise vitriolic declaration stating opposition to the formal designation.
I read with interest the article by Dr. Joe Ghorayeb DC, MHA entitled, “What Is Chiropractic?”.
When asked what chiropractic is, most – if not all – chiropractors will express the following sentiment to some degree: a health profession concerned with the assessment and management of conditions related to the spine, joints, nervous system and soft tissues.
Within the piece, Chapin intends to clear the public confusion surrounding chiropractic care. 
Reason (verb) "The power of comprehending, inferring, or thinking especially in orderly rational ways"
This Jan. 1, Ontario residents who are 24 and younger rang in the new year with a pretty big upgrade to their health care: something called "OHIP+", which gave young people a government insurance plan for prescription drugs.
The longer I practice, the harder it is to give business practice advice because what works for one person doesn’t work for another.
I recently had the opportunity to travel to Mumbai, India, for the Sant Nirankari Mission, a five-day spiritual event attended by millions of devotees from different parts of India.
Toronto (Troy Media) – Canadians suffer when important mental health services are unavailable or wait times are too long.
Each year, there are at least one million unnecessary tests, treatments and procedures done in Canadian health-care settings. This means that hundreds of thousands of Canadians are exposed to potential harm by unnecessary care.

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