Steroids for your Disc Bulge and Sciatica-Good Science or Hoax?

When a patient goes to the ER, urgent care or a PCP before coming to our office for low back pain, I can almost always guess the drugs they were given. Muscle relaxers, some version of opioids and either a steroid (such as a Medrol dosepak) or a strong anti-inflammatory (such as ibuprofen or naproxen) are […]

To Cut or Not to Cut: Very Long Term Outcomes of Spinal Fusion Surgery

  Over time, surgeons have moved to more and more complex procedures.  But whether these lumbar spine surgeries are better is still in question. Initially, spinal surgeries were less complicated with procedures like laminotomies and laminectomy, but surgeons (at least under Medicare) have been moving towards more complex procedures that are more expensive with a higher rate of […]

Is Chiropractic Care Required for Neck Pain?

  Maybe “required” is a strong word, but is it possible that negative changes occur with neck pain that can only be fixed by chiropractic adjusting? As always, this is the time for my disclaimer:  As a chiropractor, my viewpoint on this topic is clearly biased, but very well informed. It seems like most of […]

Understanding the burden of musculoskeletal conditions – (05-28-01)

Understanding the burden of musculoskeletal conditions I find it very interesting that, despite the fact that musculoskeletal conditions are so prevalent in the population, relatively few medical journals touch on the topic. That may be because the medical profession has typically handled musculoskeletal problems poorly with little effect. I am biased in this regard, but […]

Is Your Anti-Inflammatory Creating Inflammation? More Ibuprofen Side Effects

  Sounds like kind of a mixed up question, doesn’t it?  “Anti” generally means opposed to, as in stopping.  But what if anti-inflammatories are so damaging to your system that they initiate inflammation? You know, of course, that I wouldn’t be asking such a rhetorical question if it didn’t have something to do with this […]

Pondering Vioxx: Easier on Stomach, Harder on Heart? – (06-25-01)

Pondering Vioxx: Easier on Stomach, Harder on Heart? Remember one thing in medicine–there is no miracle cure and anything that is advertised as the best thing since slice whole grain bread-you can bet there’s some major side effects. So, when it comes to joint pain relievers, you can take one of the new COX-2 inhibitors […]

Does Chiropractic Care Drive Up Health Insurance Costs?

  Here in Arizona, chiropractic care is not included in the Medicaid system (termed AZ Health Care Cost Containment System, or AHCCCS).  As an active member of my state association, I have been in the front lines trying to get chiropractic care included in this system.  Here is how it usually goes: Arizona Chiropractic Association: […]

Musculoskeletal pain in Europe – (03-29-04)

Musculoskeletal pain in Europe As a chiropractic physician, I am not surprised that the authors were basically beating up on the medical profession in their handling of musculoskeletal complaints. I see many patients in my office who’s cases were not handled properly. I do not fault allopathic medicine for their lack of training and knowledge […]

Multidisciplinary Treatment of Migraine – (10-31-02)

Effectiveness of Multidisciplinary Intervention in Treatment of Migraine Wow!! A multidisciplinary trial that would use the best of all worlds!! It was great to see chiropractic added in here… Oops…they didn’t add chiropractic. Am I missing something? Does the term “pink elephant in the room” ring any bells here? How is it that I get […]