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Information and Presentations for
Medical Doctors

Quality, effective, natural, evidence based health care where the concerns and goals of your patient are the primary focus. I would be available to meet at your convenience to go over how I can help with common musculoskeletal problems of your patients both chronic and acute.

Introduction and information (slides):

Introduction to Chirorpactic for Medical Doctors

Introduction to Chirorpactic and Interprofessional Care for Medical Doctors

Research and references list:

Below are the most notable and recent studies published about chiropractic in peer reviewed journals organized in categories.

Effectiveness

  • Haldeman S. Carroll LJ, Cassidy JD, and the Scientific Secretariat. The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders. Executive Summary. The Spine Journal, Volume 33 (4S) Supplement to February 15, 2008.
  • Aker PD, Gross AR, Conservative Management of Mechanical Neck Pain: A Systematic Overview and Meta Analysis, et al. The British Medical Journal, 313: 1291-96, 1996.
  • Bernstein E, Carey TS, Garrett JM. The Use of Muscle Relaxant Medications in Acute Low Back Pain. Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
  • Bronfort G, Haas M, Evans RL, Bouter LM Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis, The Spine Journal 4 (2004) 335-356.
  • Bronfort G, Goldsmith CH, Nelson CF, Boline PD, Anderson AV, Trunk Exercise Combined with Spinal Manipulative or NSAID Therapy for Chronic Low Back Pain: A Randomized, Observer-Blinded Clinical Trial, Journal of Manipulative and Physiological Therapeutics, Vol 19, No 9, Nov/Dec 1996.
  • Wells et al, Chiropractic Services Review, An Internal Review,Commissioned by the Ontario Ministry of Health, 1994.
  • Coxhead CE et al, Lancet, Multicenter Trial of Physiotherapy in the Management of Sciatic Symptoms, 1:1065-1068, 1981.
  • Cracking the Problem of Back Pain Is Chiropractic the Answer? Arch Intern Med. 2004;164:1953-1954.
  • DeNoon D Chiropractic Care May Reduce Surgeries, X-rays. WebMD Medical News. Tuesday, October 12, 2004.
  • DeBar LL, Vuckovic N, Schneider J, Ritenbaugh C., Use of complementary and alternative medicine for temporomandibular disorders. Center for Health Research, Kaiser Permanente Northwest, J Orofac Pain. 2003 Summer;17(3):224-36.
  • DeNoon D. Chiropractic Care May Reduce Surgeries, X-rays WebMD Medical News, October 12, 2004.
  • Descarreaux M, Blouin JS, Drolet M, Papadimitriou S, Teasdale N. Efficacy of preventive spinal manipulation for chronic low-back pain and related disabilities: a preliminary study. Laval University, Kinesiology Division and Quebec University in Trois-Rivieres, Chiropractic Department, Quebec, Canada.
  • Ebrall, P.S. (1992) “Mechanical Low-Back Pain: A Comparison of Medical and Chiropractic Management Within the Victorian WorkCare Scheme”, Chiropractic Journal of Australia, Vol.22(2), pp.47-53.
  • Ehrlich GE. Back pain. University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA. J Rheumatol Suppl. 2003 Aug;67:26-31.
  • Giles LGF, Muller R. Chronic spinal pain a randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine 2003; 28:1490-1503.
  • Maurits van Tulder and Victoria Pennick, What is the optimal evidence-based management of chronic non-specific low-back pain? August 2002.
  • Furlan AD A review of the effects of manipulation and mobilization for neck pain: One more reason to add exercise! Summer 2004.
  • Furlan AD Conservative treatments for carpal tunnel syndrome. Winter 2003/2004.
  • Furlan AD Mass media campaign reduces disability due to low-back pain. Summer 2003.
  • Furlan AD, Massage therapy shows promising results for patients with sub acute low-back pain. June 2001.
  • Giles LGF, Muller R. Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation 2003; 28(14):1490-1502.
  • Goldstein MS, Morgenstern H, Hurwitz EL, Yu F. The impact of treatment confidence on pain and related disability among patients with low-back pain. results from the University of California, Los Angeles, low-back pain study. Department of Community Health Sciences, University of California, Los Angeles, School of Public Health, Box 951772, 90095-1772, Los Angeles, CA, USA. 2002 Nov-Dec;2(6):391-9.
  • Goodyear-Smith F, Arroll B What can family physicians offer patients with carpal tunnel syndrome other than surgery? A systematic review of nonsurgical management. Department of General Practice and Primary Health Care, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand. f.goodyear-smith@auckland.ac.nz.
  • Humphreys BK , Delahaye M, Peterson CK An investigation into the validity of cervical spine motion palpation using subjects with congenital block vertebrae as a gold standard. BMC Musculoskeletal Disorders 2004, 5:19.
  • Jacobs P, Schopflocher D, Klarenbach S, Golmohammadi K, Ohinmaa A. A Health Production Function for Persons With Back Problems: Results From the Canadian Community Health Survey of 2000. From the Departments of *Public Health Sciences and daggerMedicine, University of Alberta, double daggerAlberta Health and Wellness, and section signInstitute of Health Economics, Edmonton, Alberta, Canada.
  • Jarvis, K.B., Phillips, R.B., Morris, E.K. (1991) “Cost per Case Comparison of Back Injury Claims of Chiropractic versus Medical Management for Conditions with Identical Diagnostic Codes”, Journal of Occupational Medicine, Vol.33(8), pp.847-852.
  • Kirkaldy-Willis WH, Cassidy JD, Spinal Manipulation in the Treatment of Low Back Pain, Canadian Family Physician, 31:535-540, 1985.
  • Legorreta AP, Metz RD, Nelson CF, Ray S, Chernicoff HO, DiNubile NA Comparative Analysis of Individuals With and Without Chiropractic Coverage: Patient Characteristics, Utilization, and Costs Arch Intern Med. 2004;164:1985-1992.
  • Lynton GF, Muller, R, Chronic Spinal Pain Syndromes: A Clinical Pilot Trial Comparing Acupuncture, a Nonsteroidal Anti Inflammatory Drug and Spinal Manipulation, Journal of Manipulative and Physiological Therapeutics, 22:376-81, 1999.
  • Manga, P., Angus, D., Papadopoulos, C., Swan, W. The Effectiveness and Cost-Effectiveness of Chiropractic Management of Low-Back Pain, Kenilworth Publishing, Ottawa, 1993.
  • Manitoba Chiropractic Association Workers Compensation Board Stats: Manitoba on treatment by medical doctors chiropractors, and physiotherapists 2003.
  • McKenzie D Do multidisciplinary pain clinics help patients with persistent low-back pain? December 2001.
  • Meade, T.W., Dyer, S., Browne, W., Townsend, J., Fran, A.O. (1990) “Low back pain of mechanical origin: randomized comparison of chiropractic and hospital outpatient treatment”, British Medical Journal, Vol. 300, pp. 1431-37.
  • Meade, T.W., Dyer, S., Browne, W., Frank, A.O. (1995) “Randomised Comparison of Chiropractic and Hospital Outpatient Management for Low Back Pain: Results from Extended Follow Up”, British Medical Journal, Vol. 311, pp. 349-251.
  • Metz RD, Nelson CF, LaBrot T, Pelletier KR. Chiropractic Care: Is It Substitution Care or Add-on Care in Corporate Medical Plans? J Occup Environ Med. 2004 Aug;46(8):847-55.
  • Morningstar MW, Woggon D, Lawrence G Scoliosis treatment using a combination of manipulative and rehabilitative therapy: a retrospective case series. BMC Musculoskeletal Disorders 2004, 5:32.
  • Mosley, C.D., Ilana, G.C., Arnold, R.M. (1996) “Cost-Effectiveness of Chiropractic in a Managed Care Setting”, The American Journal of Managed Care, Vol.2, pp. 280-282.
  • Paulk GP, Harrison DE. Management of a chronic lumbar disk herniation with chiropractic biophysics methods after failed chiropractic manipulative intervention. J Manipulative Physiol Ther. 2004 Nov-Dec;27(9):e15.
  • Phelan SP, Armstrong RC, Knox DG, Hubka MJ, Ainbinder DA. An evaluation of medical and chiropractic provider utilization and costs: treating injured workers in north Carolina. J Manipulative Physiol Ther. 2004 Sep;27(7):442-8.
  • Proctor M, Hing W, Johnson T, Murphy P. Spinal manipulation for primary and secondary dysmenorrhoea. Department of Obstetrics and Gynaecology, National Women's Hospital, Claude Road, Epsom, Auckland, NEW ZEALAND, 2003.
  • Program of Care for Acute Low Back Injuries: One-Year Evaluation Report. June 2004. Workplace Safety and Insurance Board.
  • Rezai M, Furlan A.D. Spinal manipulative therapy - no better, no worse than other treatments for low-back pain. Where do we go from here? Institute for Work and Health. Winter 2005.
  • Sarnat RL, Winterstein J. Clinical and cost outcomes of an integrative medicine IPA. J Manipulative Physiol Ther. 2004 Jun;27(5):336-47.
  • Sherman KJ, Cherkin DC, Connelly MT, Erro J, Savetsky, Davis RB, Eisenberg DM Complementary and alternative medical therapies for chronic low back pain: What treatments are patients willing to try? BMC Complementary and Alternative Medicine 2004, 4:9.
  • Shekelle, P.G., Adams, A.H., Chassin M.R., Hurwitz, E.L., Phillips, R.B., Brook, R.H. (1991) “The Appropriateness of Spinal Manipulation for Low Back Pain. Project Overview and Literature Review”, RAND, Santa Monica, California.
  • Stano, M., Smith, M. (1996) “Chiropractic and Medical Costs of Low Back Pain”, Medical Care, Vol. 34(3), pp.191-204.
  • Struijs PA, Damen PJ, Bakker EW, Blankevoort L, Assendelft WJ, van Dijk CN. Manipulation of the wrist for management of lateral epicondylitis: a randomized pilot study. Department of Orthopaedic Surgery, Orthopaedic Research Center Amsterdam, Academic Medical Center, Meibergdreef 9, PO Box 22600, 1100 DD Amsterdam, The Netherlands. paastruijs@hotmail.com.
  • Survey of Canadian Adults: Back Pain, The Canadian Chiropractic Association, Environics Research Group Ltd., May 2003 [PDF].
  • Triano JJ, McGregor M, Hondras MA, Brennan PC, Manipulative Therapy Versus Education Programs in Chronic Low Back Pain, Spine, Vol 20, No 8, 948-955, 1995.
  • UK BEAM Trial Team. United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care. BMJ 2004;329:doi = 10.1136/bmj.38282.669225.AE.

Patient Satisfaction

  • Breen A, Breen R. Back pain and satisfaction with chiropractic treatment: what role does the physical outcome play? Institute for Musculoskeletal Research and Clinical Implementation, Anglo-European College of Chiropractic, Bournemouth, Dorset, United Kingdom.
  • Carey, T.S., Garrett, J., Jackman, A., McLaughlin, C., Fryer, J., Smucker, D.R. (1995) “The Outcomes and Costs of Care for Acute Low Back Pain Among Patients Seen By Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons” , New England Journal of Medicine, Vol. 333, pp.913-917.
  • Cherkin, D.C., MacCornack, F.A. (1989) “Patient Evaluations of Low Back Pain Care from Family Physicians and Chiropractors” , Western Journal of Medicine, Vol.150(3), pp.351-355.
  • Karen J Sherman, Daniel C Cherkin, Maureen T Connelly, Janet Erro1, Jacqueline B Savetsky, Roger B Davis and David M Eisenberg. Complementary and alternative medical therapies for chronic low back pain: What treatments are patients willing to try? BMC Complementary andAlternative Medicine 2004, 4:9.
  • Shekelle, P.G., Markovich, M., Louie, R. (1995) “Factors Associated with Choosing a Chiropractor for Episodes of Back Pain Care”, Medical Care, Vol.33, pp.842-850.

Government Reviews

  • Rosen, M. et al. (1994) Back Pain. Report of a CSAG Committee on Back Pain, HMSO, London, England.
  • Bigos, S., Bowyer, O., Braen, G., et al. (1994) Acute Low Back Problems in Adults. Clinical Practice Guideline No. 14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services.
  • Spitzer, W.O., et al. (1995)Whiplash-Associated Disorders (WAD): Redefining Whiplash and its Management: Quebec Task Force on Whiplash-Related Disorders.
  • Royal College of General Practitioners(1996) Clinical Guidelines for the Management of Acute Low Back Pain, Great Britain.
  • Chiropractic in the United States: Training, Practice and Research, U.S. Department of Health and HumanServices, AHCPR Research Report, Dec.1997.
  • Hasselberg PD, Chiropractic in New Zealand, Report of the Commission of Inquiry, Government Printer, Wellington, 1979.
  • Manga P, Angus D, Papadopoulos C, Swan W., The Effectiveness and Cost-Effectiveness of Chiropractic Management of Low-Back Pain, Commissioned by the OCA. Funded by the Ontario Ministry of Health, 1993.
  • Thompson CJ, Medicare Benefits Review Committee, Commonwealth Government Printer, Australia, 1986.
  • Legitimization for Vissa Kiropraktorer, Commission on Alternative Medicine, SOU, 1987.
  • Chiropractic Services Review, An Internal Review, Wells et al. Commissioned by the Ontario Ministry of Health, 1994.

Back Pain

  • Strickland C., Spinal manipulation effective for low back pain. Journal of Family Practice, 2003 Dec;52(12):925-9.
  • Finneran MT, Mazanec D, Marsolais ME, Marsolais EB, Pease WS., Large-array surface electromyography in low back pain: a pilot study. The Ashland Industrial Medicine Services.
  • Jeffrey G. Jarvik, MD, MPH; William Hollingworth, PhD; Brook Martin, BS; Scott S. Emerson, MD, PhD; Darryl T. Gray, MD, ScD; Steven Overman, MD, MPH; David Robinson, MD; Thomas Staiger, MD; Frank Wessbecher, MD; Sean D. Sullivan, PhD; William Kreuter, MPA; Richard A. Deyo, MD, MPH. Rapid Magnetic Resonance Imaging vs Radiographs for Patients With Low Back Pain A Randomized Controlled Trial.
  • Manga P, Angus D, Papadopoulos C, Swan W., The Effectiveness and Cost-Effectiveness of Chiropractic Management of Low-Back Pain, Commissioned by the OCA. Funded by the Ontario Ministry of Health, 1993.
  • Underwood M, UK Beam Trial T. UK Back pain Exercise And Manipulation (UK BEAM) trial - national randomised trial of physical treatments for back pain in primary care: objectives, design and interventions [ISRCTN32683578]. BMC Health Serv Res. 2003 Aug 1.

Safety

  • Risk of Vertebrobasilar Stroke and Chiropractic Care: Results of a Population-Based Case-Control and Case-Crossover Study. Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ. Spine . 2008 Feb 15;33(4 Suppl):S176-83.
  • Aker PD, Gross AR, Conservative Management of Mechanical Neck Pain: A Systematic Overview and Meta Analysis, et al. The British Medical Journal, 313: 1291-96, 1996.
  • Chiropractic in the United States: Training, Practice and Research, U.S. Department of Health and HumanServices, AHCPR Research Report, Dec.1997.
  • Chiropractic Services Review, An Internal Review, Wells et al. Commissioned by the Ontario Ministry of Health, 1994.
  • Dabbs V, Lauretti WJ, A Risk Assessment of Cervical Manipulation V. NSAIDs for the Treatment of Neck Pain, Journal of Manipulative and Physiological Therapeutics, 18:530-36, 1995.
  • Hasselberg PD, Chiropractic in New Zealand, Report of the Commission of Inquiry, Government Printer, Wellington, 1979.
  • Haneline MT, Croft AC, Frishberg BM, Association of internal carotid artery dissection and chiropractic manipulation, Spine Research Institute of San Diego, University of California at San Diego School of Medicine, San Diego, California, USA. January 2003.
  • Legitimization for Vissa Kiropraktorer, Commission on Alternative Medicine, SOU, 1987.
  • Manga P, Angus D, Papadopoulos C, Swan W., The Effectiveness and Cost-Effectiveness of Chiropractic Management of Low-Back Pain, Commissioned by the OCA. Funded by the Ontario Ministry of Health, 1993.
  • Okawara S, Nibbelink D, Vertebral Artery Occlusion Following Hyperextension and Rotation of the Head, Stroke, 5:640-42, 1974.
  • Rome PL, Perspectives: An Overview of Comparative Considerations of Cerebrovascular Accidents, Chiropractic Journal of Australia, Vol. 29, No. 3, September 1999.
  • Sherman DG, Hart RG, Easton JD, Abrupt Change in Head Position and Cerebral Infarction, Stroke, 12:2-6, 1981.
  • Spitzer WO, Redefining Whiplash and Its Management: Scientific monograph of the Quebec task force on whiplash-associated disorders, Skovron ML et al. Spine, 20:85, 1995.
  • Thompson CJ, Medicare Benefits Review Committee, Commonwealth Government Printer, Australia, 1986.
  • Weintraub MI, Beauty Parlour Stroke Syndrome: Report of Five Cases, Journal of the American Medical Association, 269:2085-86, 1993.
  • Zuber M, Mos JI, Carotid Artery Dissection Due to Elongated Styloid Process, Neurology, November 1999.
  • Haldeman S, Carey P, Townsend M, Papadopoulos C. Clinical perceptions of the risk of vertebral artery dissection after cervical manipulation the effect of referral bias. Department of Neurology, University of California, 101 City Drive, 92868, Orange, CA, USA. 2002 Sep-Oct;2(5):334-42.
  • Haldeman S, Carey P, Townsend M, Papadopoulos, C, Arterial dissections following cervical manipulation: the chiropractic experience, Canadian Medical Association Journal, Vol 165, No 7, 905-906, 2001.
  • Haldeman S, Kohlbeck, FJ, McGregor M, Risk Factors and Precipitating Neck Movements Causing Vertebrobasilar Artery Dissection After Cervical Trauma and Spinal Manipulation, Spine, 24(8); 785-794, 1999.
  • Homocysteine Levels and CVAs: Cause? Indicator of Risk?The Foundation for Chiropractic Education and Research (FCER), March 11, 2004.
  • Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM. Adverse reactions to chiropractic treatment and their effects on satisfaction and clinical outcomes among patients enrolled in the UCLA Neck Pain Study. J Manipulative Physiol Ther. 2004 Jan;27(1):16-25.
  • Hurwitz EL, Aker PD, Adams AH, Meeker WC, Shekelle PG, The Appropriateness of Manipulation and Mobilization of the Cervical Spine: A Systematic Review of Literature, Spine, 21(15); 1753-1755, 1996.
  • Kapral MK, Bondy SJ, Cervical manipulation and risk of stroke, Canadian Medical Association Journal, Vol 165, No 7, 907-908, 2001.
  • Michel Beaudry, J. David Spence, Motor Vehicle Accidents: the Most Common Cause of Traumatic Vertebrobasilar Ischemia, The Canadian Journal of Neurological Sciences, Volume 30, No. 4-November 2003.
  • Michael D. Hill,Cervical Artery Dissection, Imaging, Trauma and Causal Inference, The Canadian Journal of Neurological Sciences, Volume 30, No. 4-November 2003.
  • Peterson C, Bolton J, Wood AR, Humphreys BK. A cross-sectional study correlating degeneration of the cervical spine with disability and pain in United kingdom patients. Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
  • Rothwell DM, Bondy SJ, Williams JI, Chiropractic Manipulation and Stroke: A Population-Based Case-Control Study, Stroke, May 2001.
  • Rothwell, DM, Bondy SJ, Williams JI, Chiropractic Manipulation and Stroke: A Population-Based Case-Control Study, Stroke, May 2001.
  • Zuber, M. Meder JF, Mos JI, Carotid Artery Dissection due to Elongated Styloid Process, Neurology, Nov. 1999.
  • Eastman JD, Sherman DG, Cervical Manipulation and Stroke, Stroke, 8:594-97, 1977.
  • Okawara S, Nibbelink D, Vertebral Artery Occlusion Following Hyperextension and Rotation of the Head,, Stroke, 5:640-42, 1974.
  • Sherman DG, Hart RG, Easton JD, Abrupt Change in Head Position and Cerebral Infarction, Stroke, 12:2-6, 1981.
  • Weintraub MI, Beauty Parlour Stroke Syndrome: Report of Five Cases, Journal of the American Medical Association, 269:2085-86, 1993.
  • Dabbs V, Lauretti WJ, A Risk Assessment of Cervical Manipulation V. NSAIDs for the Treatment of Neck Pain, Journal of Manipulative and Physiological Therapeutics, 18:530-36, 1995.
  • NSAIDs for the Treatment of Neck Pain, Journal of Manipulative and Physiological Therapeutics, 18:530-36, 1995.

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