Abstract objective: To examine the diagnosis and care of a patient suffering from chronic low back pain with associated right leg pain and numbness. Diagnostic studies include standing plain film radiographs, lumbar MRI without contrast, chiropractic analysis, range of motion, orthopedic and neurological examination. Treatments include both manual and instrument assisted chiropractic adjustments, ice, heat, cold laser, Pettibon wobble chair and repetitive neck traction exercises and non-surgical spinal decompression. The patient’s’ outcome was very good with significant reduction in pain frequency, pain intensity and abatement of numbness in foot.
Introduction: A 58 year old, 6’0”, 270 pound male was seen for a chief complaint of lower back pain with radiation into the right leg with right foot numbness. The pain had started 9 months prior with an insidious onset. The patient had first injured his back in high school lifting weights with sev
Doctor of Chiropractic, Dr. Alexander Jimenez examines people that see a chiropractor and their reduced usage of opioids and other types of drugs.
The draft Guidance for Prescribing Opioids for Chronic Pain, issued in December 2015 by the U.S. Centers for Disease Control and Prevention, included “many complementary and alternative therapies (e.g., manipulation, massage, and acupuncture)” among its recommended non-pharmacologic approaches. However, when the final Guidance was released three months later, manipulative therapy and its 75,000 licensed chiropractic practitioners was not directly referenced. A recent study from James “Jim” Whedon, DC, MS, pictured, suggests that the CDC harmed its mission with its excision of explicit reference to manipulation.
El Paso TX. Chiropractor Dr. Alex Jimenez takes a look at medication for joint pain and how they can make the pain worse.
Non-steroidal anti-inflammatory drugs (NSAIDs) are as common as candy, a staple of every home medicine cabinet and tossed casually in desk drawers, purses, and briefcases. Many people take these drugs, which include ibuprofen (sold as Motrin and Advil), naproxen (Aleve), and aspirin, at the first sign of a headache or muscle cramps — and they are a daily ritual for many people living with arthritis.
But few people realize that NSAIDs carry a black-box warning, the strictest warning issued by the Food and Drug Administration. “Most people think that the government or FDA would not allow something dangerous on the market, especially since most of them are over-the-counter and [used] without a prescription,” says integrative medicine expert Sunil Pai, MD, au