Given that the diaphragm provides added anti-reflux capacity to the lower esophageal sphincter, chiropractic physicians should consider specific rehabilitative techniques to support abdominal respiration for a large subset of patients with GERD.
Clinical Practice
Neurophysiology of Myofascial Trigger Point Dry Needling
Here are the notes from my presentation about the neurophysiology of myofascial trigger point dry needling delivered during the 2016 ChiroAdvance Symposium. References: Probable Mechanisms of Needling Therapies for Myofascial Pain Control Dry needling — peripheral and central considerations Discrete changes in cortical activation during experimentally induced referred muscle pain: a single-trial fMRI study. Dry Needling Related […]
The Art and Science of Treatment Selection
As one who treats the movement systems (neuromusculoskeletal), I have several tools at my disposal: joint mobilization, spine and joint manipulation, soft tissue manual therapy, stretching, stabilization exercises, instrument assisted soft tissue manipulation, kinesiotaping, athletic taping, dry needle therapy, ice massage, traction, corrective exercise, education, listening, and encouraging (to name a few). The problem is […]
How Chiropractic Therapy Can Prevent Injury and Improve Performance in CrossFit
Had a lot of fun talking with Mike and Doug- two excellent coaches and athletes in their own areas. Most readers know that CrossFit has exploded as a sport. The functional movements required of CrossFit leave no room for inefficiencies of motion. As one who evaluates and treats the movement system, I have a strong appreciation […]
Chronic Occipital Nerve Headache- Case Report
Patient History Sue came to my office for evaluation of chronic headache and chronic neck pain. 6 years earlier, she had suffered a laceration and fracture at the right occipital area of the skull. Over the next 2 years, complete numbness at the distribution of the greater occipital nerve (area of the scalp on one […]
CrossFit, Biomechanics, and the Fittest on Earth
Next weekend, Michelle Kinney, the 10th fittest woman on earth, will be competing for the title of the fittest woman on earth at the 2011 Reebok CrossFit Games. She placed first in the Central East Region last month by consistently performing well across 6 very different workouts: 1. Run 1K/ 30 handstand pushups/ Row 1K […]
Rehabilitation of the TMJ
The temporomandibular joint (TMJ) can cause painful chewing, jaw clicking, ear/face pain, tooth pain, and headache. In the absence of an obviously locked jaw, the offending temporomandibular dysfunction (TMD) is usually diagnosed after the painful ears, teeth, and/or sinuses have been examined and found to be fine. While there are rare causes of TMD (inflammatory […]