Introduction & Etiology Temporomandibular Joint Disorder (TMD) describes a complex group of muscular and articular disorders affecting the TMJ, leading to pain, dysfunction, and eventually degeneration. Most causes of TMD can be divided into either myogenous (muscular) or arthrogenous (articular). TMD of myogenous origin is more common (1) and may arise from muscular hypertonicity, trigger […]
Research
Chiropractic Management of Gastroesophageal Reflux Disease
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.
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 Best Treatment for Back Pain According to the Best Evidence
The vast majority of back pain is functional- meaning the pain is because the back is not functioning correctly. Accordingly, it makes since that back pain treatment strategies should focus on discovering and addressing the movement-related back pain from it not functioning properly. Unfortunately, many people with back pain are over diagnosed with a structural […]
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 […]