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LifeCare Chiropractic

The Best Chiropractic Care in Mesa, Arizona

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HOW DO YOU MANAGE ACUTE LOW BACK PAIN? – (02-13-06)

June 10, 2012 by James Bogash

Physicians’ Initial Management of Acute Low Back Pain Versus Evidence-Based Guidelines

This is one of those articles that, as a chiropractor, really gets to me. We are frequently called quacks and non-evidence based. Unfortunately, it appears that no one has the ability to throw any stones.

However, given that many studies have now shown that chiropractic care is a more cost effective approach, we can begin to see why. I know I have patients come into my office with a simple case of LBP that’s pretty clear cut, and yet they have X-rays and MRI in tow when they come in. Talk about expensive care!!!

Read entire article here

Filed Under: Chiropractic Care, Low Back Pain Tagged With: acute low back pain, chiropractor, MRI, X-rays

AFTER EFFECTS OF WHIPLASH TYPE INJURIES – (04-30-07)

April 5, 2012 by James Bogash

Fatty Infiltration in the Cervical Extensor Muscles in Persistent Whiplash-Associated Disorders: A Magnetic Resonance Imaging Analysis

As a chiropractor, I’ve obviously got some unique perspectives on this issue. It is well documented that a large percentage of patients who experience whiplash type injuries have significant pain 10 yrs later. I firmly believe this is the result of imcomplete treatment following the injury. Strengthening and stretching as done by standard physical therapy procedures will NOT address pathology within the muscles, and adjusting alone will also not impact the muscles either. Full recovery requires a strong approach to both the joints and the muscles.

This article probably won’t show up on the desks of insurance adjusters; many would have their injured patients believe they should be all healed up in a few visits.

Read entire article here

Filed Under: Chiropractic Care, Whiplash Tagged With: Cervical Extensor Muscles, chiropractor, Fatty Infiltration, Whiplash-Associated Disorders

THE BASIS FOR RECOMMENDING REPEATING EPIDURAL STEROID INJECTIONS – (09-01-08)

February 27, 2012 by James Bogash

The Basis for Recommending Repeating Epidural Steroid Injections for Radicular Low Back Pain

It is not unusual for the “typical” low back pain patient to be referred out by their PCP for epidurals when the 1 wk trial of ibuprofen didn’t work or when physical therapy has failed. There are a large number of ESIs done in this country in patients that have never been sent to a chiropractor for treatment.

There is even evidence that suggests that patients referred for an epidural have a higher likelihood of progressing to back surgery (which is again, of questionable benefit with much risk). But what the heck…it’s only $12K or so….who cares if it works? Now that $300 course of chiropractic care–THAT we need to keep an eye on.

Read entire article here

Filed Under: Chiropractic Care, Low Back Pain Tagged With: chiropractor, Epidural Steroid Injections (ESI), ibuprofen, low back pain

NECK PAIN AND RESPIRATORY DISEASE – (03-08-10)

February 23, 2012 by James Bogash

Neck pain and Respiratory Disease

Of course, as a chiropractor, I have to comment on this article. Overall, while this is a small pilot study, the concept is not that hard to grasp. Some of the anterior neck muscles (notably the anterior scalenes) assist in respiration, so if there is some type of dysfunction that can affect the neck, it could very well affect breathing. Sounds like a good reason to visit your local chiropractor.

Read entire article here

Filed Under: Chiropractic Care, Neck Pain Tagged With: chiropractor, neck pain, respiratory disease

MYOFASCIAL FINDINGS IN PATIENTS AFTER WHIPLASH INJURY – (05-04-09)

February 7, 2012 by James Bogash

A distinct pattern of myofascial findings in patients after whiplash injury

As a chiropractor that specializes in soft tissue treatment, studies like this confirm my decision to practice in this manner. Too often following whiplash type injuries patients will seek the care of a PT, their PCP or a DC. The statistics linking long term problems from whiplash injuries is frighteningly high, but I believe this is because few approaches attack the comprehensive nature of these injuries. The joints, soft tissues and the psychological impacts of the injury all need to be addressed. Without this comprehensive approach, it is likely that patients will fall into that category of long term neck pain.

Read entire article here

Filed Under: Neck Pain, Whiplash Tagged With: chiropractor, neck pain, whiplash injury

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