Posts Tagged ‘Chiropractor’

Every Case a Case Study

Thursday, March 14th, 2013

Some time ago I set myself a goal to write up case studies based on the positive results that have I seen in my practice. Like every Chiropractor I get excited when I hear of life changing turnarounds in a wide range of health complaints. And not always because that person first consulted me with “Condition X” – they may come to me with the garden variety neck and back ailments. But then weeks later the person shares their story of healing and improved quality of life since starting to see me.

Well you might say I have opened a can of worms because the reality of “writing up” has been daunting: A clear history, examination findings and having some sort of outcome measure in place so that after those weeks of adjustments you can say for real that signs and symptoms have diminished – the objective before and after as opposed to the testimonial. And then there is the challenge of writing up an introduction and discussion of the condition in question – requires literature research and time.

So retrospectively I began to dig out files of my fondest case memories and quickly discovered that I did not have much more to go on than a testimonial. Child was a bed wetter – now they aren’t, teenager had reduced asthma medications and number and severity of attacks but no actual numbers to go along with those subjective observations, person who attended for low back pain and was then able to become pregnant after being adjusted (why didn’t they tell me they were infertile when they presented?), a parent stating that their child’s ADHD had significantly improved but now I have the challenge of finding out of their academic and social performance has improved – where to start?

I had been haunted by the words of an “old-timer” chiropractor at a Dynamic Growth Congress years before. He asserted that you “never ask your patients how they are – you tell them!” How do you do that? Now I know that we get to know our practice member’s bodies and that we can to a degree sense where they are at – but that intuition wasn’t quite enough for me – I wanted tools to measure where someone was in their functional journey. I’ve never been a dedicated user of Xrays and biomechanical lines and would always prefer non-invasive technologies so I began searching. The first purchase I made somewhere in the mid-nineties was software to analyse posture (www.torquerelease.com.au/Posture-Pro-Software.htm) and to come up with some objective calculations – cool tool and patients love the before and after pictures – a win-win. Back then this type of software cost thousands. This was in the days when computers were like old-age pensioners – took half the morning to warm up, and then didn’t do much after lunch. And we had to buy excessively expensive cameras that had a removable floppy disc – remember what those were? I envy today’s chiropractors who can pick up the latest version of this software for less than a grand, and download and install it on their high-speed notebook, and already have the camera that connects wirelessly.

Next I took out a five-year lease to get my hands on an Insight Subluxation Station (www.subluxation.net.au) and discovered that surface EMG, thermography and inclinometry were awesome tools for me to see if I was making the physiological changes that I hoped my adjustments produced. Boy was this confronting as I was forced along a pathway of finding better ways to deliver better adjustments and advice. I think we Chiropractors have had it too easy for too long because the only quality assurance that we have had to answer to is customer satisfaction. I remember one of my associate Chiropractors who was notorious for bypassing initial and progress exams, who when confronted stated that he didn’t see the point in using the measurements when they didn’t change! I guess my conclusion had been different as my revelation was that maybe I had to find the best ways for making positive changes – After all if a spine isn’t better aligned, more flexible and surrounded by less muscle tension after a series of adjustments, then what has been the actual benefit of those adjustments?

My next revelation was that I needed better outcome measures in my practice for a range of health concerns: If someone consults me and they suffer with migraines then I need to be able to demonstrate that the improvements in the sEMG, posture, thermography and range of motion are matched by measurable improvements in the regularity and severity of the signs and symptoms of migraine – sounds simple – just visit outcomemeasures.? to download the free tools I hoped? Not! My fantasy was a file of severity questionnaires that could be accessed depending on the name of the presenting dis-ease. So I contacted the academics and was told that such standardized and validated tools did exist. Next step was to find them… Still looking! Here’s the problem – they all have different completion and rating systems, most aren’t free or at least accessible, and regardless of whether they are scientifically validated few have been designed by chiropractors, for chiropractic – what is the point of a headache questionnaire that lacks a question about neck pain or dysfunction, or a low back questionnaire that fails to note any associated gastrointestinal or genitourinary signs? Since this time I have been gradually authoring my own range of health questionnaires – as I encountered a different health syndrome in practice, I would spend hours researching and then listing the “top twenty” associated signs and symptoms which would then be pasted into my template – each having exactly the same rating and format (www.torquerelease.com.au/Health-Questionnaires.htm) . Now these aren’t validated research tools but I love them for the power that they offer in terms of being able to take a subjective snapshot in time.

Nowadays I am in a newer practice and while designing my new systems I spent numerous hours (internet) searching for the best outcome tools out there: They had to be affordable, simple to use, and easy for the practice member to comprehend. After much shopping I combined Posture Pro, with digital photographic range of motion analysis software, Heart Rate Variability (www.torquerelease.com.au/emWave.htm) , along with the Torque Release Technique Indicators of Subluxation Scoring System that I had developed, and my Health Outcomes Questionnaires. Now I present my practice members with what I call their Spinal Functional Age (SFA) and Self-Perceived Health Age (SPHA).

The next barrier was in getting humans to follow the plan. I realised that my chances of producing legitimate case studies retrospectively were small. I needed to have a prospective plan: When Master Bedwetter, or Miss Asthma, or Mr Parkinsons or Mrs Multiple Sclerosis arrives at my rooms then I need the procedures in place so that I have sufficient pre-examination findings. Next challenge is to achieve sufficient compliance with care that will result in the types of positive changes we aspire to. And step three is to conduct a progress examination that supplies the “evidence” that I crave which is going to look good in ink.

What I am trying to say here is that my initial urge to write up a simple case study that is of some value to the evidence-base has actually sent me on a path of research and development that I like to think is making me a better Chiropractor.

Have you ever watched an episode of Geoffrey Robertson’s Hypothetical? This famous legal shark draws together a diverse cross section of “experts” and then forces them through a hypothetical case scenario that pushes the ethical, moral and human boundaries. Entertaining and usually enlightening viewing. To a point I believe it is valuable to apply this principle in our practice development pathway.

So, how does MY hypothetical influence YOUR life in practice? Ask yourself these questions:

1) Is your initial intake process thorough and objective enough that you could present clear evidence of what it is you are setting out to change for that person?

2) Do you have objective measurement tools to demonstrate how much this person’s functional status needs to change and whether you will have been able to initiate a change in their health concern?

3) Do you conduct a progress or review exam to measure whether you are achieving your shared goals?

4) Have you had the guts to put your technique to the objective litmus test across your entire practice population and not just your favourite miracle cases?

5) Do you have enough evidence to contribute a Case Study for the advancement of the Chiropractic Evidence Base?

When I present the stats from my own practice I show the average functional changes that occur and share the journey I have had to follow to ensure that I consistently generate significant objective improvements. At one seminar a Chiropractor pulled me aside during a refreshment break, and with a concerned look on his face stated that the changes I had documented were not very BIG. “Oh really” I said “how big are the changes that you are seeing?” “Well I don’t know” he said “but I know that they would be better than yours”. I almost envy his delusions of grandeur, but the reality is if you don’t know for sure, then you don’t know! My own research based on the functional tools that I currently prefer, suggest that one adjustment reduces someone’s functional age by one year. I personally think that is very significant – name any other healing method that can make someone one year younger in one visit?

To find out more about the next Torque Release Technique Seminar visit: www.torquerelease.com.au/Torque-Release-Discount.htm

BETTER RESULTS FOR 90% OF YOUR PRACTICE

Thursday, June 2nd, 2011

A recent survey conducted following a Torque Release Technique program has shown that TRT delivers dramatic benefits to those that attend:

  1. Chiropractors were able to use the methods taught to effectively determine the primary subluxation and how to best adjust it in 80-90% of their practice immediately upon returning to their office.
  2. When asked if TRT had been useful in practice a 9/10 rating was achieved.
  3. When asked if TRT had improved their confidence in practice a 8.5/10 rating was achieved.
  4. When asked if TRT had increased their belief in chiropractic a 9.1/10 rating was achieved.
  5. When asked if TRT had made them a better chiropractor a 8.8/10 rating was achieved.
  6. When asked if TRT had improved their clinical skills a 8.8/10 rating was achieved.

This means that what is learnt at the program is immediately useful. We’ve all been to great sounding programs that when the rubber hits the road on Monday morning and you want to offer something better with your new skills, to be honest, they turn out to be too time consuming, or too fiddly, or are only useful for a small percentage of our practice members. It’s nice to know that TRT is easy to implement and relevant to the needs of nearly every practice member.

And don’t underestimate the power of becoming a better clinician and technician when it comes to adjusting. I think sometimes we get sidetracked looking for new ancillary procedures to somehow improve our clinical outcomes - when the real truth is that we can all hone and upgrade our adjusting skills - and as a result become better Chiropractors.

After running seminar programs for 15 years, I have noticed that Chiropractors are more likely to attend a motivational, practice management seminar than they are to attend a technique program - and I believe this is partly due to this perception of spending hours in a technique class to learn something that you will never use. It’s nice to learn that there is a technique program that delivers measurable benefits immediately upon returning to practice. Sounds like a worthwhile investment with great returns to me.

But you are probably sick of hearing this from me so here is what some of the participants had to say:

  • “Great Seminar - Taught really well. Since finishing Uni, have lacked in confidence - But this technique has allowed me to be more sure of what I’m doing. Thanks!” Chloe Whiting, Australia
  • “This is a great foundation chiropractic technique. It is simple to implement and improves my efficiency at finding and adjusting subluxations. It is an enjoyable seminar.” Penelope Seuren, Australia
  • “Amazingly good seminar with excellent research based outcomes. Combines neurology and technique as an excellent presentation. I have been to many seminars but these CPD points are my most valuable!” Matthew Bailey, Australia
  • “TRT makes more sense than anything else I’ve learned in chiropractic. I want to learn more!” David Schaller, Australia
  • “It’s great. Surprised, Amazed! Thanks Nick for teaching me TRT.” Yi Ping Gu, Australia
  • “TRT is a very elegant technique which reflect its origins in the triad of the Art, Science and Philosophy of Chiropractic. I look forward to exploring it further.” Anda McMillan, Australia
  • “Thank you for the generosity and knowledge/wisdom. Other courses promise you will be able to confidently apply the technique on Monday morning. Well I beat that and took my table over to family members on Sunday night. Miracles are happening in my practice and I feel as if I am honoring the body’s innate wisdom through the checking system and finally not over-treating. THANK YOU. :-)” Clare McCardel, Australia
  • “Thank you so much for the seminar last weekend, it was Awesome!!!! I have a new passion for Chiropractic, Neurology, Outcomes and using Low Force Techniques. This has re-lit my fire within! Your passion & honesty & knowledge was appreciated throughout the seminar & this has a flow on effect.” Matthew Bailey, Australia

The lead researcher and co-developer of Torqe Release Technique, Dr Jay Holder, will be in Australia in August for a rare appearance - don’t miss this amazing opportunity to learn from one of the great minds in Chiropractic. Go to this link to find out more: http://www.torquerelease.com.au/Jay-Holder-Discount.htm

MAKING EVERY ADJUSTMENT COUNT

Saturday, February 6th, 2010

I’ve organised a lot of seminars over quite a few years now (my first was in 1996) and as a result I have had the privilege of meeting every “type” of Chiropractor – and I have found that there is one constant trait that exists across all philosophies, techniques, practice management styles and scopes of practice – and that is a strong desire to provide the best possible therapeutic benefit from each and every “treatment”. Ignoring the very small segment of the profession that is more interested in the bottom line, than the spinal column – I know that each one of us hopes for and even expects that when we adjust someone, something good is going to happen for that person.

And that encounter can look quite different between practitioners. For example, it’s Monday morning and the first patient for the day is waiting, eagerly anticipating that they will be feeling “better” after their adjustment: Here are some possible generic scenarios:

1) The Chiropractor goes through their standard procedure of adjusting both sides of the neck, thrusts on a few thoracics, then rolls the patient onto both sides to loosen up the low Back.

2) The Chiropractor checks their notes from the last progress exam to see which segments had been determined to be needing adjustment for the next course of corrections, and then follows that recipe.

3) The Chiropractor palpates down the spine to find tight and tender points then proceeds to manipulate those symptomatic areas to improve the mechanical function of the spinal joints.

4) The Chiropractor uses some form of orthopaedic or neurological examination which can lead them to adjust anywhere between 6 and 12 subluxations on any given visit.

But there are some inherent weaknesses in the above approaches which must be reconciled if our goal is truly to deliver adjustments with that something extra:

1) If we don’t have a method to prioritise where someone really needs to be adjusted then should we call ourselves practitioners or technicians? One root of burnout is boredom: When every spine starts to look the same and when we start to diminish the value of each adjustment, then our sense of importance and passion also diminishes.

2) If we believe that adjustments initiate change, then shouldn’t the adjustments need to change through time? If a person’s spine and nervous system is healing, adapting and even evolving under our care, then why would today’s adjustment be the same as last month’s adjustment? And if someone’s life circumstances have altered since they started care, wouldn’t the pattern of Subluxation change to reflect this, and last week’s adjustment would now be inappropriate?

3) Chiropractors have long made the claim to be treating the cause. But if we treat based on symptoms, whether pain or tenderness, then don’t we make a mockery of this claim? If we claim to be removing interference from the nervous system, then shouldn’t we have some means of determining where that interference is, and how best to reduce that interference?

4) Most chiropractic techniques have talked about concepts such as primary and secondary subluxations, compensations, referral, distant effects from local interference, reflex projection. In other words not all Subluxations are created equal, and not all Subluxations need to be adjusted on every visit, because adjusting the “primary” subluxation will influence and reduce the connected secondary and compensatory malfunction. If we don’t have a method to differentiate between these types of Subluxations then won’t we be wasting some of our precious time?

Now consider a fifth option: On any given day, at the very moment that you are examining a spine, depending on the most recent physical, chemical and emotional stresses to your practice member’s nervous system, and superimposed over the long term accumulation of tension in their spinal system – there is one predominating subluxation, which if adjusted will produce bigger neurological changes than adjusting any other segment in the spine at that time. You would want to know how to differentially diagnose that segment wouldn’t you?

Watch Short Video Explaining The Concept of Primary Subluxations…

(If you can’t view this video try this link: http://www.screencast.com/t/YjliZjgwN )

This model has been developed during the research method design for a ground breaking, randomised, placebo controlled, prospective scientific project run in conjunction between Holder Research Institute, Turning Point Addiction Recovery facility, and the University of Miami School of Medicine’s famous Biostatistician Bob Duncan. This technique is today called Torque Release Technique and has been published in major journals such as Molecular Psychiatry, the Journal of Psychoactive Drugs, and Journal of Vertebral Subluxation Research, as well as being featured on the Discovery Health Channel.

Thankfully modern chiropractic can stand on the shoulders of its technique pioneering giants: Palmer, Thompson, DeJarnette, Van Rumpt, Logan, Toftness and more contemporary ground breakers like Epstein; and the development of TRT saw the best of the best being integrated to produce an amazingly streamlined and efficient means of determining which segment of the spine needs to be adjusted, with precise correctional vectors, and to confirm the success of a single adjustment or plot the objective improvement in indicators of subluxation through time.

Another gift from the research project was the Integrator – the first chiropractic instrument to be specifically designed and patented for the correction of Subluxations. What makes the Integrator stand alone is its ability to deliver a three-dimensional correction which includes all of the defining features of a Toggle Recoil adjustment – high speed, recoil, and torque. Plus it offers a feature that takes reproducibility and reliability to new levels – a preloading trigger that means that every adjustment delivers just the right amount of force and frequency.

Because of these breakthroughs TRT developed the reputation for being the twenty first century technique for Chiropractors to shift their practice model away from a mechanical and orthopaedic paradigm, towards a neurological and tonal application of our wonderful vitalistic philosophy.

And the consistent feedback from the hundreds of Chiropractors who have now completed TRT training is that it provides that missing piece in the technique puzzle – how to provide an adjustment which responds to the current physiological needs of the practice members’ nervous system, and how to generate big changes in state of wellbeing on each and every adjustment – physical, chemical and emotional.

2010 sees TRT in its 8th year of training Australian Chiropractors with Dr Nick Hodgson offering training programs in varied locations each year. Nick has organised numerous TRT training programs, has been personally mentored by the developer of TRT, Dr Jay Holder, and is one of Australia’s most experienced practitioners.

Click Here To See Upcoming Dates and Locations…

HOW TO BYPASS THE ECONOMIC SLOWDOWN

Thursday, January 29th, 2009

Do you need more new patients to feed the growth of your practice? Are you tired of those training programs that claim to provide the missing piece in improving your effectiveness; only to find that it is yet another technique that is only applicable to a small segment of your patient base? Have you been grappling with how to increase your cash flow and profits in spite of rapidly rising overheads? Are you investing too much of your time and energy in your practice, and not enough time living the lifestyle that you spend all day telling everyone else to live? Are you sick and tired of the public perception or misconception of what you do? “Oh you’re a chiropractor? I’ll come and see you one day if my sore back doesn’t get better by itself!” Have you ever struggled with your confidence and certainty in practice?

My name’s Nick Hodgson and I face all the same struggles that you do in private practice. I’ve started two practices from scratch, bought and managed a successful practice for eighteen years, employed and mentored associates. And at the same time I have organised countless training programs featuring some of the world’s top chiropractic presenters, culminating in my being awarded the Victorian Chiropractor of the Year in 2005, for contributions to the profession. More recently I have been honoured to be the Australasian Training Provider for Torque Release Technique and would like to invite you to join me at one of our programs this year.

TRT is the first chiropractic technique developed through a scientific research project, published in major medical journals, and then featured on the Discovery Health Channel. But the real benefit occurred when TRT escaped the peer reviewed journals and entered the average chiropractic practice. The overwhelming conclusion has been that TRT is the 21st century upgrade that improves a chiropractor’s life without compromising clinical results or ethics.

You see it has answered the two biggest chiropractic questions: “How do you offer your patients the best possible improvements in their health and quality of life, AND AT THE SAME TIME minimise the amount of work that you have to do to achieve these great results?”

Solving these two dilemmas resolves all stressors in the life of a Chiropractor: If your patients get great results, they get excited and they refer and spread the word, and they comply with your recommendations, because they are impressed. And if you get great results with the minimum of effort then you can either make more money by seeing more people, and/or you can spend less time in your rooms and more time on your lifestyle.

But don’t just listen to me: Here’s a sample of some Chiropractors’ personal experiences…

“I have been amazed at the results I’ve been getting out of this process. I would never have believed this to be possible with such a simple technique.” AC, South Africa

“Certainly this technique changed my life… has really helped me finally understand what Chiropractic is and man was I wrong.” CS, USA

“With your help I am able to make a very smooth transition from a pain practice to a wellness practice. ” TG, USA

“It was the best conference and technique seminar I have ever been to. It provided me with some very timely answers to a lot of questions that had been coming up for me, especially about knowing that Chiropractic and being a Chiropractor is truly what I am here for, but being endlessly frustrated by it (me) just not working the best I knew it (I) could. That was until I learnt about primary subluxations and non-linear adjusting.” JR, Australia

“I have found TRT to be the first technique to be superior to what I have done in the last twenty seven years… I have seen intriguing and wonderful results with TRT.” PR, Australia.

It’s so rewarding to get lots of this feedback after every training program…

And the huge advantage of TRT training is that what you learn can be implemented in any style of chiropractic practice:

You love to manually adjust? TRT will show you how to get bigger changes by adjusting less segments – the ones that really need it: You’ll become more specific, more precise and more confident with your adjustments.

Looking for a low-force alternative? We’ll introduce you to the Integrator, the adjusting instrument which was purpose designed, built and patented to correct subluxations. Not like those instruments which are adapted medical instruments. The Integrator offers pre-loading trigger, incredibly high speed, recoil and torque to produce a three dimensional adjustment which has been measured to produce big shifts in state of wellbeing.

See yourself as more of a craftsman than a technician? You will love the fourteen diagnostic indicators of subluxation, and the precise differential diagnosis system to identify the Primary Subluxation at any moment in time, with built in safe guards and review methods to track the response to each and all of your adjustments.

Prefer High Volume? With the assessment and adjusting system you take back to your office, you will be stunned with how quickly you can deliver a magical adjustment. No matter how many patients you currently see – you will be able to see more in less time.

Believe that Chiropractic is more about the nervous system than the musculoskeletal system? Then you need an assessment and adjusting system that breaks out of the mechanistic orthopaedic mould.

You have a Wellness focus? Then you’ll need an approach which breaks out of the mechanistic back pain model and into a neurological state of wellbeing model – TRT offers a unique selling proposition which has the ability to improve quality of life.

You like to be on the cutting edge? TRT has a pedigree of research and development and the next few years promise some revolutionary upgrades to what is already one of the most exciting breakthroughs in chiropractic’s history.

You’re committed to excellence? You see profits and patient numbers as secondary to the quality of the service that you provide, and you are more interested in the product than the profit: TRT is definitely for you as there are no hard sales techniques attached – it’s less about convincing patients that they have to see you forever; and more about providing such great results that they tell you they’ll be seeing you forever.

What’s involved with TRT Training?

ü  A two-day intensive highly interactive training program

ü  Plenty of hands on demonstration and workshop so that you are ready to use what you have learnt

ü  Training manual included with your registration

ü  Tea breaks and lunches catered for inclusive

ü  Free email support following the program to answer any questions

ü  Regular email newsletters and practice tips

ü  Follow-up advanced hands on training opportunities to further your technical mastery

ü  Access to online and phone referrals from the numerous enquiries we get for TRT practitioners

How can you register?

1.      Use our online registration gateway which connects into the international safe and secure PayPal shopping cart. You can pay with your PayPal funds or use your credit card in the safest possible payment gateway

Click Here To Register Online…

2.      Download a registration form and pay us by cheque or electronic transfer

Click Here To Download A Registration Form…

3.      Call us and register over the phone

Call 0419 104 076 (ISD 61 419 104 076)

What happens after you register?

1.      Upon completion of your registration we will mail your invoice with some free preliminary resources

2.      Your training manual will be given to you at the training program

3.      Equipment and resources will be available for purchase at discounted rates at the program

4.      Notify us of any special dietary needs at least one week prior to the event so we can cater

5.   If you are unable to attend due to unforeseen circumstances make sure you give us at least 72 hours notice prior to commencement of program

CHIROPRACTIC REDUCING HEARING LOSS - SCIENTIFIC PROOF

Monday, December 15th, 2008

Below is a selection of excerpts from research documenting improvements in hearing following Chiropractic Care…

Can You Hear Me Now?

Hearing loss is more than just a pain in the neck; it’s a brain thing too.

If you can’t turn up the volume on your television without waking the neighbors, consider a visit to your local chiropractor. Research suggests that mild to moderate hearing loss can be improved or restored by a single chiropractic visit. According to a study published in the journal Chiropractic & Osteopathy, 15 patients who had been diagnosed with significant hearing loss volunteered for a routine spinal adjustment. Of the 15, 6 had their hearing restored completely, 7 showed improvement, and 2 did not change.

According to Joseph Di Duro, a researcher and chiropractic neurologist at Palmer Center for Chiropractic Research in Davenport, Iowa, the biggest improvements occurred where patients needed it most – in the quieter decibel levels in everyday conversations. A year later, the researchers followed up on 3 of the study participants – all showed their hearing had remained improved and intact…

Regular visitors to the chiropractic table might be surprised to learn that the first adjustment given in 1895 wasn’t for back pain at all. It instead cured the patient’s deafness on the spot.

In another more recent case, a 36-year-old soccer player, who slammed the ball with his head and suffering severe hearing loss, had his hearing restored after a few adjustments to his spine and neck. Di Duro has been studying this intricate relationship between the nervous system, the brain, and the body…

Di Duro’s theory is based on findings from chiropractic neurology. Experts speculate that spinal manipulations spark a response back to a muscle, a joint, or the periphery, and into the central nervous system where it affects a wide range of neurological problems, including hearing deficits. Chiropractic neurology patients have reported relief from vertigo, learning disorders, pain, hyperactivity, attention deficit disorder, and other problems…

Click Here To Read More…

Hearing Loss, Otalgia and Neck Pain: A Case Report on Long-Term Chiropractic Care That Helped to Improve Quality of Life

Chiropractic Journal of Australia 2002 (Dec); 32 (4): 119-130

Observation over an extended period assists in understanding the progression of chronic disorders. This patient experienced substantially reduced symptoms with chiropractic care during the 7-year observation period. Of note is the repeated exacerbation of neck pain that often precedes exacerbation in ear symptoms, along with the relief of both following adjustment and an association between improved hearing and improved cervical alignment.

Vertebrogenic Hearing Deficit, the Spine, and Spinal Manipulation Therapy (SMT): A Search to Validate the D.D. Palmer/Harvey Lillard Experience

The claim that hearing can be improved following SMT has been scoffed at as physiologically impossible, but a review of the medical and chiropractic literature suggests that hearing deficits may be associated with spinal joint motion restriction, spondyloarthrosis, irritation of the sympathetic nervous system, decreased cervico-cerebral circulation and/or decrease in tinnitus.

Click Here To Read More…

Chiropractic Care of a Patient with Temporomandibular Disorder and Atlas Subluxation

A 41-year-old woman had bilateral ear pain, tinnitus, vertigo, altered or decreased hearing acuity, and headaches. She had a history of ear infections, which had been treated with prescription antibiotics. Her complaints were attributed to a diagnosis of temporomandibular joint syndrome and had been treated unsuccessfully by a medical doctor and dentist. High-velocity, low-amplitude adjustments were applied to findings of atlas subluxation. The patient’s symptoms improved and eventually resolved after 9 visits.

Click Here To Read More…

Vertigo, Tinnitus, and Hearing Loss in the Geriatric Patient

A 75-year-old woman with a longstanding history of vertigo, tinnitus, and hearing loss experienced an intensified progression of these symptoms 5 weeks before seeking chiropractic care. The patient received upper cervical-specific chiropractic care. Through the course of care, the patient’s symptoms were alleviated, structural and functional improvements were evident through radiographic examination, and audiologic function improved. The clinical progress documented in this report suggests that upper cervical manipulation may benefit patients who have tinnitus and hearing loss.

Cervicogenic Hearing Loss

Findings in 62 patients suffering from vertebragenic hearing disorders are reported before and after chiropractic management. Results indicate that these hearing disorders are reversible, as demonstrated by audiometry and OAE. The therapy of choice is chiropractic manipulation of the upper cervical spine. The commoness of vertebragenic hearing disorders emphasizes their clinical and forensic importance.

Click Here To Read More…

Hearing Improved With Chiropractic - Case Series

The study is significant as it looked for a scientific basis for the story behind the first chiropractic adjustment. In 1895, in Davenport Iowa, Dr. DD Palmer, a self taught healer, encountered a janitor, Harvey Lillard who was working in the building that housed the office of Dr. Palmer.  As history records, Harvey had lost most of his hearing 17 years earlier while working and bending.

Although accounts vary, it is accepted that Dr. Palmer examined Harvey and determined that a bone in his spine was out of place. He concluded that this spinal misalignment was the cause of the hearing loss that Harvey was experiencing. Dr. Palmer then proceeded to give Harvey the first intentional and purposeful chiropractic adjustment. The result was that Harvey’s hearing was restored.

In this series case study, fifteen people with various degrees of hearing loss were tested for certain frequencies to establish their degree of hearing loss. These subjects were then given only a single chiropractic adjustment and subsequently re-tested for any changes in hearing.

After just one adjustment most of the participants experienced significant hearing improvement at various tone levels. Using a standardized testing process known as the Ventry & Weinstein criteria, improvement was shown at various levels of hearing. At 40dB,  6 subjects had hearing restored, 7 subjects improved and 2 had no change. At 25dB using the Speech-frequency criteria, none of the subjects were totally restored, however, 11 had showed improvement, while 4 had no change and 3 missed a tone.

The results of this limited study add further credibility to the story of the first chiropractic adjustment. The researchers concluded, “The observations documented in this case series provide limited support to previous works indicating that, when hearing is tested immediately after a single chiropractic adjusting visit, hearing may be improved in both ears.”

Click Here To Read More…

Click Here To Read The Full Paper…