Persistent synchondrosis of a primary sacral ossification center in an adult with low back pain

Chiropractic services in the active duty military setting: a scoping review

“…The chiropractic assessment included a focused history, physical examination, clinical impressions, disability, prognosis, and treatment plan elements. The interventions described in the articles included the following physical techniques and modalities: joint manipulation and mobilization of the spine and extremities [12, 29, 30, 38–42], soft tissue massage [12, 29], stretching/proprioceptive neurological facilitation maneuvers [12, 38–41], cryotherapy [30, 42], moist heat [42], superficial heat [30], McKenzie exercises [29], exercise [12, 29, 30, 38–42], interferential current [12, 30, 42], ultrasound [30], acupuncture [12], myofascial release [38], ischemic compression [38], advice on activities of daily living [29], postural/ergonomic advice [29, 39, 40], as well as nutritional and psychosocial aspects of treatment [42].…”

“…Back pain with or without radiculopathy accounted for the majority of presentations [12, 29, 30, 38, 39]. In a US cross-sectional study, 42.7% of respondents reported using chiropractic services for low back pain (LBP), 27.3% for headaches, and 10.9% for general health, wellness, and prevention [31].…”

Integration of Chiropractic Services in Military and Veteran Health Care Facilities

“…Of these, 46 were published since the 2009 review, including 41 from literature searches and 5 found by the contributing authors. After applying the exclusion criteria, 17 new articles 10,18,20,[23][24][25][26][27][28][29][30][31][32][33][34][35][36] were acceptable for review and added to the 13 articles 19,[37][38][39][40][41][42][43][44][45][46][47][48] reviewed in the original study. Thus, the total number of articles included in this updated review is 30.…”

“…Sixty articles were excluded according to the selection criteria (Table 4 and Figure 1). Reasons for exclusion are presented in 41 Case report MHS First clinical study about chiropractic care in MHS Case report of coordinated multidisciplinary treatment of a US Marine pilot with low back pain 2007, Dunn 42 Survey VA Compared academic affiliations, internship programs, staffing, physical plant properties Intern selection, duration, weekly hours, and number of interns at 4 VA chiropractic programs 2007, Dunn 43 Expository paper VA Proposed 6 strategies that could potentially help reduce wait times for appointments, encourage appropriate consultation requests from gatekeepers, optimize clinic efficiency, and maximize clinical effectiveness in an effort to improve the provision of the chiropractic benefit at VA facilities 2008, Dunn 45 Cross-sectional study VA Follow-up study to Dunn et al 40 16% of patients had a diagnosis of posttraumatic stress disorder 72% were seen for a lumbar complaint 2008, Green 44 Case report MHS Described a previously unreported type of sacral synchondrosis and chiropractic methods and multidisciplinary approach used to diagnose and manage a US Marine's low back pain 2008, Johnson 46 Explanatory paper MHS/VA Described integration of chiropractic services and the potential public health opportunities for chiropractors in military and veteran treatment facilities 2009, Dunn 47 Cross-sectional study VA Patients with PTSD experienced significantly lower levels of neck and low back pain and disability score improvement than those without PTSD, suggesting that the success of conservative forms of management for veterans may be limited by the presence of PTSD 2009, Passmore 48 Case report VA Described the use of spinal manipulation for a female veteran with a diagnosis of cervical angina 2009, Green 37 Explanatory paper MHS/VA Described how health care providers within MHS and VA treatment facilities refer to and work collaboratively with chiropractors who work at the same facility 2009, Green 20 Literature review MHS/VA Integration of chiropractic care into military/veteran health care is described in MHS, VA, and Canadian forces (continued) 10 Comparative analysis MHS/VA Identified 9 areas within MHS and VA chiropractic clinics where there are potential opportunities and threats to integration Provided historical comparison of evolution of chiropractic care in MHS and VA Noted that integrations has advanced in both MHS and VA Discussed how employee status has positively influenced integration (vs contractor) Noted collaborative working relationships between providers as opportunities for integration Noted that academic affiliations and training programs have contributed to integration and further development of these programs would likely strengthen integration in both systems 2009, Lisi 25 Cross-sectional study VA First nation-wide description of chiropractors and chiropractic clinics within VA Used a web-based survey of all ...…”

An Analysis of the Integration of Chiropractic Services Within the United States Military and Veterans' Health Care Systems

“…We are unaware of any contract that indicates that the chiropractor has time allocated for research activity. To the best of our knowledge, 4 articles ( Table 3) that represent education research efforts, 32 2 clinical case reports, 35,36 and 1 editorial on how chiropractic services are used within DoD and VA 37 have been published. A few doctors have mentioned efforts pertaining to conducting studies or endeavors to author articles, but we do not know the full extent of this activity.…”