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VOLUME 3, NUMBER 4
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In This Issue
Steps to Successful Rehabilitation, Part 2
Recovering patients and even elite athletes often skip these activities and go straight to their primary workout. The activities are slow, tedious, and they do prolong an exercise session.
Patellofemoral Syndrome: Don't Overlook the Hip
Patellofemoral syndrome, also known as "runner's knee," is a common knee condition that presents to chiropractic offices. Most often, exercise is prescribed for patellofemoral syndrome, along with advice on education, home exercises and avoiding aggravating factors.

Chiropractic and Public Health: Understanding and Influencing the Determinants of Health
Most of us have had patients tell us we have helped them beyond the reasons why they originally entered our offices. As health practitioners, we know there is not just one, but rather multiple factors that impact health.

Pro-Solutions Settles With Texas DC
Following the first "cross-action" filed against Pro-Solutions in May 2009 in Texas,  there are now reported actions in Iowa, Washington and Florida involving the company and its president and CEO, Dr. Maurice "Moe" Pisciottano.
Nutrition for Prostate Cancer: Research Review
Doctors encourage men over age 50 (and in cases of relevant family history or African-Americans, beginning at age 40) to have an annual prostate specific antigen (PSA) test for early detection of prostate cancer.

Caught in the Web: Patient Reliance on the Internet for Health Information
My patient described his symptoms to me: fever that waxed and waned for over a week, general body aching, headache, stiff neck and fatigue. He had done his own research on the "Web," searching the best health and medical sites, and had come to a conclusion as to what disease was causing his suffering.
When Is an MRI Necessary?
Patients often ask for specialized imaging to determine the extent or cause of neck and low back pain. Some patients come in touting MRIs with proof of disc bulges and/or herniations. Others have back pain and want to be imaged right away.
Posture Evaluations, Part 2: Forward Head and Forward Shoulder
According to Dr. Al Sears, muscle is the first physical sign of aging, in the sense that people who age well are often well-muscled, which protects them from age-related ailments including pain and disease. 
A Wellness Plan for Your Chronic Back Pain Patient
We all have heard/read that low back pain has a dramatic influence on our economy. It leads to lost productivity, disability and increased health care costs. The prevalence of low back pain in the working population ranges from 15 percent to 34 percent, depending on the country.
A Three-Step Process for Enhancing Golf Performance
Research studies confirm the importance of postural balance on effective biomechanical results. In a study on the effects of orthotic intervention on balance and proprioception among experienced golfers, data suggested a relationship between exercise and changes in standing balance and proprioception.
Research in Review: Cauda Equina Syndrome
Cauda equina syndrome (CES) is a rare yet serious condition that most chiropractors will encounter at some point in clinical practice. Although the exact prevalence of this condition is difficult to establish based on the current literature, it has been reported that CES occurs in only one of 2,000 patients.
Chronic Pain and Self-Care
Chronic pain has been defined by the International Association for the Study of Pain as "pain that persists beyond normal tissue healing time, which is assumed to be three months." When chronic pain is not associated with cancer or end-of-life care, it is often referred to as chronic non-cancer pain (CNCP).
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