Top Story: Chiropractors Managing Chronic Hypertension
An Idea Whose Time Has Arrived
Alex Vasquez, DC, ND, DO
From my perspective, appropriate management of chronic hypertension relies on three primary premises: 1) Nutritional, lifestyle, and manipulative interventions should be the treatments of choice for essentially all patients with chronic primary hypertension. 2) As the only nationally licensed health care discipline with training in nutritional, lifestyle and manipulative interventions, the chiropractic profession should play a premier national role in the management of chronic hypertension. 3) Pharmacosurgical interventions are important for medical causes and recalcitrant cases of hypertension. Since premises #2 and #3 are founded upon or associated with premise #1, I will provide some substantiation here for premise #1.
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Other Top Stories and Articles
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. Once a patient suffers from low back pain, it is not uncommon for them to suffer additional bouts thereafter.
Read MoreResearch 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.
Read MoreChronic 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."1 When chronic pain is not associated with cancer or end-of-life care, it is often referred to as chronic non-cancer pain (CNCP); over the past 20 years, the use and misuse of opioids for CNCP has increased significantly.
Read MorePatients 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. Unfortunately, images alone do not provide the entire picture, of course, because several factors contribute to back pain.
Read MoreCauda 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 with severe low back pain, in 1 percent to 16 percent of those with lumbar disc herniations in general, and in 2 percent to 3 percent of those who require surgery for lumbar disc herniation.
Read MoreCurrent ChiroPoll
Approximately what percentage of your patients present with non-musculoskeletal complaints?
 | Less than 5% |
| 6%-10% |
| 11%-15% |
| 16%-20% |
| 21%-30% |
| 31-40% |
| 41%-50% |
| More than 50%
Click Here To Vote |
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