Month: February 2013

Low Back Pain, Modic Changes and Bacterial Infections

Modic changes are edema in the vertebral body, which can only be detected on magnetic resonance imaging (MRI) and are closely associated with low back pain. There is growing evidence their formation may be related to bacterial infection. Herniated discs may be susceptible to bacterial infection and these infections may cause Modic changes. In patients with Modic changes antibiotic treatment appears to reduce symptom severity, although alternative methods of treatment could be considered. In alternative medicine fungal infections have been linked with everything from allergies to arthritis (Kauffman...

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Assess, Treat, Re-assess: Applying The Clinical Audit Process

Intro The clinical audit process is the process of applying a test or multiple tests with a patient. Then applying an intervention or combination of interventions and then re-assessing the original test or tests. This process can be conducted over a period of minutes or months. It is an incredibly useful methodology giving you feedback on the effect of your treatment. Further, if a patient centred test is used the patient indicates the success of the intervention himself or herself and thus there is “buy-in”. Case Study A clinical example is shown below. The case history is edited to only the...

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The Complexities of Movement Specific Diagnosis in the Spine

Shirley Sahrmann’s (2002) movement diagnosis approach is undoubtedly one of the most clinically useful I have studied. She states that the patient’s directional susceptibility to movement or the path of least resistance is the direction the patient is most likely to get injured in. For example a patient with an increased lumbar curve, or extension dysfunction is more likely to get inflammation in the  lumbar spine facet joints than a patient with a reduced lumbar curve who is more likely to suffer intervertebral disc related pathology. In practical application there are more idiosyncrasies to...

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Calcium Dumping Syndrome

Calcium dumping syndrome is a traditional naturopathic concept and not recognised medically (Plaskett 2008). In naturopathy the condition is linked with arthritis, spondylitis, gallstones, renal stones and arterial atheroma. Naturopaths state that as a result of calcium dumping syndrome the symptoms of calcium deficiency can occur in the presence of ample dietary calcium. The result is that calcium is excreted from bone and either excreted or deposited in tissues throughout the body. Dietary calcium deficiency is very rare in the western countries. In India there is far less osteoporosis despite...

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