Critically Appraising Informed Consent and Stroke Risk: Assessing the Narrative Review by Brown & Lehman Written by: James Demetrious, DC, DABCO Introduction Informed consent represents a cornerstone of ethical healthcare practice, ensuring patient autonomy while striking a balance between professional responsibility and patient autonomy. For […]
Chiropractic Spinal Manipulation and Ligament Safety: Evaluating Force Thresholds and Clinical Risk Written by: James Demetrious, DC, DABCO Chiropractic spinal manipulation (CSM) has long been used for the treatment of musculoskeletal complaints, particularly those affecting the spine. Despite its demonstrated clinical utility and popularity among […]
Misrepresentation of Chiropractic and the Unfounded Link to Cervical Artery Dissection Written by: James Demetrious, DC, DABCO There Is No Proven Causal Relationship Between Chiropractic Spinal Manipulation and Cervical Artery Dissection (CAD) Yet another recent article presents a compelling narrative. It is essential to distinguish […]
Critical Assessment: “Motion Palpation: Guide or Guise? – A Clinical Commentary” Original Article: Williams et al. J Contemp Chiropr 2025;8:10–20. Review Written by: James Demetrious, DC, DABCO Overview This clinical commentary by Williams et al. offers a well-structured assessment of motion palpation as a diagnostic […]
Protecting Chiropractic from Bad Science and Bias Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist Following is a critical assessment of the article titled “Status migrainosus as the only manifestation of vertebral artery dissection due to osteopathic neck manipulation” by Romozzi et al. […]
Critical Review: Cervical Spine Manipulation and Vertebral Artery Dissection – A Rebuttal Grounded in Current Evidence Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist A recent article criticizing cervical chiropractic manipulation presents an emotionally compelling but scientifically selective narrative that links spinal manipulation […]
Radiology Errors Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist Radiology plays a pivotal role in diagnosing skeletal conditions, yet errors in interpreting musculoskeletal images remain a significant concern. Recent studies indicate that diagnostic inaccuracies in skeletal radiology persist, with error rates ranging […]
The Chiropractic Adjustment is Extraordinary Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist The Chiropractic Spinal Adjustment Fundamentally, the chiropractic spinal adjustment facilitates segmental motion to the impaired mobility of joint complexes. It improves physiologic and micro-environmental exchanges of oxygen, food, and waste. […]
Chiropractic Improves Discogenic Low Back Pain, IVD Structural Integrity and Biochemistry Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist The Identification of Chiropractic Biomarkers In their recent paper, Billham et al. offer a case report evaluating intervertebral disc (IVD) structural integrity and degenerative […]
The Bullseye Sign and Intervertebral Disc Resorption Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist IVD Protrusions and Extrusions The successful chiropractic management of large intervertebral disc herniations requires careful consideration. The complex multifactorial factors associated with the genesis, prevalence, clinical presentation, progression, […]
