Clinical Pearls

Chiropractic Grand Rounds

Chiropractic Grand Rounds Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist The Importance of Chiropractic Grand Rounds Grand Rounds have long been a cornerstone of medical education, serving as an essential platform for knowledge sharing, clinical discussion, and professional development. Rooted in the […]

The Chiropractic Adjustment is Extraordinary

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

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

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, […]

The Prevalence of Disc Herniation

The Prevalence of Disc Herniation Written by: James Demetrious, DC, DABCO Diplomate, American Board of Chiropractic Orthopedists Commonality In their paper published in the American Journal of Neuroradiology, Brinjikji et al. provide insight into the commonality of lumbar intervertebral disc herniation in asymptomatic individuals stratified […]

Modic Type 1 vs. Spondylodiscitis

Modic Type 1 vs. Spondylodiscitis Written by: James Demetrious, DC, DABCO Diplomate, American Board of Chiropractic Orthopedists A Degenerative Pain Source MRI provides unique visualization of physiologic responses associated with spinal degeneration. Modic Type 1 changes represent inflammatory reactions of the vertebral bodies that have […]