Recognition of Vertebral Artery Dissection in a High-Risk Postpartum Patient by a Chiropractic Physician Written by: James Demetrious, DC, DABCO Introduction Vertebral artery dissection (VAD) is an uncommon yet potentially catastrophic vascular event that often eludes timely recognition. Its presentation may mimic benign conditions, and […]
Protecting Chiropractic and Patients: Validation Written by: James Demetrious, DC, DABCO In a recent PostGradDC Clinical Pearl post, I authored Protecting Chiropractic from Bad Science and Bias, offering a brief critique of the recent paper by Romozzi et al. [1] Although my post was informal […]
Why Cone Beam Computed Tomography is Within the Scope of Chiropractic Practice Written by: James Demetrious, DC, DABCO – Chiropractic Orthopedist The following excerpt is from the White Paper I submitted to the North Carolina Board of Chiropractic Examiners (NCBCE), advocating for the inclusion of […]
Upholding the Standard of Care: The Chiropractor’s Appropriate Emergency Referral in the Tragic Case of Jonathan Buckelew Written by: James Demetrious, DC, DABCO The tragic outcome of Jonathan Buckelew’s vertebral artery dissection and subsequent locked-in syndrome is a sobering reminder of the vital importance of […]
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 […]
Clinical Judgment and the Standard of Care: Navigating Chiropractic Practice Review Written by: James Demetrious, DC, DABCO In the complex ecosystem of modern healthcare, the *standard of care* is a foundational concept, often defined as the level and type of care that a reasonably competent […]
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 […]
