British Journal of Chiropractic (United Kingdom)

It is important for the chiropractor to be able to determine the nature of the pathology discovered on plain film radiography, and to suggest appropriate follow-up investigations, deemed to be clinically appropriate. This case demonstrates the value of plain-film radiography in diagnosing a rare sclerosing bone dysplasia, which in 10–15% of affected individuals is associated with articular pain and swelling. However, the demonstration of the lesions on CT is unusual, in so far as plain-film radiography is the gold standard by which to diagnose this condition.

Michelle Wessely

The British Journal of Chiropractic

Osteopoikilosis mimicking lumbar disc herniation: a case report

骨斑病模拟腰椎间盘突出症：一例报告

Jenni Bolton

The assessment of pain; how much does it hurt?

疼痛评估：有多痛？

Klippel-Trenaunay syndrome (KTS) is a rare congenital disorder which consists of a triad of symptoms. These include a port wine stain of cutaneous capillary malformations, hypertrophy of tissue on the affected side and venous and lymphatic malformations and abnormalities. The musculoskeletal involvement is an important manifestation of this disease which affects normal patients function. Each case is unique with a multitude of variations being perceived in patients with KTS. Radiologically demonstrable bone change is found in the vast majority of cases, 74% of which affects the lower limb. At present there is no known cure for Klippel-Trenaunay syndrome. This report discusses Chiropractic assessment and management of a patient who presented with typical lower limb signs of Klippel-Trenaunay syndrome.

George Carruthers

Radiological evaluation of a known leg length inequality in Klippel-Trenaunay syndrome

Klippel-Trenaunay综合征中已知下肢长度不等的影像学评估

The biopsychosocial concept emphasises human illness rather than disease, Waddell and others have argued for a biopsychosocial approach to low back pain, encouraging patients to develop coping strategies in contrast to the traditional medical model which allows patients to take on a sick role. It has been suggested that patients should be assessed early on for psychosocial ‘yellow flags’ which increase the prognostic risk of chronicity. Assessment may be made using clinical assessments or questionnaires. The advantages and disadvantages of both are discussed as well as the practicality of using both in tandem. Both objective findings and subjective reporting should be investigated, in order to develop a complete overview of the patient's condition. It is important to identify patients who are at risk of not recovering from acute pain and to convert these patients to ‘pain copers’ rather than pain avoiders

Jan Krir

The importance of psychosocial aspects in clinical assessment

临床评估中社会心理方面的重要性

Kim Humphries

A new mechanism for head/neck pain

头颈部疼痛的新机制

Skeletal radiology: Atlas of the spine and extremities

骨骼放射学：脊柱与四肢图谱

Gilbert Méal

Chiropractic management of chronic illness behaviour

慢性疾病行为的手法治疗管理

Chiropractic: to evidence-base or not? An inaugural lecture

脊椎推拿疗法：是否基于证据？就职演讲

Kathleen L. Linaker

Chiropractic radiology: case challenge

脊椎放射学：病例挑战

An elderly gentleman with chronic neck pain presented with several relative contraindications to chiroprattic treatment, including hypertension and previous cancer. The patient was treated for one month using post-isometric muscle relaxation methods prior to low force chiropractic adjustment of the spine. One month after starting treatment, cervical lateral flexion and rotation increased between 200% and 300% and the neck disability index improved from moderate disability to mild disability. These improvements were largely maintained at three- and six- month follow-up visits, and were associated with improvements in the physical functioning and social functioning components of the medical outcomes short form 36 (SF 36) questionnaire. This conservative approach may prove useful for treating the ageing cervical spine.

Ian Johnson

Low force chiropractic adjustment and post-isometric muscle relaxation for the ageing cervical spine: a case study and literature review

低力道脊椎矫正与等长肌放松对老化颈椎的影响：个案研究与文献综述

Publication Information	Publisher: College of Chiropractors，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1997，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:

British Journal of Chiropractic (United Kingdom)

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