- Headaches
- Warts
- Arthritis
- FibromyalgiaLow energy lasers are widely used to treat a variety of musculoskeletal conditions including fibromyalgia, despite the lack of scientific evidence to support its efficacy. A randomised, single-blind, placebo-controlled study was conducted to evaluate the efficacy of low-energy laser therapy in 40 female patients with fibromyalgia. Patients with fibromyalgia were randomly allocated to active (Ga-As) laser or placebo laser treatment daily for two weeks except weekends. Both the laser and placebo laser groups were evaluated for the improvement in pain, number of tender points, skinfold tenderness, stiffness, sleep disturbance, fatigue, and muscular spasm. In both groups, significant improvements were achieved in all parameters (p<0.05) except sleep disturbance, fatigue and skinfold tenderness in the placebo laser group (p>0.05). It was found that there was no significant difference between the two groups with respect to all parameters before therapy whereas a significant difference was observed in parameters as pain, muscle spasm, morning stiffness and tender point numbers in favour of laser group after therapy (p<0.05). None of the participants reported any side effects. Our study suggests that laser therapy is effective on pain, muscle spasm, morning stiffness, and total tender point number in fibromyalgia and suggests that this therapy method is a safe and effective way of treatment in the cases with fibromyalgia.
- Plantar Fasciitis
- Cryotherapy® protocol. Both groups received identical cryotherapy, exercise and stretching programs. Pain level, mechanical finger power and grip strength were measured. There was a statistical difference between groups, in favor of the Graston Technique
- RheumatologyThe aim of this study was to investigate the analgesic efficacy of low power laser therapy in patients with knee osteoarthritis (OA). The study design was randomised, placebo-controlled and single blinded. Sixty patients with knee OA according to the American College of Rheumatology criteria were included and randomly assigned to three treatment groups: active laser with dosage of 3 J/per painful point, active laser with a dosage of 1.5/J per painful point and placebo laser treatment groups. A Gal-Al-As diode laser device was used as a source of low power laser with a power output of 50 mW and a wavelength of 830 nm. The patients were treated 5 times weekly with 10 treatments in all. The clinical assessments included Western Ontario and McMaster Universities osteoarthritis index (
- Pediatric CareClasses included: Anatomy, Physiology, Chemistry, Radiology, Diagnosis and differential diagnosis, Biochemistry, Microbiology, Cellular physiology, Spinal and extremity biomechanics, X-ray physics, Physical diagnosis, NMS pathology, General pathology, Ethics and jurisprudence, Obstetrics and gynecology, Pediatrics, Psychiatry, Chiropractic manipulation, Physiotherapy, Philosophy.
- Emergency CareIf you need care during these times, you can either leave a message, in which I will call you back after classes, contact another chiropractor, or present to the emergency room.
- Gynecology
- Obstetrics
- NeurologyModule 24 – Upper Extremity Neurology: Anatomy and Differential Diagnosis, Dr. Ron Fudela, National College of Chiropractic, Motion Palpation Institute, 21541 Surveyor Circle, Box 6100, Huntington Beach, CA 92615, (714) 960-6577, Sept. 19-20, 1998, 12 hours.
- Carpal Tunnel SyndromeLeg Length Inequality Repetitive Strain Injuries (RSI) Tendonitis / tendonosis Tennis/Golfer's Elbow Carpal Tunnel Syndrome Headaches (Cervicogenic) Thoracic Outlet Syndrome Myofascial Pain Disorder Spinal Stenosis Supportive Care / 'Tune ups' Maintenance Care / Prevention Coordination of Care
- Neurolysis
- Depression
- Psychiatry
- UltrasoundUltrasound of the extremity is a non-invasive imaging technique that uses high-frequency sound waves to evaluate the extremities (arms and legs), providing real-time, two-dimensional images. Extremity ultrasound is done with a standard B-mode ultrasonic imager with 5-10 MHz transducer. Longitudinal, transverse and oblique images of the area of interest are obtained. Ultrasound, echography and sonography are all terms that may be used interchangeably to describe this particular imaging technique.
- MRIMRI has become the standard of care for imaging a wide range of musculoskeletal disorders, the researchers noted. That preference has been reflected in growth rates for MRI in musculoskeletal imaging: MRI use increased 354% from 1996 to 2005, from 708 studies per 100,000 Medicare beneficiaries to 3,210 studies per 100,000 beneficiaries in 2005.
- RadiologyThat's according to a new study published in the Journal of the American College of Radiology by a multicenter group that includes imaging utilization watchdogs Dr. David C. Levin and Dr. Vijay Rao of Thomas Jefferson University in Philadelphia ( JACR, March 2008, Vol. 5:3, pp. 182-188). The lead author on the study was Laurence Parker, Ph.D., also of Thomas Jefferson.
- X-Rays
- OrthopedicsBeginning Sept 27, 2009, and continuing for a bit over 2 years, I will not be available for emergencies during the day on Saturday and Sunday for approx 1 weekend per month. I will be at Palmer College of Chiropractic pursuing my Diplomate in Chiropractic Orthopedics. I will post the dates as they come available.
- Sciatica
- WhiplashVertebral Subluxation Complex Sprain/strains Cervical Thoracic Lumbar Shoulder Elbow Wrist Hip Knee Ankle Whiplash Injuries Cervical Lumbar Wrist Headache Degenerative Arthritis Cervical Lumbar Extremity Prevention Herniated / Bulging Discs Cervical Thoracic Lumbar
- Arthroscopy
- Bunions
- Arthroscopy
- Knee Replacement
- Reconstructive SurgeryFlap survival with diode laser therapy: Skin flap or graft surgery are major procedures in plastic and reconstructive surgery. Skin flap necrosis has been a problem. The author reported on the enhanced blood flow following the low reactive laser therapy in skin flaps. The 830 nm diode laser (20 – 60 mw) irradiated flaps showed a greater perfusion, a greater number of blood vessels, and a higher rate of survival areas than the control flaps in the rat models and clinical cases. Improvement of wound healing with diode laser therapy: Diode laser therapy was indicated for traumatic skin ulcers from sport activities and traffic accidents which were resistant to conservative treatment. The diode laser system with a wavelength of 830 nm. and output power of 150or 1000mw in continuous wave was applied with the non-contact method to the area on the wound for one minute once a day every day during the treatment period. The diode laser was used successfully for the rapid enhanced healing of traumatic skin ulcers.
- Plastic Surgery
- Acne Treatment
- Frostbite
- LesionsLLLT has been largely used to treat several cutaneous lesions commonly associated with occlusive dressings to accelerate the healing process.
- Sports Medicine2. Reduced Swelling and Inflammation – reduced pressure on the lymphatic drainage channels allows better removal of fluids and other materials that collect in an injured area. This applies not only to sports injuries, but to other inflammatory conditions, including lymphodema (severe swelling of the extremities.)
- Physical TherapyAs far as my practice and philosophy, on the spectrum of chiropractic, I consider myself residing on the far end closest to traditional medicine 'mixer', versus the opposite end that considers chiropractic treatment the be-all, end-all of health care 'super-straight'. I see my purpose as first making an accurate diagnosis, then educating my patients on what is wrong with them, providing them with appropriate alternatives or referrals if necessary, and then utilizing all tools at my disposal to get them out of pain, restore stability, and then strengthen and rehabilitate them from their injuries. In addition to using only my hands to palpate and adjust, I utilize multiple physical therapy modalities as well as extensive rehabilitation based on the needs of my patients. As far as techniques, I use Diversified, Gonstead, and Thompson for the spine, and Mally Extremity techniques for the rest.
- Tennis ElbowA systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbow tendinopathy (tennis elbow)
- Slipped Disc
- Shoulder Pain
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- Neck Pain
- Back Pain
- Manual TherapyTreatment should be initiated early after injury, ideally within hours. Patients with neck injury who have delays in treatment have lower levels of improvement. A recent hospital study was conducted on 158 patients with cervical syndrome treated by manipulative therapy; the study concluded that if the pain was present for 6 months prior to initiation of treatment the patients’ recovery rate was significantly less than it was for those having pain for less than 6 months.
- TMJ DysfunctionDesigning a treatment plan, Activities of daily living, Chiropractic manipulative therapy, Deep tissue massage, Physical therapy modalities, Treatment of temporomandibular disorder, Maximum medical/chiropractic improvement.
- Orthotics and Prosthetic TherapyPatients indicating sacroiliac, lumbosacral and lower spine instability, foot pronation/supination, and knee/hip problems are good candidates for orthotic therapy. Orthotics come as an insert into your existing shoes, sandals, and complete shoe systems.
- Achilles TendonitisLLT and the results obtained after clinical treatment of >200 patients (headaches and facial pain, skeletomuscular ailments, myogenic neck pain, shoulder and arm pain, epicondylitis, tenosynovitis, low back and radicular pain, Achilles tendonitis) to whom the “trigger points” were applied were better than expected. It was also observed that rigidity decreases, mobility is restored (functional recovery), and spontaneous or induced pain decreases or even disappears, by movement.
- Ankle Sprain
- Bunions Problems
- Plantar Fasciitis