First Last, D.C.

Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment neuropathy, meaning the compression of a nerve beyond the brain and spinal cord. In this case, the median nerve is compressed as it passes through the carpal tunnel of the wrist, which is comprised of eight small carpal bones that form the roof and [..]

While treatment guidelines recommend exhausting conservative approaches—such as chiropractic care—before considering surgery, this doesn’t always happen. In fact, hundreds of thousands of surgeries for low back-related conditions are performed each year in the United States alone, and it’s estimated that—depending on the criteria used—between 4% and 50% of patients may continue to report ongoing low [..]

When patients present with low back pain (LBP), they usually move slowly, and they often can’t stand up straight. Even a simple task such as bending over may cause them to grimace and even require the use of their hands pushing on their thighs to return upright. These are classic signs of lumbar instability to [..]

The Important Diagnostic Contributions of R. Glen Spurling, MD  Default Thinking The 1989 movie “The War of the Roses” starred Kathleen Turner and Michael Douglas. In the movie, there is a scene at a restaurant where character Oliver Rose, played by actor Michael Douglas, has an episode of chest pain. The immediate suspicion by Mr. [..]

Osteoporosis is characterized by the depletion of bone mineral mass combined with bone micro-architecture deterioration that results in greater bone fragility leading to increased fracture risk. It’s estimated that 10 million adults in the United States have osteoporosis and another 44 million are at serious risk for the condition.  Incredibly, just a 10% loss of [..]

Tennis elbow, or lateral epicondylitis, is a painful condition that occurs when tendons that attach to the elbow become overloaded. While tennis elbow can be caused by a known traumatic event, it’s more likely the result of microtraumas spread out over time that can be difficult to identify. Because of this, symptoms can come on [..]

The World Health Organization reports that falls are a significant global public health issue. In fact, each year 37.3 million falls are severe enough to require medical attention, and falls are the second leading cause of unintentional injury and deaths. For an older adult, a non-fatal fall can lead to serious injury that can result [..]

Neck pain is among the most common reasons patients visit a doctor’s office. In nearly all cases, neck pain is not a sign of a potentially life-threatening issue and can improve over time with appropriate care, such as manual therapies provided by a doctor of chiropractic. However, there are some conditions in which neck pain [..]

It is estimated that up to 50% of whiplash associated disorders (WAD) patients will continue to experience persistent symptoms for a year or longer after their motor vehicle collision, sports collision, or slip and fall. One of the most frequent complaints—affecting nearly seven-in-ten chronic WAD patients—is dysregulation of balance or dizziness. Balance is complex and [..]

Low back pain is the most common musculoskeletal complaint, and it is the leading cause of activity limitation and absenteeism from work. There are many treatment options available to the low back pain patient, including surgical procedures. But when is surgery appropriate and in what cases should it be avoided? Generally, clinical guidelines don’t recommend [..]