Quickie Consults #11-#15

BE THE SPINE EXPERT!

I just recevied this email in my box this morning.  Looking for opportunities and building relationships is critical to long term practice growth.  If you need help getting this rolling with the medical people in your community, call me.  I will be creating this presentation as the 2nd in the MD Lecture Series and submitting for CME ap.  This discussion will be on cervicogenic headache, below is the outline.  These will be 20-30 minute talks on two separate shifts.

Dr. Owens,

Linda, our nurse manager loves this idea. We feel doing something for the nurses themselves is a good way to start the inservices this year. Let me know what dates you had in mind and I’ll set it up. Thanks so much for thinking of the NICU.

Barbara W. Storey MSN, NNPClinical Nurse Educator, NICUWomen and Children’s Hospital of Buffalo

Neck and Head Pain – a self care approach

Introduction –

Discussion of the various causes of head and neck pain.  Natural history and basic anatomy of the head and neck.  Ominous etiologies will be covered, including arterial and venous.  Insidious vs. traumatic onset will be noted.

Headache –

Review of pain generating structures of the neck including muscle attachments.  Blood supply as well as central and nervous system pain generators will be reviewed.

Neck Pain –

Review of basic neck anatomy and pain generating structures.  Blood supply as well as central and nervous system pain generators will be reviewed.  The neck as a source of head pain will be introduced.

Avoidance and Self Care –

Pain patterns of cervicogenic headache will be reviewed.  Identification of taut bands and trigger points will be outlined.  Group participation for 1-2 minutes as we look for these conditions on co-workers.  Self triage will be emphasized as well as safety of documented treatments.

Question and comments –

2010 Outstanding Paper: Medical and Interventional Science

The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) Study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain

The Spine Journal 10 (2010) 1055–1064

PURPOSE:

To determine if full CPGs-based study care (SC) results in greater improvement in functional outcomes than family physician–directed usual care (UC) in the treatment of AM-LBP.

STUDY DESIGN/SETTING:

A two-arm, parallel design, prospective, randomized controlled clinical trial using blinded outcome assessment. Treatment was administered in a hospital-based spine program outpatient clinic.

CONCLUSIONS:

This is the first reported randomized controlled trial comparing full CPG-based treatment, including spinal manipulative therapy administered by chiropractors, to family physician–directed UC in the treatment of patients with AM-LBP. Compared to family physician–directed UC, full CPG-based treatment including CSMT is associated with significantly greater improvement in condition-specific functioning.

 

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