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Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
June, 2006, Vol. 06, Issue 06
Eversion of the Foot
By Ben Benjamin, PhD
Question: What are the primary muscles that control eversion of the foot?
Answer: Peroneus longus and Peroneus brevis.
These muscles are located on the lateral aspect of the lower leg (Figure 1).The peroneus longus is a superficial muscle that originates at the head and upper two-thirds of the lateral surface of the fibula, as well as the adjacent intermuscular septa. Lying underneath the longus, the peroneus brevis is a shorter, smaller muscle originating from the lower two-thirds of the lateral surface of the fibula. The tendons of these two muscles run together behind the lateral malleolus. They are held in place by the superior peroneal retinaculum, a fibrous band anchored to the lateral malleolus and the calcaneus. If you evert your foot, you can feel the tendons pop out as they pass behind the ankle bone. They feel like one at this juncture because the longus is cradled into the brevis so they travel together as one unit. After this point, they go their separate ways. While the brevis inserts at the base of the fifth metatarsal bone, the longus extends obliquely through the foot to insert at the base of the first metatarsal bone and the first cuneiform bone.
When the foot is in dorsiflexion, the peroneus brevis is the prime mover in eversion; in plantar flexion, the longus plays the larger role. In addition to controlling eversion, these two muscles also perform other important functions. They contribute to plantar flexion of the foot, and they work together to provide lateral stability - keeping us from falling over on the lateral side of the foot and spraining the ankle. Working in conjunction with the posterior tibialis, which helps stabilize the medial side of the foot, they help us maintain our balance as we walk, stand, dance and run.
Question: What orthopedic assessment test is used to determine whether these muscles have been injured?
Answer: Resisted eversion.
To perform this test, place one hand on the medial aspect of the calcaneus and the other hand on the lateral aspect of the forefoot. Ask the person to resist your pressure as you push the forefoot medially. Note that in dorsiflexion, resisted eversion tests the peroneus brevis (Figure 2), and in plantar flexion, it tests the longus (Figure 3).
Click here for more information about Ben Benjamin, PhD.
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