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A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
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.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
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.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
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 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.
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.
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.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
April, 2010, Vol. 10, Issue 04
Pain Caused By Low Back Ligaments
By Ben Benjamin, PhD
Q: An injured sacrotuberous ligament can cause pain down the back of the leg. True or false?
A: True. This is its referred pain pattern. The sacrotuberous ligament is a thin, fan-shaped structure that runs obliquely downward from the posterior-superior and posterior-inferior iliac lines and the lateral margins of the sacrum and coccyx, inserting on the ischial tuberosity of the pelvis (the bone you sit on). (Figure 1)
Each structure in the low back has a specific referred pain pattern associated with it (Figure 2). For example, the sacroiliac ligaments generally refer pain straight across the lowest portion of the back. The ilio-lumbar ligament refers pain on one side of the low back across the top of the ilium, the lateral hip, and the groin area. The sacrotuberous ligament has a distinctive pattern. It refers pain down the central portion of the back thigh, and if more severe, down the central portion of the calf into the heel. This injury is frequently confused with a hamstring injury when the pain is felt only in the lower buttock and down the back of the thigh.
There are a few easy steps to check whether this type of pain is originating in the hamstring or in the sacrotuberous ligament. First, have the person bend forward with the knees straight. Note the pattern of pain. Pain down the back of the thigh can be caused by either structure, but only the sacrotuberous ligament refers pain into the calf.
Now, have the client lie down and hold the knee at a 90° angle. Ask them to pull the heel toward the buttock as hard as they can while you resist with equal force (Figure 3). If this test is painful in the hamstring region, you know there is a hamstring injury, because resisted tests place stress on muscles and tendons, not on ligaments.
If you suspect an injury to the sacrotuberous ligament, a final step in assessment is direct palpation. Injury to this structure usually occurs at the lateral margins of the sacrum, rather than the attachment to the ischial tuberosity. You can access the ligament with the client lying prone, but it is more easily accessible with a client in a side-lying position with the knees drawn up.
Click here for more information about Ben Benjamin, PhD.
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