JACA Online

FOCUS
The Abnormal Gait: Part I
By Carol Marleigh Kline, JACA Online editor
Dr. Tom Michaud says nearly two million runners will fracture at least one bone and 50 percent will suffer an overuse injury that prevents them from running—but the advice MDs often give these athletes is outdated or incorrect. Learn what chiropractic and the latest research bring to the table. Full Text >>

FEATURE
Hierarchy of Evidence Awareness Saves Time
By Christopher Roecker, DC
We doctors of chiropractic often say there is insufficient evidence to support what we do. While this criticism may be true for some of the conditions DCs help manage, much evidence exists suggesting chiropractic is as effective as—or better than—other conservative management options. This article helps DCs streamline the process of weighing the evidence. Full Text >>

The Symptomatic Face: An Algorithmic Approach to Diagnosis
By David J. Schimp, DC, DACNB, DAAPM
A patient who presents with facial symptoms in isolation or as part of a broader clinical picture warrants a thorough and timely investigation. In the majority of cases, facial symptoms reflect an underlying disorder that requires proper diagnosis and management. Such disorders often require urgent intervention. Full Text >>

Ethics: Ignorance Is No Excuse
By Mark Crawford, contributing writer
In December 2011, Marc Kirshner, a 46-year-old DC in Connecticut, pleaded guilty to $1.7 million in insurance fraud related to billing issues. Stephen M. Perle, DC, MS, and professor of clinical sciences at the University of Bridgeport College of Chiropractic, says fraudulent billing is the most common ethics violation that doctors of chiropractic commit. Full Text >>

Journal Abstracts
By Linda Zange, DC, DABCO
Several open-access journal abstracts provide the profession with important insights into the latest studies. Full Text >>

PATIENT EDUCATION
Understanding MRI
By Caitlin Lukacs
A survey of the top 25 internists in the United States found that Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) were rated No. 1 as the most important development in medical science in the previous century. So what does this mean to chiropractic patients? For one thing, unlike X-rays, MRI does not expose patients to radiation. Full Text >>

EVIDENCE IN ACTION
My Patient Has Fibromyalgia Syndrome (FS)—What Can I Do?
By Michael Tunning, DC, ATC, and Casey Crisp, DC, MS
A young woman comes to your practice with a complaint of FS.
Our patient is a 43-year-old female who is seeking chiropractic help with her fibromyalgia. Previously, she sought care from her medical doctor. She is tired of medications that haven’t been of much help. Exercise has helped a little. Full Text >>

BOOK REVIEW
Human Locomotion: The Conservative Management of Gait Related Disorders
Reviewed by Ted Forcum, DC, DACBSP, FICC
This text is a substantial upgrade from Dr. Thomas Michaud's previous edition. It can be considered a bible for the biomechanically oriented practitioner who is dealing with gait mechanics. Other texts are far outdated, overbearing in breadth, and require more caffeine than is humanly possible to consume in order to wade through them.  By contrast, Dr. Michaud’s text is both interesting and eminently applicable. Full Text >>