Dr. Manison was published in the Journal of Chiropractic Medicine (JCM), one of the two medically indexed chiropractic journals. This is a huge accomplishment and he is very excited about this. Writing the paper and going through the editing process took about 100 hours of time. It was a very tough and humbling experience, and he is very happy with the end result.
Most clinicians, or field doctors, do not have the time or skill to write a paper for medical publication. Dr. Manison feels that it is important to continue to work hard to be the best doctor he can be as well as give back to the field. If there are no studies on the successes of chiropractic, it is hard to justify the care. The more those in the chiropractic field publish the good work we do, the better.
Dr. Manison would like to thank his wife and editor extraordinaire, Jennifer Hepps, MD, for her help with the paper. Dr. Hepps is very accomplished in her field and her insight and direction were critical to the success of his paper. When they say behind every man there is a great woman, this is truly the case!
Stay tuned as Dr. Manison will be working on another case study soon. The topic will be of a very different nature, but it should help to revolutionize how a particular condition is treated. Once this paper is published, Dr. Manison will aim to work with a few like-minded doctors on a Case Series.
We would include the entire study here but are not allowed to do so…however, please click the link below to view the abstract.
Low back pain is quite prevalent in our society and still, to this day, I see people doing sit-up exercises in the gym. Be they old or young or male or female, it doesn’t matter. For some odd reason, people still like to lock their ankles into a decline bench and then bend their bodies all the way. Many times, they’ll hold onto a weight for an extra effect…(I have no idea why they do this)….other times, they’ll have someone throw a medicine ball back and forth with them.
So, this begs the question…do these people really know what they are doing? What muscles do they think they are training? What muscles are they actually training? Are the exercises dangerous? For that matter, are the exercises beneficial in any way?
Those of us who exercise usually need some sort of guidance somewhere along the way. Whether we are training for a particular sport, strength, power, agility, endurance, or any combination of such, many of us have not had the proper training/instruction to take our bodies through the rigors of ‘tough’ training.
This is where a trained professional comes in. My other business, Pro Form Instruction, LLC, offers continuing education credits to fitness professionals for most of the major fitness certifying bodies in the country. It also has a branch that works with elite fitness instructors and high level athletes. I have seen my share of great trainers and those who can do more harm than good.
On this end, I see injuries due to ‘working out’ and also due to poor instruction from ‘fitness instructors’. It’s important to note that the more specialized the athlete, the more vital it is to have someone qualified to work with him/her, otherwise injury is sure to occur. Would you want a fitness instructor to advise long-distance running for an athlete whose sport doesn’t have any long-term aerobic needs? How about a young athlete being advised to do hundreds of crunches at a time…for what? Does any of this make any sense? Read More »
If you’re interested in a shoe to help you with toning up and you’re considering purchasing an expensive pair of one of those new and cool rounded shoes on the market, please read on.
Sketchers and MBT lead the way in this category with their ‘shaping’ shoes, or shoes that are supposed to help you tone up while you walk. In theory, this sounds great…work on an activity that should tone you up just by doing it, and tone up because of the footwear you choose versus the activity you are performing…and, of course, there is no downside?? Read More »
Within the last year or two, there have been significant additions to the ‘types’ of footwear available for athletes. Sketchers and MBTs have their ‘shape ups’ type of shoes and Vibram, the maker of soles for many shoe and boot companies, has come up with its own concept. (We’ll save the topic of shape-ups for the next discussion and you’re gonna wanna read it!!!) Vibram’s first foray into the shoe world comes in the form of a glove-looking neoprene withVibram sole product.
It is born from sound principles of gait and markets to the those looking to benefit from being as close to being barefoot as possible without actually being barefoot. Vibram’s FiveFingers might just be that product and they are certainly onto something. Read More »
I’ve had the great fortune of working many pro beach volleyball competitions over the years. As a whole, beach volleyball players are great guys/gals, and they really appreciate the care they receive. They are wonderful athletes to work with.
When one considers volleyball injuries, usually the shoulder is the region that gets blamed most. This makes sense as we usually envision volleyball players ‘spiking’ the ball. The rotator cuff and other structures of the shoulder take a beating from the high force and movement that is required of the shoulder…in many cases, the players have dysfunctional scapular movement to begin with and this predisposes them to injury…add that to frequent forceful acceleration and deceleration movements, and you have a nice recipe for injury.
What is sometimes surprising when working with volleyball players is seeing all the other injuries that they sustain as a result of the game. I have seen more neck, knee, hip, low back, toe, foot, ankle, and elbow injuries than I would’ve ever imagined! Shoulder injuries are actually about half of the way down on the list of injuries. Why is this? Read More »
I have been asked by a LOT of my patients who have this condition to write a blog about it…so, here we go…hope it’s informative!
Spondylolisthesis, generally considered to be an anterior slippage of parts of our vertebrae following a pars interarticularis (the region between the two facet joints) fracture or due to degenerative changes can be a very serious condition. In most all cases of the fracture type, it does not heal, and it can be a source of pain. I remember learning about this condition in school and thinking to myself, well, I’ll likely never see any of these…hopefully. I mean, how common is it to see spinal fractures? Certainly, these are are more-so orthopedic concerns than chiropractic ones, right? Read More »
Ankle sprains/strains are common injuries with athletes of all kinds. I see them with runners, triathletes, figure skaters, soccer players, volleyball players, basketball players, and more…proper treatment for these injuries is essential if the patient wishes to be able to continue with their activities at a competitive level.
Before we begin, we should differentiate between a sprain and a strain. Sprains involve ligaments and strains involve muscles. It is possible to have one without the other (example: hamstring strain).
The vast majority of ankle sprains/strains are what we call inversion sprains. This means that the ankle turns in. This type of injury can lead to damage to various structures, including muscles, ligaments, and even bones. Read More »
After successfully treating hundreds of plantar fascial pain (plantar fascitis or plantar fasciitis) patients who have tried other forms of treatment with limited or no success, I figured it’d be nice to write a blog about a different way to approach this problem. I expect my PT and podiatrist friends to disagree, but that’s okay…the more approaches we have to help patients, the better! I serve as the official chiropractor/rehabilitation specialist for the Baltimore and Frederick Marathons, and treat hundreds of triathletes, so I believe my over a decade of experience with related injuries is worth discussing. One thing to remember is that there is no single treatment protocol for any injury that works 100% of the time, but a different approach to plantar fascitis is warranted due to the high failure rates of current interventions. Read More »
Last year, Howard County Public Schools banned the use of flip flops. Apparently, the was an increased incidence of lower extremity injuries and the school system figured that by reducing flip flops, that the injury potential would be reduced…So, does this make sense or not?
Well, simply put, yes, it makes sense!
When you put on a thong/flip flop, you have to hold onto it with your big toe and second toe. This is something you don’t see with any other footwear products and for good reason…it’s not a natural thing to do. When you have to grip the thong, you are immediately changing your gait. This is a bad thing. This goes along with not having any strap or support around your ankle. The normal gait cycle involves heel strike with the lateral posterior portion of your calcaneus. The calcaneus bone is made for impact so we should use it for this. With flip flops, because you don’t tend to heel strike, you end up ‘flopping’ around and more or less hitting the ground with your mid-foot. The mid-foot is not made for impact…you can take a look at the bones of the feet to understand why this is. Read More »
