Clinical Chiropractic RSS feed: Current Issue. As an international, peer reviewed journal, Clinical Chiropractic aims to enhance the standards and quality of the practice of chiropractic by providing authoritative information of use to the clinical chiropractor in development of their professional career; clinical skills and performance; and ability to deliver optimal patient care. It further seeks to improve the level of knowledge about chiropractic and ensure its widest dissemination. The journal utilises the double-blind peer review process. The Editor welcomes the following types of article for publication, provided they are deemed to be of relevance, benefit or interest to the clinically practicing chiropractor: • Best Evidence Topics • Book Reviews • Case Challenge • Case Reports • Case Reviews • Clinical Audits • Clinical Procedures • Commentaries • Conferences - reports and abstracts • Editorials • Indices of academic works produced by associations or academic institutions • Letters to the Editor • Literature Reviews • Original Articles • Preliminary Studies • Resource Documents • Special Reports • Technical Reports http://www.clinchiropractic.com/?rss=yesElsevier Inc.en © 2010 Published by Elsevier Inc. All rights reserved. Clinical Chiropractic1479-2354124December 2009 © 2010 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.clinchiropractic.com/article/PIIS147923541000009X/abstract?rss=yesEditorial Board10.1016/S1479-2354(10)00009-XClinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5iihttp://www.clinchiropractic.com/article/PIIS1479235410000064/abstract?rss=yesList of Reviewers10.1016/j.clch.2010.02.003Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5127127http://www.clinchiropractic.com/article/PIIS1479235410000027/abstract?rss=yesA 41-year-old female patient presented with neck and mid-thoracic discomfort. Following the clinical history and examination, imaging of the cervical spine was performed (a and b).Middle life neck pain: Case presentationM.A. Wessely, T.J. Mick, J.R. Brandt10.1016/j.clch.2010.01.001Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5Case Challenge128129http://www.clinchiropractic.com/article/PIIS1479235409001126/abstract?rss=yesSummary: Objectives: Nursing is a profession with high incidence and prevalence of back pain. The nursing literature demonstrates the efforts that have been made to try to reduce the back pain problem, such as moving and handling training and the provision of handling aids. While such preventative approaches are necessary and most welcome, they have yet to live up to their promise of significantly reducing back pain rates, hence a sizable proportion of nurses can be expected to seek care for their back pain. There are a number of primary care healthcare providers offering back pain treatment but little is known about nurses’ healthcare seeking behaviour. It is desirable to know what care nurses are accessing and what impact the choice of practitioner has on sick leave.Methods: A researcher-designed survey of 205 nurses working in various wards at two NHS District General Hospitals.Results: The findings of this study broadly confirm the high levels of back pain in nursing, with a one month prevalence of 54.1%. Lifetime prevalence was 77.6% which represented a six times (RR 6.3, 95% CI 4.4–9.3) increased risk of back pain from the pre-nursing prevalence of 12%. Overall, the most popular healthcare practitioner for treatment was the general practitioner while, for most recent episode of back pain, physiotherapy was the most popular, followed by general practice then chiropractic. Nurses at hospital 1 were significantly more likely to visit a chiropractor, while nurses at hospital 2 were significantly more likely to visit a physiotherapist.Conclusions: Differences in healthcare seeking between hospital samples serve to highlight the issue of treatment costs. While both samples felt cost to be the main barrier to seeking chiropractic care, nurses at hospital 1 were seeking such care significantly more than nurses at hospital 2, and this may be explained in part by the presence of a chiropractic college near hospital 1 offering reduced price care. Healthcare seeking differences were not associated with any differences in sick leave rates between hospital samples. It was not possible to determine the effect of healthcare practitioner choice on return-to-work rates.Back pain and associated healthcare seeking behaviour in nurses: A surveyJonathan Branney, Dave Newell10.1016/j.clch.2009.12.002Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5Original Paper130143http://www.clinchiropractic.com/article/PIIS1479235409001102/abstract?rss=yesMrs. E, a health visitor, presents with her three - and-a-half-year-old son, complaining of his recurrent episodes of afebrile bilateral earaches, more frequently left- than right-sided, since the age of 6 months. These episodes have typically been without discharge or overt signs of infection but they have recently increased, both in frequency and duration. There has been some concern for the hearing acuity in his left ear. His general practitioner has diagnosed the condition as chronic otitis media, and for the past 7 weeks he has repeatedly prescribed 5-day courses of 125mg amoxicillin. This has mildly but ineffectively alleviated the symptoms. A referral appointment has been made for an ENT opinion regarding myringotomy and tympanostomic tube insertion. The child is otherwise healthy, thriving and has a normal weight gain and is apparently current for developmental milestones. In a professional capacity, Mrs. E has been referring paediatric patients to your chiropractic clinic for several years; and she now asks whether your conservative chiropractic care for her son might obviate the need for surgical intervention.Does manual therapy such as chiropractic offer an effective treatment modality for chronic otitis media?Jason M. Leighton10.1016/j.clch.2009.11.001Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5Best Evidence Topic144148http://www.clinchiropractic.com/article/PIIS1479235410000039/abstract?rss=yesA 41-year-old female patient presented with neck and mid-thoracic discomfort. Following the clinical history and examination, imaging of the cervical spine was performed. An accessory joint is noted between the occiput and C1, with a bony excrescence extending superiorly from the transverse process of C1, an epitransverse process (a–c).Midlife neck pain: Case discussionM.A. Wessely, T.J. Mick, J.R. Brandt10.1016/j.clch.2010.01.002Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5Case Challenge149153http://www.clinchiropractic.com/article/PIIS1479235409001114/abstract?rss=yes Making a diagnosis of headache is a common and challenging feat. Unlike other diagnosis, there is not a single diagnostic test that can confirm the most common types of headache. The result is that most diagnosis is made primarily based on the history. This can be quite challenging when multiple headaches can co-exist and the underlying causes are not obviously evident.Chadwick Chung10.1016/j.clch.2009.12.001Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5Book Review154155http://www.clinchiropractic.com/article/PIIS1479235410000180/abstract?rss=yesContents of Volume 1210.1016/S1479-2354(10)00018-0Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5157159http://www.clinchiropractic.com/article/PIIS1479235410000192/abstract?rss=yesAuthor Index to Volume 1210.1016/S1479-2354(10)00019-2Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5160160http://www.clinchiropractic.com/article/PIIS1479235410000209/abstract?rss=yesKeyword Index to Volume 1210.1016/S1479-2354(10)00020-9Clinical Chiropractic 12, 4 (2009)2009-12-01Clinical Chiropractic2009-12-01124S1479-2354(10)X0002-5161161