Vestibular Rehabilitation by Susan Herdman
Keyword; causes of dizziness, chiropractic stroke, benign paroxysmal positional vertigo.
The dizzy patient quite regularly appears in the chiropractic office. They have heard down the health grapevine that an adjustment of the neck can fix the spinning world.
That, you would think, would please chiropractors. Yes, it does but, and it's a very big but, with the recent prominence given to chiropractic stroke, extremely rare though it may be, many chiropractors have become increasingly anxious about giving that much needed adjustment to the patient suffering from vertigo.
A recent survey of 29 000 patients with neck related conditions revealed that 70 percent plus stated confidently that they obtained immediate relief, but 4.8 percent stated that they had worsening of symptoms. A analysis of this small group showed that many had presented with dizziness.
Are there others causes of dizziness and alternative ways to manage the dizzy patient? Safer ways; is dizziness always cervicogenic?
Susan Herdman's authoritative compilation of articles by more than twenty experts in the field, now in its third edition, is a must on every chiropractor's desk, if he or she wants to treat the patient suffering from vertigo. Yes, there's a difference between vertigo and dizziness. Is the patient also experiencing nystagmus?
Imagine a simple technique that can be done in the chiropractic clinic that can safely and quickly address vertigo? Called the Epley manoeuvres, these techniques are a must in every chiropractor's toolbox.
This is particularly true with the new emphasis on neurology in the profession.
Perhaps even more important, a simple test called the Hallpike Dix manoeuvre that can quickly establish that this is not a patient to adjust the upper cervicals; not initially anyway.
Now that Chiropractic Neurologists are finding many convincing scientific explanations as to why chiropractic works, there appears to be a shift towards giving neurology more prominence in our Chiropractic Philosophy lectures.
For doctors of chiropractic only.
To apply for a free five email course that will guide you step by step though the testing proceedure for BPPV, please follow this link. It is only open to doctors of chiropractic. Please fill in your college, and date of graduation. It's free to chiropractors. HALLPIKE DIX TEST
For the second short course, again only for chiropractors, which consists of four free emails on the Epley maneuvers which are used in the treatment of Vertigo, please register here.
Chapters in this easy to read book, include:
This is a book that one can dip into, easily find what is useful and relevant to the chiropractor. Well laced with easy to follow pictures, this is one of the best texts that I have bought in recent years. I wouldn't be without it on my shelf.
More USEFUL LINKS
Many insurance companies now only pay for physical therapists to provide a chiropractic adjustment; that's in the face of powerful research proving that inclusion of DCs to perform their own technique would save them a good deal of money. One has to conclude that political medicine has gone off on another tack to contain our profession.
It's being successful with some doctors of chiropractic quitting. Others become involved in some dodgy practices, like demanding that patients sign up for a whole year of treatment in advance, in order to stay in business.
In recessionary times, the going is tough when the insurance won't pay.
Is the day approaching for a new Wilk versus the AMA and the insurance companies?
The chiropractic profession has tried hard to stay on the moral high ground; those who stoop to unscrupulous practices need to be exposed and disciplined if we are not to stoop to the low blows that medicine has often resorted to contain and eliminate us.
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