What is a Chiropractic Neurologist?
A chiropractic neurologist is a doctor of chiropractic (or the equivalent) that has taken 300 post-doctoral hours of coursework in clinical neurology and passed rigorous examinations required for certification by a neurology credentialing body. These include the following:
- American Chiropractic Academy of Neurolgy (ACAN)
- American Chiropractic Neurology Board (ACNB)
- American Board of Chiropractic Neurology (ABCN)
- International Board of Chiropractic Neurology (IBCN)
- International College of Chiropractic Neurology (ICCN).
Neurologists board certified with these designations are called diplomates, since they hold a diploma from these credentialing bodies.
The chiropractic neurologist possesses special training in the field of neurology and uses this extra training for the benefit of their patients. Due to their extra training, they are more suited to manage complicated spine and pain syndromes than a primary care chiropractor. They use a variety of treatment modalities including the technique of spinal manipulation as well as other sensory-based modalities to bring about improvements in health.
Chiropractic neurologists do not prescribe medications although they may recommend special nutritional supplements as part of a treatment regimen. As with other doctors, the chiropractic neurologist will make referrals for testing or invasive treatment when indicated. Chiropractic neurologists collaborate with a wide range of healthcare professionals and researchers.
Good article
Rick, Thanks for posting this interesting article. I will read in more detail but it still got me thinking about the mechanics of cerebral auto regulation of blood flow and how a concussion may somehow disturb this this. So for others who may be interested, I came across a good article discussing the basics of cerebral blood flow. See link:
http://www.ncbi.nlm.nih.gov/books/NBK53082/
Like the cbf tbi article. It seems that we can assess return to play via arterial spin mri & assessment of cbf & inflammation. Does this correlate with axial myelin degeneration?
Like this study. It correlates with other studies that show increased oxygenation of brain with exercise improves cognitive efficiency and supports the limited period of rest in post concussion period
David. Thank you for the post and article link. I have obtained it and will read in more detail.
This is a very interesting study. It reveals that this could be a 2 way street. What comes first the chicken or the egg: Certainly it confirms the anecdotal clinical response we have seen in IBS and CD patients.
Very interesting and informative case
Does the article speak to the effect of Omega 3 on the inflammatory cascade?
I did obtain a copy of this full article. Very nice outline of the cellular pathology involved, He does address the effect of Omega 3 on the inflammatory cascade and also outlines the hypometabolic state with decrease glucose utilization.
Interesting point. I will have to share this with my interns.
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This is interesting given the fact that concussion disorders have inflammatory process as the initial phase which, if left untreated, can cause excitotoxicity and neuronal damage to secondary areas of the brain. MD’s often prescribe Tylenol, but some hesitate to prescribe ibuprophen due to the risk of promoting bleeding. The study fails to specify which NSAIDs were looked at and only looked at it as being combined with anti-depressants. . So as an all encompassing NSAID study we can not draw to much of a general conclusion. Another study (Johnsen SP, Pedersen L, Friis S, et al. Nonaspirin nonsteroidal anti-inflammatory drugs and risk of hospitalization for intracerebral hemorrhage: a population-based case-control study. Stroke2003;34:387-91.Abstract/FREE Full Text) found that there was no relation to non-aspirin NSAID to intracranial bleeding. Either way, the recommendation for 1000mg of Omega 3 seems to be the safest alternative. However, i would like to see a study of incidence of Ibuprophen and intracranial bleeds.
Interesting article. Has now gotten me thinking about other aspects of B12 deficiency that go beyond peripheral neuropathy, such as depression, immune dysfunction, spinal cord damage, etc. Thanks. RDF
Dr. Dwain. Thank you for the post. Just finished reading the article. So much more to be learned.
Atta boy, Ron. Great job!
Dr. Fudala, Thanks for sharing such a timely and interesting article.