(Keywords: research proposal topics, chiropractic help, persuasive research topics, good research topics )
Research can turn an anecdote into scientific fact. It all starts with an observant human being. He or she notes something interesting or odd, or at variance to what s/he expected.
History is full of such people. The giants like Madam Curie, and Rontgen and Galileo, but today there are many millions of unknown people contributing to their own persuasive research topics.
It all starts with an observation.
It's now totally accepted in the scientific community that anecdotes like: I took 1000mg of vitamin c for three days and it cured my cold, or I have three friends who will swear on the bible that if they stop their glucosamine chondroitin sulphate pills their pains get worse, have absolutely zero worth; zilch.
Or, I went to the chiropractor and she cured my lumbar stenosis, or my this or that, it's all worthless.
# Sacroiliac joint case file
I have personally noted that in what I call failed total hip replacement surgery, usually for hip arthritis, which I and I'm sure all chiropractors see regularly in our clinics; that the sacroiliac joint anatomy often remains locked, fixated like it's set in concrete. This needs to be tested.
This sacroiliac joint case file below is simply an anecdote. What is the frequency of this concrete fixation? Is it on the same side? Are there other signs? Are the sacroiliac joint tests positive? Does chiropractic have a contribution to make? There are so many research proposal topics that we could and should test.
Having said that, it's vital that we use honest science to underpin our theories. Murky science only muddies the water and brings both scientists and their professions into disrepute.
The sacroiliac joint is a prime mover as is the hip joint in bending, walking, leaping; they work in harmony each contributing to a fluid body movement.
Hip surgery sometimes fails, not because the hip surgery was poor, but because the sacroiliac joint was not also addressed.
Also, hip surgery often dramatically changes leg length, as in this sacroiliac joint case file. The patient after surgery had a 10mm leg length deficiency leading to hip, sacroiliac joint and back pain.
There's much room for more research proposal topics when it comes to the sacroiliac joint and hip arthritis.
# Slipped disc symptoms Case File
Whilst slipped discs like this case file are routine, every day affairs in chiropractic clinics, one is always aware that one is treading on dangerous ground. One wrong move can spell disaster. A sneeze, the wrong chair, or in fact any sitting at all, a wrong move by the chiropractor.
For example, it took me many years out to realise that a roll technique for the sacroiliac joint will often aggravate a fourth lumbar disc condition.
Personally, I always take extra special care with first timers. Careful and correct management of the very first time a patient has a slipped disc will usually mean that the repeated episodes that lead inexorably to surgery can be avoided.
Never to be forgotten by both doctor and patient is that it takes at least six weeks for the annulus fibrosis to heal, under ideal circumstances.
In other words, long after the pain has usually passed, the back remains vulnerable. Slipped disc symptoms case file
The scientific process ....
What we believe, must be true simply because...
# Thoracic spine pain casefile
Just when should one X-ray after trauma? With football players, offroad motorcyclists, horse riders there is trauma every weekend. You can't X-ray the patient every Monday morning. There's no substitute for the careful, thorough chiropractic examination, as in this Thoracic spine pain Casefile ...
# Spondylolysthesis CaseFile
Whilst the "fracture" Spondy is often stable, the "degenerative" spondylolysthesis if far more challenging to both clinician and patient, especially when associated with a short leg, further trauma, or a position that requires long hours of sitting. Perfect material for our Research Proposal Topics... Spondylolysthesis CaseFile ...
# Neck pain anatomy CaseFile
Whilst there is very strong research now confirming that manipulation
is the treatment of choice for lower back pain, the evidence for neck
pain is less strong. What's interesting is there is absolutely no
research confirming that surgery helps neck pain. So we both, surgeons
and chiropractors have work to do... Research Proposal Topics. Does a
heel lift help with neck pain if there's a short leg?
Neck pain anatomy CaseFile ...
# What causes headache CaseFile ?
Headache management is always challenging. Finding the right
combination of adjustments of the cervical spine is never easy. Posture
management, the correct position of the monitor and mouse, a sloping
desk for the student. The Tempero Mandibular Jaw Joint too has sometimes
a vital role to play in Migraine headache.
WHAT CAUSES HEADACHE CaseFile ...
Migraine headache HEADACHE ...
# LEG PAIN during PREGNANCY CaseFile
Pain in the back of the thigh, groin and front of the thigh are
common complaints in the Chiropractic clinic during examination of the
pregnant patient. Does chiropractic have a role to play...?
LEG PAIN DURING PREGNANCY CaseFile ...
# Femoro Acetabular Impingement Syndrome case File (FAIS)
Chiropractic physicians (and presumably our medical colleagues, too) have long been puzzled by finding arthritic-type signs in the examination of the YOUNG hip. A hard "end-feel" definitely comes as a surprise when examining the young adult. Fairly recently the condition Femero Acetabular Impingement Syndrome FAIS has been declared: what has for years been declared as "normal" by radiologists was in fact anything but normal. The extra deep acetabulum, the over hanging Pincer and the ominous CAM deformities constitute FAIS. Fortunately the condition responds magnificently to chiropractic management. How magnificently? 10%, 90% of the time? Research Proposal Topics. Do nothing? Start to prepare for a life of hip arthritis. FEMORO ACETABULAR IMPINGEMENT SYNDROME Case File
# DEVELOPMENTAL HIP DYSPLASIA CaseFile (DDH)
Moderate and severe cases of DDH are usually detected at birth by the
paediatrician, or chiropractor attending to a case of Infantile Colic.
The tests for HIP DYSPLASIA Ortholani Galeazzi and Barlow are relatively
standard. The hip gives a distinctive low-pitched "thunk" as it
HIP DYSPLASIA Ortholani Galeazzi and Barlow ...
However mild cases often slip through the fingers, resulting in groin pain, beginning even in the teen years, and certainly for young and middle-aged adults. Undetected, untreated there is a greatly increased incidence of hip arthritis. As can be seen from this Developmental Hip Dysplasia CaseFile, DDH responds well (sometimes, usually, often???) to chiropractic management. It makes for a great Research Proposal Topic ... DEVELOPMENTAL HIP DYSPLASIA CaseFile ...
# LOWER LUMBAR BACK PAIN Case File
Managing chronic lower lumbar back pain usually requires addressing
many factors: a short leg, subluxations, poor muscle tone, obesity, poor
diet, smoking... all contribute to chronic LBP. This is what makes days
at the Chiropractic Coalface supremely interesting and challenging for
LOWER LUMBAR BACK PAIN ...
# PAIN IN UPPER LEG Case File
Pain in upper leg, groin pain, hip pain can be very disconcerting. Walking may become very painful, nights are disturbed... PAIN IN UPPER LEG ...
# TIETZES SYNDROME CaseFile: Chest pain
Research proposal topics
This Tietzes Syndrome CaseFile provides some good material for Ressearch proposal topics. Tietzes syndrome is an acute or chronic "inflammation" of the costo chondral junction though it usually lacks the characterics of true inflammation: redness and swelling. If it is located on the left side it may lead both patients and physicians to suspect a heart condition. "In one large study 11 percent of adults presenting with chest pain were felt to have a costo sternal cause. The incidence rose to 26 percent in those patients considered at low suspicion for myocardial infarction, making this THE MOST COMMON category of non-cardiac chest pain in this setting." The condition is frequently caused by trauma to the chest, which may include a heavy bout of sneezing or coughing, and an over-robust manipulation in the midback. TIETZES SYNDROME CaseFile ...
# LUMBAR SPONDYLOSIS CaseFile
Research proposal topics
This case file of a 62-year old woman with back, hip, groin and
anterior thigh pain invites a thorough research program. To what extent
was managing the Pincer deformity important? The Leg length Inequality?
The active trigger points? The rehab program?Two interesting CaseFiles...
# CARPAL TUNNEL Case File
To my knowledge there is no research proving that Chiropractic is
effective for Carpal Tunnel Syndrome, yet I get great results with the
It is of course well known that we egoists remember our
successes, but are very short on memory when it comes to our failures.
Only scientific examination can distinguish between fact and fancy!
Looking for good research proposal topics, doc?
# SACRALIZATION OF L5 CaseFile
Anomalies at the lumbo-sacral junction are relatively common in the
clinic setting, presumably because of a greater incidence of low back
pain. Often they don't respond well to conventional chiropractic care
and the treatment has to be modified to accomodate the anomaly.
LUMBARISATION AND SACRALIZATION OF L5 CaseFile ...
# L4 LUMBAR SPINE CaseFile
L4 LUMBAR SPINE CaseFile tells the story of a young woman who had a
serious skiing accident eleven years ago. She struggled for eleven long
years with this condition. Physical therapy helped in the beginning;
physiotherapy and antiinflammatories brought minimal relief.
This particular case is a remarkable success, but to turn this
anecdote into scientific fact... will take a lot of blood, sweat and
tears by men and women with an enquiring mind, incredible patience, and
staying power... can we reliably predict that Chiropratic can help 10%
of such cases? 50%?, 80%. We just don't know. And we need to know, so
I'm hoping there is a chiropractor out there looking for persuasive
L4 LUMBAR SPINE CaseFile ...
# DEGENERATIVE LUMBAR DISC DISEASE CaseFile : RESEARCH PROPOSAL TOPICS
Few things are more clinically challenging that the patient suffering
from degenerative lumbar disc disease. Yet every chiropractor will tell
of patients with severely arthritic spines who have responded well to
Chiropractic. But... how often. 2% of the time? Or 92%?
DEGENERATIVE LUMBAR DISC DISEASE CaseFile ...
A variation of "normal" degenerative lumbar disc diseases, is the facet degeneration that allows a forward slip of one vertebra on the vertebra below it. That's called a "spondylo-lys-thesis"...
# Arthritis in lower back
Research proposal topics
A degree of arthritis in the lower back is normal in the 69-year old. It's just wear and tear of a lifetime, and quite to be expected. However, in certain situations, it can be greatly exaggerated: A scoliosis, curvature of the spine, as in this case, places increased stresses on the joints. An injury. Falls down the stairs, on the ice, from a motorcycle often leave their mark. Immobilisation arthritis.
Simply put, chronic
fixations in the spine that prevented the normal flow of synovial fluid
to the hyaline cartilage in the joints of the lower back.
A slipped disc that was not well managed allows
the gel between the vertebrae to escape so that you end up at an early
age with bone-on-bone.
Poor nutrition to the joints. Either a junk food
diet that starves the joints of vital nutrients, smoking that suffocates
the joints because of decreased oxygen... lack of exercise. I'm sure an academic Chiropractor could add a dozen more...
This lady broke all the rules, and yet...
ARTHRITIS IN LOWER BACK Case File ...
# Two ANKLE JOINT PAIN CaseFiles
Research proposal topics
It all starts with the foot. This young lady from our ankle joint pain casefiles consulted me for low back pain and headaches. But the root cause of her problems was a fall down a dutch staircase, eleven years ago, seriously fracturing her ankle.
She walked on the toes of her right foot for eleven long years, unabled to place her heel on the ground, despite massive orthopaedic intervention, including several operations.
Search this site function enables you to find stuff on this site.
Google has gone through an enormous shakeup in the last year, giving webmasters much grief. It's meant inter alia a huge amount of work removing links, capital letters, bold, italics, inverted commas, hyphens, and much else.
Meantime, use the search function near the top of the left column to find more information about subject material mentioned on the page, where links have probably been removed.
But can chiropractic reliably contribute to miracles like this case? Or is this a one-off anecdote? Only a intrepid chiropractor, looking for persuasive research topics, can provide the profession, and you the public with the information we need.
A colleague gives us our second ankle joint pain case file... and this surely wouldn't make for controversial research paper topics. Top athletes have been demanding the presence of chiropractors at the world athletic games and the Olympics in the last decade.
Useful links @ Research proposal topics
I'm not looking here for funny stories. That we'll find a place for elsewhere, and you can find an abundance of them in my books at Bernard-Preston.com. James Herriott genre books.
Here I'm looking for things that you particularly love / hate about a visit to the chiropractor. Share it! If we get too many, and we probably will, we'll split them.
Are there things you hate about a Chiropractic consultation? Let's hear about it. Hopefully even more stories about things you love.
You see, we Chiropractors can learn from your feedback, both positive and negative.
Click below to see contributions from other visitors to this page...
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Interesting challenges of the day
1. Mr B has the trophy for the most acute neck in February. He has quite advanced lower neck arthritis for a forty year old, thanks to a severe fall on the head from a trampoline. But this is upper cervical pain. Right rotation is simply impossible. Luckily he is improving rapidly, eighty percent better he says after three treatments. See cervical facet syndrome.
2. Mrs C is a new patient with a long history of lower back pain, hip pain and pain in both feet. We'll see how we get on, Rome wasn't built in a day.
3. Miss U sprained her ankle two months ago, wearing high heels. She still has severe mid foot pain. Xrays and perhaps a CT scan.
4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.
5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.
6. Mrs X, a young mother has severe lower back pain, with numbness down the posterior thigh, calf and side of foot. It started after a long drive in the car. Update, she's forty percent less painful after four treatments, but the leg is still numb. Update two; she 60% better, but it's slow and is going to take the full 6 weeks to heal. Further update; a setback, after lifting her child she now has leg pain. It's going to the be difficult.
7. Mrs Y, a 70 year old woman is on maintenance care fo a nasty lumbar stenosis despite having to do everything at home. Her husband has a hospital acquired infection in the shoulder. After 4 operations he is incapacitated and going rapidly down hill.
8. Mrs Z, an 78 year old woman is doing remarkably well with a bad sciatica. But at over 200 lbs she is not losing weight, in fact gaining despite my suggestions. She's high risk for a stroke. Referral to a dietician to crack the whip.
9. Mr A, a 73 year old engineer, still working, is doing fine after a long episode of lower back pain. Some pain on the side of the hip remains after five treatments. Reassured him it's not hip arthritis.
10. Mrs B, a 64 year old woman has had Scheuermanns disease; it's left with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment, provides she come every six weeks or so for treatment.
11. Mr C, a young engineer fell off his mountain bike injuring his cervical spine and pelvis. Luckily both responded very quickly to a few chiropractic adjustments. Update: his neck is sore again. It all goes back to a whiplash injury ten years ago when he was rammed by a fully laden truck carrying a load of stone. Time for Xrays.
12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.
13. Both Mrs E and I can't believe how much better her lower back and leg pain are. Surgery for a scoliosis and spondylolysthesis three years ago helped greatly for one year. But then her leg went lame and weak. He was responded extremely well despite all expectations.
And so the day goes. Chiropractors shouldn't be treating the elderly? Bunkum.
Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?
Greetings, Dr B.
You helped me quite some time back with a soothing and professional
response which turned out to be exactly correct. I now consult a local chiropractor.
You write a superb newsletter, too.
Your own unresolved problem. Pose a question
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.