Research Proposal Topics

Case files 

(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.


Anecdote

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, that the sacroiliac joint anatomy often remains locked, or fixated, like it's set in concrete. This needs to be tested. It's usually for hip arthritis, which I and I'm sure all chiropractors see regularly in our clinics

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...

  • we believe it to be true.
  • some authority whom we trust says it's true.
  • it stands to reason and it makes sense, therefore it must 'a priori' be true.
  • objective methods outside my realm of influence have been used to demonstrate the truth of it.



# 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 dislocates. 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 your chiropractor. 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 condition. 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 research topics!
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 ...


# LUMBAR FACET ARTHROPATHY SPONDYLOLYSTHESIS Case File

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.

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

HOW MUCH FISH OIL for healthy bodies and cartilage?

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Interesting challenges of the day

1. Mrs D, a 78 year old woman has very severe sacroiliac joint pain, and even more severe cramps in her right leg. There are two problems; she is on two diuretics but no slow K. Taking her temporarily off one diuretic and adjusting the SIJ brought 50 percent relief within four days. 

2. Mr S, a 48 year old man, has right low back pain, groin pain and a numb feeling in his lower leg when he sports. For six months he's been off football. He too has two problems; a very treatable lumbar facet syndrome and a very serious blocked artery in the groin; it's called intermittent claudication. Smokers beware.  

3. Mr S looks like the leaning tower of Pisa; he has a slipped disc at L5 making him lean towards the opposite side. It's called the postero lateral disc hernia; we'll fix it, but he has to stop for a week or two. Antalgias are serious so take them seriously. 

4. Mrs V too has  two conditions; a chronic low grade sciatica giving her an ache in the right leg, and a threatening Morton's neuroma. She's glad I'm back in Holland; chiropractic fixed it before, and we'll fix it again. 

5. Mrs W is one of the lucky ones, says her doctor. I agree. He says only 40% of patients with lumbar stenosis have a successful operation. We fixed a nasty slipped disc three years ago, but it came back two years later; the surgeon did a fine job but she has a weak ankle now giving her subtalar joint pain; it's routine stuff. 

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment of the new strain by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

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. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?


Interesting questions from visitors

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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.