Plica Syndrome

Plica syndrome is a painful condition of the knee, often reported in runners and other athletes. The abnormal plica, an intraarticular band of thick, fibrotic tissue, may cause pain and a popping sensation by rubbing across either the medial femoral condyle or undersurface of the patella.

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Eric Vanzura
Lower Back Pain

The back is a common site for somatic distress to be manifested because of vagueness of diagnosis and treatment. This situation is particularly true with workers compensation cases, since the compensation may allow a patient to use the condition maladaptively for both primary and secondary gain. The presence of non-organic findings does not preclude some degree of organicity in a patient with low back pain.

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Eric Vanzura
Manipulation

Manipulation is a generally accepted, well-established and widely used therapeutic intervention for lower extremity injuries. Manipulative treatment (not therapy) is defined as the therapeutic application of manually guided forces by an operator to improve physiologic function and/or support homeostasis that has been altered by the injury.

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Eric Vanzura
Spinal Stenosis

The growth diagnosis of the nineties. It is not more common but there is wider use of imaging to identify it. Spinal stenosis is a catchall term for widely varied anatomic conditions, only a small minority of which have clinical significance. It generally refers to compression of the nerve roots or cauda equina through a narrowing or constriction of the central spinal canal, the lateral recesses or the foramina. Traditionally, it is classified as central, lateral, congenital, acquired or combination.


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Eric Vanzura
Spondylolisthesis

Developmental (seldom seen below the age of 5, but 5% of population has it by age 7) or degenerative (typically found in women over age 50 with many years of non-disabling, intermittent bouts of LBP). Increased slipping rarely occurs after the age of 20 in developmental spondylolisthesis. The defect is in the isthmus or pars interarticularis. When there is actual slippage of one vertebra on the other, it is called spondylolisthesis. When there is a defect but no actual slippage, it is called spondylolysis.

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Eric Vanzura
Myofascial Syndromes

Myofascial syndromes are easy to confuse with nerve compression. Pain is often felt in a referral zone, rather in the muscle. The patient has a feeling of “tight muscles.”

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Eric Vanzura
Fractures

Compression fracture should be suspected with traumatic compression injury. It should also be suspected in patients with osteoporosis, or in patients on long-term steroid treatment, and older patients (over 60). In these high risk groups, a compression fracture can occur with minor trauma, lifting, or even bending over.

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Eric Vanzura
Pseudoarthrosis

Pseudoarthrosis or instability occurs as complications from failed surgery. If a patient has an unsuccessful first surgery, the likelihood of a second surgery being successful is 30%. The likelihood of a third surgery’s success is 3%.

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Eric Vanzura
Blood Transfusions

Don’t let the Nocebo get you down! The Bloody Truth might understate the vital and lifesaving role blood products have. Many people would die without them! None-the-less, the science of blood product transfusion is dramatically improving.

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Eric Vanzura
Vitamin D

Vitamin D is an important hormone that has associations with osteoporosis, osteomalacia, and bone fractures, and in chronic diseases, such as cancer, diabetes, heart diseases, and autoimmunity.

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Eric Vanzura
The Adult Well Male Examination

Conducting an adult well-male exam incorporates evidence-based guidance for the result of promoting optimal health and well-being, which includes screening tests, medical history, and a physical exam. Nearly 1/3 of men, however, report not having a primary care physician.

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Eric Vanzura
New Articulatory Techniques

In France, Jean Pierre Barral, DO is developing techniques which first decrease nerve reactivity to allow the patient to soften and relax ligaments, tendons, nerves, and other tissue around the bound up joint. The nerve fibers in our skin have reflex arcs in the spinal cord that connect to the muscles, joints, and arteries at that same spinal level.

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Eric Vanzura
Back Pain

Approximately 50 million Americans suffer from back pain, and it is one of the main reasons for visits to the doctor. There are a variety of reasons for back pain, including bad posture, excessive weight, lack of exercise and trauma.

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Eric Vanzura
Scoliosis

Many adults with scoliosis are asymptomatic and, in some studies, the incidence of low back pain is no higher than in the general population.

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Eric Vanzura
Disk Herniation

A herniated disk is sometimes called a ruptured or a slipped disk, and it mostly occurs in the lower back. It is the leading cause for low back pain and sciatica (pain that radiates down the leg). 60% to 80% of the population experiences back pain at some point in their lives, and among those suffering from back pain, a high percentage suffers from herniated disk. In the majority of cases, several months of non-surgical treatment significantly alleviates the symptoms.

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Eric Vanzura
Managing Common Hospital Diagnoses

The importance of the management of common hospital diagnoses, the prevention and management of common complications, and the appropriate use of diagnostic testing is undeniable. These four categories are briefly discussed below, to help patients in their healthcare needs. Patients will be able to find important information, as well as links to the resources that contain additional data on the subject.

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Eric Vanzura
Cancer Risk Factors

With more and more people being diagnosed with cancer each year, preventative care is extremely important. Below, you will find preventative measures for various types of cancers, including screening recommendations. The Centers for Disease Control and Prevention (CDC) website is a great starting point. There is a search feature that allows visitors to search for keywords. Just type in the type of cancer you’d like more information on, and the website will bring up information about the condition, including risk factors, symptoms, prevention methods and other relevant data.

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Eric Vanzura
The Therapeutic Effects of Herbs

The therapeutic effects of herbs have been studied for millennia by different cultures around the world. More and more people opt for natural remedies, whether alone or in conjunction with prescribed medication. Below, you will find information about some of the more widely used herbs and natural supplements, along with some of their benefits and contraindications.

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Eric Vanzura