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The following post is an article written by Salvatore J. Minicozzi CCEP, DC, Brent S. Russell MS, DC, Kathryn J. Ray DC, Alessandria Y. Struebing MSPH, andEdward F. Owens Jr. MS, DC which was published by the Journal of Chiropractic Medicine.
Objective: The aim of this study was to look for differences between patients with an increased pain response as compared with those with a decreased pain response.
Methods: Data were collected from consecutive new patients with lumbar or lumbopelvic pain in a chiropractic clinic. A pelvic tilt exercise was included in the initial examination, and pain response was noted. Analysis was made of pain and disability severity, as well as symptom location, chronicity, and other characteristics, before and after a course of chiropractic care.
Results: Patients with an increased pain response to pelvic tilt (n = 12) had higher levels of pain and disability at baseline than patients without (n = 34). There were no between-group differences in other aspects of their complaints; in age, sex, or body mass; or in the types of care they received (eg, manipulation, stretching, exercise instruction). On the average, both groups of patients showed improvement with chiropractic care, and there was no detectable difference in improvement between groups.
Conclusions: This study found that patients experiencing pain in response to a pelvic tilt
maneuver may have a poorer precare status than patients with a decreased pain response.
“When was the last time you went to bed hungry and it was not on purpose?”
Dr. Salvatore Minicozzi, a Sandy Springs-based chiropractor, asks this question to motivate guests and attendees at his annual golf tournament to realize the importance of giving back to the community we live in.
Minicozzi combined a passion for golf and giving back to bring together the community for a good cause. “I play golf and wanted to host a fundraiser to support a local cause” he said. “The outreach the food bank has across the state to combat food insecurity was something that resonated with me and it has been a great partnership ever since.”
For the past 12 years, he has hosted the Doctors Against Hunger Golf Tournament, which teed off on May 14 at Towne Lake Hills Golf Course in Woodstock. Over 150 participants came together to raise money for the Atlanta Community Food Bank.
Doctors Against Hunger has raised over $70,000 for the food bank and this year, it raised over $7,800 which will help ACFB and its partner agencies provide more than 31,000 meals across Georgia.
Study Design: Prospective population-based cohort study.
Objective: To identify early predictors of lumbar spine surgery within 3 years after occupational back injury.
Summary of Background Data: Back injuries are the most prevalent occupational injury in the United States. Few prospective studies have examined early predictors of spine surgery after work-related back injury.
Methods: Using Disability Risk Identifi cation Study Cohort (D-RISC) data, we examined the early predictors of lumbar spine surgery within 3 years among Washington State workers, with new workers compensation temporary total disability claims for back injuries. Baseline measures included worker-reported measures obtained approximately 3 weeks after claim submission. We used medical bill data to determine whether participants underwent surgery, covered by the claim, within 3 years. Baseline predictors ( P < 0.10) of surgery in bivariate analyses were included in a multivariate logistic regression model predicting lumbar spine surgery. The area under the receiver operating characteristic curve of the model was used to determine the model’s ability to identify correctly workers who underwent surgery.
Results: In the D-RISC sample of 1885 workers, 174 (9.2%) had a lumbar spine surgery within 3 years. Baseline variables associated with surgery ( P < 0.05) in the multivariate model included higher Roland-Morris Disability Questionnaire scores, greater injury severity, and surgeon as fi rst provider seen for the
injury. Reduced odds of surgery were observed for those younger than 35 years, females, Hispanics, and those whose first provider was a chiropractor. Approximately 42.7% of workers who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor. The area under the receiver operating characteristic curve of the multivariate model was 0.93 (95% confi dence interval, 0.92–0.95), indicating excellent ability to discriminate between workers who would versus would not have surgery.
Conclusion: Baseline variables in multiple domains predicted lumbar spine surgery. There was a very strong association between surgery and first provider seen for the injury even after adjustment for other important variables.
The song Out of the Ashes was written at the request of NYPD Detective (ret) Rich Miller. Det. Miller was part of NYPD’s ESU who responded to Ground Zero shortly after the attacks occured. He lost 14 men in the Towers collapse. On the morning of September 12, 2011 as ESU frantically searched the pile, Det. Miller found a flag at Stuyvesant High School, climbed the antena of the fallen North Tower and hung what is known to be the first American Flag flown at the site. He hung it there to serve as an inspiration to his missing men; in the hope that it would be the first thing they saw as they were rescued. This photo is part of this post.
Dr. Salvatore J. Minicozzi, grew up in N.J. and had watched the Towers being built as a boy. Now living in Atlanta, he flew to NYC to render chiropractic care to the rescue and relief efforts. Miller and Minicozzi met at the 30th anniversary of the release of the Iranian Hostages; on January 20,2011. Their friendship began in Times Square following the ringing of the closing NASDAQ bell. Minicozzi and his partners at the Historic Thayer Hotel at West Point hosted the reunion event, and Miller, his wife Theresa and the Post 911 Foundation were on hand to help welcome the former hostages back to West Point. That evening as they spoke, Det. Miller asked Dr. Minicozzi – an amatuer songwriter – to write a song symbolizing their collective experiences while at Ground Zero. Thus the song Out of the Ashes was created. Dr. Minicozzi now serves as an Advisory Board Member to the Post 911 Foundation.
On a subsequent trip to West Point Dr. Minicozzi met Joe and Laura Carabello of Elmwood Park, N.J. They introduced him to John Truscelli. John is a regional singer/songwriter in Colorado. John has ties to NYC, having family that served in both NYPD and FDNY. Truscelli Avenue in NYC was named for one of his late relatives. John has brought the song to life. Minicozzi has said that “Truscelli was born to sing this song.” It was recorded both in Colorado and Georgia; the Mount Paran North, Church of God Choir in Marietta Georgia is singing background.
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Objective: The aim of this study was to look for differences between patients with an increased pain response as compared with those with a decreased pain response.
