Move To Improve Dr. Matthew Jirjis, Dr. Greg Uchacz, Dr. Alex Fitzowich.

Cervical manipulation (neck adjustments) appears a crude or even barbaric practice. Many medical practitioners allege that it is unsafe and can cause strokes. It's commonly known to be an effective treatment, but is it safe?
Thankfully we have decades of high quality research to scrutinize this question and the results will undoubtedly surprise you. To my knowledge, we will be the first to scour this information and provide a digestible overview to the public.

Citations.

               Symons BP, Leonard T, Herzog W. Internal forces sustained by the vertebral artery during spinal manipulative therapy. J Manipulative Physiol Ther. 2002 Oct;25(8):504-10. doi: 10.1067/mmt.2002.127076. PMID: 12381972. 
               Moser N, Mior S, Noseworthy M, Côté P, Wells G, Behr M, Triano J. Effect of cervical manipulation on vertebral artery and cerebral haemodynamics in patients with chronic neck pain: a crossover randomised controlled trial. BMJ Open. 2019 May 28;9(5):e025219. doi: 10.1136/bmjopen-2018-025219. PMID: 31142519; PMCID: PMC6549698.
               Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S201-8. doi: 10.1016/j.jmpt.2008.11.020. PMID: 19251066.
                 Haldeman S, Kohlbeck FJ, McGregor M. Risk factors and precipitating neck movements causing vertebrobasilar artery dissection after cervical trauma and spinal manipulation. Spine (Phila Pa 1976). 1999 Apr 15;24(8):785-94. doi: 10.1097/00007632-199904150-00010. PMID: 10222530. 
                   Smith WS, Johnston SC, Skalabrin EJ, Weaver M, Azari P, Albers GW, Gress DR. Spinal manipulative therapy is an independent risk factor for vertebral artery dissection. Neurology. 2003 May 13;60(9):1424-8. doi: 10.1212/01.wnl.0000063305.61050.e6. PMID: 12743225. 
                     Kosloff TM, Elton D, Tao J, Bannister WM. Chiropractic care and the risk of vertebrobasilar stroke: results of a case-control study in U.S. commercial and Medicare Advantage populations. Chiropr Man Therap. 2015 Jun 16;23:19. doi: 10.1186/s12998-015-0063-x. PMID: 26085925; PMCID: PMC4470078.
                      Fries JF: Assessing and understanding patient risk, Scand J Rheumatol 92(suppl):21, 1992.
                       Dabbs V, Lauretti WJ: A risk of assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain,  JMPT 18:530, 1995.

Osteoarthritis is a looming threat to all living beings and our understanding of it has evolved immensely.  Although research and clinical expertise has outgrown the old wear and tear model we grew up with, the vast majority of people still believe it holds true. Amend your beliefs about arthritis, discover the true cause and how to soften its effect on you.

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Stretch before activity is advice as old as time. It's still the most common self-therapy everyday people use to help overcome injuries. So how do we reconcile the mountain of research and clinical expertise calling it into serious question?

As the world evolves and becomes increasingly specialized and interconnected, so has our healthcare. This holds a lot of  promise for the future of patient health, yet still many barriers exist. Dr. Chatha has been instrumental in strengthening communication between disciplines and emphasizing science based medicine.  
He promotes a better future in health through his role as Associate Medical Director for Mosaic Primary Care Network, a Family Physician, Clinical Director and Expert Speaker.  

Sachin is bodybuilder gone ultra-marathonist, a feat rarely thought possible. After struggling with mental health hardship during the pandemic, he found a new purpose. Compelled to transition out of Law Enforcement and run at insane lengths to raise money for Honour House Society. A Charity that brings refuge to Veterans and front line workers. So whats next for Sachin Latti?  
He plans to run 22 marathons in 22 days. Then, attempt the world record for running across Canada.

Follow Sachin at: https://www.instagram.com/sach.in.motion/

Support emergency personel and donate to Honour house at: https://www.gofundme.com/f/sachinmotions-run-to-remember-2022/donate?utm_medium=referral&utm_source=widget&utm_campaign=p_cp%2Bshare-sheet