The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    Quality of chiropractic research of upper extremity conditions

    Most publications are anecdotal case histories.

    Readers weigh in, and I respond.

    First, the details.

    • Researchers reviewed the medical literature for terms: chiropractic, shoulder, elbow, wrist, hand, forearm, and arm, with MeSH terms for each region.
    • The resulting articles were assessed for quality.

    And, the results.

    • 64 articles were found.
    • Mostly case reports
      • 36 case reports for the shoulder
      • 8 case reports for the elbow
      • 14 case reports for the wrist/hand
    • 6 clinical studies (3 shoulder, 1 elbow 2 wrist)

    The bottom line?
    The authors concluded, “There is a small amount of chiropractic research into upper limb conditions.” What evidence is available is comprised mostly of “case studies (level 4 evidence) and a small number of higher-level publications (level 1-3 evidence).”

    Most treatments address both spinal and peripheral structures, using joint and soft tissue methods.

    “There is a need for … higher-level evidence, in particular, randomized controlled trials for the chiropractic treatment of upper limb conditions.”

    Question: don’t schools of chiropractic require their faculty to conduct clinical research? Or is this type of research considered a low priority among chiropractic opinion leaders?

    4/6/08 14:26 JR

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