Randy James, D.C.

Low back pain (LBP) can be localized and contained to only the low back area or, it can radiate pain down the leg. This distinction is important as the former, LBP only, is often less complicated and carries a more favorable prognosis for complete recovery. In fact, a large part of our history and examination [...]

Does mobilization (MOB) get less, the same, or better results when compared to spinal manipulative therapy (SMT)? To answer this question, let’s first discuss the difference between the two treatment approaches. Mobilization (MOB) of the spine can be “technically” defined as a “low velocity, low amplitude” force applied to the tissues of the cervical spine [...]

Fibromyalgia (FM) is a chronic condition that impacts every aspect of life for those who harbor it. The diagnosis is often made on individuals with chronic widespread bodily pain in the absence of any specific condition and when no specific cause such as tissue inflammation or damage can be identified. Hence, the cause of FM [...]

Whiplash commonly occurs as a result of a motor vehicle collision when, typically, there is hyper-motion in one direction followed by motion in the opposite direction in a “crack the whip” like manner. The direction of the strike typically dictates the direction of movement of the head so in a rear end collision, the strike [...]

When patients present with low back pain, it is not uncommon for pain to arise from areas other than the low back, such as the hip. There are many tissues in the low back and hip region that are susceptible to injury with have overlapping pain pathways that often make it challenging to isolate the [...]