Dr. Kevin Percuoco

03/25/2023

Was honored to be able to present a novel case at the American Chiropractic Colleges Research and Agenda Conference this year. Always great exposure to new ideas , mentores, and to other research minded individuals. Would also like to thank and mike Olson for their contributions and support.

09/17/2022

Was honored to lecture on Delivery of Exceptional Patient Centered Care with my friend and colleague .spencer_lindholm at homecoming. Chiropractic is celebrating 125 years as a profession and continues to grow. Regardless of our lecture potential, our photography awareness an understanding backlighting needs some work.

12/02/2021

Cause vs source, investigate the cause.

Neck Pain That Travels - https://mailchi.mp/omnechiropractic/neck-pain-that-travels

07/08/2021

Classification is key. Different types of low back pain respond different to different types of movement.

Please read this book to better understand low back pain. It’s only 205 pages. It’s not a textbook, but is sufficiently academic and yet easy to understand if you’re not a doctor.

Low back pain, like chest pain, is a symptom - not a diagnosis. Some patients with chest pain are having a heart attack. Some have a broken rib. Others have a thoracic derangement. Others are having a panic attack.

You treat the diagnosis accordingly.

Low back pain can be due to a fracture, an infection, prolonged posture, and many other diagnoses. What I find most often is a diagnosis of low back derangement, which means there’s a joint or joints not moving well. Robin McKenzie figured this out in the 50’s.

The good news? These joint tweaks (which can occur in any joint in the body) are rapidly reversible … with the correct diagnosis and treatment. Hence the title of the book.

There is no treatment for low back pain because low back pain is not a diagnosis. If I rule in a neuromusculoskeletal disorder, I next need to diagnose the problem. Nerve? Muscle? Joint? The treatment depends on the diagnosis causing the low back pain.

06/23/2021

Listen up

As highlighted last week, MRI technology continues to improve and with that comes vast improvements in image resolution and the potential to see more features of any given piece of anatomy. Many folks reading this may have personally experienced or have known someone else who experienced getting an MRI report that showed evidence of “fraying” or even a “partial thickness” rotator cuff tear.

For a quick overview, the rotator cuff consists of four muscles that act to optimize the position of your arm in your shoulder “socket.” For our purposes it is best to think of the rotator cuff complex as a blanket or sheet, and less like a rope. When we think of fraying or tearing in a rope, we immediately conjure up images of impending instability or a full tear in progress. However, a partial-thickness rotator cuff tear is a lot like a small hole in a blanket. Think of a blanket you have laying around the house, just because it may have some fraying or even a hole, is it still able to keep you warm? Does it still ultimately do its job?

The metaphor of “a hole in a blanket” has been gaining traction within the field of musculoskeletal medicine for quite some time as it relates to partial-thickness rotator cuff tears. Yes, there may be some anatomic “abnormality” (compared to when you were younger), but a scan tells us nothing about function or our ability to adapt. Nor does it tell us if a small tear will go on to develop into a full tear. In fact, there is no significant difference in the rate of progression to a full-thickness rotator cuff tear between symptomatic and asymptomatic tears. Our bodies are INCREDIBLE at adapting to imposed demands. Your ability to tolerate load at the shoulder is almost exactly the same in the presence of a partial thickness rotator cuff tear AND continues to have the ability to adapt to greater loads over time.

01/29/2021

Stress reduction can take many forms.

Simply removing our stressors is easier said the done, but if it’s the easier path I would recommend.

However, we can build our tolerance or resilience to stressors, ergo increasing our capacity to withstand the stressors life throws at us. So even though all the same stressors are present, your perspective, your attitudes and your physical capacity to tolerate those stressors is more than capable.

Build your cup.

09/24/2020

Great info

09/19/2020

The profession has come a long way.

In recognition of the 125th anniversary of the chiropractic, September 18 has been proclaimed Chiropractic Founder’s Day by the state of Iowa and the city of Davenport, home to Palmer College.

WHEREAS, the chiropractic profession was founded by D.D. Palmer on September 18, 1895 in Davenport, Iowa; and

WHEREAS, an estimated 50 million Americans seek chiropractic care each year; and

WHEREAS, Palmer College of Chiropractic, the oldest and largest college of chiropractic in the world is headquartered in Davenport, Iowa; and

WHEREAS, approximately one-third of all chiropractors are graduates of Palmer College of Chiropractic; and

WHEREAS, the Palmer Center for Chiropractic Research advances the profession as the largest chiropractic research facility in the nation; and

WHEREAS, Palmer Chiropractic Clinics provide more than $5 million in pro-bono care annually, much of it to veterans and active-duty military members and their families; and

WHEREAS, Palmer College of Chiropractic is known worldwide as The Trusted Leader in Chiropractic Education®:

NOW, THEREFORE, I, Kim Reynolds, Governor of the State of Iowa, do hereby proclaim September 18, 2020 CHIROPRACTIC FOUNDER'S DAY and urge all Iowans to celebrate the 125th anniversary of the founding of the chiropractic profession; celebrate Palmer College of Chiropractic as one of the high-education pillars of the great state of Iowa; and recognize the chiropractic profession's continuing contributions to the health and well-being of the citizens of Iowa, the United States, and the world.

08/02/2020

“The U.S. Department of Veterans Affairs (VA) announced today it has successfully reduced prescription opioid use in patients within the VA health care system by 64%, from more than 679,000 Veterans in fiscal year 2012 to 247,000 in fiscal year 2020 through quarter three.”

This is such an accomplishment, the VA is doing an excellent job of leading the way on this opioid crisis!

https://www.va.gov/opa/pressrel/pressrelease.cfm?id=5492

Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.

07/29/2020

The disease is important, but in the event that life threatening conditions have been ruled out, illness behavior is just at relevant.

Understanding the patient and HOW they are experiencing the disease aids in establishing effective doctor-patient communication and patient centered care. Understanding the patients motivations, values, and beliefs can be a clarifying glimpse into Illness management.

07/14/2020

The big boy turns two today.

I was blessed to be able to work on my forced exhalation exercise. Carli even helped 3 times.

Happy birthday Cannon. 🎈🎈🎈

07/05/2020

Happy to live In a Country that provides the freedom to explore your own beliefs. Happy Independence Day

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