Botulinum Toxin Injection of a Patient with Intractable Acromio-Clavicular Joint Pain due to Distal Clavicular Osteolysis.

The article focuses on the impact of Chiropractic Care on use of prescription opioids in patients with spinal pain. Topics discussed include the Institute of Medicine has recommended the use of nonpharmacological therapies as effective alternatives to pharmacotherapy for patients with chronic musculoskeletal pain; and the pattern of repetitive encounters typical of a course of chiropractic care may account for the sustained benefit.