Letter from the Editor-in-Chief
» In this Spring 2026 issue of D.C. Tracts, we review the topic of upper extremity disorders. Dr. Stuart McIntosh provides a comprehensive appraisal of lateral epicondylopathy including an anatomical review, differential diagnosis, and active care/rehabilitation. Dr. Scott Howitt’s audio lecture explores acromioclavicular joint injuries, including a discussion of the mechanisms of injury and conservative management for chiropractic practice. In addition, Dr. Brian Hortz underscores the use of dry needling for the management of elbow pain. In our Abstracts and Commentaries section, Dr. Brad Muir reviews the importance of vascular disease as a source of upper extremity pain. Finally, Dr. Brian Gleberzon, reflects on lessons learned from being an expert witness. I trust that as the reader, you will find this issue of D.C. Tracts both informative and interesting, refining your clinical expertise and patient services. Best Regards,
Scientific literature indicates that shoulder, elbow and wrist/hand complaints comprise a significant source pain and disability across the globe. For example, the incidence of shoulder pain is estimated at 7.7 to 62 per 1,000 persons per year.
Bryan M. Bond, DC, MS, PhDIn this Issue:
Stuart McIntosh, DC, MS, DACBR
Brad Muir, HBSc(Kin), DC, FRCCSS(C)
- Upper Extremity Deep Vein Thrombosis Presenting to a Chiropractic Clinic: A Description of Two Cases
- Axillary-Subclavian Venous Thrombosis following a Weightlifting Injury in an Elderly Patient: A Case Report
- An Unexpected Complication of Training: A Rare Case of Paget-Schroetter Syndrome in an Adolescent Athlete
Brian J. Gleberzon, DC, MHSc
- Principles of Acromioclavicular Joint Injuries
Scott Howitt, BA, CK, MSc, DC, FRCCSS(C), FCCPOR - Using Dry Needling to Treat Lateral Epicondylopathy
Brian V. Hortz, PhD, ATC, SFDN
