UPFRONT | From the editor Chronic reality I am one of the lucky parents whose children rarely ever get sick. In my house, that’s a good thing because my boys have never been crazy about ingesting anything that does not taste like food. When they were little, the site of a bottle of children’s Tylenol sent them running in the other direction. Now in their teens, they are still not a fan of taking medicines but they understand now that sometimes they have to swallow the bitter pill, literally, to feel better. Then again, having that kind of aversion to ingesting medicines could be a blessing in disguise. News about a 14-year-old girl from Ottawa who recently died from fen-tanyl overdose had me thinking about my own kids. The girl’s photo was published on several news sites and has become the newest and youngest face of the opioid crisis. The overdose death of ninth grader Chloe Kotval just made this crisis much more real for many parents and much more urgent for schools and government authorities. Whether it’s kids getting their hands on adult prescription medications from their medicine cabinets at home, addicts buying fentanyl-laced illicit drugs off the streets, or chronic pain sufferers feeling hopeless and turning to narcotics, this growing opioid crisis is a complex problem affecting peo-ple from all walks of life. The root causes are also as diverse as the demo-graphics affected by this dilemma. In our cover story, we explore one aspect of the opioid crisis where chiro-practors potentially have the most influence over: chronic pain. Chiroprac-tors witness on a daily basis the kind of impact uncontrolled pain can have on people’s lives. They know a thing or two about how to get people back to normal functioning again. Now, as authorities scramble to find solutions to the opioid crisis and help people living with chronic pain, the value that manual therapy and other conservative, non-invasive treatments can provide is becoming clearer. Medical doctors are now increasingly expected to revisit their opioid prescribing practices and urged to look at non-pharmacolgic treatment al-ternatives for chronic pain -especially low-back pain. It seems the medical community is now just finally catching up with the evidence. It’s about time. April 2017 Volume 22, Number 2 EDITOR Mari-Len De Guzman [email protected] (905) 726-4659 PUBLISHER Christine Livingstone [email protected] (519) 429-5173 • (888) 599-2228 ext. 239 ACCOUNT COORDINATOR Shannon Drumm [email protected] (888) 599-2228 ext. 219 MEDIA DESIGNER Gerry Wiebe CIRCULATION MANAGER Anita Madden GROUP PUBLISHER Martin McAnulty [email protected] COO Ted Markle [email protected] PRESIDENT & CEO Mike Fredericks Published and printed by Annex Business Media, 105 Donly Drive South, Simcoe, ON, Canada N3Y 4N5 Publication Mail Agreement #40065710 ISSN 1488-6952 CIRCULATION e-mail: [email protected] Tel: (416) 510-5189 Fax: (416) 510-5170 Mail: 80 Valleybrook Drive, Toronto, ON M3B 2S9 Canadian Chiropractor is published eight times a year: February, April, May, June, July/August, September, October and December. SUBSCRIPTION RATES Canada – 1 Year $24.00 (with GST $25.20, with HST/QST $27.12) (HST #867172652RT0001) USA – 1 Year $35.00 (US Funds) Occasionally, Canadian Chiropractor will mail information on behalf of industry-related groups whose products and services we believe may be of interest to you. If you prefer not to receive this information, please contact our circulation department in any of the four ways listed above. No part of the editorial content of this publication may be reprinted without the publisher’s written permission. ©2017 Annex Publishing & Printing Inc. All rights reserved. Opinions expressed in this magazine are not necessarily those of the editor or the publisher. No liability is assumed for errors or omissions. All advertising is subject to the publisher’s approval. Such approval does not imply any endorsement of the products or services advertised. Publisher reserves the right to refuse advertising that does not meet the standards of the publication. MARI-LEN DE GUZMAN, Editor EDITORIAL ADVISORY BOARD @CanChiropractor Victoria Coleman, DC; Connie J. D’Astolfo, DC, Dip HA, PhD (cand); Pierre DesLauriers, DC; James P. Laws, DC, FRCCSS(C)(Hon); David Leprich, DC; Wanda Lee MacPhee, DC; Peter Moore, DC; Don Nixdorf, DC; Renae Rogers, DC; Greg Stewart, BPE, DC 6 Canadian Chiropractor April 2017 www.canadianchiropractor.ca