Dr. Todd Riddle, DC, CSCS

05/23/2026

American athletes went 1-2 in both men’s and women’s individual trampoline competition on Day 1 of the 2026 Pan American Championships in Colombia.

05/23/2026

Yes!!!!! 🙌

05/21/2026

Ask any athlete that’s been to us for foot or ankle issues. They’ll tell you about this little device called the Toe Pro. Every. Single. One.

💡 Intrinsic foot muscle strength training is helpful for patients in improving foot and ankle outcomes.

👉🏻 This is from the new paper "Evidence of Intrinsic Foot Muscle Training in Improving Foot Function: A Systematic Review and Meta-analysis" by Jaffri et al 2022

📚 Do you struggle to stay on top of new research?

😫 You're not alone!

✅ Physio Network’s Research Reviews make it easy for you to keep up to date and provide better care for your patients. Try it for free for 7 days now.

🔗https://www.physio-network.com/research-reviews/

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Disclaimer: Sharing a study is NOT an endorsement.

05/20/2026

A powerful tool, when used correctly. I wonder if my Orthopedics 2 class at Texas Chiropractic College heard me emphasize this several times in our last lecture.

💡 Disc herniation size on baseline MRI showed no correlation with symptom severity or one-year clinical outcomes, suggesting that inflammatory mechanisms, rather than mechanical compression alone, play a key role in cervical radiculopathy.

👉🏻 This is from the new paper "Does the Size of Cervical Disc Herniation Affect Clinical Parameters in Cervical Radiculopathy?" by Gül et al 2025

Disclaimer: Sharing a study is NOT an endorsement. You should read the original research yourself and be critical.

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📚 Do you struggle to stay on top of new research?

😫 You're not alone!

✅ Physio Network’s Research Reviews make it easy for you to keep up to date and provide better care for your patients. Try it for free for 7 days now.

🔗 https://physio.network/7dayfreetrial

05/20/2026

Sounds so familiar. I feel like I discussed all of this before. For years!

𝗦𝘂𝗽𝗲𝗿𝗶𝗼𝗿 𝗖𝗹𝘂𝗻𝗲𝗮𝗹 𝗡𝗲𝗿𝘃𝗲 𝗘𝗻𝘁𝗿𝗮𝗽𝗺𝗲𝗻𝘁: 𝗧𝗵𝗲 𝗗𝗲𝗰𝗲𝗽𝘁𝗶𝘃𝗲 𝗟𝗼𝘄 𝗕𝗮𝗰𝗸 𝗣𝗮𝗶𝗻

​Low back pain is encountered frequently, and diagnoses like sacroiliac joint dysfunction or lumbar facet syndrome are common. But when pain becomes chronic and refractory to standard care, a hidden nerve entrapment is often to blame: Superior Cluneal Nerve Entrapment (SCN-E).

​Recent literature highlights that this entrapment is a significantly under-recognized cause of lower back and gluteal pain, affecting up to 14% of patients with chronic low back pain.

​👉 What Is Superior Cluneal Nerve Entrapment?

​The superior cluneal nerves are sensory branches that originate from the lower thoracic and lumbar spine. They provide sensation to the skin of the upper buttocks and lower back.
​When these delicate nerves get pinched as they travel toward the pelvis, they trigger intense, localized pain.

​👉 Pathophysiology
​The entrapment almost always happens at a specific anatomical bottleneck: the osteofibrous tunnel.

​As the nerve passes over the posterior iliac crest, it must pierce through the rigid thoracolumbar fascia. Altered lumbopelvic biomechanics, fascial tightness, or prior injuries can cause this fascia to compress the nerve against the bone.

​👉 Typical Pain Distribution
​Patients typically present with:

​• Localized, burning pain over the upper buttock and posterior iliac crest
• Pain that radiates down the back of the thigh, mimicking sciatica ("pseudo-sciatica")
• Symptoms that worsen with walking, standing, or twisting the lower back

​👉 Key Clinical Signs
​Several clinical findings can suggest SCN-E:

​✔️ Extreme tenderness exactly over the posterior iliac crest (about 7cm from the midline)
✔️ Positive Pinch-Roll Test: Grabbing and rolling the skin over the iliac crest reproduces sharp pain
✔️ Pain relief immediately following a targeted local anesthetic block at the crest

​👉 Why It Is Frequently Misdiagnosed
​Because of its location and pain referral pattern, it is almost identical to:

​• Sacroiliac Joint (SIJ) dysfunction
• Lumbar facet syndrome
• Lumbar radiculopathy (discogenic sciatica)

​👉 Evidence-Based Treatment Approaches

📃 ​Conservative management
​• Myofascial release of the thoracolumbar fascia
• Core and pelvic stabilization exercises
• Postural re-education to reduce tension on the iliac crest

📃 ​Interventional options
​• Ultrasound-guided corticosteroid blocks around the nerve
• Radiofrequency ablation for chronic, stubborn cases
• Surgical release of the fascial tunnel in refractory cases

​📌 Clinical Takeaway
​When a patient has chronic low back pain that hasn't responded to spine-focused or SIJ treatments, check the fascia over the iliac crest. A simple skin rolling test can reveal SCN entrapment, saving the patient from unnecessary spinal interventions.

​✅ References
• Under-recognized Cause of Buttock Pain; Superior Cluneal Neuropathy, 2025 - Scientific Archives
• Superior Cluneal Nerve Entrapment: An Overlooked Cause of Low Back Pain, 2026 - Pain Medicine Case Reports
• The Role of Musculoskeletal Ultrasound in Detecting Superior Cluneal Nerve Entrapment, 2026 - MDPI

05/11/2026

Honored to be named a 2026 nominee for the Top 20 Most Influential People in Chiropractic. Grateful to be part of a profession that continues to evolve. Voting is now open, and I’d appreciate your support.

Link in bio on IG.

Voting link:
https://uacchiro.typeform.com/Most2026

03/23/2026

That’s a wrap on USAG Trampoline camp in Huntsville, AL. Great squad of providers and a great training center. My favorite “patient” was Doug our pet therapy dog!
I’ll be back in the office on Tuesday.

03/17/2026

Digging into patient care and rehab on the FAKTR podcast. PEACE & LOVE

03/12/2026

West Palm Beach chiropractors, athletic trainers, physical therapist, and students I’m coming in hot! I’m bringing along a new curriculum, new assessments, new exercises. Come learn a system of patient care that ties together what you already know with the latest information on improving patient outcomes! Click the link for more information.

Upper extremity cases should not feel like trial and error.

FAKTR Upper Extremity Southeast Cohort is a live, hands-on course built to help you assess faster, treat with purpose, and progress patients past “pain-free” into real, durable performance.

📅 March 28 to 29
🎓 Up to 14 hours CE available (eligibility varies by profession and state)
🎁 Rehab toolkit included (products valued at $150+)
🪑 Limited seating for coaching, feedback, and skill refinement

What you’ll build:

- A systemized upper-extremity assessment that drives treatment decisions
- Clear if/then clinical reasoning for cervical spine, shoulder, elbow, wrist, and hand cases
- Manual therapy + rehab integration with intention (no random technique stacking)
- Progression models that bridge rehab to performance
- Reassessment strategies that reduce guesswork and improve carryover

For Chiropractors, Physical Therapists/PTAs, Athletic Trainers, Osteopathic Physicians, and students who want fewer “what now?” moments with complex cases.

RSVP to secure your seat. ➡️ https://dripl.ink/WQXGe

02/10/2026

Let’s get down to business. I’m working at the Dallas Open this week for professional tennis.
Here’s a quick tour of my accommodations and “office” set up. I’m proud to be representing sports chiropractors at this event. More pics to come!