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Monthly Archives: October 2009

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Happy Halloween! Trick or Treat?

By |October 31, 2009|Education, Ethics, Health, Pediatrics|

Happy Halloween! Trick or Treat?

The Chiro.Org Blog


Happy Haloween, everyone!

I just had the pleasure of seeing about 800 children walk past my office this morning on the yearly Haloween Walk, sponsored by our local business association.

Besides goodies for the kids, we have handouts for all the moms about the benefits of chiropractic.

And that always makes me think about the dangerous side-effects of medicine, also known as iatrogenesis or iatrogenic injury.

Many of these poor little children have been given unnecessary antibiotics.

I hope you will find both these information pages as useful resources in advising your patients who have children.

Update on Vertebroplasty: A Unique Evidence-based Review

By |October 27, 2009|Education, Ethics|

Update on Vertebroplasty:
A Unique Evidence-based Review

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic

By Deborah Pate, DC, DACBR


A few years ago,  I wrote an article (May 22, 2006 issue of Dynamic Chiropractic) reviewing vertebroplasty as a treatment option for painful compression fractures due to osteoporosis.  [1] I felt that as chiropractors, we should be aware of the common medical procedures that are available to treat disorders we generally manage; osteoporotic compression fractures being one such entity. (more…)

Study Finds the Availability of Chiropractic Care Improves the Value of Health Benefits Plans

By |October 23, 2009|Research|

This review, was commissioned by the Foundation for Chiropractic Progress (www.f4cp.com) to summarize the existing economic studies of chiropractic care published in peer-reviewed scientific literature, and to use the most robust of these studies to estimate the cost-effectiveness of providing chiropractic insurance coverage in the US.

Executive Summary:

Low back and neck pain are extremely common conditions that consume large amounts of health care resources. Chiropractic care, including spinal manipulation and mobilization, are used by almost half of US patients with persistent back-pain seeking out this modality of treatment.

The peer-reviewed scientific literature evaluating the effectiveness of US chiropractic treatment for patients with back and neck pain suggests that these treatments are at least as effective as other widely used treatments. However, US cost-effectiveness studies have methodological limitations.

High quality randomized cost-effectiveness studies have to date only been performed in the European Union (EU). To model the EU study findings for US populations, researchers applied US insurer-payable unit price data from a large database of employer-sponsored health plans. The findings rest on the assumption that the relative difference in the cost-effectiveness of low back and neck pain treatment with and without chiropractic services are similar in the US and the EU.

The results of the researchers’ analysis are as follows:

-Effectiveness: Chiropractic care is more effective than other modalities for treating low back and neck pain.

Total cost of care per year:

-For low back pain, chiropractic physician care increases total annual per patient spending by $75 compared to medical physician care.

-For neck pain, chiropractic physician care reduces total annual per patient spending by $302 compared to medical physician care.

Cost-effectiveness: When considering effectiveness and cost together, chiropractic physician care for low back and neck pain is highly cost-effective, represents a good value in comparison to medical physician care and to widely accepted cost-effectiveness thresholds.

These findings, in combination with existing US studies published in peer-reviewed scientific journals, suggest that chiropractic care for the treatment of low back and neck pain is likely to achieve equal or better health outcomes at a cost that compares very favorable to most therapies that are routinely covered in US health benefits plans. As a result, the addition of chiropractic coverage for the treatment of low back and neck pain at prices typically payable in US employer-sponsored health benefit plans will likely increase value-for-dollar by improving clinical outcomes and either reducing total spending (neck pain) or increasing total spending (low back pain) by a smaller percentage than clinical outcomes improve.

The full report can be downloaded here.

For CAs: The Health-Service Role of the Doctor of Chiropractic

By |October 23, 2009|Chiropractic Assistant, Education, Practice Management|

For CAs: The Health-Service Role of the Doctor of Chiropractic

The Chiro.Org Blog


We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 3 from RC’s best-selling book:

“The Chiropractic Assistant”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


Chapter 3: The Health-Service Role of the Doctor of Chiropractic

This chapter briefly describes the role of the doctor of chiropractic in the health care of the nation. It also introduces the reader to the rationale of clinical diagnostics, therapeutics, rehabilitation, and counseling in the chiropractic approach. Some particular areas of special interest are also described.

DIAGNOSTICS: THE ART OF DECIDING WHAT IS WRONG

The diagnostic process of a patient’s disorder begins with the recording and interpretation of the patient’s medical history. Thus, the initial interview and consultation with the patient is of utmost importance. It will direction the examinations and tests that are to follow. Every measure of observation that will substantially profile the patient is employed and recorded. A systematic and thorough physical examination is conducted using the methods, techniques, and instruments that are standard with all health professions. In addition, the doctor of chiropractic will include a postural and spinal analysis, an innovation in the field of physical diagnosis and examination.

Background

The chiropractic physician uses the standard procedures and instruments of physical and clinical diagnosis, and he is well acquainted with the need for differential diagnosis. Diagnostic radiology, especially as it pertains to the skeletal system, is a primary clinical diagnostic aid in chiropractic and has been since the early 1900s.

In addition, doctors of chiropractic are knowledgeable in the standard and special clinical laboratory procedures and tests usual to modern diagnostic science. Facilities for roentgenography (x-ray), thermography, electrocardiography (ECG or EKG), and electromyography (EMG) are standard among many other technologic advancements. Each accredited chiropractic college has a laboratory licensed to carry on clinical laboratory examinations, including such fields as cytology, chemistry, hematology, serology, bacteriology, and parasitology. (more…)

Headache: The Management of Pain and Disability

By |October 22, 2009|Chiropractic Technique, Diagnosis, Education, Headache|

Headache: The Management of Pain and Disability

The Chiro.Org Blog


We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 5 from RC’s best-selling book:

“Clinical Chiropractic: The Management of
Pain and Disability: Upper Body Complaints”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


Chapter 5:   HEADACHE

CLINICAL BRIEFING

Headache is one of the most common complaints presented in a chiropractic office. It is not unusual for a few adjustments to correct a problem for which the patient has suffered for years and sought relief from a score of allopaths in vain. Nevertheless, headache is not a simple problem. Its origin may be traumatic, inflammatory, neurologic, psychologic, vascular, endocrine, metabolic, neoplastic, degenerative, deficiency, congenital, allergic, autoimmune, or toxic. (more…)

Symptomatology: The Lumbar and Sacral Areas

By |October 21, 2009|Diagnosis, Education, Low Back Pain|

Symptomatology: The Lumbar and Sacral Areas

The Chiro.Org Blog


We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 12 from RC’s best-selling book:

“Symptomatology and Differential Diagnosis”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


Chapter 12:   THE LUMBAR AND SACRAL AREAS

Low Back Pain

Low back pain has been the second most frequent health complaint in the United States for many years, second only to headaches. More lost working hours are attributed to this affliction than any other factor, and the vast majority of these complaints find their cause in biomechanical failures. These failures are often complex, accumulative, and subtly hidden by the body’s marvelous adaptive mechanisms –a diagnostic challenge when pain is solely referred.

      BASIC INVESTIGATIVE APPROACH

Because of its prevalence, backache requires a meticulous consideration of all possibilities, a comprehensive case history, and a systematic examination associated with necessary laboratory data and x-ray findings. In addition, emotional factors must be considered. In eliciting the case history, the manner of onset, location and nature of pain and spasm, aggravating and relieving factors, and a thorough systems review are almost mandatory if professional justice to the patient is to be achieved.

The Lumbar Nociceptive Receptor System.   The lumbar ligaments and fascia are richly innervated by nociceptive receptors. When the lumbar spine is in a relaxed neutral position, its nociceptive receptor system is relatively inactive. However, any mechanical force that will stress or deform receptors, with or without overt damage, or any irritating chemical of sufficient concentration will depolarize unmyelinated fibers and enhance afferent activity. Thus, the pain experienced after either intrinsic or extrinsic trauma can be the result of mechanical factors, chemical factors, or both.

Mechanical Pain.   Normal mechanical force applied to normal tissue does not produce pain. However, abnormal mechanical deformation occurs whenever:


(1) abnormal stress is applied to normal tissues (eg, postural pain),
(2) abnormal stress is applied to abnormal tissues, or
(3) normal stress is applied to abnormal tissues (eg, soft-tissue shortening).
(more…)