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Monthly Archives: September 2011

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Chiropractic Management for Veterans with Neck Pain: A Retrospective Study of Clinical Outcomes

By |September 27, 2011|Outcome Assessment, Veterans|

Chiropractic Management for Veterans with Neck Pain:
A Retrospective Study of Clinical Outcomes

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2011 (Oct); 34 (8): 533–538

Andrew S. Dunn, DC, MEd, MS, Bart N. Green, DC, MSEd, Lance R. Formolo, DC, MS, David R. Chicoine

Chiropractic Department, Medical Care Line, VA Western New York, Buffalo, NY, USA. andrew.dunn@va.gov


OBJECTIVE:   The purpose of this study was to report demographic characteristics, chiropractic treatment methods and frequency, and clinical outcomes for chiropractic management of neck pain in a sample of veteran patients.

METHODS:   This is a retrospective case series of 54 veterans with a chief complaint of neck pain who received chiropractic care through a Veterans Health Administration medical center. Descriptive statistics and paired t tests were used with the numeric rating scale and Neck Bournemouth Questionnaire serving as the outcome measures. A minimum clinically important difference was set as 30% improvement from baseline for both outcomes. (more…)

Dump Subluxation?   Give Me a Break!

By |September 25, 2011|Subluxation|

Dump Subluxation?   Give Me a Break!

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic

By William Meeker, DC, MPH, FICC

President of Palmer College of Chiropractic West,
and former director of the Palmer Center for Chiropractic Research


The front-page headline of the September issue (volume 13, no. 12) of the Chiropractic Journal reads “Research Conference Urges Profession to Dump Subluxation.” (Ed: No longer available online) Well, I’m here to tell you that nothing even remotely of the kind happened, and I still find it hard to understand why one person, Matthew McCoy, chose to spin the story so inaccurately, especially after (silently) sitting through only one morning of an extensive three-day meeting (the Research Agenda Conference, aka RAC 4) at my invitation (and Palmer’s expense). A responsible journalist who didn’t hear the whole story would have checked not only his facts, but his context as well.

For example, McCoy took me to task for not defending a “hapless Palmer grad.” This person turned out to be Dr. Chuck Henderson, a graduate of Western States Chiropractic College and a member of the faculty at the Palmer Center for Chiropractic Research. Dr. Henderson doesn’t need my help; he does quite well on his own, thank you. Dr. Henderson is currently being funded by the Foundation for Chiropractic Education and Research for a $250,000 study of the effects of spinal subluxation in rats. (Ed. NOTE: This FCER grant led to the publication of 4 very important subluxation studies.) [1-4] The Palmer Center for Chiropractic Research has many other projects that focus on subluxation, health and adjustments, but I’ll save those descriptions for another column.

We’re not talking responsibility here, and we certainly aren’t talking journalism. What we are talking about is the artificial creation of intraprofessional fighting. If external forces seem beyond our control, why not start some altercations closer to home? It’s a heck of a lot easier, but why? What I have come to understand, after my first shock of disbelief at being so thoroughly and deliberately misrepresented, and after having so many of my colleagues assume that McCoy’s version was accurate, is that one easy way to build up a position is with negativity. Henry Kissinger’s memoirs make the point that Nixon knew very well how to politically help himself by defining his enemies’ positions for them, regardless of their true positions. (more…)

Neurophysiologic Effects of Spinal Manipulationin Patients With Chronic Low Back Pain

By |September 22, 2011|Chiropractic Care, Low Back Pain, Neurology|

Neurophysiologic Effects of Spinal Manipulation
in Patients With Chronic Low Back Pain

The Chiro.Org Blog


SOURCE:   Musculoskelet Disord. 2011 (Jul 22); 12: 170

Brian C Clark, David A Goss Jr,
Stevan Walkowski, Richard L Hoffman,
Andrew Ross, and James S Thomas

Ohio Musculoskeletal and Neurological Institute (OMNI),
Ohio University,
236 Irvine Hall,
Athens, OH 45701, USA.
clarkb2@ohio.edu


Background

Low back pain (LBP) is one of the most common reasons for seeking medical care and accounts for over 3.7 million physician visits per year in the United States alone. Ninety percent of adults will experience LBP in their lifetime, 50% will experience recurrent back pain, and 10% will develop chronic pain and related disability [1-4]. According to the most recent national survey more than 18 million Americans over the age of 18 years received manipulative therapies in 2007 at a total annual out of pocket cost of $3.9 billion with back pain being the most common clinical complaint of these individuals [5].

Over the past decade there has been growing scientific evidence supporting the clinical efficacy [6-10] and effectiveness [11,12] of manual therapies in treating LBP. While clinical evidence supporting the efficacy and effectiveness of manual therapies has emerged, less scientific evidence has been offered to explain the effects and mechanisms underlying these treatments. The lack of a mechanistic underpinning hinders acceptance by the wider scientific and health-care communities, and it also limits the development of rational strategies for using manipulative therapies.

You may also enjoy the
Low Back Pain and Chiropractic Page

(more…)

The Chiropractic Identity: Charting Our Future Roles

By |September 21, 2011|Philosophy|

The Chiropractic Identity: Charting Our Future Roles

The Chiro.Org Blog


SOURCE:   Health Insights Today

By Daniel Redwood, DC


For at least as long as any living doctor of chiropractic can remember, our profession has engaged in ongoing and sometimes heated debate about the proper role of its practitioners. Should our primary or sole focus be the spine? The nervous system? Vertebral subluxation? Back and neck pain? Should we be musculoskeletal pain specialists? Complementary care generalists? Primary care physicians?

Two new papers, one by Donald Murphy and colleagues in Chiropractic and Manual Therapies [1] and the other by Jan Hartvigsen and colleagues in British Medical Journal, [2] simultaneously point in the same direction—toward the role of primary spine care practitioner. The lead authors of both articles are chiropractors, Murphy from the United States and Hartvigsen from Denmark. Neither proposes the primary spine care practitioner role as the only option for DCs; both make a persuasive case that developing this role on a much more widespread basis will significantly enhance the effectiveness of the health care system’s neuromusculoskeletal (NMS) care delivery. In the process, they demonstrate why many practitioners may find work as a primary spine care practitioner attractive. To the extent that deeper integration of chiropractic is one of the profession’s primary goals, this may be one of the best vehicles for its achievement. At the very least, it’s a possibility worthy of serious examination.

World Federation of Chiropractic Identity Statement

The Murphy and Hartvigsen proposals are wholly consistent with the 2005 professional identity statement from the World Federation of Chiropractic, which grew out of an extensive consultation and consensus building process among the WFC’s membership, comprised of the national chiropractic associations of over 80 nations, including both ACA and ICA from the United States. (more…)

Chiropractic in an Integrative Cancer Center

By |September 20, 2011|Cancer, Integrative Care|

Chiropractic in an Integrative Cancer Center

The Chiro.Org Blog


SOURCE:   Health Insights Today

An Interview with Jeffrey A. Sklar, DC

by Daniel Redwood, DC


As part of our continuing series of interviews with chiropractors who work in integrative settings, we visit Jeffrey Sklar, DC, a full-time staff chiropractor with Cancer Treatment Centers of America (CTCA) in Philadelphia, Pennsylvania. Dr. Sklar, who previously co-founded an integrative wellness center, has been with CTCA since 2009.

In addition to his professional experience with oncology patients, Dr. Sklar has witnessed the struggle and success of cancer survivors in his personal life. His mother and brother are both cancer survivors. His stepmother is also a three-time survivor and former co-chair of the Susan G. Komen Race for the Cure in Philadelphia.

Sklar speaks highly of CTCA’s whole-person approach to cancer care in which body, mind and spirit each play an important role. At CTCA, he says, “Every patient has an opportunity to collaborate with their oncologist and explore additional complementary therapies in conjunction with their conventional cancer treatments.”

Please tell us about Cancer Treatment Centers of America, its origins and its mission.

After his mother died of bladder cancer, businessman Richard J Stephenson was disappointed with the quality of care and options that his mother received. To keep his mother’s memory and spirit alive, Mr. Stephenson vowed to change the face of cancer care. He founded Cancer Treatment Centers of America (CTCA) in 1988. (more…)

Low-Cost Marketing Solutions

By |September 19, 2011|Marketing|

Low-Cost Marketing Solutions

The Chiro.Org Blog


SOURCE:   ACA News

By Rebecca Jones


Boost your marketing efforts through volunteerism, community outreach and social media.

James Lehman, DC, MBA, adjusts spines, but rubbing shoulders is how he really grew his chiropractic practice in Albuquerque, N.M.

“One strategy that really worked for me involved volunteerism,” says Dr. Lehman, who later left his New Mexico practice to become associate professor of clinical sciences at the University of Bridgeport College of Chiropractic. “I volunteered to work with young politicians running for office. I’d make phone calls, hand out brochures. I developed friendships with a lot of decision-makers, some of whom got elected. Those young politicians, even if they lose, they’ll never forget you.” And being involved in political campaigns allowed Dr. Lehman to introduce himself to thousands of people he would never have met otherwise — each one a potential new client.

Politicking may not get everyone’s vote for preferred strategy for marketing a chiropractic practice, but for those with a taste for electioneering, the cost is nominal and the returns could be staggering.

Marketing doesn’t have to be expensive, and it doesn’t have to be complicated. Community outreach — whether through political campaigns, participating in local events such as festivals or runs, or joining civic organizations — is one tried-and-true marketing technique that goes hand in hand with simply being a good citizen.

There are other materials like this at our

New DCs Page and our

Chiropractic Assistant (CA) Page

(more…)