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Monthly Archives: June 2013

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Coenzyme Q10: A Building Block of Healthy Aging

By |June 27, 2013|Complementary and Alternative Medicine, Health Promotion, Nutrition|

Coenzyme Q10: A Building Block of Healthy Aging

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic

By Holly Lucille, ND, RN


Supporting biologic activity as we age with ubiquinol, the active form of CoQ10.

Coenzyme Q10 has gained enormous attention in recent years, and with good reason — it’s the Energizer Bunny of the cellular world.

This essential quinine molecule is found in the mitochondria of every single cell in the body, where it plays a key role in energy production. CoQ10 not only assists in the production of adenosine triphosphate (ATP), but also scavenges free radicals. [1]   To carry out these critical tasks, mitochondrial CoQ10 continuously cycles from ubiquinone, its ATP production state, to ubiquinol, its reduced active state. [2]

More than 4,000 published studies suggest that high CoQ10 levels are essential for optimal health — and this is especially true for the heart and brain. Since both of these organs require huge amounts of energy, supplementation can often help support their high biologic activity. [2, 3]   Research shows that CoQ10 supplementation can improve energy production and extend cell life by enhancing cellular mitochondrial levels of CoQ10. In turn, this supports not only the heart and brain, but also periodontal, skin, reproductive, and immune health. [4-9]   However, before you advise patients to add CoQ10 to their daily routine, be aware that there’s a catch to taking this multitalented nutrient in supplemental form.

CoQ10’s Critical Conversion

Creating ATP inside the mitochondria is quite complicated and involves a series of biochemical reactions. Since the body cannot store ATP, this multi-step process — known as the electron transport chain — ensures that this critical energy source is continually replaced. [1, 10]   Here’s how it works: Ubiquinone contributes to ATP production by passing electrons from one enzyme complex to another, much like a bucket brigade. [3]   During this process, ubiquinone is converted to its reduced active state, ubiquinol.

Surprisingly, our mitochondria are the most important cellular source of free radicals. [11]   While most of the oxygen radicals generated by the mitochondria stay with its membrane folds, about 2 percent “escape” and create toxins that can threaten the health and survival of the entire cell. [11-13]   Ubiquinol is able to neutralize these free radicals, both within the mitochondria and the cell membrane itself. [14]

There are many more articles like this @ our:

Coenzyme – Q10 (Co–Q10) Page

which is just one page from our

Nutrition Section

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Adolescent Idiopathic Scoliosis Treated by Spinal Manipulation: A Case Study

By |June 22, 2013|Chiropractic Care, Scoliosis|

Adolescent Idiopathic Scoliosis Treated by Spinal Manipulation: A Case Study

The Chiro.Org Blog


SOURCE:   J Altern Complement Med. 2008 (Jul); 14 (6): 749–751

Kao-Chang Chen, Elley H.H. Chiu

Division of Acupuncture and Chinese Traumatology, Department of TCM, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.



OBJECTIVE:   This report of one case illustrates the potential effect of chiropractic manipulative therapy on back pain and curve progression in the at-risk, skeletally immature patient with adolescent idiopathic scoliosis.

CLINICAL FEATURES:   A 15-year-old girl experienced right thoracic scoliosis for 4 years. She received regular (medical) rehabilitation and brace treatment for 4 years, but the curvature of the thoracic spine still progressed. The Cobb angle was 46 degrees and surgical intervention was suggested to prevent significant deformity, which may be accompanied by cardiopulmonary compromise.

INTERVENTION AND OUTCOME:   This patient was treated with spinal manipulation two times per week for 6 weeks at the outset, which was gradually decreased in frequency. After 18 months of consecutive treatment, follow-up radiographs and examinations were conducted. The Cobb angle decreased by 16 degrees. Meanwhile, the patient’s lower backache eased and there was also an improvement in defecation frequency, which had been problematic.

Learn more about Scoliosis @ our:

Scoliosis and Chiropractic Page

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Early Adolescent Lumbar Intervertebral Disc Injury: A Case Study

By |June 20, 2013|Chiropractic Care, Disc Injury, Pediatrics|

Early Adolescent Lumbar Intervertebral Disc Injury:
A Case Study

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2013 (Apr 26); 21: 13

Chris T Carter, Lyndon G Amorin-Woods and Arockia Doss

School of Health Professions,
Murdoch University,
Murdoch, Western Australia, Australia


This article describes and discusses the case of an adolescent male with lumbar intervertebral disc injury characterized by chronic low back pain (LBP) and antalgia. A 13-year-old boy presented for care with a complaint of chronic LBP and subsequent loss of quality of life. The patient was examined and diagnosed by means of history, clinical testing and use of imaging. He had showed failure in natural history and conservative management relief in both symptomatic and functional improvement, due to injury to the intervertebral joints of his lower lumbar spine. Discogenic LBP in the young adolescent population must be considered, particularly in cases involving even trivial minor trauma, and in those in which LBP becomes chronic. More research is needed regarding long-term implications of such disc injuries in young people, and how to best conservatively manage these patients. A discussion of discogenic LBP pertaining to adolescent disc injury is included.


The Full-Text Article:

Background

LBP in children and adolescence is an important and increasing problem, and prevalence increases with age [1]. Systematic review and meta-analysis studies of LBP in adolescence found mean LBP point prevalence and one-year prevalence for adolescents to be around 12%, and 33% respectively [2,3]. Watson et al. [4] reported a one month period prevalence of 24% in schoolchildren aged 11–14 years in northwest England. Historically considered as trivial and non-limiting, LBP in this age-group may have both immediate and long-term consequences for an important proportion of those affected [4]. Risk factors have been debated, although ergonomics of school furniture, school bag weight and mechanics, trauma, history of scoliosis, and involvement of strenuous physical activity may be associative or causative factors in young persons with LBP [5]. There is also increasing evidence that psychological and psychosocial factors may play a significant influence in the aetiology of LBP in this age group [6, 7].

There are many more articles like this in our:

Chiropractic Pediatrics Section

You will also enjoy our:

Disc Herniation and Chiropractic Page

(more…)

Trends in the Use and Cost of Chiropractic Spinal Manipulation Under Medicare Part B

By |June 19, 2013|Cost-Effectiveness, Medicare|

Trends in the Use and Cost of Chiropractic Spinal Manipulation Under Medicare Part B

The Chiro.Org Blog


SOURCE:   Spine J. 2013 (Nov); 13 (11): 1449–1454

Whedon JM, Song Y, Davis MA.

The Dartmouth Institute for Health Policy and Clinical Practice,
Dartmouth College, 30 Lafayette St,
Lebanon, NH 03756
james.m.whedon@dartmouth.edu.



BACKGROUND CONTEXT:   Concern about improper payments to chiropractic physicians prompted the US Department of Health and Human Services to describe chiropractic services as a “significant vulnerability” for Medicare, but little is known about trends in the use and cost of chiropractic spinal manipulation provided under Medicare.

PURPOSE:   To quantify the volume and cost of chiropractic spinal manipulation services for older adults under Medicare Part B and identify longitudinal trends.

STUDY DESIGN/SETTING:   Serial cross-sectional design for retrospective analysis of administrative data.

PATIENT SAMPLE:   Annualized nationally representative samples of 5.0 to 5.4 million beneficiaries.

OUTCOME MEASURES:   Chiropractic users, allowed services, allowed charges, and payments.

METHODS:   Descriptive statistics were generated by analysis of Medicare administrative data on chiropractic spinal manipulation provided in the United States from 2002 to 2008. A 20% nationally representative sample of allowed Medicare Part B fee-for-service claims was merged, based on beneficiary identifier, with patient demographic data. The data sample was restricted to adults aged 65 to 99 years, and duplicate claims were excluded. Annualized estimates of outcome measures were extrapolated, per beneficiary and per user rates were estimated, and volumes were stratified by current procedural terminology code.

You may also want to refer to our:

Cost-Effectiveness of Chiropractic Page

and our

Medicare Information Page

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MEDICARE INFO: Cross-Referencing Regions of Complaint, PART Findings, Diagnoses and CPT Codes

By |June 18, 2013|Documentation, ICD-10 Coding, Medicare|

MEDICARE INFO: Cross-Referencing Regions of Complaint, PART Findings, Diagnoses and CPT Codes

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic ~ June 15, 2013

By K. Jeffrey Miller, DC, DABCO


In 2012 the Centers for Medicare and Medicaid Services and CMS-contracted reviewers performed chiropractic Medicare reviews nationwide. The results of their efforts were not good news for the chiropractic profession.

The reviews pointed to poor record-keeping and billing practices throughout the profession. Claims were also made of inappropriate billing of maintenance care resulting in significant overpayments for chiropractic services. [1] Unfortunately, these findings were consistent with previous CMS chiropractic reviews. [2]

Of the current review findings, the one that is most disappointing is our consistency from one CMS review to the next. It is difficult to respond to our many Medicare problems all at once. It can be overwhelming. However, while we cannot fix everything at once, we can fix something.

There are a specific set of closely related problems that can and should be addressed together. In actuality, the problems are so intertwined that they are really a single concern: matching the number of symptomatic spinal / pelvic regions; the number of spinal /pelvic regions with PART and/or X-ray findings of subluxation; the number of diagnoses, the number of regions adjusted; and the CPT code used to bill for the adjustment.

Volumes have already been written about this concern. Here, I offer a set of questions to help guide doctors in documenting the number of patient complaints, subluxations, diagnoses, regions adjusted and the appropriate billing codes. This series of questions is accompanied by comments and tables to clarify the importance of each question.

Questions to Ask Yourself After Examining a Medicare Patient

  1. How many regions of the spine / pelvis did the patient list as painful or symptomatic? Medicare is not purely subluxation based, despite the original and lasting rule that a subluxation must be documented in any region adjusted. The diagnostic criteria also require a symptom code for each region of subluxation. With this in mind, Medicare assumes the patient to have a complaint in each region treated and that the patient reported these complaints during their history. This is a common expectation for many other carriers as well. Carriers do not feel treatment of a region that is asymptomatic is necessary. “Asymptomatic” for Medicare and many other carriers translates to “no problem or no condition.”

There are more articles like this @ our:

Medicare Information Page

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