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ICD-10 Guidelines for DCs

ICD-10 Guidelines for DCs

The Chiro.Org Blog


SOURCE:   ACA News ~ April 2014

By Evan M. Gwilliam, DC


The ICD-10 codes that will soon be used on CMS-1500 claim forms have many pages of guidelines that explain the rules and conventions necessary to apply them correctly. Depending on the publisher, they take up about 30 pages in the ICD-10-CM code set. Some explain items like the definition of “Excludes2” and the meaning of the semicolon or slanted brackets (see Sections 1.A and 1.B). The bulk of these guidelines, around 20 pages, are found in Section 1.C and are chapter specific. The ICD-10-CM code set is divided into 21 chapters, each one for a distinct body system or condition.

Chiropractic physicians typically use codes from just four or five of the 21 chapters available in ICD-10-CM. These include, but are not necessarily limited to, the codes from Chapter 6, diseases of the nervous system; Chapter 13, diseases of the musculoskeletal system and connective tissue; Chapter 18, symptoms, signs and abnormal clinical findings, not elsewhere classified; Chapter 19, injury, poisoning and certain other consequences of external causes. Most doctors of chiropractic (DCs) do not employ certified coders to research all of the coding changes that are specific to their specialty. They are compelled to learn coding while running a small business and continuing to focus on the clinical needs of their patients. A thorough understanding of all the guidelines in ICD-10-CM is wise, but listed below are a handful of guidelines that should be the focus.


Chapter 6 Guidelines

Chapter 6 (diseases of the nervous system) includes codes from G00 to G99, covering the nervous system. DCs frequently treat many conditions of the nervous system, but only a few guidelines are important in the typical chiropractic setting. Some chiropractic patients may suffer from hemiplegia (G81) or monoplegia (G83). The guidelines tell us that the dominant or nondominant side can be affected and should be identified. However, if dominance is not specified, code selection follows these rules:

  • For ambidextrous patients, the default should be dominant;

  • If the left side is affected, the default is non-dominant; and
  • If the right side is affected, the default is dominant.

The general code set guidelines tell us to report only codes for conditions that are being treated or that directly affect the treatment. If a patient presents with hemiplegia (G81) that does not affect the treatment in any way, it will not be reported.

Continue reading ICD-10 Guidelines for DCs

Patient with Low Back Pain and Somatic Referred Pain Concomitant with Intermittent Claudication in a Chiropractic Practice

Patient with Low Back Pain and Somatic Referred Pain Concomitant with Intermittent Claudication in a Chiropractic Practice

The Chiro.Org Blog


SOURCE:   Topics in Integrative Health Care 2014 (MAR 27); 5 (1)

Kathryn Hoiriis, D.C., Brent S. Russell, M.S., D.C.


Introduction:   Approximately 12% of older patients in the general population have atherosclerotic disease of the aorta and lower extremity arteries, i.e., peripheral artery disease (PAD). Intermittent claudication is the most common symptom. When a patient with low back pain complains of lower extremity pain that is worsened with mild exercise (e.g. walking), the etiology is often not clear.

Case Presentation:   A 56 year-old male presented with low back pain, left hip and buttock discomfort, numbness in thigh and calf, and left knee weakness while walking.

Intervention and Outcome:   Chiropractic care was provided and the low back pain improved. The patient developed leg weakness. Radiographic evaluation showed calcification of abdominal aorta and common iliac arteries. The patient was referred for medical evaluation and diagnostic ultrasound findings of arterial occlusion lead to surgical referral. The surgeon reported a “significant amount” of blockage of the left external iliac artery. Leg weakness resolved following placement of surgical stents.

Discussion:   Claudication may go undiagnosed because many people consider the pain a consequence of aging, and may therefore just reduce their activity level to avoid the pain. Early diagnosis of PAD/intermittent claudication is important since PAD is a major risk factor for adverse cardiovascular events.

Conclusion:   Patient management in the chiropractic clinical setting required appropriate medical referral in this case. Surgical implantation of stents in the left external iliac artery resolved the complaint of leg weakness. It is imperative for health care professionals to have awareness of the high occurrence of PAD in the general population.


From the FULL TEXT Article

Introduction

Claudication is defined as pain caused by too little blood flow within muscles of the lower extremity. The pain is often described as intermittent or “on and off”. [1-3] Often, it is in the legs, but the arms can be affected. [4] The pain may come on during mild exercise, such as walking a specified distance, and typically subsides with rest. Claudication is a symptom of a disease, peripheral artery disease (PAD), which is potentially serious circulation problem. Comerata defines PAD as atherosclerotic disease of the aorta and arteries of the lower extremities and states that the most frequent manifestations of ischemia occur in the lower extremity arteries, with intermittent claudication as the most common symptom. [3]

Continue reading Patient with Low Back Pain and Somatic Referred Pain Concomitant with Intermittent Claudication in a Chiropractic Practice

Current Trends in Chiropractic Research
An Interview with Malik Slosberg, DC

Current Trends in Chiropractic Research
An Interview with Malik Slosberg, DC

The Chiro.Org Blog


SOURCE:   Health Insights Today ~ March 2014

Interview by Daniel Redwood, DC


Malik Slosberg, DC, lectures throughout the United States and internationally. A professor at Life Chiropractic College West who has received many awards as an outstanding instructor, including “Teacher of the Year,” he has also served on the postgraduate faculty of ten chiropractic colleges and was named “Chiropractor of the Year” by the Parker Resource Foundation.

Dr. Slosberg has been in private practice for thirty years, has published numerous articles in chiropractic journals and is currently a columnist for Dynamic Chiropractic. In addition, he has produced educational materials including videos, wall charts, and patient handouts used by many chiropractic colleges and thousands of chiropractors worldwide.

Slosberg holds a Masters of Science degree from California State University in clinical counseling and a Physicians’ Assistant degree from Dartmouth College.

Those who attended Dr. Slosberg’s lecture at Cleveland Chiropractic College’s Homecoming in 2013 know that he is an excellent communicator with a strong grasp of chiropractic-related research. Along these lines, he has recently (1) given a presentation to the clinic directors of all of the chiropractic colleges in the world at the Association of Chiropractic Colleges 2013 meeting, on “Integrating Exercise Training in the Chiropractic Curriculum and Clinical Experience; (2) served as guest editor of a peer-reviewed Journal of Electromyography and Kinesiology special issue on spinal manipulation; and been the first chiropractor invited to be a guest faculty member at the Annual Integrative Holistic Medicine Conference.

Tell us about your background in chiropractic practice and teaching, and as an analyst and interpreter of chiropractic-related research?

Before I was a chiropractor, I was a physician’s assistant. I was trained at Dartmouth Medical School and practiced for three years with an internist-gastroenterologist who was chief of staff at the Naples, Florida hospital. Eventually, I just got sick of prescribing medications so I looked for an alternative that was more natural. Someone recommended chiropractic and I went to school without knowing much about chiropractic. After graduating, I started teaching a course titled “Subluxation Pathology.” I started reading a great deal of the peer-reviewed research, since I hadn’t really been exposed to the scientific literature as a student. Reading the data that was out there, I soon realized that this was information that chiropractors should really know. But I didn’t see that it was well disseminated. So I began to teach this course and then the seminars. I also had a chiropractic practice for just under 30 years. Throughout that time, I was always a faculty member at a chiropractic college, first at Life in Georgia and then at Life-West, out in California.

What do you consider the most significant current trends in chiropractic-related research?

There are several that I think are quite significant. There are the recent high quality randomized trials evaluating the relative efficacy of chiropractic or spinal manipulation versus medical care, that is, versus anti-inflammatories, versus facet joint injections, and versus discectomies. This research has demonstrated that chiropractic is as effective or more effective, and often more cost-effective, than these more widely accepted medical interventions. This is important evidence and is being published in the areas of management of low back pain, neck pain, and also for headaches. Another area that I find really fascinating is the research on the impact of chiropractic on brain, including its influence on the sensory cortex, the motor cortex, and the cerebellum.

Continue reading Current Trends in Chiropractic Research
An Interview with Malik Slosberg, DC

The Comparative Effect of Episodes of Chiropractic and Medical Treatment on the Health of Older Adults

The Comparative Effect of Episodes of Chiropractic and Medical Treatment on the Health of Older Adults

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2014 (Mar); 37 (3): 143–154

Paula A Weigel, MS, Jason Hockenberry, PhD, Suzanne E. Bentler, PhD, Fredric D. Wolinsky, PhD

Candidate for PhD, Department of Health Management and Policy, College of Public Health, The University of Iowa, Iowa City, IA. Electronic address: Paula-Weigel@uiowa.edu.


OBJECTIVES:   The comparative effect of chiropractic vs medical care on health, as used in everyday practice settings by older adults, is not well understood. The purpose of this study is to examine how chiropractic compares to medical treatment in episodes of care for uncomplicated back conditions. Episodes of care patterns between treatment groups are described, and effects on health outcomes among an older group of Medicare beneficiaries over a 2-year period are estimated.

METHODS:   Survey data from the nationally representative Survey on Assets and Health Dynamics among the Oldest Old were linked to participants’ Medicare Part B claims under a restricted Data Use Agreement with the Centers for Medicare and Medicaid Services. Logistic regression was used to model the effect of chiropractic use in an episode of care relative to medical treatment on declines in function and well-being among a clinically homogenous older adult population. Two analytic approaches were used, the first assumed no selection bias and the second using propensity score analyses to adjust for selection effects in the outcome models.

RESULTS:   Episodes of care between treatment groups varied in duration and provider visit pattern. Among the unadjusted models, there was no significant difference between chiropractic and medical episodes of care. The propensity score results indicate a significant protective effect of chiropractic against declines in activities of daily living (ADLs), instrumental ADLs, and self-rated health (adjusted odds ratio [AOR], 0.49; AOR, 0.62; and AOR, 0.59, respectively). There was no difference between treatment types on declines in lower body function or depressive symptoms.

CONCLUSION:   The findings from this study suggest that chiropractic use in episodes of care for uncomplicated back conditions has protective effects against declines in ADLs, instrumental ADLs, and self-rated health for older Medicare beneficiaries over a 2-year period.


From the Full-Text Article:

Introduction

The therapeutic and restorative benefit of chiropractic on functional abilities has been well established in clinical efficacy studies. [1-15] However, what is not known is the comparative effectiveness of chiropractic vs other common medical treatments for similar clinical conditions over time, especially among Medicare beneficiaries receiving their care in everyday practice settings. For uncomplicated back conditions (eg, strains and sprains, and nonspecific back disorders), Medicare patients have a variety of provider choices, including doctors of chiropractic (DCs), physical therapists, internists, neurologists, interventional pain providers, and orthopedists to name a few. Understanding which providers and treatments Medicare beneficiaries seek, how often they seek those treatments, and the effect of that care on health outcomes would inform clinicians and policy makers alike about the comparative effectiveness of various treatments for uncomplicated back conditions provided in everyday settings.

There are more articles like this @ our:

Medicare and Chiropractic Page

Continue reading The Comparative Effect of Episodes of Chiropractic and Medical Treatment on the Health of Older Adults

Tamiflu: Millions wasted on flu drug, claims major report

Source BBC News

 

The UK has spent £473m on Tamiflu, which is stockpiled by governments globally to prepare for flu pandemics.

The Cochrane Collaboration claimed the drug did not prevent the spread of flu or reduce dangerous complications, and only slightly helped symptoms.

The manufacturers Roche and other experts say the analysis is flawed.

The antiviral drug Tamiflu was stockpiled from 2006 in the UK when some agencies were predicting that a pandemic of bird flu could kill up to 750,000 people in Britain. Similar decisions were made in other countries.

Hidden data

The drug was widely prescribed during the swine flu outbreak in 2009.

Drug companies do not publish all their research data. This report is the result of a colossal fight for the previously hidden data into the effectiveness and side-effects of Tamiflu.

It concluded that the drug reduced the persistence of flu symptoms from seven days to 6.3 days in adults and to 5.8 days in children. But the report’s authors said drugs such as paracetamol could have a similar impact.

On claims that the drug prevented complications such as pneumonia developing, Cochrane suggested the trials were so poor there was “no visible effect”.

Continue reading Tamiflu: Millions wasted on flu drug, claims major report

A Randomized Controlled Trial Comparing A Multimodal Intervention and Standard Obstetrics Care For Low Back and Pelvic Pain In Pregnancy

A Randomized Controlled Trial Comparing A Multimodal Intervention and Standard Obstetrics Care For Low Back and Pelvic Pain In Pregnancy

The Chiro.Org Blog


SOURCE:   Am J Obstet Gynecol. 2013 (Apr);  208 (4):   295. e1-7

James W. George, DC; Clayton D. Skaggs, DC; Paul A. Thompson, PhD;
D. Michael Nelson, MD, PhD; Jeffrey A. Gavard, PhD; Gilad A. Gross, MD

Chiropractic Science Division, College of Chiropractic, Logan University, Chesterfield, MO, USA. james.george@logan.edu


OBJECTIVE:   Women commonly experience low back pain during pregnancy. We examined whether a multimodal approach of musculoskeletal and obstetric management (MOM) was superior to standard obstetric care to reduce pain, impairment, and disability in the antepartum period.

STUDY DESIGN:   A prospective, randomized trial of 169 women was conducted. Baseline evaluation occurred at 24-28 weeks’ gestation, with follow-up at 33 weeks’ gestation. Primary outcomes were the Numerical Rating Scale (NRS) for pain and the Quebec Disability Questionnaire (QDQ). Both groups received routine obstetric care. Chiropractic specialists provided manual therapy, stabilization exercises, and patient education to MOM participants.

RESULTS:   The MOM group demonstrated significant mean reductions in Numerical Rating Scale scores (5.8 ± 2.2 vs 2.9 ± 2.5; P < .001) and Quebec Disability Questionnaire scores (4.9 ± 2.2 vs 3.9 ± 2.4; P < .001) from baseline to follow-up evaluation. The group that received standard obstetric care demonstrated no significant improvements.

CONCLUSION:   A multimodal approach to low back and pelvic pain in mid pregnancy benefits patients more than standard obstetric care.


From the Full-Text Article:

Introduction

Musculoskeletal pain in pregnant women commonly is viewed as transient, physiologic, and self-limited. However, most women report either low back pain (LBP) or pelvic pain (PP) during pregnancy [1-6] and the morbidity that is associated with such complaints. [7, 8] Moreover, up to 40% of patients report musculoskeletal pain during the 18 months after delivery, [2, 7, 9, 10] and one-fifth of these women have severe LBP that leads to major personal, social, or economic problems. [7, 9, 11] Pregnancy-related LBP contributes substantially to health care costs. For example, one-fifth of pregnant women in Scandinavian countries experience back pain as an indication for up to 7 weeks of sick leave in the perinatal period. [7, 9] Ninety-four percent of women who experienced LBP in an index pregnancy have recurrent symptoms with subsequent pregnancy, and two-thirds of these patients experience disability and require sick leave during pregnancy. Notably, 19% of women with pain in an initial pregnancy report avoidance of a future pregnancy out of fear of recurrence of the musculoskeletal symptoms. [11]

Most past investigations that have evaluated interventions to reduce morbidity in women with LBP/PP during pregnancy have used modalities that have included prescription exercise, [12] manual manipulation, [13] education, [14] acupuncture, [15] or pelvic belts. [16] Recently, a multimodal randomized trial compared osteopathic manipulation to usual obstetric care and sham ultrasonic therapy on 144 participants. [13] Importantly, this trial did not include behavioral and exercise therapies. We conducted a prospective, randomized, masked clinical trial to test the hypothesis that a multimodal approach of manual therapy, exercise, and education for LBP/PP in pregnant women is superior to standard obstetric care (STOB) for the reduction of pain, impairment, and disability in the ante-partum period.


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Pregnancy and Chiropractic Page

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Outcomes Of Pregnant Patients With Low Back Pain Undergoing Chiropractic Treatment: A Prospective Cohort Study With Short Term, Medium Term and 1 Year Follow-up

Outcomes Of Pregnant Patients With Low Back Pain Undergoing Chiropractic Treatment: A Prospective Cohort Study With Short Term, Medium Term and 1 Year Follow-up

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2014 (Apr 1);   22 (1):   15

Cynthia K Peterson, Daniel Mühlemann, Barry Kim Humphreys

Department of Chiropractic Medicine, Orthopaedic University Hospital Balgrist,
University of Zürich, Forchstrasse 340, Zürich, Switzerland


BACKGROUND:   Low back pain in pregnancy is common and research evidence on the response to chiropractic treatment is limited. The purposes of this study are 1) to report outcomes in pregnant patients receiving chiropractic treatment; 2) to compare outcomes from subgroups; 3) to assess predictors of outcome.

METHODS:   Pregnant patients with low back or pelvic pain, no contraindications to manipulative therapy and no manual therapy in the prior 3 months were recruited.Baseline numerical rating scale (NRS) and Oswestry questionnaire data were collected. Duration of complaint, number of previous LBP episodes, LBP during a previous pregnancy, and category of pain location were recorded.The patient’s global impression of change (PGIC) (primary outcome), NRS, and Oswestry data (secondary outcomes) were collected at 1 week, 1 and 3 months after the first treatment. At 6 months and 1 year the PGIC and NRS scores were collected. PGIC responses of ‘better or ‘much better’ were categorized as ‘improved’.The proportion of patients ‘improved’ at each time point was calculated. Chi-squared test compared subgroups with ‘improvement’. Baseline and follow-up NRS and Oswestry scores were compared using the paired t-test. The unpaired t-test compared NRS and Oswestry scores in patients with and without a history of LBP and with and without LBP during a previous pregnancy. Anova compared baseline and follow-up NRS and Oswestry scores by pain location category and category of number of previous LBP episodes. Logistic regression analysis also was also performed.

RESULTS:   52% of 115 recruited patients ‘improved’ at 1 week, 70% at 1 month, 85% at 3 months, 90% at 6 months and 88% at 1 year. There were significant reductions in NRS and Oswestry scores (p < 0.0005). Category of previous LBP episodes number at one year (p = 0.02) was related to 'improvement' when analyzed alone, but was not strongly predictive in logistic regression. Patients with more prior LBP episodes had higher 1 year NRS scores (p = 0.013).

CONCLUSIONS:   Most pregnant patients undergoing chiropractic treatment reported clinically relevant improvement at all time points. No single variable was strongly predictive of ‘improvement’ in the logistic regression model.


From the Full-Text Article:

Background

Low back and pelvic pain in pregnant women is such a common phenomenon that it is often considered a normal part of the pregnancy [1-3]. However, the high prevalence of this problem (50-80% of women) and the impact that this may have on their quality of life, as well as the fact that back pain during pregnancy is commonly linked to low back pain persisting after pregnancy, mandates that it be taken seriously by health care practitioners [1-6]. Many of these patients rate their back pain as moderate to severe with a small percentage claiming to be significantly disabled by the pain [6-8].

Pregnancy-related low back pain is most often divided into 3 categories based on location. These are: lumbar spine pain (LP), posterior pelvic pain (PPP), or a combination of these two [1, 2, 9], with posterior pelvic pain reported to be the most common presentation [1, 10] and the location most specific for pregnant patients [9]. However, other authors have used 4 categories for pelvic only pain, including anterior pain at the pubic symphysis (symphysiolysis) but excluding lumbar spine pain [11].

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Pregnancy and Chiropractic Page

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Experiencing A Sense Of Isolation, Weirdness, Or The Need For Social Engagement? Now, There’s An APP For That!

Experiencing A Sense Of Isolation, Weirdness, Or The Need For Social Engagement?
Now, There’s An APP For That!

The Chiro.Org Blog


SOURCE:   MedPage Today ~ Apr 1, 2014

‘App’ Aims to Reduce Social Anxiety Disorders

By Stacy Gever, Kristina Fiore, Elbert Chu, and Sarah Wickline


A mobile application (KUDL) delivered promising results for reducing feelings of isolation, weirdness, and the need for social engagement in clinical trials, researchers reported.

Created by Abid Nagusami, founder and CEO of KUDL, use of the KUDL app was associated with decreased social anxiety symptomatology and an increase in quality-of-life measures, according to Stacy Crane, PhD, MPH, of Harrison Institute of Iterative Therapy in Manhattan, and colleagues. Results of the Kinetic Understanding of Deterring Loneliness (KUDL) trial were published online in the Journal of Nature Technologies.

Continue reading Experiencing A Sense Of Isolation, Weirdness, Or The Need For Social Engagement? Now, There’s An APP For That!

Treatment Preferences Amongst Physical Therapists and Chiropractors for the Management of Neck Pain: Results of an International Survey

Treatment Preferences Amongst Physical Therapists and Chiropractors for the Management of Neck Pain: Results of an International Survey

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2014 (Mar 24);   22 (1):   11

Lisa C Carlesso, Joy C MacDermid, Anita R Gross, David M Walton, P Lina Santaguida

Toronto Western Research Institute, University Health Network,
399 Bathurst Street – MP11-328, Toronto, Ontario M5T 2S8, Canada


BACKGROUND:   Clinical practice guidelines on the management of neck pain make recommendations to help practitioners optimize patient care. By examining the practice patterns of practitioners, adherence to CPGs or lack thereof, is demonstrated. Understanding utilization of various treatments by practitioners and comparing these patterns to that of recommended guidelines is important to identify gaps for knowledge translation and improve treatment regimens.Aim: To describe the utilization of interventions in patients with neck pain by clinicians.

METHODS:   A cross-sectional international survey was conducted from February 2012 to March 2013 to determine physical medicine, complementary and alternative medicine utilization amongst 360 clinicians treating patients with neck pain.

RESULTS:   The survey was international (19 countries) with Canada having the largest response (38%). Results were analyzed by usage amongst physical therapists (38%) and chiropractors (31%) as they were the predominant respondents. Within these professions, respondents were male (41-66%) working in private practice (69-95%). Exercise and manual therapies were consistently (98-99%) used by both professions but tests of subgroup differences determined that physical therapists used exercise, orthoses and ‘other’ interventions more, while chiropractors used phototherapeutics more. However, phototherapeutics (65%), Orthoses/supportive devices (57%), mechanical traction (55%) and sonic therapies (54%) were not used by the majority of respondents. Thermal applications (73%) and acupuncture (46%) were the modalities used most commonly. Analysis of differences across the subtypes of neck pain indicated that respondents utilize treatments more often for chronic neck pain and whiplash conditions, followed by radiculopathy, acute neck pain and whiplash conditions, and facet joint dysfunction by diagnostic block. The higher rates of usage of some interventions were consistent with supporting evidence (e.g. manual therapy). However, there was moderate usage of a number of interventions that have limited support or conflicting evidence (e.g. ergonomics).

CONCLUSIONS:   This survey indicates that exercise and manual therapy are core treatments provided by chiropractors and physical therapists. Future research should address gaps in evidence associated with variable practice patterns and knowledge translation to reduce usage of some interventions that have been shown to be ineffective.


From the Full-Text Article:

Background

Clinical practice guidelines are developed to provide statements and recommendations with the intention of helping practitioners optimize patient care [1]. By examining the practice patterns of practitioners, adherence to CPGs or lack thereof, is demonstrated. Recommendations for practice can then be formed. Understanding existing practice patterns provides insight into how current evidence impacts on practice and can identify where greater efforts in knowledge translation are needed. Clinical practice will vary dependent on a number of factors such as location, resources available, patient population, and professional background. Several CPGs from varying professionals who treat patients with neck pain exist [2-5]. To our knowledge no examination of practice patterns across health care professionals who treat patients with neck pain has been published.

Continue reading Treatment Preferences Amongst Physical Therapists and Chiropractors for the Management of Neck Pain: Results of an International Survey

Updated Reference Guide to Dr. Richard C. Schafer’s Works

Updated Reference Guide to Dr. Richard C. Schafer’s Works

The Chiro.Org Blog



There are now 63 different Chapters from Dr. Schafer’s various best-selling textbooks for your review, available exclusively at Chiro.Org

These learned articles by Dr. Schafer can be found again easily by selecting the CATEGORY titled EDUCATION, on the right-hand side of this page, just below Recent Comments. We hope you will find them of interest.

Our thanks to ACAPress for access to these materials!


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.


Applied Physiotherapy in Chiropractic
Chap 1   The Rationale of Physiotherapy in Chiropractic
Chap 3   Commonly Used Meridian Points
Chap 13   Rehabilitation Methodology
Chap 15   Chiropractic Perspectives On Myofascial Therapy
 
Basic Chiropractic Procedural Manual
(Emphasizing Geriatric Considerations)
Chap 1   Basic Principles and Practice of Chiropractic
Chap 3   Orthopedic and Neurologic Procedures in Chiropractic
Chap 6   Radiologic Manifestations of Spinal Subluxations
Chap 8   A Compendium of Clinical Geriatrics
Chap 10   Introduction to Chiropractic Physiologic Therapeutics
 
Basic Principles of Chiropractic Neuroscience
Chap 1   An Introduction to the Principles of Chiropractic
Chap 2   General Principles of Clinical Neurology
Chap 3   The Longitudinal Neurologic Systems
Chap 4   The Horizontal Neurologic Levels
Chap 5   Neuroconceptual Models of Chiropractic
Chap 6   Causes and Potential Effects of the Subluxation Complex
Chap 7   Specific Potentialities of the Subluxation Complex
Chap 8   Clinical Disorders and the Sensory System
Chap 9   Clinical Disorders and the Motor System
Chap 10   Clinical Disorders and the Autonomic Nervous System
  Continue reading Updated Reference Guide to Dr. Richard C. Schafer’s Works

Keep on Truckin

Keep on Truckin

The Chiro.Org Blog


SOURCE:   Everywhere

Lotsa Folks


Continue reading Keep on Truckin

Happy St. Patricks Day (2014)

Happy St. Patricks Day (2014)

The Chiro.Org Blog


What Are You Really Saying?

What Are You Really Saying?

The Chiro.Org Blog


SOURCE:   Today’s Chiropractic

By Rachel Sullivan


Actions may speak louder than words, but for the busy chiropractic office and the average patient, words may not be doing much at all. In an ideal world, a patient would seek out care, ask pertinent questions, provide all relevant information and leave feeling secure they had been heard, understood and, most importantly, treated well.

Unfortunately for far too many patients—and their chiropractic caregivers—the world is far from ideal. To this end, numerous experts agree miscommunication generally arises either during the course of chiropractors’ lay lectures or discussion of case histories.

“The single biggest problem, in my opinion, is that too many chiropractors talk too much,” says Bill Esteb, owner of Patient Media. “Most people think effective communication is about eloquent, suave answers, but behind that is the ability to listen. I’ve met a lot of chiropractors who aren’t good listeners, because they confuse listening with hearing. One is a physiological act; the other is a social skill.”

Mike Headlee, D.C., agrees. “In a nutshell, to do my job and spread the message of chiropractic care, the first thing I tell patients is it’s about them. I let them talk and when it’s my turn to explain what I can do, I will clarify what they said. This is about building a rapport and really making a connection. The object is to put them at ease and get the message across, but the main objective is to help each patient on the particular day I am seeing them.”

In this capacity, Headlee says he begins each session with his patients using an open-ended question like, “What can I do for you today?” Then, and most importantly in his opinion, he shuts up to listen. “I think it’s absolutely critical to know what experience my patients have had with chiropractic before me,” Headlee explains. “I’m not asking for the names of their former doctors, but I do want to know what worked and what didn’t. It’s important to hear what the patient has to say about their situation. It’s amazing to realize how many patients know something is wrong with them, but don’t know what.”

There are more materials like this @ our:

Chiropractic Assistant Page and our:

New DCs Page

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Was Jack LaLanne a chiropractor?

Source Jack LaLanne Blog

p-3I was not aware of this but famed fitness proponent Jack LaLanne was in fact a chiropractor. His curiosity about the inter-working of the muscles of the body lead him to attend Oakland C.C. in the early ’40′s. Following graduation Jack was actively operating the first modern health spa using his chiropractic education to help his students get into shape. Then W.W. II broke out and he found himself in Guadalcanal evacuating and rehabilitating the wounded. Following the war, Jack returned to operating his spa and soon found himself on the television helping millions of Americans stay in shape and all the while being proud he was a chiropractor. Due to the aforementioned circumstances in his life, he was never able to hang out a shingle, but he supported his fellow chiropractors through lectures and personal appearances. Currently Jack has a chiropractic program called ‘Stay Fit Seniors’ that combines healthy exercise with chiropractic care, which continues on with his wife Elaine, son Jon Allen, and the rest of the LaLanne family.

ICD-10 Follies: There’s a Code For That???

ICD-10 Follies:
There’s a Code For That???

The Chiro.Org Blog


SOURCE:   MedPage Today ~ Feb 19, 2014

By David Pittman, Washington Correspondent, MedPage Today


It is 224 days before the move to ICD-10 becomes a must-do. Lest the deadline slip your mind, MedPage Today is spotlighting some of those thousands of new codes that might just be getting a bit too granular.

Today’s code:

W61.92:   Struck by other birds   (There are already separate diagnostic codes for being struck by parrots, macaws, psittacines, chickens, geese, and ducks.   W61.92 is for all other types of birds.)


Here is a re-enactment for your viewing pleasure.