Chiro Org Site Map Welcome to Chiro.org - the best Chiropractic website for news and information! If your browser does not show you drop down menus at the top of the page, you can navigate our web site using the site map. Review Our Extensive LINKS Section Most Links Pages point at materials on someone else's website. Chiro.Org's LINKS Section is different ! As early as 1997, the LINKS was collecting abstracts and Full-text articles onto our own server. Over the years, most of those materials have coalesced into topical pages, which now gather related materials into one convenient reference location. Our Low Back Pain Page and the Whiplash page are just 2 examples. Here are some of our newest topical additions: The Adverse Events page clearly documents that, although mild complaints may occur after the first visit or 2, that chiropractic appears to be (at least) as safe, or much safer than standard medical treatments for the same complaints. Chiropractic and Workers' Compensation Page reviews the growing body of studies that demonstrate that chiropractic care is more cost-effective, while also providing higher levels of patient satisfaction than standard medical treatments for spinal pain syndromes (neck pain, low back pain and headaches). We also get workers back on the job nearly twice as quickly. The Chiropractic Care For Veterans Page tracks the progress of adding chiropractic care to the Veterans' Administration clinics, and other Military installations around the Country. Chiropractic and Sciatica Learn more about how chiropractic can help. Integrated Health Care and Chiropractic Chiropractors are being inducted into more integrative practices than ever before. The Chiropractors are the Spinal Health Care Experts Page contains a collection of articles discussing chiropractic's evolving role as THE primary spinal health care expert. The all-new ICD-10 Page We finally got around to updating the old Diagnosis Codes Commonly Used in the Chiropractic Office section. Exercise and Chiropractic Page reviews a unique series of studies (over a 20-year period) that combined exercise with chiropractic care to improve patient outcomes. The Senior Care Page reviews chiropractic management and guidelines for care of older adults (Seniors). The Prescription Rights and Expanded Practice Discussion Page reports on the expanded practice and prescription rights movement(s). The Iatrogenic Injury Page reminds us that Informed Consent involves discussing all the risks of the standard medical alternatives (drugs, surgery) to our conservative chiropractic approach. The LINKS Section can be found up top, on the tan toolbar. Chiropractic and Chronic Neck Pain It's all here:   An exhaustive collection of studies going back to 1993 that support chiropractic care for chronic neck pain. This page features: The Reference Section provides access to recent treatment guidelines, the Neck Pain in Children sub-section, and many other helpful source materials. The new Who Are Candidates for Neck Pain? section details early findings that may contribute to chronicity. The Chronic Neck Pain Commentary section makes a strong case that chiropractic should be the FIRST choice for management for those with musculoskeletal complaints. You may want to refer to the Cost-Effectiveness Page or the Patient Satisfaction Page for more supportive information on this topic.. A recent Spine Journal study reviews the cost-effectiveness of spinal manipulative therapy, supervised exercise, and home exercise for older adults with chronic neck pain. The Documentation Section Please explore our Documentation Association Recommendations section, which contains detailed recommendations from National Associations for documenting: Record Keeping Initial Exams Clinical Impression and Diagnosis, and Outcome Assessment Review our Useful Tools section, which contains useful form letters, including: Initial and Progress Insurance Letters Initial and Progress Report Templates, and other Useful Forms The ICD-10 code sets have fundamental changes in structure and concepts that make them very different from ICD-9. Because of these differences, it is important to develop a preliminary understanding of the changes from ICD-9 to ICD-10. Maximize the Effectiveness of your Documentation by reviewing this in-depth article, available exclusively at Chiro.Org, thanks to the author Dr. Robert Mootz. Thanks Bob! Survive the Scrutiny of a 3rd Party claim review by reviewing this in-depth article by Nataliya Schetchikova, PhD. The DOCUMENTATION Section can be found on the TOOLS drop-down. Visit Our SEARCH Tools Page We now have even more directory-specific search tools to help you find your information more easily! You'll find these tools within the Acupuncture, Alt-Med Abstracts, Case Studies, ChiroZine, Documentation, LINKS, Medicare, Nutrition, Pediatrics, RC Schafer's Rehabilitation Section, and the Chiropractic Research sections. Look for the green SEARCH links at the top of each page. Have You Been Following Our Blog Lately? There's only one way to find out... and that's to drop by. The Chiro.Org Blog has been our new "Home Page" since March of 2009. The Nutrition Section The All About Telomeres and the Guarana Seed Extract Page are 2 new additions to our Nutrition Section. The Drug-Nutrient Depletion and Interaction Charts may help you reduce the side-effects of certain medications you may be taking. This Protein and Body Composition article states that: Recent work has documented significantly greater gains in muscle mass and strength when protein is ingested in close proximity to a resistance-training session. [4, 7] Nutraceuticals and Their Preventive or Potential Therapeutic Value in Parkinson's Disease is a fascinating review of the impact on nutrition on Parkinson's. Factors Contributing to Nutritional Deficiencies is a helpful guide that reviews many causes of poor absorption of your nutrients. The NUTRITION Section can be found on the CAM drop-down. The Chiropractic Research Section Although we have research articles spread across our many Sections, the Research Section now provides convenient links to all those collected materials, in our simplified What's New Section. Japanese orthopedists have recently demonstrated that mechanically induced facet inflammation leads to nerve root radiculopathy (induced allodynia). This work supports yet another aspect of the Vertebral Subluxation Complex hypothesis. This article can be found in the About Chiropractic Adjusting Page. You may also want to review the Chiropractic Research Results for a Variety of Conditions Page. The CHIROPRACTIC RESEARCH Section is on the RESEARCH drop-down. The Pediatrics Section The new Best Practices for Chiropractic Care of Children is an updated practice recommendation for the evaluation, management, and treatment of pediatric patients. Thanks to Cheryl Hawk, DC, PhD and the American Chiropractic Association, the International Chiropractors Association, and the International Chiropractic Pediatric Association. Review of the effectiveness of Complementary and Alternative Medical Therapies for Children With Attention-deficit/ Hyperactivity Disorder (ADHD). Enjoy this case review of 114 infants who were diagnosed with sub-optimal feeding patterns. They were referred by their doctors to the AECC student clinic where they were found to be subluxated. After minimal care (5 visits in 2 weeks) the majority of children improved. A new survey among adolescents aged 15-16 years revealed that Almost half of the girls and one third of the boys reported mild neck or occipital pain, or shoulder pain, and 5% of girls and 2% of boys reported severe neck or occipital pain, or shoulder pain during the past 6 months. Review FCER and ICPA's response to a recent biased Pediatrics article that discussed the risks associated with chiropractic adjusting for children without reporting the relative risks of medical procedures for the same conditions, or the the benefits of spinal manipulation for children which have been amply described in the research literature. The PEDIATRICS Section can be found on the CAM drop-down. The Chiropractic Assistant Section The Chiropractic Assistant Page contains interesting and useful articles on billing and coding, patient education, CA training, practice management, and personal and practice growth. The CHIROPRACTIC ASSISTANT Section is on the TOOLS drop-down. The Medicare Section The Medicare Section recently added a whole series of research articles explaining on how chiropractic care reduces the cost, and improved the health outcomes in Medicare patients. A new JMPT study shows that chiropractic care can reduce the reliance on Opioid Use in younger Medicare beneficiaries. Another new JMPT study details how chiropractic care improves outcomes and reduces health care costs for older Medicare patients with Chronic Low Back Pain. The MEDICARE Section can be found on the TOOLS drop-down. We are Street Legal! Chiro.Org turned 24 years old this March! (2019).   We remain the oldest existing chiropractic website!   When Ed Merrifield registered the Chiro.Org domain, there were less than 10,000 websites on the whole Planet. We want to thank our webmasters (volunteers all!) and our Sponsors for making this website possible! Read the rest of our Announcements now!. The Acupuncture Section A newly acquired FULL TEXT article titled The Neuroimmune Basis of Anti-inflammatory Acupuncture proposes that the anti-inflammatory power of acupuncture may be more successful for the treatment of a number of chronic inflammatory and autoimmune diseases than standard medical management. In a second study, reviewing who uses acupuncture, and for what purpose, in a group of 9408 acupuncture patients, 74% of patients were female. The most common main complaint reported was musculo-skeletal (38%), followed by psychological (11%), general (9%), neurological (8%) and gynaecological/obstetric (8%), while 5% of patients were seeking treatment for their general well-being. Read about this in the Articles section. Learn more about this ancient healing technique. This section links to acupuncture journals, information websites, and also contains numerous research articles. The ACUPUNCTURE Section can be found on the CAM drop-down. The Radiology Section MRI Spine Protocols First, as discussed previously, general radiologists have a 42.2% error rate as reported by Lurie, Doman, Spratt, Tosteson, and Weinstein (2009), which makes it virtually imperitive that we, as practitioners, must take control of a critical component in diagnosing our patients. Mechanical low back pain is a common indication for Nuclear Medicine imaging. Single photon emission computed tomography/computed tomography (SPECT/CT) allows accurate diagnosis and anatomic localisation of osteoblastic and osteolytic lesions in 3D imaging. We present a clinical case of a patient referred for evaluation of chronic lower back pain with no history of trauma, spinal surgery, or cancer. The AMA's Guides to the Evaluation of Permanent Impairments uses George's Line to rate neck impairments. A moderate (3.5 mm) break in George's Line on the flexion and extension lateral X-ray films is a permanent impairment, equivalent to a post-surgical fusion of two cervical vertebra. Some chiropractors see small anterolisthesis and/or retrolisthesis on the films and fail to appreciate its true significance. You may also enjoy taking the Radiology QUIZ. While you're here, come explore useful radiology charts, guides, articles, and the radiology report generator. The RADIOLOGY Section can be found on the TOOLS drop-down. The ChiroZINE Section Learn about how adjusting the hypomobile manipulable joint lesion impacts the progress of Degenerative Joint Disease. This novel study wanted to determine whether giving the children rolling luggage to carry their school books would reduce spinal stress. As it turns out, what might work well for Mom at the airport, does not work so well for Junior, lugging his books across uneven sidewalks on the way to school. Three studies comparing spinal manipulation with acupuncture -- a pilot study, then a randomized controlled clinical trial, followed by a one-year follow-up study -- demonstrated that chiropractic care was the only treatment that provided broad-based long-term benefits. In another study, data collected from 28,807 treatment consultations and 19,722 new patients, reviewed significant predictors for immediate improvement with care. Another new survey reveals that a much higher percentage of chiropractic patients seek more than musculoskeletal care than has previously been recognized. A new retrospective analysis of 70,274 member-months in a 7-year period within an IPA, comparing medical management to chiropractic management, demonstrated decreases of 60.2% in-hospital admissions 59.0% less hospital days, 62.0% less outpatient surgeries and procedures, and 85% less pharmaceutical costs when compared with conventional medicine IPA performance. ChiroZINE is the first chiropractic newspaper on the internet, providing you with news and science reviews. The Free Rehabilitation Monographs Section All the Monographs have being updated with hot links (a.k.a anchored links) to make it easier to navigate through these remarkable articles.   Dr. Richard C Schafer donated this collection of rehabilitation monographs to our website, to share with our profession.   You will find them of great value!   "RC" was the first chiropractor to be published by a medical publication house (Williams & Wilkins) and even 14 years after his death, RC still remains our profession's most published author. The R.C. SCHAFER Section can be found on the ARCHIVES drop-down. The Alt-Med Abstracts Collection A new study from the Journal of the American Board of Family Medicine revealed that chiropractic was the most-used and most-effective form of alt-med used for low back pain. Another recent study of retirees found that chiropractic is in the top 5 CAM modalities chosen, and that most seek care for releif of arthritis or chronic pain. Another recent interview of ER patients with musculoskeletal complaints finds that a high percentage of them would welcome CAM care, and show willingness to participate in CAM research trials! Enjoy an extensive collection of Alternative Medicine Review articles which discuss alternative approaches to disease management. The ALT-MED ABSTRACTS Section can be found on the CAM drop-down. The Chiropractic Antitrust Suit ~ Wilk vs. the AMA For those who have forgotten, and for those who never ever knew, Organized Medicine spent decades and millions of dollars trying to discredit and destroy chiropractic.   Today, the vestiges of this suppression are still found on fringe web sites that ignore the body of peer-reviewed research supporting chiropractic care.   Explore the depths of Organized Medical arrogance in this in-depth review of the Wilk case. The Wilk Case can be found on ARCHIVE drop-down. Are German Orthopedic Surgeons Killing People With Chiropractic? I present for your review an abstract from the Journal of Neurology. This abstract blatantly conceals the facts stated in the body of the paper when it states that "we describe 36 patients with vertebral artery dissections and prior chiropractic neck manipulation". When I read that sentence, I am led to believe that real-live chiropractors (meaning licensed Doctors of Chiropractic, who received their training at a CCE/WCCE accredited school) were the ones to provide the "chiropractic neck manipulation". Unfortunately, that couldn't be further from the truth! Review more articles like this at our Stroke and Chiropractic Page. The Case Study Section This section will continue to collect relevant case studies published in the peer-reviewed literature. Interested in sharing a case study with the profession on our website? Here's an outline for your use. The CASE REPORTS Section can be found on RESEARCH drop-down. Chiro Org's Image Archive Pay a visit to our archive of chiropractic images and clipart. It's easy to download and import these images into web pages, office brochures or Powerpoint presentations. Have an images to share? Let us know! The Chiro Org Image Archive can be found on ARCHIVE drop-down. The New DCs Section The New DC section is dedicated to providing information for new and established chiropractors, to begin, maintain and run a smooth, productive chiropractic practice. There are new practice building chapters from Dr. Richard C. Schafer's best-selling textbook “Developing A Chiropractic Practice” and “The Chiropractic Assistant”. The New DC Section can be found on the Chiropractic Tools drop-down. Computers In Your Office Come learn about the parts of your computer, how to upgrade with new parts or software, or you can even very cost-effectively build your own box from scratch.   It's easier than you can imagine! The COMPUTERS Section can be found on the TOOLS drop-down. 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