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Access to Chiropractic Care and the Cost of Spine Conditions Among Older Adults

By |August 18, 2019|Uncategorized|

Access to Chiropractic Care and the Cost of Spine Conditions Among Older Adults

The Chiro.Org Blog


SOURCE:   American J Managed Care 2019 (Aug); 25 (8): e230–e236

Matthew A. Davis, PhD, DC, MPH et. al.

Matthew A. Davis, PhD, DC, MPH
University of Michigan,
400 N Ingalls St, Room 4347,
Ann Arbor, MI 48109.


Objectives:   Chiropractic care is a service that operates outside of the conventional medical system and is reimbursed by Medicare. Our objective was to examine the extent to which accessibility of chiropractic care affects spending on medical spine care among Medicare beneficiaries.

Study Design:   Retrospective cohort study that used beneficiary relocation as a quasi-experiment.

Methods:   We used a combination of national data on provider location and Medicare claims to perform a quasi-experimental study to examine the effect of chiropractic care accessibility on healthcare spending. We identified 84,679 older adults enrolled in Medicare with a spine condition who relocated once between 2010 and 2014. For each year, we measured accessibility using the variable-distance enhanced 2-step floating catchment area method. Using data for the years before and after relocation, we estimated the effect of moving to an area of lower or higher chiropractic accessibility on spine-related spending adjusted for access to medical physicians.

Results:   There are approximately 45,000 active chiropractors in the United States, and local accessibility varies considerably. A negative dose–response relationship was observed for spine-related spending on medical evaluation and management as well as diagnostic imaging and testing (mean differences, $20 and $40, respectively, among those exposed to increasingly higher chiropractic accessibility; P < .05 for both). Associations with other types of spine-related spending were not significant.

There are more articles like this @ our:

Cost-Effectiveness of Chiropractic Page

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Leadership and Capacity Building in International Chiropractic Research

By |June 21, 2019|Uncategorized|

Leadership and Capacity Building in International Chiropractic Research: Introducing the Chiropractic Academy for Research Leadership (CARL)

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2018 (Feb 6); 26: 5

Jon Adams, Greg Kawchuk, Alexander Breen, Diana De Carvalho, Andreas Eklund, Matthew Fernandez, Martha Funabashi, Michelle M. Holmes, Melker S. Johansson, Katie de Luca, Craig Moore, Isabelle Pagé, Katherine A. Pohlman, Michael S. Swain, Arnold Y. L. Wong, and Jan Hartvigsen

Faculty of Health,
University of Technology Sydney,
Sydney, Australia.


In an evidence-based health care environment, healthcare professions require a sustainable research culture to remain relevant. At present however, there is not a mature research culture across the chiropractic profession largely due to deficiencies in research capacity and leadership, which may be caused by a lack of chiropractic teaching programs in major universities. As a response to this challenge the Chiropractic Academy for Research Leadership, CARL, was created with the aim of develop a global network of successful early-career chiropractic researchers under the mentorship of three successful senior academics from Australia, Canada, and Denmark. The program centres upon an annual week-long program residential that rotates continental locations over the first three-year cycle and between residentials the CARL fellows work on self-initiated research and leadership initiatives.

Through a competivite application process, the first cohort was selected and consists of 13 early career researchers from five professions in seven countries who represent diverse areas of interests of high relevance for chiropractic. The first residential was held in Odense, Denmark, with the second being planned in April 2018 in Edmonton, Canada, and the final residential to be held in Sydney, Australia in 2019.

There are more articles like this @ our:

Chiropractic Research Section

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Memorial Day (2019):
In Memory of Those Who Have Fallen

By |May 25, 2019|Uncategorized|

Memorial Day (2019)
In Memory of Those Who Have Fallen

The Chiro.Org Blog


The Bivouac of the Dead

The muffled drum’s sad roll has beat
The soldier’s last tattoo’
No more on life’s parade shall meet
That brave and fallen few;

On Fame’s eternal camping ground
Their silent tents are spread;
But Glory guards with solemn round
The bivouac of the dead.

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New Law Protects Chiropractors Who Travel with Sports Teams

By |October 5, 2018|Uncategorized|

New Law Protects Chiropractors Who Travel with Sports Teams

The Chiro.Org Blog


SOURCE:   American Chiropractic Association
Annette Bernat
American Chiropractic Association


Arlington, Va.– The American Chiropractic Association (ACA) is pleased to announce that Congress has approved legislation that will protect chiropractors who travel with sports teams by ensuring that their license and liability insurance remains in effect even when they cross state lines.

The Sports Medicine Licensure Clarity Act of 2018, as the bill is known, was included in a larger, unrelated piece of legislation (H.R. 302) that passed the Senate overwhelmingly on Oct. 3. The president is expected to sign the bill in the next several days.

As the bill was being drafted, ACA lobbyists and volunteers worked closely with Rep. Brett Guthrie (R-Ky.), the chief House sponsor, and the House Committee on Energy and Commerce to ensure that doctors of chiropractic would be included in the bill’s final language. The original version may have excluded chiropractors from the list of included “sports medicine professionals.”

“This legislation not only protects chiropractors and other health professionals who travel with sports teams, it also ensures consistency of care for the athletes who rely on them,” said ACA President N. Ray Tuck, Jr., DC.
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VA Chiropractic Residents: Where Are They Now?

By |March 28, 2018|Uncategorized|

VA Chiropractic Residents:
Where Are They Now?

The Chiro.Org Blog


SOURCE:   ACA News ~ 3-26-2018

By Stephanie Halloran, DC


Part of a series on the chiropractic residency program
in the VA health care system

The blog posts in the VA Chiropractic Residencies series thus far have been focused solely on the current residents’ experiences as they unfold throughout the year. For many, the question remains: What happens after the residency ends? In this post, I summarize what Brian Giuliani, DC, the 2016 graduate of the VA Connecticut Healthcare System, and Kelsey Corcoran, DC, the 2017 graduate of the VA of Western New York Healthcare System, learned from their respective programs, their favorite rotations, where they are now, and what advice they have for students interested in applying for the VA Chiropractic Residency.


Brian Giuliani, DC

Dr. Giuliani, an alumnus of New York Chiropractic College, is currently practicing with the Aurora Spine Institute, a subset of the larger Aurora Healthcare Hospital System, in Sheboygan, Wis. His clinic is comprised of an orthopedic spine surgeon, surgical PA, physiatrist, two spine-specific physical therapists, three chiropractors, and multiple anesthesiologists who perform interventional procedures. In the chiropractic department, Dr. Giuliani primarily treats patients with non-operative musculoskeletal conditions of the neck and low back (with and without radiculopathy) and headache.

The opportunity to train under experienced clinicians during the residency helped bridge the gap between classroom medicine and clinical medicine, according to Dr. Giuliani, resulting in proper application of the knowledge he acquired throughout his schooling. Additionally, he found the program rapidly exposed his clinical deficiencies and afforded him time and guidance to positively augment these areas. The clinical training, in his opinion, is the greatest strength of the residency, with development of interpersonal communication skills coming in a close second. These communication skills are developed by observing the attending chiropractic physician’s interactions with patients, as well as on rotation while working under other medical specialties.

Neurosurgery topped Dr. Giuliani’s list when it came to rotations. Taking place near the end of the year-long program, it was viewed somewhat as a capstone course. Application of the vast knowledge he gained over the year gave rise to competently performing consultations, planning both operative and non-operative strategies, and first-hand learning of some surgical aspects in the operating room. Additionally, he found physiatry and pain management to be valuable as they exposed him to a broad spectrum of musculoskeletal cases not generally seen in VA chiropractic clinics as well as increased his ability to synthesize large amounts of information into a novel management plan.

Dr. Giuliani advises interested students to look at the residency program from an educational perspective, rather than one focused on job security. “You should have an idea of where you want your career to take you, whether that is education, research, administration, etc. You will be presented with an opportunity that few in our profession have…if you approach it as an education opportunity, you will do very well.”


Kelsey Corcoran, DC

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Harvard Endorses Chiropractic

By |December 8, 2017|Uncategorized|

Harvard Endorses Chiropractic

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic 2017 (Dec); 35 (12)

By Donald M. Petersen Jr., BS, HCD(hc), FICC(h)


Harvard Health Publishing is an arm of the prestigious Harvard Medical School. The publisher’s tag line is “Trusted advice for a healthier life.” Probably the most popular Harvard Health publication is the Harvard Health Letter, which you’ve probably seen or heard referenced.

The Harvard Medical School is one of the more notable exceptions to the rule that medical establishments are generally anti-chiropractic. You may have seen its Special Health Report “Pain Relief: Natural and Alternative Remedies Without Drugs or Surgery,” published in 2015. [1]

While certainly not as all-encompassing as one would have hoped for, the report not only features a section on chiropractic, but also includes chiropractic in the low back pain section, as well as two patient “stories.” The first story (“Gary’s Story: A Journey to Pain Relief”) talks about Gary’s primary MD referring him to a chiropractor. The second story (“Alice’s Story: A Comprehensive Approach to Pain Relief”) talks about how Alice has been using chiropractic, along with other nondrug interventions, for years with positive results.

Last month the Harvard Health Letter featured an article: “Where to Turn for Low Back Pain Relief.” The article’s deck answers the question: “In most cases, a primary care doctor or chiropractor can help resolve the problem.” [2]

Under the section titled “Where to Turn,” we read that for people suffering from back pain, their first call should be to a primary care physician or a chiropractor. Dr. Matthew Kowalski, a DC at Harvard’s Osher Center for Integrative Medicine, is quoted as saying that 35-42 percent of people experiencing their first episode of back pain consult a doctor of chiropractic.

The report concludes by reminding patients that most common back pain issues will be effectively addressed by a primary care MD or a chiropractor. It also references Harvard’s 2014 report on back pain (which also includes information about chiropractic).

There are many observations that immediately come to mind when reading this 2017 report.

Here are my top three:

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