Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Poll Results for the following Question:
How many patients do you refer to outside health care professionals (i.e., chiropractors, acupuncturists, medical doctors, osteopaths, etc.) each month?
Fewer than 5
Total Respondents: 231
Note: These comments are reproduced as written by visitors to this Web site.
Fewer than 5
More than 20 I am a massage therapist and I really believe in the whole holistic healing. I am going back to school to get my medical degree in natural medicine. My father has many problems with his back and knees, by him getting massages from me twice a month it has greatly reduced his pain and disabilities. Just thought I would share this little bit of info.
Fewer than 5 I never formally refered anyone, I would not know who to send them to? I have verbally recommended a client to see a medical professional. Also, I have I have refused to see someone till they do see a professional about their condition.
Between 5 and 10 I focus on the wellness of my clients. When bones are out,
or issues clients are dealing with are present in their
meridians, or if they have moles that have changed or their
adrenal glands are cold and they feel exhausted, I refer to
outside healthcare professionals. I don't do it for
recriprication, but for the health of my clients. If they stay
healthy, then I have done my job.
Fewer than 5 hi mom
Between 5 and 10 I'll at least mention chiropractic benefits to all my clients, and officially "refer" 1/2 my clients
Between 5 and 10 Any time I'm not getting the desired results I'd like,I never hesitate to refer my clients to a medical Doctor or Chiropractor or acupuncurist. Even though it may mean never seeing them again at least I have the satisfaction of knowing I did what was best for them, by refering them to someone who might better help them. Isn't that what it's all about? Doing the best we can for our clients.
Shannon Skidmore RMT,NCTMB
Between 5 and 10 I always ask my clients if they are using other therapies or seeing their physician or chiropractor (including how often). I listen to their symptoms and I also listen to the body's description as I work. Sometimes my clients will ask about different therapies (ex.: acupuncture) because they are interested. Other times, I will suggest certain therapies to add in conjunction to their massage (like reflexology, etc.).
If I do have a client who needs more than the general swedish technique I use, I always refer them out. I just had to do this for a client with chronic tightness in the hamstrings (old football injuries). I've worked with this client for 2 years and I've seen very little change in softening & flexibility with these muscle groups, though he does feel very relaxed and sleeps better after each visit. I've suggested he visit his chiropractor and seek out a therapist who specializes in NMT or go back for physical therapy. He is always welcome back to my office for reflexology and general massage for pain relief & relaxation.
Have a great day!
Fewer than 5 I massage as a part-time profession. My average number of clients per week is 6 and they are predominently regular customers. I refer clients whenever it is appropriate to refer.
Fewer than 5 I don't refer my chronic-pain clients to outside health care professionals because they have already been to them, sometimes for years, and they are still living in pain. Deep tissue, therapeutic bodywork is what gets rid of my clients' pain. It is the most holistic, non-invasive and often permanent form of pain relief for my clients.
I have learned a lot from my clients about the medical profession and their invasive and ineffective results in dealing with chronic pain. Medication, injections and surgery are what they have to offer chronic-pain sufferers.
Here's a typical story from one of my clients of how the medical establishment doesn't know what to do with chronic pain: A 32-year-old, trim, mother of two small children had lived with her chronic low back pain for over four years. Because her husband had good medical insurance, she had been to four physicians, two chiropractors, and four physical therapists in four years, and yet she was still living in so much pain that some nights she slept no more than three hours.
She was eventually referred to an orthopedic surgeon who referred her to a pain management clinic. After much testing and talking, the clinic said to come back the next week and they would insert a catheter into her lower back, and in the course of three months would try various doses and mixtures of narcotic, cortisone and anesthetic until they got the dosages just right for her to live pain free. Then she would have to come back periodically to be reinjected. And, oh by the way, she would be required to sign a form stating they would not be held liable is she were to become addicted to the narcotic.
She went home and called her mother who instructed her to not have this procedure done, and to find a massage therapist instead. I am happy that she found me, and after one deep tissue, therapeutic bodywork session, she reported the following week that her low back pain of four years was "all gone." She returned weekly for two months, and now I see her once a month or so.
My client's life is now changed. She came in looking like a whipped puppy, feeling helpless and hopeless, and is now a happy, pain-free wife and mother who can once again enjoy life.
So, why don't I refer out to the medical profession? Because I've heard too many stories like the one above.
The majority of pain is muscular. Studies have shown that from 75% to 80% of people in pain management clinics have muscular pain. Massage therapists work on muscles. So it makes perfect sense that we are the profession to help the millions of people in our country who are experiencing chronic pain of a muscular origin.
Marsha Jean, MA, MTI, RMT
Between 5 and 10 mOST CLIENTS STILL BELIEVE THAT "MEDICINE" IS THE ONLY WAY TO GET WELL. ATTITUDE IS 90% TO BETTER HEALTH.....
More than 20 The isolation of a physical or mental condition to one form of therapy is detrimental to both the practitioner and patient/client. I believe the key to wellness is balance and variety; every human is different and will respond differently to every therapy (even to individual sessions of the same form of therapy), and need a well-balanced schedule toward total healing.
Between 5 and 10 I find that my fingers can actually "see" a bone out of place, and even when I work the muscles around the bone, the bone may only shift slightly back into its original place. I know from personal experience that a bone even slightly out of place can cause enough discomfort that I cannot sleep correctly. So I NEVER hesitate to ask my client if they already have a chiropractor. If they do not, I suggest they find one. If they ask me, I refer them to mine. Recently I was lucky enough to begin working with a Chiropractor, and have found it to be a WONDERFUL resource in my massage practice! Not only do I stay in tune with my anatomy, I can see the collective results in helping people heal themselves. I can only wish that other Massage Therapists can find Chiropractors as willing to work with alternative therapy as mine is. What a better way to heal people than by being able to help their OWN bodies heal them!
There are so many complementary therapys that can help expidite my patients recovery time that I refer almost all of my patients to another modality. This works so well in conjunction with my therapy and it builds a trust between me and my patients. The number one would be naturopathic therapy. If you havent tried it youre in for a wonderful shock at all the issues it can help with!!
Between 5 and 10 Myself I will refer every patient with spinal misalignments to a Chiropractor I can trust. People who present to my office that may be better of wtih another Therapist I will refer out. I of course send people to their medical doctor frequently. I would like to be able to do it all myself but I can't.