A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
March, 2011, Vol. 11, Issue 03
Writing a Case Report: Where to Start
By Jerrilyn Cambron, LMT, DC, MPH, PhD
Over the past few years, many massage therapists have asked me how to write a case report. There is such a great need for more research in this profession, I wish I could meet their expectations and rattle off a simple answer, as though I am giving directions to my Aunt Diane's house.Unfortunately, it is not that easy. However, there are certainly many therapists who have written and published case reports, showing all of us that it is possible - with the right directions.
Case reports can have a tremendous impact on our profession: recognition in the public sector, acceptance in the medical community, and advancement in our treatments and client outcomes, to name a few.
Published case reports have the potential to improve nearly every aspect in the massage profession. This is the first article in a series on writing case reports for the massage therapy profession. Generally, case reports describe the diagnosis, treatment and follow-up of an individual patient, which we will cover in proceeding articles. However, to get you started on your path to authorship, here are five important steps to follow before you ever begin writing.
Five Steps Before You Write
First and foremost, you need to choose a case to report. While this may seem obvious, it can be somewhat daunting to narrow down. Consider what interests you. Think about which clients you enjoy discussing with your colleagues, such as the client who was not expecting improvement but who now considers massage therapy the "miracle cure". Perhaps you want to discuss the client who had a negative reaction with one form of health care, but then greatly improved after bodywork sessions.
There are also plenty of unusual cases that would be of interest. Perhaps a gunshot victim for whom you increased the mobility of some of his scar tissue; or the person with an amputation who felt "whole" again after massage. Or, perhaps you want to discuss the typical clients you treat so that there is more evidence in the literature on massage therapy for back pain, headaches, stress disorders, and such. You will be spending time with this case, so it is a good idea to choose one you enjoy discussing.
Second, you need to consider why you want to write about a case. Is it because the case was so unique that you want to tell your fellow massage therapists about it? Do you want to write because you want to inform other health care professionals about the improvements that occurred due to massage therapy? Are you hoping to increase your credibility by publishing a case report in a peer-reviewed journal? Were you looking for evidence on massage for a particular condition and could not find anything, so you want to help add to the evidence base? Do you want to win the Massage Therapy Foundation's case report contest? Or do you want to accomplish all of these?
Understanding why you want to publish will help your motivation levels as you work towards your goal, and you can use that energy to keep yourself moving through the process. Understanding what is motivating you to write a case report will also help you better define your audience.
Knowing your audience is the third major hurdle you need to consider before you start writing. For example, let's say you had a pregnant client with low back pain, and you were able to help manage her back pain throughout her pregnancy. Would you want to tell your fellow massage therapists about your treatment protocol so that they might be able to utilize your methods? Or would you want to tell obstetricians about the benefits of our non-pharmaceutical approach to pain reduction, such as in this case of a pregnant women with back pain?
Both aspects might be important, but they would be written very differently and, most likely, they would be written for different journals. In a journal that is focused on the massage profession such as the International Journal of Therapeutic Massage and Bodywork or the Journal of Bodywork and Movement Therapy, we would expect the article to include a more specific description of the therapy so that fellow massage therapists would be able to replicate the treatment. However, if the case was written for submission to an obstetrics journal, you might need to include a bit more background information, describing massage therapy for the pregnant woman because obstetricians may not know what their patients should expect from a pregnancy massage. Try to imagine who might be reading the journal, and write as though you are speaking directly to them.
Choosing the journal to which you want to submit your case report is the fourth issue to consider before you start writing. There are many ways to find the best journal for your case report. One way is to go to a medical library and look at the different journals. Another way is to search online.
There is a great online resource from the University of Toledo, Mulford Health Science Library (http://mulford.utoledo.edu/instr/.) This resource allows you to type in a keyword and find journals that include that topic. For example, using our case report on a pregnant woman with back pain, we could go to this Web site and type in the word "obstetrics." According to the Web site of more than 6,000 journals, 18 have a focus on obstetrics and the list is provided. If we type in the word "pregnancy" we get only two journals. The word "massage" doesn't produce any journals, but the keywords "alternative medicine" produces three journals.
The real beauty of this site is that you can click on the name of any of these journals and you will be taken to that journal's "Instructions to Authors" section. Instructions to authors can be considered the "rules of writing" for that journal. Every journal has different instructions for authors, and it is your job to make sure you know what the expectations are before you start writing. For example, one journal might allow a case report to be 3,000 words but another only allows 1,000 words. You will increase your chances of acceptance if you know the rules before you start.
Finally, I strongly suggest you read several case reports from the journal to which you intend to submit your case report. I suggest this because it gives you a flavor of how the article should be written. Try to pay attention to the article's style and formatting: section headings, the length, the number of figures or tables, and the style of writing. Published case reports went through the peer-review process and were found to be good enough to be published. If you want your case to be published in the same journal, your report needs to be of the same quality.
These five steps to take before you start writing your case report (choose the case, determine why you are writing it, know your audience, choose the journal, and read previous examples) might make the difference between getting your case accepted for publication and having it rejected.
In the next article, we will begin our discussion on how to write a case report.
Jerrilyn Cambron is a professor in the Department of Research at the National University of Health Sciences and an adjunct faculty member in the Epidemiology and Biostatistics Division of the School of Public Health, University of Illinois. She has taught numerous research-related courses and post-graduate seminars. She has also served as a principal investigator on research studies focused on massage therapy and chiropractic care for more than 20 years. Jerrilyn is on the board of trustees for the Massage Therapy Foundation and is the founder and principal investigator of MassageNet, a practice-based research network for massage therapists. For more, go to www.massagenet.org.
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