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.
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?
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."
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.
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?
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.
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.
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).
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.
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.
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.
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.
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.
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."
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.
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 is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
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.
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.
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.
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.
2017 San Diego Pain Summit: A Conversation Between Practitioners
Editor's Note: This is a conversation between Ruth Werner who attended the 2017 San Diego Pain Summit, and Til Luchau who was not able to attend. Their conversation was a recorded debriefing, with an eye to applying Ruth's take-away ideas into hands-on practice. In this excerpt Ruth and Til focused on how "we" communicate with our clients about pain, and how our words can be either helpful or harmful.
Ruth: Ok, when my client consulted her doctor about her back pain, he said she shouldn't bend over. As a practitioner, I'm a little bit stuck. We have to be very careful about not stepping in between a relationship between a person and their primary care provider.
Til: Absolutely. It's not a helpful for us to cause our clients to question their primary care provider.
Ruth: So, I'd say, "Well let's focus on things you can do, the things that you want to do, in a way that feels safe."
"So let's explore a little bit. Let's see what happens if we do this work, or movements. I'm not going to tell you to do something your doctor told you not to do, and I'd never try to second guess what they're telling you. At the same time, I want to help you find a way that you can find out what's okay for your body."
"Let's gently experiment with different options and see what you experience, and so together learn ways you can answer the question for yourself, Does this help, or does this not?"
"And by the way, I do want to gently question your impression that you are broken, damaged, or fragile."
Ruth: Thank you so much for saying that, that's such a huge thing.
Til: Because it's easy to get that impression from what other practitioners tell us, even if they don't mean it that way. It's easy for me as a client to hear that there's something wrong with me, that I'm fragile, so I have to be careful with my body, or it might get worse.
Ruth: That it might break.
Til: Get damaged by something I do.
Ruth: Like it's going to crumble.
Ruth: That's so important — that even people who have been told they have to be very careful with their back can still feel vital, and energetic, and powerful; even if they may have to go about things in a different way than other people.
Til: The other thing I do is I have a lending library with books like Explain Pain1 that lay out the case that although tissue damage can cause pain, pain may not necessarily relate to tissue damage at all.
Ruth: And I think you got to the heart of it when you said that even if someone's been given a diagnosis that looks scary, having the attitude that we are broken, fragile, crumbling people is not a helpful way to move forward. As practitioners, we can be more helpful to clients by helping them experience themselves as vital, and focusing on their strengths, and looking for client-centered functional goals: "What would you like to be able to do that you can't do now?"
Til: I'm just thinking of a client who came in with back pain, and when I asked him what he wanted out of our work, he said, "I don't want my back to hurt." So to unfold that a little, my response was, "So if your back didn't hurt, what would that allow you to do that's important to you?" He had to think about it for a bit, and then he said, "You know what it is — it's getting down on the floor to play with my grandkids.
Ruth: There you go.
Til: He said, "If I could get down on the floor, that would be something."
So our goal became, "Let's do some hands on work, and then have you pretend like you're getting down on the floor, and see what you run into." And that gave us some ideas to go back to the table with, about new places, new ways, new movements he could do that would help him focus on his goal of getting down on the floor in a comfortable way.
Ruth: That's very much what this is about: it's focusing on what we can do, and setting reasonable goals for working together.