The Evidence Based Chiropractor Blog
Hundreds of chiropractic marketing and research articles to help you grow.
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Speaking at Hospital Grand Rounds by The Evidence Based Chiropractor
This morning I spoke at Florida Hospital Carrollwood regarding interdisciplinary and multidisciplinary care of patients with chronic spine pain. Ironically, all of the attending MD's will get CME credit for attending my presentation, yet my own state chiropractic board does not recognize this as CE for me! In attendance were orthopedic surgeons, neurosurgeons, PA's, ARNP's, neuro-radiologists, hospital administrators, spine implant representatives, and a host of other allied health professionals.
Speaking at your local hospital during grand rounds is a great way to meet fellow physicians in your area and also position yourself as the local expert in conservative spine care. Many surgeons and hospital-based physicians are unaware of "what", "how", and "why" of chiropractic care. Presenting research from peer-reviewed journals (essentially their journals) on the efficacy and safety of chiropractic care can be very powerful.
I highly recommend that my members attend their local grand rounds. The opportunity to gather information and case conference with other health professionals is certainly worth your time. Also, you may put yourself in a position to be one of the few chiropractors who have spoken at such events.
If you would like a list of a few of the research articles I touched on then just email me at TheEvidenceBasedChiropractor@gmail.com
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-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world. Our service is dedicated to increasing chiropractic utilization by showcasing research. Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals. Join us. Lets grow chiropractic together.
SPINE JOURNAL regarding chiropractic, "a statistically and clinically significant benefit..."
In 2013, SPINE Journal produced the research article, "Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients with Acute Low Back Pain: The Results of a Pragmatic Randomized Comparative Effectiveness Study."
In it, the authors came to the following conclusions-
“The results of this trial suggest that Chiropractic Manipulative Therapy in conjunction with standard medial care offer a significant advantage for decreasing pain and improving physical functioning when compared to standard care alone, for men and women between the ages of 18-35 with acute low back pain.”
“There was a statistically and clinically significant benefit to those patients receiving chiropractic manipulative treatment...”
“The majority of systematic reviews find that chiropractic manipulative therapy appears to reduce pain and disability at least moderately for many low back pain patients.”
“73% of participants in the SMC plus CMT group rated their global improvement as pain completely gone, much better, or moderately better, compared with 17% in the SMC group.”
This is further proof that working together and promoting multidisciplinary care will yield superior outcomes for our patients.
JOIN US BY THE END OF THE MONTH AND RECEIVE ZIP CODE EXCLUSIVITY AND A 30 MINUTE IMPLEMENTATION CALL
-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world. Our service is dedicated to increasing chiropractic utilization by showcasing research. Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals. Join us. Lets grow chiropractic together.
Chiropractic Care Supported by the American Pain Society and American College of Physicians - by The Evidence Based Chiropractor
A variety of clinical guidelines support and encourage the use of chiropractic care due to its safety and efficacy. In 2007, the Annals of Internal Medicine released a series of clinical guidelines. The clinical guidelines for the treatment of low back pain were supported by the American Pain Society and the American College of Physicians.
These guidelines reveal some interesting data. They report 65% of primary care physicians recommend massage, 55% recommended ultrasound, and 22% recommended (of performed) spinal manipulation. They also found that only 2 treatment options show strong efficacy for the management/treatment of acute (<4 weeks duration) low back pain. These treatment options were spinal manipulation and heat. For sub-acute and chronic low back pain the researchers still found spinal manipulation to be a valuable treatment option.
When we look at this study we can draw a few conclusions. First, only a small minority (22%) of physicians are recommending spinal manipulation to their patients. Second, spinal manipulation is a recommended treatment option.
The discrepancy in the recommendations from the clinical guidelines and the recommendations by the physicians is no surprise. Other studies have shown that primary care physicians recommendations for low back pain are "high discordant" with current research. Without a profession wide marketing and outreach campaign for the promotion of this research, the task falls to us, as individual providers to build referral relationships.
-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world. Our service is dedicated to increasing chiropractic utilization by showcasing research. Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals. Join us. Lets grow chiropractic together.
Statins for Every Man in America? - by The Evidence Based Chiropractor
A remarkable and frightening new set of guidelines were recently released by the American Heart Association and the American College of Cardiology. They have decided to expand the "treatment" of cholesterol by including an additional 13 million people who should be recommended statin "therapy".
Looking closely at the guidelines it appears that nearly 90% of men ages 60-75 years old will now be recommended to be prescribed statins. Women in this age group who qualify for statins under the new guidelines are over 50%. Eligibility will now be determined on a "10 year risk for cardiovascular disease" as opposed to being based on LDL/HDL levels.
Despite a lack of randomized controlled trials and grade 1 evidence these new guidelines have been adopted by the powerful organizations mentioned above. As these guidelines are adopted by Medicare, primary care physicians will undoubtedly be pressured into prescribing these medications. By not following the guidelines they may be placing themselves as risk for penalties. There is no doubt that these guidelines were heavily supported by the controlling pharmaceutical companies in the US.
The side effects of statin use are well documented. It is imperative that our patients, neighbors, and friends are well informed regarding cholesterol levels and the various treatment options available to them.
http://www.medscape.com/viewarticle/822210?src=wnl_edit_newsal&uac=193860MN#2
http://www.webmd.com/cholesterol-management/side-effects-of-statin-drugs
JOIN US BY THE END OF THE MONTH AND RECEIVE ZIP CODE EXCLUSIVITY AND A 30 MINUTE IMPLEMENTATION CALL IN ADDITION TO IMMEDIATE ACCESS TO OUR MEMBERS VAULT AND YOUR CUSTOMIZED MONTHLY MD RESEARCH BRIEF.
-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world. Our service is dedicated to increasing chiropractic utilization by showcasing research. Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals. Join us. Lets grow chiropractic together
Adult ADHD Prescription Rates Increase by Over 50%- by The Evidence Based Chiropractor
Research produced by Express Scripts (a pharmacy benefit management company) indicates that between 2008-2012 the prescription rates for adult ADHD medications increased by over 50%. While childhood prescriptions of ADHD medications tend to favor boys (2:1), the medications prescribed in adulthood tend to slightly favor women. This study looked at over 400,000 adults.
Joseph Austerman, DO, head of the Section of Child and Adolescent Psychiatry at Cleveland Clinic Children's Hospital, in Ohio, wrote "...the fact that there's been a substantial spike in medicating adults for ADHD does raise the same questions we've asked about appropriate use of these treatments in children: are we now over-diagnosing and overmedicating in the adult population?"
The overprescription of these medications is well documented. Additionally, the revenue generated from the sales/prescriptions of these medications is astounding. As non-prescribing physicians it is important for us to be aware of the trends in prescription/medication use. Many of our patients are presenting to our offices with a laundry list of prescribed medications. These medications inevitably effect their nervous system. As we evaluate our patients' , we must be aware of the challenges that may hinder the optimal progress of our care.
-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world. Our service is dedicated to increasing chiropractic utilization by showcasing research. Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals. Join us. Lets grow chiropractic together.