"Back Pain- 5 Things You Need to Know" from The Evidence Based Chiropractor

We are happy to release our first publication in our new patient education series.  You can get a FREE copy of "Back Pain-5 Things You Need to Know" right HERE. 

Doctors Pay Made Public- by The Evidence Based Chiropractor

Today is a landmark day as physician pay totals from CMS (Medicare) have been made public.  This was bitterly opposed by the American Medical Association, however, their lobbying dollars couldn't stop the 'freedom' of information.  

At nearly 1 million rows of Excel content, the list is quite challenging to sort through.  It contains the payment information for services rendered in 2012.  Additionally, it touches on the services billed, number of Medicare patents, physician name, physician address, NPI, and submitted charges.  Arguably, this is actually valuable information for the public to have.  They will now be able to identify those physicians who are running medical "mills"; where services are standardized and done in overwhelming volume.  

Some early data miners have found that over 4,000 physicians received payment of over $1 million dollars in 2012 from Medicare.  Also, a Florida Ophthalmologist received $21 million dollars for services rendered in 2012.  

In my opinion, transparency regarding payment of health care services is a good thing.  Chiropractic care is cost-effective, safe, and effective.  When new organizations start "outing" physicians who are doing invasive work for extreme prices, this will inevitably start to push the pendulum even further towards diagnosis and outcome based reimbursement models.  

If you or your patients have interest, the list is available here- https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html

 

-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.

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.  

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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.