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Frank M. Painter

About Frank M. Painter

I was introduced to Chiro.Org in early 1996, where my friend Joe Garolis helped me learn HTML, the "mark-up language" for websites. We have been fortunate that journals like JMPT have given us permission to reproduce some early important articles in Full-Text format. Maintaining the Org website has been, and remains, my favorite hobby.

Evaluating Soft-Tissue Neck Trauma

By |February 24, 2010|Diagnosis, Education|

Evaluating Soft-Tissue Neck Trauma

The Chiro.Org Blog


After neck injury, a careful neurologic evaluation must be conducted, and every examination should begin with a thorough case history. (See Table 1). Note any signs of impaired consciousness, inequality of pupils, or nystagmus. Do outstretched arms drift unilaterally when the eyes are closed? Standard coordination tests such as finger-to-nose, heel-to-toe, heel-to-knee, and for Romberg s sign should be conducted, along with superficial and tendon reflex tests.


Read the rest of this Full Text article now!


Enjoy the rest of Dr. Schafer’s Monographs at:

Rehabilitation Monograph Page

Attention Deficit and Attention Deficit Hyperactivity Disorder

By |February 23, 2010|ADHD, Attention Deficit, Education, Pediatrics|

Attention Deficit and Attention Deficit Hyperactivity Disorder

The Chiro.Org Blog


Attention Deficit/Hyperactivity Disorder (ADD/ADHD) is the most commonly reported childhood behavioral disorder, affecting between 3 and 7% of American children. It is characterized by poor attention span, impulsive behaviors, and hyperactivity in some children. The diagnostic criteria are strictly observational, and there are no objective laboratory tests to confirm that diagnosis. Subjective evaluations of annoying, distracting, or inattentive behavior makes the “diagnosis” of ADD/ADHD speculative at best. [1]

The most common medical “treatment” for this controversial “disease” is prescriptions of Methylphenidate (Ritalin), a Class II controlled and addictive substance. The long–term effects of this drug on children is unknown, but the side–effects, including addiction, are becoming better understood. (more…)

Postponement of Medicare Pay Cut Is Stripped From The Jobs Bill

By |February 19, 2010|Medicare, News|

Postponement of Medicare Pay Cut Is Stripped From The Jobs Bill

The Chiro.Org Blog


A Chiro.Org Editorial


Physicians continue to hope for a reprieve from the proposed 21.2% Medicare pay cut scheduled to begin on March 1, as another legislative solution to the reimbursement crisis fizzled this week in a hyperpolarized Congress.

A jobs-creation bill, crafted by Senate Democrats and Republicans earlier this week, originally would have delayed the massive cut to October 1, but this provision and many others were stripped out within days as Senate Majority Leader Harry Reid (D-NV) shrank the bill’s cost from $85 billion to an estimated $15 billion.

Now Congress has only 2 weeks to pass legislation that would avert the 21.2% reduction in Medicare reimbursement. Organized medicine warns that if the cuts go through, physicians will turn away new Medicare patients or even drop out of the system instead of going broke on paltry fees. The average physician depends on Medicare for 31% of his or her revenue, according to the Center for Studying Health System Change (HSC).

As in the past, this does not mean that every service will be reduced. In fact, the E&M codes (99201-05 and 99211-15) which medical physicians use to code virtually every visit, has continued to climb in reimbursement by 3-5% yearly, while Chiropractic Spinal Manipulation (SMT) has continued to decline, year after year. (more…)

Chiropractic Care Is MORE Than an Oil Change!

By |February 17, 2010|Education, News, Research|

Chiropractic Care Is MORE Than an Oil Change!

The Chiro.Org Blog


SOURCE:   A Chiro.Org Editorial


The Jan 25 issue of Newsweek contains an especially insulting article, titled “It’s Not My Fault“, in which the author laments: “And every time massage, acupuncture, or chiropractic care is added to the list of covered treatments, premiums go up. Nobody expects to have car insurance that covers an oil change.”


Well, thanks Mr. Rosenkranz for the wake-up call, what were my patients thinking, expecting insurance to pay for their chiropractic care??? (more…)

Medical Physicians Ignore Low Back Pain Guidelines

By |February 11, 2010|Guidelines, Low Back Pain, News|

Medical Physicians Ignore Low Back Pain Guidelines

The Chiro.Org Blog


SOURCE:   ChiroACCESS


A February 2010 study of 3,533 general practice low back pain patients found that many providers are not following their own evidence based guidelines. [1] Guidelines do provide the overall best evidence but are not meant to be a cookbook approach to care. There is also a need for flexibility so the physician can deviate from guidelines when the specific needs and desires of the patient dictate. In addition, the clinical judgment of the physician may override the guidelines when in a particular patient’s case they are inappropriate.

There is, however, reason for concern when risky and or expensive unneeded procedures are used. The medical guideline for acute low back pain call for advice and analgesics, but 80% of the 3,533 patients in this study were not given advise and 82% were not given analgesics. More harmful medications that are not recommended in the guidelines were prescribed, with 37% getting anti-inflammatory drugs and ~20% opiods. (more…)