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The Association of First Provider Seen With Time Loss From Work Among Workers With Back Injury: A Cohort Study

By Frank M. Painter|May 27, 2026|Unnecessary Surgery, Workers' Compensation|

The Association of First Provider Seen With Time Loss From Work Among Workers With Back Injury: A Cohort Study

SOURCE: Am J Ind Med 2026 (May 26) [EPUB]
Brian Chin PhC, MSPH • Sean D. Rundell PT, DPT, PhD • Jeanne M. Sears PhD, RN • Deborah Fulton-Kehoe PhD, MPH • June T. Spector MD, MPH • Gary M. Franklin MD, MPH

Washington State Department of Labor and Industries,
Tumwater, Washington, USA.

FROM: Weeks ~ JMPT 2016 (Feb) Hurwitz ~ JMPT 2016 (May)

Background: Prior evidence suggests that seeking initial care from a chiropractor for back pain, compared to seeing a primary care provider first, is associated with better clinical outcomes. However, prior studies have not comprehensively adjusted for potential confounders and few studies have focused on work-related outcomes.

Methods: This population-based prospective cohort study analyzed data from workers’ compensation claimants with a work-related back injury who initiated care with either a chiropractor or a primary care physician. We evaluated the association of seeing a chiropractor first, compared to seeing a primary care physician first, with receipt of wage replacement benefits for temporary total disability (time loss) at 1 year after claim initiation. Association was estimated using logistic regression adjusting for potential confounders including patient sociodemographic characteristics, employment details, self-reported pain and physical function, injury severity, healthcare factors, and psychological factors. The E-value was used to assess unmeasured confounding.

Results: Of 1,219 participants (mean age = 39, 67.5% male, 72.1% non-Hispanic White), 541 (44.4%) initiated care with a chiropractor. Participants who saw a chiropractor first, compared to a primary care physician first, were less likely to be on time-loss at 1 year as estimated by adjusted multivariate logistic regression (4.8% vs. 11.8%; adjusted odds ratio [OR]: 0.45, 95% CI: 0.24-0.86; E-value: 3.8).

There is more like this @ our

Return to WORKERS’ COMPENSATION Section and the

Return to INITIAL PROVIDER/FIRST CONTACT Section

(more…)

Memorial Day: In Memory of Those Who Have Fallen

By Frank M. Painter|May 24, 2026|Memorial|

Memorial Day: In Memory of Those Who Have Fallen

The Chiro.Org Blog

The Bivouac of the Dead

The muffled drum’s sad roll has beat
The soldier’s last tattoo’
No more on life’s parade shall meet
That brave and fallen few;

On Fame’s eternal camping ground
Their silent tents are spread;
But Glory guards with solemn round
The bivouac of the dead.

(more…)

Prior Authorization to be dropped by UnitedHealthcare

By Frank M. Painter|May 7, 2026|Announcement|

Prior Authorization to be dropped by UnitedHealthcare

The Chiro.Org Blog

SOURCE:
American Chiropractic Association
Thu, May 7 at 9:39 AM

Media Contact:
Annette Bernat
abernat@acatoday.org
(703) 812-0226

FOR IMMEDIATE RELEASE: May 7, 2026

American Chiropractic Association Comments on UnitedHealthcare Policy Change for Chiropractic Care

Arlington, Va. — American Chiropractic Association (ACA) President Kris Anderson, DC, released the following statement in response to UnitedHealthcare’s announcement this week that it would eliminate prior authorization for chiropractic care by the end of 2026:

“UnitedHealthcare’s decision to remove prior authorization for chiropractic services aligns well with ongoing efforts to reduce reliance on prescription opioid pain medications, especially for common musculoskeletal conditions. When used at the onset of an episode of spine-related pain, chiropractic services offer an evidence-based, non-drug approach for pain management that research has shown not only to alleviate pain and improve function but also to reduce costly downstream healthcare services such as surgery, hospitalization and ER visits.”

About the American Chiropractic Association

The American Chiropractic Association (ACA) is the largest professional chiropractic organization in the United States. ACA attracts the most principled and accomplished chiropractors, who understand that it takes more to be called an ACA chiropractor. We are leading our profession in the most constructive and far-reaching ways — by working hand in hand with other health care professionals, by lobbying for pro-chiropractic legislation and policies, by supporting meaningful research, and by using that research to inform our treatment practices. We also provide professional and educational opportunities for all our members and are committed to being a positive and unifying force for the practice of modern chiropractic. To learn more, visit acatoday.org

GREAT NEWS!!!

By Frank M. Painter|April 19, 2026|Uncategorized|

GREAT NEWS!!!

After our Board approved the launching of the BLOG, back in 2009, the stats showed slowly but surely that visits to our main sections declined, followed by a decline in Blog visits.

That I ascribe to the nature of the Blog, that if felt like too-much-work for some, whereas our important sections, like our

Low Back Pain and Chiropractic Section, which displays 30 to 40 years of our best (and most unique) research articles that detail our path from Alt-Med into integration.
Our other sizeable Chronic Neck Pain Section does the same, and both pages are supported by many smaller mini-sections that weave our history into stories, like the
Chiropractic and Spinal Pain Management and our excellent
Chiropractic Care For Veterans page, which details the massive interest over the last 25 years, as chiropractors integrated into a unique service core.
The About Chiropractic Adjusting page details the story of how chiropractic helps our patients.
Our Antibiotic Abuse Page page sheds more light upon the vast difference between our holistic non-drug approach to care.
Our About Chiropractic page reviews our history a bit, and our many differences from the ‘conventional’ approach.

The simple truth is that YOU have to explore ALL of our Sections to discover these many topical pages for yourself! I have been creating them since 1996, and perhaps some of you out there have an opinion about other ways to weave our history, and our literature into new and exciting stories.

All you have to do is contact me and say, “Hey Frank, what do ya thing about”… If you don’t have the time to create all that on your own, well I DO, because I am retired now, and THIS remains my favorite hobby.

I guess what I’m getting at is PLEASE SPEAK UP! It’s YOUR Profession too, so step-up and make it better! I am available at DrFrankmeister@sbcglobal.net

A Randomized Clinical Trial of Low-dose Cannabis Extract in Alzheimer’s Disease

By Frank M. Painter|December 20, 2025|Alzheimer's Disease|

A Randomized Clinical Trial of Low-dose Cannabis Extract in Alzheimer’s Disease

The Chiro.Org Blog

SOURCE: J Alzheimers Dis 2025 (Dec); 108 (4): 1602–1613

Rafael de Morais Cury • Taynara da Silva • Fernando Cezar-Dos-Santos • Yasmin Rafaela Correia Fakih • Karlin Andrea Ramírez Narvaez • Murilo Chaves Gouvea • Carlos Espínola • Charles Francisco Ferreira • Wagner Antonio Chiba de Castro • Fabrício Alano Pamplona • Elton Gomes da Silva • Maíra Assunção Bicca • Francisney Pinto Nascimento

Laboratório de Cannabis e Psicodélicos,
School of Medicine,
Universidade Federal da Integração Latino-Americana,
Foz do Iguaçu, PR, Brazil.

SOURCE: The Conversation

Background: Preclinical and clinical evidence suggest that low-dose cannabinoids could ameliorate Alzheimer’s disease (AD) signs and symptoms. We designed this trial to evaluate the safety and efficacy of low-dose THC-CBD balanced cannabinoid extract in the treatment of patients with AD-associated dementia.

Objective: The objective of this phase 2 trial was to evaluate the safety and efficacy of a balanced THC-CBD cannabinoid extract for symptomatic patients with AD.

Methods: A Phase 2, randomized, double-blind, placebo-controlled, clinical trial including patients between 60 and 80 years-old diagnosed with AD-associated dementia. For 26 weeks, participants orally received either placebo or THC-CBD extract (0.350 mg/THC and 0.245 mg/CBD), daily.

Results: At week 26, Mini-Mental State Exam total score was significantly higher in cannabis- when compared to placebo-treated patients, which was assessed using the mixed model analysis. No significant difference was detected between placebo and cannabis groups in terms of secondary outcomes and adverse events incidence.

Conclusions: To this date, this is the longest clinical trial evaluating cannabinoids effects on AD patients. We initially demonstrate that low-dose THC-CBD potentially can be an effective and safe therapeutic option for AD-related dementia. Nonetheless, larger and longer trials are necessary to confirm this finding and establish cannabinoid administration as therapy for AD dementia.

Keywords: Trial RegistrationThe Brazilian Registry of Clinical Trials (ReBEC) registration #U1111-1258-2058 – REBEC (ensaiosclinicos.gov.br).

Keywords: Alzheimer’s disease; Mini-Mental State Examination; cannabinoids; dementia; memory.

ACA Applauds Congress for Initial Step to Restore Chiropractic at Select Military Bases

By Frank M. Painter|December 19, 2025|Veterans|

ACA Applauds Congress for Initial Step to Restore Chiropractic at Select Military Bases

The Chiro.Org Blog

FOR IMMEDIATE RELEASE: Dec. 18, 2025

Arlington, Va. — The U.S. House of Representatives and Senate have passed the final version of the Fiscal Year 2026 National Defense Department Authorization Act, which includes a plan to restore chiropractic services at six U.S. military bases where services have been arbitrarily discontinued. The six clinics that will be reopened include those seeing 400 or more patients per month.

The final provision also calls on the Defense Health Agency (DHA) to develop a plan to reopen closed clinics and to explore the feasibility of putting doctors of chiropractic stationed at military facilities in the federal General Schedule (GS) system. Further, the amendment directs DHA to report back to the House and Senate on its progress by March 31, 2026.

The move to restore chiropractic services is consistent with the DHA’s ongoing concern over the use of opioids by active-duty members of the military and calls to make non-addictive alternatives for pain management more readily available to military personnel. The final language was first adopted in September as an amendment by Rep. Greg Steube (R-Fla.) to the House version of the bill. It reflects upon the Floyd D. Spence National Defense Authorization Act (Public Law 106-398), which in 2001 established the original chiropractic benefit in the Department of Defense healthcare system.

We thank Rep. Steube for his foresight to tackle this issue, and we also acknowledge House and Senate negotiators who kept the bulk of his amendment in the final package,” said John Falardeau, American Chiropractic Association (ACA) senior vice president of public policy and advocacy.

The Steube amendment was drafted in response to chiropractic clinic closures over the past year caused by contracts with participating chiropractors being allowed to lapse, even though surveys indicate chiropractic services are highly valued at U.S. military facilities. Reports show that these clinics provide proven, cost-effective care to hundreds of patients monthly, offering a range of non-drug services to address painful musculoskeletal conditions commonly experienced by members of the military, enabling them to return to service. The results of a four-year clinical trial conducted at several military sites—the largest chiropractic clinical trial on record—provided further evidence that chiropractic care, when added to usual medical care, resulted in moderate short-term improvements in low back pain intensity in active-duty personnel.

The Fiscal Year 2026 National Defense Department Authorization Act now heads to the president’s desk for his signature. ACA will continue to work with Congress to ensure all military clinics that were recently closed reopen and to expand access at additional bases across the country and overseas.

About the American Chiropractic Association

The American Chiropractic Association (ACA) is the largest professional chiropractic organization in the United States. ACA attracts the most principled and accomplished chiropractors, who understand that it takes more to be called an ACA chiropractor. We are leading our profession in the most constructive and far-reaching ways—by working hand in hand with other health care professionals, by lobbying for pro-chiropractic legislation and policies, by supporting meaningful research and by using that research to inform our treatment practices. We also provide professional and educational opportunities for all our members and are committed to being a positive and unifying force for the practice of modern chiropractic. To learn more, visit acatoday.org.

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