Chiropractic Care

Chiropractic Management of Neck-Tongue Syndrome

By Frank M. Painter|June 13, 2017|Chiropractic Care, Neck Pain, Neck-Tongue Syndrome|

Chiropractic Management of a Patient With Neck-Tongue Syndrome: A Case Report

SOURCE: J Chiropractic Medicine 2016 (Dec); 15 (4): 321–324

Craig S. Roberts, DC

Private Practice,
Nevada City, CA

OBJECTIVE: The purpose of this case report was to describe the chiropractic management of a patient with neck-tongue syndrome (NTS).

CLINICAL FEATURES: A 34-year-old female patient sought treatment at a chiropractic clinic for symptoms involving neck pain associated with left-sided paresthesia of the tongue that had persisted for >2 years. A diagnosis of NTS was made.

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Running Exercise Strengthens the Intervertebral Disc

By Frank M. Painter|May 23, 2017|Chiropractic Care, Disc Derangement|

Running Exercise Strengthens the Intervertebral Disc

The Chiro.Org Blog

SOURCE: Scientific Reports 2017 (Apr 19); 7: 45975 ~ FULL TEXT

Daniel L. Belavý,a, Matthew J. Quittner,
Nicola Ridgers, Yuan Ling,
David Connell, and Timo Rantalainen

Deakin University,
School of Exercise and Nutrition Sciences,
Institute for Physical Activity and Nutrition,
221 Burwood Highway,
Burwood, Victoria, 3125, Australia.

There is currently no evidence that the intervertebral discs (IVDs) can respond positively to exercise in humans. Some authors have argued that IVD metabolism in humans is too slow to respond anabolically to exercise within the human lifespan. Here we show that chronic running exercise in men and women is associated with better IVD composition (hydration and proteoglycan content) and with IVD hypertrophy. Via quantitative assessment of physical activity we further find that accelerations at fast walking and slow running (2 m/s), but not high-impact tasks, lower intensity walking or static positions, correlated to positive IVD characteristics. These findings represent the first evidence in humans that exercise can be beneficial for the IVD and provide support for the notion that specific exercise protocols may improve IVD material properties in the spine. We anticipate that our findings will be a starting point to better define exercise protocols and physical activity profiles for IVD anabolism in humans.

From the Full-Text Article:

Background

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Complementary and Integrative Medicine in the Management

By Frank M. Painter|May 19, 2017|Chiropractic Care, Headache|

Complementary and Integrative Medicine in the Management of Headache

The Chiro.Org Blog

SOURCE: BMJ. 2017 (May 16); 357: j1805

Denise Millstine, Christina Y Chen, Brent Bauer

Integrative Medicine Section,
Department of General Internal Medicine;
Women’s Health Internal Medicine,
Mayo Clinic, Scottsdale, AZ 85260

Headaches, including primary headaches such as migraine and tension-type headache, are a common clinical problem. Complementary and integrative medicine (CIM), formerly known as complementary and alternative medicine (CAM), uses evidence informed modalities to assist in the health and healing of patients. CIM commonly includes the use of nutrition, movement practices, manual therapy, traditional Chinese medicine, and mind-body strategies. This review summarizes the literature on the use of CIM for primary headache and is based on five meta-analyses, seven systematic reviews, and 34 randomized controlled trials (RCTs).

The overall quality of the evidence for CIM in headache management is generally low and occasionally moderate. Available evidence suggests that traditional Chinese medicine including acupuncture, massage, yoga, biofeedback, and meditation have a positive effect on migraine and tension headaches. Spinal manipulation, chiropractic care, some supplements and botanicals, diet alteration, and hydrotherapy may also be beneficial in migraine headache. CIM has not been studied or it is not effective for cluster headache. Further research is needed to determine the most effective role for CIM in patients with headache.

From the FULL TEXT Article:

Introduction

Headache is one of the most common clinical problems seen by healthcare providers. [1] Primary headache, as defined by the International Classification of Headache Disorders (ICHD), comprises headaches caused by independent pathophysiology, not by secondary causes, and includes tension-type headache, migraine, and cluster headaches. [2]

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AMI Model Working in Florida

By Frank M. Painter|May 12, 2017|Chiropractic Care, Integrative Care|

AMI Model Working in Florida: Functional Improvements, Reduced Utilization Costs
by Medicaid Patients

The Chiro.Org Blog

SOURCE: Dynamic Chiropractic

Background: Alternative Medicine Integration (AMI) originally achieved recognition within the chiropractic community for its unique HMO model that utilized doctors of chiropractic as primary-care physicians (PCPs) and the portal of entry into an integrated health care delivery system, inclusive of hospitals, MDs and MD specialists and outpatient facilities. Contracted with Blue Cross Blue Shield’s HMO-Illinois, AMI’s integrated IPA demonstrated excellent clinical and cost outcomes.

These outcomes were published in the June 2007 issue of JMPT and reviewed in the June 4, 2007 issue of DC. [1] In July 2007, AMI received the national endorsement of the Congress of Chiropractic State Associations (COCSA) for its outcomes-based model of chiropractic medical management.

AMI also has been documenting the clinical and cost outcomes of its holistic, patient-centered disease management program for chronic pain patients enrolled in the Florida Medicaid system. While pharmaceutically oriented disease-management programs for diabetes, hypertension, COPD and heart disease have become staples of compliance-driven, cost-containment measures offered by insurance companies and managed-care organizations, largely unnoticed by media and consumers is the growth of costs associated with chronic pain, which has become the number-one cost driver for Medicaid and the commercial populations. Coupled with the national health care trend of increased pharmaceutical usage and its associated issues of prescription drug complications, contraindications, addiction to painkillers and accidental death inherent and measurable within the conventional medical model, treatment costs for chronic pain-related diagnoses continue to escalate.

AMI’s initial three-year findings suggest integrating complementary and alternative medicine with conventional care management approaches in the Florida Medicaid system reduces the cost of care for the payer and improves the quality of life for the patient. All indications point to the conclusion that an integrative approach to treating the “whole” person is effective in this patient population.

To chiropractors and other practitioners of natural medicine, this is not a surprise. Chances are you have anecdotal stories of patient improvement within this vulnerable and challenging population. However, what is noteworthy is that since April 2004, AMI has successfully worked with the state of Florida to provide services to those beneficiaries who have been diagnosed with chronic fatigue syndrome, chronic back pain, chronic neck pain and/or fibromyalgia. AMI’s holistic nurse case managers integrate the conventional medical care these beneficiaries receive with CAM services from providers including chiropractors, acupuncturists, massage therapists, nutritionists, pharmacists and registered nurse care managers.

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An Integrated Approach to Chronic Pain

By Frank M. Painter|May 11, 2017|Chiropractic Care, Integrative Care|

An Integrated Approach to Chronic Pain

The Chiro.Org Blog

SOURCE: Dynamic Chiropractic ~ May 2017

By Peter W. Crownfield, Executive Editor

A Rhode Island Medicaid pilot program is yielding
significant benefits and savings.

Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state’s Department of Health, [1] demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.

Since 2012, Rhode Island Medicaid “Community of Care” enrollees suffering from chronic pain have participated in an integrated chronic pain program administered by Advanced Medicine Integration. Longtime readers will recall that for nearly two decades, AMI has been coordinating chiropractic and integrated care services in various states to help address the chronic pain epidemic in a community-based, integrated fashion. [2-3]

AMI’s integrated chronic pain program is designed to “reduce pain levels, improve function and overall health outcomes, reduce emergency room costs, and through a holistic approach and behavioral change models, educate members in self-care and accountability.”

The program features holistic nurse case management with referrals to CAM providers including chiropractors, massage therapists and acupuncturists; and patient education including stress-reduction tips and more.

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Chiropractic and Spinal Pain Management

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New Canadian Opioid Guidelines Recommends Chiropractic

By Frank M. Painter|May 9, 2017|Chiropractic Care, Opioid Epidemic, Opioid Guidelines|

Guideline for Opioid Therapy and Chronic Noncancer Pain

The Chiro.Org Blog

SOURCE: CMAJ 2017 (May 8); 189 (18): E659–E666

Jason W. Busse, DC PhD, Samantha Craigie, MSc, David N. Juurlink, MD PhD, D. Norman Buckley, MD, Li Wang, PhD, Rachel J. Couban, MA MISt, Thomas Agoritsas, MD PhD, Elie A. Akl, MD PhD, Alonso Carrasco-Labra, DDS MSc, Lynn Cooper, BES, Chris Cull, Bruno R. da Costa, PT PhD, Joseph W. Frank, MD MPH, Gus Grant, AB LLB MD, Alfonso Iorio, MD PhD, Navindra Persaud, MD MSc, Sol Stern, MD, Peter Tugwell, MD MSc, Per Olav Vandvik, MD PhD, Gordon H. Guyatt, MD MSc

Jason W. Busse
Department of Anaesthesia
McMaster University

New Canadian Opioid Guidelines Recommends
Chiropractic As Care OptionFROM: World Federation of Chiropractic
Monday, May 8, 2017A new Canadian guideline published today (May 8, 2017) in the Canadian Medical Association Journal (CMAJ) strongly recommends doctors to consider non-pharmacologic therapy, including chiropractic, in preference to opioid therapy for chronic non-cancer pain.The guideline is the product of an extensive review of evidence involving stakeholders from medical, non-medical, regulatory, and patient stakeholders.The lead author, Dr Jason Busse DC, PhD is a graduate of Canadian Memorial Chiropractic College and is an Associate Professor in the Department of Anaesthesia at McMaster University. Other authors of the guideline include those from the fields of physiotherapy, dentistry, public health and medicine.

Chronic non-cancer pain (CNCP) is defined as pain lasting more than 3 months that is not associated with malignancy. It is estimated that up to 20% of adult Canadians suffer with CNCP and, the guideline says, is the leading cause of health resource utilization and disability among working age adults.

Behind the USA, Canada has the second-highest level of opioid prescribing in the world. It is an enormous issue, with a doubling of admissions to publicly-funded opioid-related treatment programs between 2004 and 2012. In 2015, over 2000 Canadians died of opioid overdose, with final figures expected to be higher in 2016. Many of these deaths were associated with Fentanyl, the same opioid cited as being the cause of death of the musician Prince in 2016. Other commonly used opioid drugs are Percocet, OxyContin, Dilaudid and morphine.

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Chiropractic Care

Chiropractic Management of Neck-Tongue Syndrome

Chiropractic Management of a Patient With Neck-Tongue Syndrome: A Case Report

Running Exercise Strengthens the Intervertebral Disc

Running Exercise Strengthens the Intervertebral Disc

Complementary and Integrative Medicine in the Management

Complementary and Integrative Medicine in the Management of Headache

AMI Model Working in Florida

AMI Model Working in Florida: Functional Improvements, Reduced Utilization Costs by Medicaid Patients

An Integrated Approach to Chronic Pain

An Integrated Approach to Chronic Pain

New Canadian Opioid Guidelines Recommends Chiropractic

Guideline for Opioid Therapy and Chronic Noncancer Pain

AMI Model Working in Florida: Functional Improvements, Reduced Utilization Costs
by Medicaid Patients