Chiropractic Management

Chiropractic Care for Workers with Low Back Pain

By Frank M. Painter|December 31, 2023|Chiropractic Management, Cost-Effectiveness of Chiropractic, Workers' Compensation|

Chiropractic Care for Workers with Low Back Pain

The Chiro.Org Blog

SOURCE: Workers Compensation Research Institute (May 17, 2022)
Dongchun Wang, Kathryn Mueller, Randall Lea, M.D., Donald R. Murphy

Related Topics: Medical Costs, Outcomes for Injured Workers, Physical Medicine, Utilization

Cambridge, MA, May 17, 2022 — Today, the Workers Compensation Research Institute (WCRI) announced the release of a new study on chiropractic care for low back pain. The study reveals substantial variation in the use of chiropractic care across 28 states and offers insights into the patterns and outcomes of chiropractic care.

“Chiropractors often participate in the delivery of physical medicine services for low back pain, but few workers received chiropractic care in states where employers or insurers control the selection of providers,” said John Ruser, WCRI’s president and CEO. “This study will be helpful for policymakers and stakeholders who are interested in re-evaluating the role of chiropractors, especially those who have been adopting evidence-based practices and contributing to cost-effective care.”

This study, Chiropractic Care for Workers with Low Back Pain, describes the prevalence of chiropractic care and provider patterns of physical medicine treatment for workers with low back pain. It provides some evidence as to how different provider patterns of physical medicine treatment are associated with variations in overall medical and indemnity costs, and the duration of temporary disability. The study also looks at the utilization of medical services, including magnetic imaging studies, opioid prescriptions, and pain management injections.

The following is a sample of the study’s key findings:

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A Systems Approach for Assessing Low Back Pain Care Quality in Veterans Health Administration Chiropractic Visits: A Cross-Sectional Analysis

By Frank M. Painter|December 28, 2023|Chiropractic Management, Veterans|

A Systems Approach for Assessing Low Back Pain Care Quality in Veterans Health Administration Chiropractic Visits: A Cross-Sectional Analysis

The Chiro.Org Blog

SOURCE: J Manipulative Physiol Ther 2023 (Dec 22) [EPUB]

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Ryan D. Muller, DC, MS • Sarah E. Graham, DC • Xiwen Zhao, MSPH • Anna R. Sites, MSN, RN • Kelsey L. Corcoran, DC • Anthony J. Lisi, DC

VA Connecticut Healthcare System,
West Haven, Connecticut;
Yale School of Medicine,
Yale University,
New Haven, Connecticut.

Objective: The purpose of this study was to explore a systemwide process for assessing components of low back pain (LBP) care quality in Veterans Health Administration (VHA) chiropractic visits using electronic health record (EHR) data.

thods: MeWe performed a cross-sectional quality improvement project. We randomly sampled 1000 on-station VHA chiropractic initial visits occurring from October 1, 2017, to September 30, 2018, for patients with no such visits within the prior 12 months. Characteristics of LBP visits were extracted from VHA national EHR data via structured data queries and manual chart review. We developed quality indicators for history and/or examination and treatment procedures using previously published literature and calculated frequencies of visits meeting these indicators.

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The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

By Frank M. Painter|December 27, 2023|Chiropractic Management, Chiropractic Research, Headache, Migraine|

The Physical Impact of Migraines on Female Chiropractic Patients: A Qualitative Study

The Chiro.Org Blog

SOURCE: Health SA 2023 (Oct 25): 28: 2283

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Ashalya Pirthiraj and Raisuyah Bhagwan

Department of Chiropractic,
Faculty of Health Sciences,
Durban University of Technology,
Durban, South Africa.

Background: Migraines are highly prevalent among the female population and have a significant burden on one’s quality of life and physical functioning.

Aim: The study explored the physical impact and contributory factors of migraines on women and their experience of chiropractic treatment for migraine pain management.

Setting: The study was conducted in the eThekwini region of KwaZulu-Natal, South Africa.

Methods: The study used a qualitative descriptive design and adopted purposive sampling. The data were collected through 12 semi-structured interviews, between March and September 2021, and analysed using thematic analysis.

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An Adult Patient With Acute Ischemic Stroke and Carotid Stenosis Presenting to a Chiropractor: A Case Report

By Frank M. Painter|May 10, 2023|Chiropractic Management, Ischemic Stroke, Stroke and Chiropractic|

An Adult Patient With Acute Ischemic Stroke and Carotid Stenosis Presenting to a Chiropractor: A Case Report

The Chiro.Org Blog

SOURCE: Cureus 2023 (Apr 6); 15 (4): e37209

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Neal B deBuhr, Robert J Trager, Cliff Tao

Chiropractic Private Practice,
Thrive Chiropractic,
Cedar Falls, USA.

Chiropractic, Connor Whole Health,
University Hospitals Cleveland Medical Center,
Cleveland, USA.

FROM: MedicalNewsToday 2022

A 59-year-old male, with a recent history of acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia, presented to a chiropractor with a one-week history of numbness in the right upper and lower extremity that was triggered by neck movement, and lightheadedness/dizziness.

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A Case of Eagle Syndrome in a Chiropractic Patient

By Frank M. Painter|May 8, 2023|Case Studies, Chiropractic Management|

A Case of Eagle Syndrome in a Chiropractic Patient

The Chiro.Org Blog

SOURCE: Cureus 2023 (May 2); 15 (5): e38426

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Leonard F Vernon

Clinical Sciences,
Sherman College of Chiropractic,
Spartanburg, South Carolina, USA.

Eagle syndrome is a rare condition that is characterized by, among other things, pain in the face and neck, with the majority of cases being unilateral and isolated to the lower jaw. It is not uncommon for the pain to radiate to the ear. Symptoms can be constant or intermittent and may increase with yawning or rotation of the head, causing Eagle syndrome to be frequently misdiagnosed. The objective of this report is to summarize the symptoms, diagnostic workup, necessary imaging, and management of Eagle syndrome.

Keywords: advanced imaging; chiropractic; eagle syndrome; non-specific neck pain; trauma.

From the FULL TEXT Article:

Introduction

The styloid process attaches the temporal bone of the skull and abuts to the styloid foramen, where it has numerous attachments, including the stylohyoid and stylomandibular ligaments and styloglossus and stylopharyngeus muscles. Derived from the Greek word “stylos”, which implies the pillar in Greek. The length of the styloid process has been reported by some authors to range between 15.2 mm and 47.7 mm [1, 2], with various authors labeling an elongated styloid process as anything >30 mm while Wat W. Eagle, an otolaryngologist, whom the syndrome is named after, believed that a length >25 mm is considered elongated. [3] A radiographic study by Dayal et al. seems to confirm Eagle’s assertion. [4] Watt found the incidence of elongated styloid process is 4% in the general population, of which only 4%-10% are reported to be symptomatic, with a female-to-male ratio of 3:1. It is usually reported in adults after the third decade of life. [5, 6]

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Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

By Frank M. Painter|May 6, 2023|Chiropractic Care, Chiropractic Management, Veterans|

Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

The Chiro.Org Blog

SOURCE: J Chiropractic Medicine 2022 (Jun); 21 (2): 77–82

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Brian A. Davis DC, Andrew S. Dunn DC, MS, MEd, Derek J. Golley DC, MS, Dave R. Chicoine DC, MS

Chiropractic Department,
VA Western New York Healthcare System,
Buffalo, New York

FROM: Military.com 2019

Objective: The purpose of this study was to determine whether a sample of older adult male U.S. veterans demonstrated clinically and statistically significant improvement in chronic lower back pain on validated outcome measures after a short course of chiropractic care.

Methods: We performed a retrospective review of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 89 years, who had chronic low back pain, defined as pain in the lower back region present for at least 3 months before evaluation. We included those who received chiropractic management from January 1, 2010, to December 31, 2018. Paired t tests were used to compare outcomes after 4 treatments on both a numeric rating scale (NRS) and the Back Bournemouth Questionnaire (BBQ). The minimum clinically important difference (MCID) was set at 30% change from baseline.

Results: There were 217 individuals who met the inclusion criteria. The mean NRS score change from baseline was 2.2 points, representing a 34.1% reduction (t = 13.5, P < .001). The mean score change for BBQ was 14.7 points, representing a 35.9% reduction (t = 16.7, P < .001). The percentage of participants reaching the MCID for the NRS was 57% (n = 124) and for the BBQ was 59% (n = 126), with 41% (n = 90) of the sample reaching the MCID for both the NRS and BBQ.

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