Uncategorized

A Canadian Lawyer’s Rant

By Frank M. Painter|October 18, 2013|Editorial, Uncategorized|

A Canadian Lawyer’s Rant

SOURCE: A Chiro.Org Editorial about Canadian Family Physcian 2013(Oct); 59 (10): 1052

After reading the first 2 paragraphs of this… what… letter to the editor? … I had some thoughts…

As an attorney and advocate for patient safety, I believe the authors of the Motherisk article that appeared in the August 2013 issue of Canadian Family Physician give an insufficient account of the risks that might be associated with chiropractic treatment of pregnant patients. [1]

Many chiropractors continue to base their treatments on the “detection” and “correction” of “subluxations,” ill-defined and unproven spinal lesions unknown to the medical profession. Nevertheless, chiropractors “adjust” these subluxations with any number of treatments, including manual therapy. Thus, the physician whose patient is receiving manual therapy from a chiropractor might be wholly unaware that the chiropractor is actually adjusting these nonexistent subluxations. These adjustments cannot effectively treat back pain or any other condition or disease.

Have we been hoist on our own petard?

I love how this author ramps up his misinformation campaign, stating that the subluxation is: first

ill-defined…then

unproven, and their final death stroke:

nonexistent.

Then, emboldened, he crows that:

“These adjustments cannot effectively treat back pain”

At this point, I am rolling in the aisles!

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The Nordic Maintenance Care Program: What Is Maintenance Care? Interview Based Survey of Danish Chiropractors

By Frank M. Painter|August 21, 2013|Maintenance Care, Medical Necessity, Uncategorized|

The Nordic Maintenance Care Program: What Is Maintenance Care? Interview Based Survey of Danish Chiropractors

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2013 (Aug 20); 21: 27

Corrie Myburgh, Dorthe Brandborg-Olsen, Hanne Albert and
Lise Hestbaek

Institute of Sports Science and Clinical Biomechanics,
Nordic Institute for Chiropractic and Clinical Biomechanics,
University of Southern Denmark,
Odense, Denmark

Objective To describe and interpret Danish Chiropractors’ perspectives regarding the purpose and rationale for using MC (maintenance care), its content, course and patient characteristics.

Methods Semi-structured interviews were conducted with 10 chiropractors identified using a stratified, theoretical sampling framework. Interviews covered four domains relating to MC, namely: purpose, patient characteristics, content, and course and development. Data was analysed thematically.

Results Practitioners regard MC primarily as a means of providing secondary or tertiary care and they primarily recommend it to patients with a history of recurrence. Initiating MC is often a shared decision between clinician and patient. The core elements of MC are examination and manipulation, but exercise and general lifestyle advice are often included. Typically, treatment intervals lie between 2 and 4 months. Clinician MC practices seem to evolve over time and are informed by individual practice experiences.

Chiropractors are more likely to offer MC to patients whose complaints include a significant muscular component. Furthermore, a successful transition to MC appears dependent on correctly matching complaint with management. A positive relationship between chiropractor and patient facilitates the initiation of MC. Finally; MC appears grounded in a patient-oriented approach to care rather than a market-oriented one.

Conclusions MC is perceived as both a secondary and tertiary preventative measure and its practice appears grounded in the tenet of patient-oriented care. A positive personal relationship between chiropractor and patient facilitates the initiation of MC. The results from this and previous studies should be considered in the design of studies of efficacy.

There are many similar studies in our new

Maintenance Care, Wellness and Chiropractic Page

From the Full-Text Article:

Background

Maintenance care (MC) is used by chiropractors to treat patients who are no longer in an acute state of pain; the purpose being to prevent recurrence of episodic conditions (secondary prevention) and/or maintain a desired level of function (tertiary prevention). The concept is frequently used among chiropractors [1,2] and limited evidence suggests that, among workers with work-related back pain, MC in chiropractic practice appears to decrease the recurrence rate [3]. However, according to two literature reviews, very limited evidence regarding the definitions, purpose and content of MC is currently available [4,5].

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“Unnecessary” Spinal Surgery: A Review With Commentary

By Frank M. Painter|August 15, 2013|Uncategorized|

“Unnecessary” Spinal Surgery: A Review With Commentary

The Chiro.Org Blog

SOURCE: Surgical Neurology Internat 2011; 2: 83

Nancy E Epstein, Donald C Hood

Department of Neurological Surgery,
The Albert Einstein College of Medicine,
Bronx, NY, USA

INTRODUCTION: Although one spine surgeon may decide that a patient needs surgery, another surgeon [e.g. a second opinion] might decide that surgery is “unnecessary”. Here we define “unnecessary surgery” as spinal surgery based upon “pain alone”. That is, the patient has no neurological deficit and no significant abnormal radiographic findings on dynamic X-rays, MR, and/or CT. Surgeons can, and do, debate whether it is appropriate to operate on patients with pain alone. To put this debate in context, however, we need to better understand the number of patients involved and the type of procedures recommended. In this prospective study performed over a one-year period, a single neurosurgeon documented the “unnecessary” lumbar and cervical surgeries planned by other spinal surgeons.

BACKGROUND: There are marked disparities in the frequency of spinal surgery performed within the United States over time, as well as across different geographic areas. One possible source of these disparities is the criteria for surgery.

METHODS: During a one-year period [November 2009-October 2010], the senior author, a neurosurgeon, saw 274 patients for cervical and lumbar spinal, office consultations. A patient was assigned to the “unnecessary surgery” group if they were told they needed spinal surgery by another surgeon, but exhibited pain alone without neurological deficits, and without significant abnormal radiographic findings [dynamic X-rays, MR scans, and/or CT scans].

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The Essential Role of Chiropractic Care to Super Bowl XLVI

By John Wiens DC|February 6, 2012|Health Promotion, Uncategorized|

Source Chiropractic Care Information

The Foundation for Chiropractic Progress, a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, points to the role of the team Doctors of Chiropractic (DCs) in optimizing functionality, endurance and overall conditioning.

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