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The past year has seen more published medical studies endorsing spinal manipulation than most any prior year. Evidence-based chiropractors are delighted by the recognition from so many trusted medical establishments including the FDA (1), CDC (2), Joint Commission (3,4), JAMA (5), Annals of Internal Medicine/ The American College of Physicians (6), and most recently, The Lancet (7) This certainly means that we have all seen a dramatic escalation of medical referrals – right?

Unfortunately, medical referral patterns are shaped and changed very slowly – primarily by personal experience.  To break through, we must provide overwhelming evidence that we are indeed the best option for a given diagnosis. Check out the following short video that outlines three things that you can implement right now to help change medical attitudes and referral patterns.

Click here for samples of the Initial Visit Synopsis and Discharge Summary.

Regardless of our professional degree, MD’s and DC’s all have failed cases mixed into our many clinical successes. Unfortunately, since the successes don’t need to seek additional care, we primarily see each other’s failures. We must not lose sight of each other’s proven value. If we judge each other by our successes rather than our failures, we will work toward an integrated model where the patient wins. Together, our professions will help more patients than either working alone.

Consistently sending quality communication is one simple way to cultivate better relationships with our medical peers. If you’re looking for a way to automate that process, ChiroUp can help. Click here to start your free trial today and if you like what you see, we’ll include free implementation training for you and your staff.



  1. FDA Education Blueprint for Health Care Providers Involved in the Management or Support of Patients with Pain. May 2017. Accessed on May 12, 2017
  2. Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain- United States, 2016. MMWR Recomm Rep 2016;65(No. RR-1):1–49.
  3. The Official Newsletter of The Joint Commission. Joint Commission Enhances Pain Assessment and Management Requirements for Accredited Hospitals. July 2017 Volume 37 Number 7. Ahead of print in 2018 Comprehensive Accreditation Manual for Hospitals.
    1. Joint Commission Online. Revision to Pain Management Standards. http://www.jointcommission.org/assets/1/23/jconline_november_12_14.pdf
    2. Paige NM, Miake-Lye IM, Booth MS, et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain; Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460.
    3. Qaseem A, et al. for the Clinical Guidelines Committee of the American College of Physicians. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017;166(7):514-530.
    4. Foster, Nadine EBuchbinder, Rachelle et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, Volume 0, Issue 0. Accessed online 4/10/18: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30489-6/abstract


About the Author

Dr. Tim Bertelsman

Dr. Tim Bertelsman


Dr. Tim Bertelsman graduated with honors from Logan College of Chiropractic and has been practicing in Belleville, IL since 1992. He has lectured nationally on various clinical and business topics and has been published extensively. He has served in several leadership positions within the Illinois Chiropractic Society and currently serves as President of the executive board.

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