Repeatedly hearing familiar presentations for common diagnoses can lull clinicians into a false sense of security. Even astute clinicians develop a bias toward statically probable benign neuromusculoskeletal diagnoses. Unfortunately, this complacency can lead to disastrous outcomes when a more threatening problem masquerades as something less serious.
A recent American Journal of Medicine systematic review of 22 studies involving 41,320 patients concluded that up to 5% of LBP patients presenting to an emergency department have a serious underlying pathology (fracture, infection, cancer, cauda equina, etc.) (1) Prior studies have suggested that the same threatening diagnosis present to primary care offices at a rate of approximately 1%. (2)
Spinal compressive disorders rank high on the list of back pain emergencies due to the threat of cord ischemia and nerve cell death. This blog will cover the six most common spinal-compressive diagnoses and the clinical findings that can alert us to these ominous problems- including a video tutorial with at tip so that you’ll never forget what UMNL pathology looks like.
It’s that time again! Your ChiroUp research team has compiled clinical tips for 17 common conditions from this past month’s research. From whiplash to plantar fasciitis, we’ve got you covered on the latest news.
At ChiroUp, we know what makes a highly successful evidence-based practice. Why? Well, for starters, our advisory board has nearly 400 years of combined clinical and business expertise in our field, and each day we work with more than a thousand of the top providers in the world.
Our team has recognized ten common themes that almost all of these practices embrace. How many of these themes are you currently following? Find out in this week’s blog…and while you’re there, check out tip # 3 for an updated video demo of an essential skill for whiplash and cervicogenic headache patients.
Outstanding clinicians ask outstanding questions – and lots of them. In most cases, asking the right questions is the difference between clinical success and failure. And repeating either pattern defines a business’ trajectory. This week’s blog uncovers a dozen commonly overlooked questions that have the ability to change the course of our care, and our ultimately practice.
Review our list along with a video tutorial on how to master the clinical “20 questions” game.
This week we’re hitting you with the most pertinent research gathered from last month’s published literature. Over 1,000 articles were scoured and summarized into the following 11 summaries — it doesn’t get easier to stay up-to-date than this.
✅ What’s in: Friction massage, dry cupping, swimming
❌ What’s out: Tylenol, measuring cervical curves, smoking
Check out what the research is saying.
Evidence-based chiropractors employ data to establish treatment algorithms. But what happens when that data changes? While we may have performed due diligence to develop a management protocol, new research will likely change that protocol over time. The best example would be how, in the past decade(s), the management of chronic tendinopathy has flipped from suppressing inflammation (tendonitis), toward generating a controlled inflammatory response (tendinopathy).
Providing “best practices” requires continual testing and evolution. But when was the last time you questioned the utility of an everyday practice? For me, this occurred last week, when a long-time patient told me how much better she felt after her physiatrist prescribed a lumbar support belt. My long-held belief was that lumbosacral support belts had value in isolated instances… but I needed to know- was my belief still correct, or had new literature surpassed my understanding?
This week’s blog will highlight the most up-to-date evidence on four types of lumbosacral supports, then provide clinical pearls for indications, contraindications, and implementation -including a live video demonstration.
It’s that time again! Your ChiroUp research team has compiled clinical tips for 15 common conditions from this past month’s research. From concussions to plantar fasciitis, we’ve got you covered on the latest news.
Healthcare is changing, and providers can soon expect to be paid based upon their performance… but more than merely clinical performance. The fee-for-outcomes reimbursement model requires that providers deliver three key metrics:
1. Timely clinical outcomes
2. Cost-effective management
3. High patient satisfaction
Check out the following tutorial video, including several user-inspired tips on how to excel and grow your business with highly satisfied patients.