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Become A Value-Based Provider

Become A Value-Based Provider

  ChiroUp was created with an intense focus on the new definition of healthcare provider success- Patient Outcomes! Because, regardless of who’s paying the bill, they want results. The Harvard Business Review recently published an article about the importance of...
What’s the Best Shoe for Small Feet?

What’s the Best Shoe for Small Feet?

  Parents often seek to maximize the family budget. One common cost saving technique involves choosing shoes that toddlers and children “will grow into”. This week we will review a paper that examines this practice. Kobayashi (1) recently investigated: “How do too big...
How Do You Train Core Stability?

How Do You Train Core Stability?

  Lee & McGill recently published “Effect of Long-Term Isometric Training on Core/Torso Stiffness” in the Journal of Strength and Conditioning Research. (1) These findings should influence our decision making process when treating patients for “core weakness”....
Prepare to Surf the Wave

Prepare to Surf the Wave

  MD’s, PA’s and NP’s are still the gatekeepers of care for most patients. Establishing relationships with primary medical providers is more important than ever before. Relationships do necessarily come easy, but with a commitment to excellence and ongoing contact,...
Shoulder Mobilization for Impingement Syndrome

Shoulder Mobilization for Impingement Syndrome

  “Patients with shoulder anterior impingement syndrome (SAIS) who received 4 sessions of mobilization with movement exhibited significantly better outcomes for pain during shoulder flexion, pain-free range of shoulder flexion, maximal shoulder flexion, and...
L5 Motor Reflex Testing?

L5 Motor Reflex Testing?

  Until recently, clinicians had not typically tested for an L5 motor reflex. A study published by Esse et al (1), introduces a simple reliable alternative utilizing the Medial Hamstring Reflex (MHR). According to the authors: “The MHR is highly precise with an...
Stroke Update

Stroke Update

You will want to review a tremendous new study (1) concerning the association of chiropractic care and stroke. The authors extracted 3 years of commercial insurance and Medicare advantage plan data for approximately 39 million insured patients. This represents...
Orthotics For Posterior Tibial Tendon Dysfunction?

Orthotics For Posterior Tibial Tendon Dysfunction?

Arch supports and orthotics are mainstays of management for Posterior Tibial Tendon Dysfunction (PTTD), but have shown varying degrees of success. (1,2) The intended purpose of orthotics is to correct “flexible” deformities, i.e. maintain the medial arch and correct...
Want More MD Referrals?

Want More MD Referrals?

Step one: Be a patient-centered, evidence-based clinician. The first question I often ask myself during an initial visit is: Am I the best person to treat this condition? It is not possible for any single provider to answer yes for EVERY presentation. This is why the...

The Why

Every day we encounter patients with problems. I always ask my patients why they are in my clinic. Frequently, I hear “I want to be pain-free.” However, I also hear things like: I want to reach up to the top cupboard, lift up my grandchildren, throw a baseball, and...
What is a Medial Branch Neurotomy?

What is a Medial Branch Neurotomy?

  Medial Branch Neurotomy, aka Facet Rhizotomy, is a procedure to de-innervate the facet joints. The process involves cauterization of the medial branch of the dorsal ramus via Radiofrequency ablation (RFA) or other means. The procedure is intended to damage the...
Iliotibial Band Syndrome Ditched “Friction”

Iliotibial Band Syndrome Ditched “Friction”

Iliotibial band syndrome describes an irritation of the tissues near the distal attachment of the iliotibial band (ITB). This overuse syndrome is particularly common in runners and cyclists. (1-3) Earlier etiological theories (4) suggesting that ITB syndrome was a...
Proprioception

Proprioception

As illustrated, joint mechanics are influenced by the nervous system as well as the capacity of surrounding passive and active tissues. Diagnosing chronic sprains, muscle tightness, tendonitis and joint pain are not necessarily getting to the cause of the patient’s...
Does Your Treatment Match the Problem?

Does Your Treatment Match the Problem?

This week, we are honored to be speaking at the American College of Chiropractic Orthopedists conference in Las Vegas. Our presentation, “Mastering the Rotator Cuff” will cover the current evidence-based diagnosis and management of this common problem. The attached...