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Painful Memories

Painful Memories

There is something about going to a beach that makes me happy. I can remember growing up in North Carolina and taking day trips to the ocean. I can visualize opening the car door, the salty air hitting my face, the sun’s heat, and the anticipation of a fun day in the water. Even at the tender age of 38, ☺ I still have the same positive visceral response to visiting the coast.

On the other hand, my ten-year-old daughter was stung by a jellyfish last year in Florida. Her visits to the ocean provoke anxiety and avoidance. Although I will travel any distance to visit any beach at any time, my daughter is not equally enthusiastic. Our unique experiences have etched permanent memories that will forever shape our mood, personality, and expectations.

This blog will describe four simple steps to improve routine patient encounters and create overwhelmingly positive experiences.

Maigne Syndrome: The #1 Overlooked LBP Diagnosis?

Maigne Syndrome: The #1 Overlooked LBP Diagnosis?

Maigne syndrome and cluneal neuropathy are commonly overlooked causes of pain in the lumbosacral region, iliac crest, and buttock. (1-3) In fact, the pair are causative or contributory in up to 40% of LBP cases. (5,40,41) And that prospect increases as symptoms extend over the posterior iliac crest. (2)

Maigne syndrome typically results from irritation of a thoracolumbar dorsal ramus. (3) Facet joint dysfunction, degeneration, and instability are common culprits. Maigne syndrome is particularly elusive because the anatomical site of origin is often asymptomatic. (3)

This blog will cover the essentials of management, including a 5-minute video tutorial detailing the top assessments, treatments, and exercises, plus our top 10 clinical pearls.

Vertebral Fractures: New Chiropractic Test

Vertebral Fractures: New Chiropractic Test

Effective and efficient chiropractors ask the right questions; allowing them to perform the most sensitive orthopedic testing to identify damaged tissue. A recent article by Jin et al. (2020) identified a new orthopedic test to do just that. The Back Pain-Inducing Test (BPIT) recognizes symptomatic vertebral fractures (VF) with high sensitivity (99.1%) and specificity (67.9%). This isolated paper also reports good accuracy (89.0%), positive predictive value (86.6%), and negative predictive value (97.4%).*

This blog will review exactly how to perform this and other useful tests for identifying vertebral fractures.

Chronic Pain Neuroscience

Chronic Pain Neuroscience

Traditional chiropractic training has primarily focused on the mechanical aspects of pathology. Evidence-based chiropractors routinely seek to answer questions like:

• Which anatomical tissue is irritated?
• What habits and postures caused or perpetuated the dysfunction?
• What physical treatments and recommendations are most appropriate?

While mechanically-based assessment is essential, sometimes examining the non-mechanical issues is equally important. Many experts believe that biopsychosocial aspects of pain, particularly chronic pain, will become significantly higher areas of focus for neuromusculoskeletal providers.

This blog includes three valuable patient education tools that you can download, plus a video interview with Dr. Anthony Nicholson – a practicing chiropractic clinician and leading expert on chronic pain neuroscience.

Chiropractic Communication with Medical Doctors: Why It’s Important

Chiropractic Communication with Medical Doctors: Why It’s Important

Recently, I had the pleasure of speaking with Dr. Brad Russell from Birmingham, Alabama. His clinic regularly prescribes the MOST initial and release reports within ChiroUp as compared to the rest of our network. In this entertaining interview, I learned several tips that I will incorporate in my practice. I hope you will find it as informative as I did.

Patient Reactivation: 5 Steps for a Successful Campaign

Patient Reactivation: 5 Steps for a Successful Campaign

The pandemic has whipped most everyone’s overbooked calendar into something much more manageable. That wouldn’t sound so bad had it not hit our chiropractic patient appointment schedule equally hard with canceled appointments and missed visits. But as society returns to a functional state, chiropractors will seek to prudently fully re-open their practices and refill their appointment books.

Re-activations will be a crucial component of our return to meaningful production. This blog will answer the question: How to start patient recalls & reactivate.

Check it out as we cover the essentials of effective patient recall and patient re-activation programs, including an interview outlining the specific steps to make that happen, along with a customizable template for your reactivation message.

Separating Facts from Opinions

Separating Facts from Opinions

Identifying reliable sources of credible information is difficult. Harvesting new knowledge is necessary for evidence-based practice; however, it is becoming more difficult as the news and social media can sometimes polarize content to push an agenda. We understand the dilemma of knowing what sites, resources, and people are trusted sources of information. Our mission at ChiroUp is to change the perception of the chiropractic profession by educating the public, professional organizations, and our subscribers with unbiased and factual information.

Today’s blog will interview a highly respected source of information–Dr. Marc Bronson from the Evidence-Based Chiropractic Facebook group. We’ll break down Dr. Bronson’s standard for credible evidence, and then explain how ChiroUp utilizes similar peer-reviewed literature sources and automatically delivers content to you and your patients.

Chin Up

Chin Up

The following guest blog was authored by ChiroUp founding board member, Dr. David Flatt. Dr. Flatt practices within the Northwestern Medicine Health System in Chicago, IL.

12 Steps to Emerge Stronger than Ever – Phase 2 -Prepare

12 Steps to Emerge Stronger than Ever – Phase 2 -Prepare

Business success consists of providing an excellent product that many people want to buy at a fair price, then keeping slightly more profit than it costs to deliver. However, implementing this simple concept is sometimes more difficult than expected …say maybe in the face of a global pandemic.

Although the current challenge is unprecedented, the fundamental long-term strategies of execution will prove to be unwavering:
● Attract abundant business by selling a highly desirable product
● Develop a financial plan to keep revenue above the overhead

ChiroUp’s business success team has outlined a 4-phase plan of crisis recovery, including 12 essential steps that you can take to ensure that your practice emerges from the current challenge more robust than ever. This blog details Phase 2: Prepare – enhance the quality & delivery of your service. (Including a video interview about how to scale excellence with Dr. Jeff Mackey, who built 17 clinics!)

Expert Advice – Top Chiropractic Management For  Hip Pain

Expert Advice – Top Chiropractic Management For Hip Pain

Evidence-based providers can tell you the exact tissue origin of pain via history, physical examination, and possible diagnostic imaging. Without an understanding of specific tissue injury, deciding on appropriate treatment is futile. While many hip pathologies result in pain, it would be impractical to treat all hip pains with the same protocol. Today’s blog will cover one essential component of EB chiropractic practice—focused treatment.
The following information is from ChiroUp guest expert Dr. Micheal Braccio of the ACA Rehab Council.

Watch the full 50-minute interview.

12 Steps to Emerge Stronger than Ever Phase 1 -Survive – Decrease overhead & sustain revenue

12 Steps to Emerge Stronger than Ever Phase 1 -Survive – Decrease overhead & sustain revenue

Business success consists of providing an excellent product that many people want to buy at a fair price, then keeping slightly more profit than it costs to deliver. However, implementing this simple concept is sometimes more difficult than expected …say maybe in the face of a global pandemic.

Although the current challenge is unprecedented, the fundamental long-term strategies of execution will prove to be unwavering:
● Attract abundant business by selling a highly desirable product
● Develop a financial plan to keep revenue above the overhead

ChiroUp’s business success team has outlined a 4-phase plan of crisis recovery, including 12 essential steps that you can take to ensure that your practice emerges from the current challenge more robust than ever. This blog and video details Phase 1: Survive – Decrease overhead & sustain revenue

CARES Act FAQ: Paycheck Protection Program

CARES Act FAQ: Paycheck Protection Program

The world is dealing with an unprecedented challenge that has impacted countless businesses, including chiropractors. Many hands-on providers are seeing patient visits disappear …along with the resultant revenue. Fortunately, companies affected by the pandemic may have a new financial lifeline.

This blog will explain the United States CARES Act – Paycheck Protection Program (PPP) and what you need to do right now to benefit from this tremendous opportunity. We’ll talk one-on-one with accounting industry consultant, Jeff Pawlow, for expert answers to your essential questions.

Telehealth with ChiroUp

Telehealth with ChiroUp

Practices that are solely dependent on performing joint manipulation will struggle through this period of social distancing. Fortunately, managing patients using an evidence-based paradigm includes many other components that could be delivered remotely. Those utilizing multimodal therapies and diagnostics will continue to work in this changing business model forced upon us by a global pandemic.

Our goal to provide the best conservative care for our patients must remain the same regardless of location. However, chiropractors must implement new mechanisms to change patient behavior from a distance. The good news is that it’s possible, but it will require a change from providers too. In this blog, you will learn how to listen to your patients, modify their ADLs, direct their rehabilitation programs, and assess their problems via telehealth.

Lowering Your Overhead: What To Do & What Not To Do

Lowering Your Overhead: What To Do & What Not To Do

New challenges require business owners to review the past, then plan for the future. Clinics are looking at their balance sheet and asking how they can improve their financial stability. Every business leader understands this entails spending less and/or generating more revenue. Watch Tim and Brandon review the keys to understanding what people, products, and services are vital to your business. And, provide suggestions to eliminate or reduce non-essential costs.

Advice from Champions: 3 Essentials for Working with Pro Athletes

Advice from Champions: 3 Essentials for Working with Pro Athletes

There is undeniable irony discussing professional sports in a week where most athletes have been sidelined. However, the fact remains that professional and Olympic athletes appreciate the value of peak performance more than almost any other patient population. At the highest competitive level, tiny performance disparities can make the difference between being a champion and being unemployed.

Not surprisingly, these athletes rely upon a large cadre of strength coaches, trainers, therapists, nutritionists, psychologists, and other providers. In recent years those support networks have consistently included chiropractic care. Various studies show that approximately 9-14% of Americans utilize chiropractic care each year. (1) In contrast, more than 95% of NFL and MLB pro athletes have a chiropractor on their team. (2,3)  Likewise, a large number of Olympic athletes rely on chiropractors to stay healthy. In fact, the Team USA chief medical officer for the past four Olympics was a chiropractor. (4)

This blog will discuss how chiropractors can successfully integrate into sports and why these relationships benefit our profession, highlighted by a one-on-one interview with Dr. Hirad Najaf Bagy, team chiropractor for the Washington Redskins, Washington Nationals, and DC United Soccer.

How To Automate 95% of Your Patient’s Care

How To Automate 95% of Your Patient’s Care

Recently, The Journal of Physiotherapy (2019) published a paper finding that patients have a desire for a specific diagnosis. From which, they want “clear, consistent and personalized information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues.” (1)

How practical is it for an evidence-based provider to create a personalized treatment plan for every patient? Extremely!

Patients want to get out of pain quickly. This week’s blog is going to break down the strategies that I use in my clinic to alleviate my patients’ pain quickly and allow them to heal faster. Check out the video below for a demonstration of these strategies.