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Insider Knowledge: Four Reasons Why MD’s Won’t Refer

Insider Knowledge: Four Reasons Why MD’s Won’t Refer

Dr. Steele and I have spent our professional lifetimes building relationships with medical providers. Those efforts pay off to the tune of more than 300 new patient MD referrals each year. We consider that statistic a “win”… but we’re still not satisfied.

We recognize that MD referral patterns span the gamut from you being the leading option, to “well…if you insist on visiting a chiropractor, then I want you to see Dr. ______”. And despite connecting multiple times per year for the past few decades, some obstinate medical providers are still reluctant to refer anyone.

We wanted to know why, so we asked more than a dozen primary care MD’s why they or their peers would be reluctant to refer to a chiropractor. Their candid replies allowed us to assemble this list of the top four factors that chiropractors MUST address in order to successfully attract medical referrals.

Please recognize the following statements are not our words. We tried to relay each MD’s concern verbatim, whether we agreed or not. We encourage you to read each statement with an open mind; recognizing that perception and reality sometimes differ, depending upon the view from where you stand.

Ready? OK… Hold your breath, we’re going in. Here are the MD’s answers to our question: “Why would a PCP not refer to a chiropractor?”:

What are SNAGs…

What are SNAGs…

The use of SNAG (sustained natural apophyseal glide) mobilizations may increase patient compliance and improve your clinical outcomes.  A recent publication by Mohamed et al. (2019) utilized cervical SNAGs to treat cervicogenic headaches and dizziness related to upper cervical joint dysfunction.  Incorporation of two special SNAGs provided significant symptomatic relief:

Running into Good Form

Running into Good Form

Years of research and decades of experience in treating runners yields one conclusion: FORM MATTERS. There is one simple gait-retraining cue used by specialists to help avoid running injuries. This cue will alleviate symptoms and return runners to their sport quickly. What is the prompt? Watch this video from Dr. Steele to understand what it is and how to incorporate this strategy into your treatments on Monday.

Top 10 Tips for Hips: Assessment & Management of Gluteal Tendinopathy

Top 10 Tips for Hips: Assessment & Management of Gluteal Tendinopathy

Clinical Question: A post-40-year old female presents with insidious-onset, persistent lateral hip pain that extends slightly into the buttock and upper lateral thigh. Symptoms are exacerbated by walking, climbing stairs or hills, standing on one leg to dress, and following prolonged sitting. Nighttime pain interferes with sleep. What is your most likely diagnosis?

April Research Round-Up

Your ChiroUp data collection team has reviewed more than a thousand abstracts this month to mine out the essential, real-world best practices that matter to you. These studies provide a valuable look into the past, present, and future of evidence-based musculoskeletal care.

Game-Changing Knee Assessment You Can Apply Today

Game-Changing Knee Assessment You Can Apply Today

The primary goal of chiropractic physicians is to DIAGNOSE. And some of the most notable diagnoses in the knee involve the anterior cruciate ligament (ACL). Ruling out an ACL tear (acute or chronic) is essential before initiating treatment and rehab. Fortunately, there is a simple and reliable new test to help us identify ACL ruptures.

“The Lever sign (aka Lelli test) is a new orthopedic examination tool to diagnose anterior cruciate ligament (ACL) tears. Preliminary results suggest almost 100% sensitivity and specificity to diagnose acute and chronic complete ACL tears and clinically significant partial tears as compared with magnetic resonance imaging (MRI).” (1)

Watch this quick tutorial and review 3 steps for sharpening your knee “best practices”.

New Pearl for Resolving Shoulder Pain

New Pearl for Resolving Shoulder Pain

Shoulder pain is the second most common diagnosis seen in a musculoskeletal provider’s office. Treating shoulder dysfunction should constitute a significant portion of every chiropractor’s day. Not because it is quick and easy, but because it is challenging.

Unfortunately, providers often fail to address every component necessary to alleviate shoulder pain and prevent re-occurrence. Research points to one essential theme in the rehabilitation of shoulder pain—scapular stability.

Want a new trick to improve your scapular rehab? Watch this video tutorial that applies new research from Physical Therapy in Sport. (1)

Chiropractic Research RoundUp: March

Staying at the top of your clinical “A” game means staying on top of the latest research. In this week’s blog, our team has summarized 11 of the most relevant studies pulled from the most recent research, with best practices that you can apply today.

Review the latest news:

✔ Magnesium relieves migraines
✔ Exercise vs. manipulation for SI dysfunction
✔ Cupping carpal tunnel syndrome
✔ Glucosamine & chondroitin for TMD
✔ Exercise rivals shoulder surgery

Annals of Medicine Weighs in on Cervical Artery Dissection

On March 19, 2019, Annals of Medicine hit the chiropractic profession with new research that will change the perception of chiropractic care. Here’s what they said:

“Manual therapy does not result in an increased risk of Cervical Arterial Dissection.”

Annals of Medicine’s “comprehensive review” of existing literature concluded that cervical spine mobilization and manipulation are not causative factors for dissection of the internal carotid or vertebral arteries. (1) The study went on to make several more important points that evidence-based chiropractors will want to apply in clinical practice to ensure our patient’s well-being.

Watch this quick video summary of the pertinent findings and see how ChiroUp incorporated this information into three new resources for you and your patients.

Evidence-Based Chiropractors: The Good, Bad, and Ugly

Evidence-Based Chiropractors: The Good, Bad, and Ugly

One of our  greatest professional assets is the opportunity to spend quality time with our patients.  Our ability to actively listen to a patient’s problem and accurately diagnose their condition is also our primary new patient generator.  Yes, long-term practice...
Top 4 Most Commonly Missed Hip Diagnoses

Top 4 Most Commonly Missed Hip Diagnoses

Problems involving the hip are some of the most frequently undiagnosed or misdiagnosed conditions. When a patient presents with hip pain, evidence-based chiropractors immediately consider the most probable culprits –like greater throchanteric pain syndrome and...

Chiropractic Research RoundUp: February

ChiroUp reviewed over 1,000 new abstracts last month. Check out the top 18 summaries that will impact your management from head-to-toe… Review the latest news: ✔ Top undiagnosed causes of hip pain ✔ High false positive carpal tunnel rate for NCV’s ✔ Therapeutic tape...

Don’t Make Promises That You Can’t Keep

Predicting responders vs. non-responders for any given treatment can be difficult; and estimating recovery is even more burdensome.  While there is no foolproof way of answering either question, there is a concept to help you make more informed treatment decisions for...
Pharma’s 6 billion dollars Vs. Our superior results

Pharma’s 6 billion dollars Vs. Our superior results

Pharma’s 6 Billion Dollars Vs. Our Superior Results While chiropractors have enjoyed a recent surge of research supporting spinal manipulation over pharmaceutical options, not all medical physicians have heard that news – in no small part because big pharma’s...